bluuebunny/crossref_metadata_2025 huggingface dataset:
Role of risk management on economic growth: A critique of literature
Authors: Kajwang Ben
Published: January 2023

Risk management is defined as the sequential planning and implementation of initiatives and programs to cope with institutions' and individuals' substantial losses and loss exposure and to secure their properties. The study aims to evaluate risk management's role in economic growth.  This was executed through the use of a desktop literature review. The use of Google Scholar was utilized to locate seminal references and journal articles that were pertinent to the study. Papers published within the past five years were used to meet the inclusion criteria.  One of the principal objectives of a risk management strategy is to identify risks, address risks, and eliminate risk items before they are deemed detrimental to a company's progress or a significant component of expensive modification to a company's processes. According to the study's findings, insurance companies benefit from economic expansion in their roles as institutional investors and as providers of insurance risk management and indemnification. The paper recommends that the government develop better mechanisms to substitute disaster victims for their losses. At the same time, public sentiment would compel the nation to implement ways of reducing the burden of catastrophes on the public treasury. The enactments that would follow would pave the way for the nation's brilliant economic growth and development. Furthermore, insurance companies must also participate in insurance venture that is both environmentally and client-friendly and also formulate insurance initiatives that can cover every segment and section of the economy.
ASEAN, China and South China Sea: Alternative approach for security cooperation
Authors: Yang Zhe , Chandran Suseela Devi , Zhao Yinliang
Published: January 2023

This article analyzes the status quo and cooperation mechanism between ASEAN and China, mainly, the non-traditional security issues in the South China Sea space (SCS). The non-traditional security threats confronting the SCS are complex, diverse and enormous. Amongst those are transnational maritime crimes, marine disaster threat, marine ecological environmental threat, and resource scarcity. Recent trends have demonstrated that the established regimes between ASEAN and China, for non-traditional security cooperation in the SCS, are fragmented mainly due to the absence of integrated and long-term mechanisms. Three reasons hinder the acceleration of the cooperation process: interference from outside powers, insufficient mutual political trust between China and ASEAN members, claimants and divergence of interests in advancing the Code of Conduct (COC) in the SCS. This article aims to analyze the problems and the causes existing between China and ASEAN in dealing with non-traditional security cooperation. It also examines the effectiveness of the rules-based cooperation mechanisms and offers a few recommendations. It is argued that ASEAN and China should take advantage of the low sensitivity of non-traditional security issues and high-quality development of the One Belt and One Road Initiative, to construct an integrated framework based on rules jointly and order for multilateral non-traditional security cooperation in the SCS. Three possible and workable measures are recommended to facilitate non-traditional security cooperation between ASEAN and China in the SCS. Both sides, primarily ASEAN member claimants, pursue an excellent willingness to cooperate and could promote functional cooperation, promote successful maritime cooperation modes as long-term cooperation mechanisms in the SCS, focus on strengthening the capacity-building of marine governance, and comprehensively establish a multilateral cooperation mechanism in marine environmental protection and fishery resources management.
A PROSPECTIVE STUDY ON PREDISPOSING FACTORS FOR VARIOUS VENTRAL HERNIA CASES IN A TERTIARY CARE HOSPITAL
Authors: B Hariharan , Kumar Prajapati Devendra , Shrivastava Prashant
Published: January 2023

Ventral hernias may arise from an area of weakness in anterior abdominal wall such as umbilicus, sites of
previous surgery or from the areas where musculature is weak. They are commonly dealt surgical
problem in our day to day clinical practice associated with various complications/recurrence. This prospective study was
conducted to analyze various risk factors responsible for ventral hernia formation and in formulating targeted effective preoperative optimization of those risk factors thereby improving post-operative outcomes. Among various predisposing factors,
females (63.33%), history of previous surgery (55%), old age (38.3%) formed the majority in this study. Prevention of ventral hernia
and targeted preoperative optimization has gained popularity in recent times to achieve better post-operative outcomes.
A RARE CASE NEUROMYELITIS OPTICA SPECTRUM DISORDER
Authors: Awais Farooqui Mohammad , Kulkarni Aarati , Rai Sandeep
Published: January 2023

Neuromyelitis Optica spectrum disorder or Devic's disease is an autoimmune disease characterized by by
acute inammation of the optic nerve and spinal cord. A relapsing disease course is common, especially
in untreated patients. In more than 80% cases it is caused by immunoglobulin G autoantibodies to aquaporin 4 the most
abundant water channel protein in the central nervous system. Episodes of optic neuritis and myelitis can be simultaneous or
successive.
LIGHT WEIGHT VERSUS MEDIUM WEIGHT MESH IN LAPAROSCOPIC INGUINAL HERNIA MESH REPAIR
Authors: Shikalgar Summaya , Kolte Sanjay , Singh S.P.
Published: January 2023

Hernia is repaired by laparoscopic or open approach. Laparoscopic inguinal hernia repairs performed
are trans-abdominal preperitoneal repair (TAPP) and totally extra-peritoneal repair (TEP). This study
aimed to update the previous reviews and to compare Light Weight versus Medium Weight Mesh in LIHR. Previous studies have
shown benets of LWM compared to MWM in terms of decreased pain, discomfort, and early return to normal activity. Method:
50 patients operated for Laparoscopic Inguinal Hernia Mesh Repair were evaluated from Inpatient department of Sahyadri
Speciality Hospital, Deccan, Pune between January 2020 to May 2021. 30 patients were operated using Anatomical 3D Light
weight Mesh and 20 were operated using Paritene Flat Sheet Medium Weight Mesh; allocation done by simple randomization.
It is a prospective, observational study. Aim was to evaluate the post-operative outcome and return to normal activities in LWM
versus MWM in LIHR. Result: Mean duration of hospital stay, mean duration of days taken to resume daily activities, intensity of
pain by VAS and NRS, foreign body sensation, incidence of seroma formation and inuence on male sexual life and fertility did
not differ between patients of both groups. No signicant difference in post-operative pain and foreign body sensation between
use of LWM and MWM.
INVESTIGATION ON THE PREVALENCE AND RISK FACTORS OF TYPE 2 DIABETES MELLITUS AMONG THE RURAL POPULATION IN STATE OF TAMILNADU
Authors: Kumar R Vijaya , P Dhanya , D R Shiju
Published: January 2023

Background: Diabetes mellitus is a common health problem in this world, causing a huge burden for
individuals, families, and communities. It is a clinical syndrome characterized by hyperglycaemia due to
absolute or relative deciency of Insulin. Methods: A cross-sectional study carried out among 530 type 2 diabetic mellitus
patients in rural eld practice area of Tamil Nadu. The objectives of the study were to estimate the prevalence of risk factors for
Type 2 diabetes mellitus among the population in rural areas of Tamil Nadu. Data was analyzed using the SPSS version 20.0
software. Results: Among the 530 people were studied in age group of 20–70 (aged 45 ± 18.7 years). Majority (48%) were more
than 50-70 years of age. In this study, 272 of the participants were female and 258 were male. In relation to residence area, 412
(78%) were Rural people and 118 (22%) were Urban people. The data result was expressed as mean and standard deviation. A
probability value is less than 0.05 and it was considered statistically signicant. The risk factors of physical inactivity, Illiteracy,
Mixed diet, Stress, hypertension, overweight/obesity, Tobacco smoking, Alcohol intake, Family history of diabetes and
Sedentary workers were investigated. Conclusions: It concluded that the prevalence and risk factors of type 2 diabetic mellitus
is high. It is required to reduce the trouble for rising type 2 diabetic mellitus in the society. The risk factors were signicantly
associated with the high rate of complications of diabetes. It is suggests that on focusing of interventions to prevent and control
the type 2 diabetic mellitus.
A RARE PRESENTATION OF WILSON'S AMONG TWO SIBLINGS – A CASE REPORT
Authors: Lalitha Alekya Ainavolu V , Bhavya Sucharitha Rayala
Published: January 2023

Wilson's disease (Hepatolenticular degeneration) is an inherited autosomal recessive disorder of copper
metabolism that produces neurologic, psychiatric, and liver manifestations, alone or in combination. It is
caused by mutations in the ATP7B gene encoding a P-type ATPase on chromosome 13q14.3. Manifestations of Wilson's disease
are more likely to be hepatic in early childhood, and neurologic in adolescents and young adults. Neurologic onset usually
manifests in the second decade of life with tremor, rigidity and dystonia. Here we are presenting two cases of WILSON'S disease
manifesting as NEUROWILSON'S among two siblings of a family born out of secondary consanguineous marriage. Both the
patients presented with history of difculty in holding objects and history of tremors of both upper limbs and slurring of speech.
Examination revealed a Wing beating tremor, Kayser Fleischer ring on slit lamp examination, low serum copper and low serum
ceruloplasmin. Patients were treated with Penicillamine and Zinc acetate, discharged and advised regular follow up.
CORRELATION OF SERUM ALBUMIN LEVELS IN ACUTE ISCHEMIC STROKE PATIENTS.
Authors: Ahmed Junaid , Jha Abhishek , Khan Ahmed , Thakkar Mitesh
Published: January 2023

Background Westernization of lifestyle and the resulting demographic transition might increase the
burden of stroke even in the developing countries. Stroke or cerebrovascular accident is a life
threatening neurological disorder. It constitutes more than 50% of admissions in a hospital. Albumin is a multifunctional
protein which has been proven to have neuroprotective effects in animal studies. Albumin is also an indicator of the nutritional
status. Methods Total 75 patients admitted with the diagnosis of acute ischemic stroke and meeting the inclusion and exclusion
criteria. A prospective, observational study is conducted under the Department of Medicine, MGM Medical College and
Hospital, Navi Mumbai. A written signed informed consent was taken from all the patients prior to their enrolment in the study.
Results It was observed that the mean age of the study population was 52.96 ± 13.11 years. Almost 58.66% of the cases
belonged to the age group of 51 to 70 years. There was a male preponderance in the study population (86.67%). The age
distribution was similar in both the genders; P value: 0.486. the results also showed that the mean serum albumin levels at the
time of admission was 3.86 ± 0.49 g/dL and the mean serum albumin levels at discharge were 3.95 ± 0.47 g/dL. When assessed
with age, there was no signicant variation in the serum albumin levels at admission and discharge; P value: more than 0.50.
Conclusion From the present study, it can be effectively concluded that acute ischemic stroke is prevalent in the older age
groups with signicant male preponderance. When the severity of the stroke was assessed by the NIHSS score, it was observed
that moderate type of stroke was the most common. When assessed with the mean serum albumin levels, there was a
signicant strong negative correlation with NIHSS score. This indicates that low serum albumin levels are associated with
increased severity of the stroke.
A STUDY OF INCIDENCE OF ACUTE KIDNEY INJURY IN SNAKE BITE
Authors: B Bhuvaneshwari , R Umarani
Published: January 2023

Background Snakebite is one of the commonest occupational hazards in our country, especially among
the rural population. It leads to a multitude of complications starting from localized cellulitis to even
death. AKI is a signicant as well as an under reported complication in patients of snake bite which has a tremendous impact
on the nal outcome. The unfavourable outcome in snake envenomation can be predicted early with the development of AKI. In
this study, we wanted to assess the clinical prole of snakebite patients and determine the incidence of AKI in patients of
snakebite.
Aim
1. To study the incidence of acute kidney injury in patients following snake bite.
2. To study the clinical and renal prole in patients following snake bite with AKI.
Study Design This was a prospective observational study conducted in a teaching hospital over a period of 12 months.
Materials And Methods The study included 100 patients of snakebite admitted in the Department of Medicine, Rajah Muthiah
Medical College & Hospital done over duration of 12 months. The various data regarding clinical features of the patients,
serum creatinine levels, other blood parameters of the patients selected for participation in the study were analysed using
simple statistical methods. Majority of the snakebite victims were males. 30 % (N = 30 Results ) of the cases developed AKI. The
mortality in patients of snakebite developing AKI was 25 % (n = 4). From our study Conclusion we conclude that, the most
common manifestation of snake bite was cellulitis (95%) followed by regional lymphadenopathy (60%). The incidence of acute
kidney injury in snake bite patient was 30% (N=30). Abnormal coagulation prole was present in 36.6% (N=11) patients with
acute kidney injury. Bite to needle time more than 6 hours, oliguria, bleeding manifestations have signicant association with
acute kidney injury. Snakebite envenomation is associated with a considerable burden of AKI in the developing countries
especially among the rural population. Prompt initiation of aggressive treatment improves the nal outcome.
PLATELET DISTRIBUTION WIDTH AS A PROGNOSTIC FACTOR IN THROMBOLYSED ISCHEMIC STROKE
Authors: Shaikh Salman , Kaur Inderjot , Kejriwal Amrit
Published: January 2023

Background: Platelet distribution width is one of the routine parameters in platelet indices, and indicates
about the volume variability of the platelet size. Platelet distribution width is one of the routine
parameters in platelet indices, and indicates about the volume variability of the platelet size. It is measured in percentage.
Among the platelet indices, PDW is a better indicator of platelet reactivity than MPV. The clinical examinations and studies have
shown that PDW has been a prognostic indicator in thrombolysed ischemic stroke patients. The present study has been aimed
to observe PDW as a prognostic indicator in thrombolysed ischemic stroke patients. A Pr Methods: ospective, Single arm
observation study was conducted at MGM Institute of Health Sciences, Navi Mumbai where in a total of 60 patients of
thrombolysed ischemic stroke satisfying inclusion and exclusion criteria visiting casualty and admitted in medical ICU of MGM
Medical College and Hospital, Kamothe, Navi Mumbai were selected for the study. Results: Data analysed showed
thrombolysis was done with Alteplase in 49 patients and with Tenecteplase in 11 patients. Hence, data showed that a greater
number of patients were thrombolysed with Alteplase. The study showed that 4 died out of 49 thrombolysed with alteplase
which equals to 8.16%. 1 died among 11 thrombolysed with tenecteplase which equals to 9.09%. Total 5 died among 60 patients
who got thrombolysed which equals to 8.33%. The analysis suggested that 50 out of 60 patients recovered post thrombolysis
(83.3%), while 3 out of 60 died (5%). Total 7 patients out of 60 had hemorrhagic transformation post thrombolysis, out of which 5
recovered (8.4%) and remaining 2 out of 7 died (3.3%). The study concluded that s Conclusion: ince, p-value less than that of
0.05 indicates signicant change in PDW when compared between on day of admission to on the day of outcome of all the
patients, study concluded that over all there was an increment in PDW. The analysis concluded that majority of the patients had
a good outcome post thrombolysis (83.3%).
SERO SURVEY OF HIV, HBV AND HCV AMONG THE PATIENTS VISITING TERTIARY CARE HOSPITAL.
Authors: Ghogale Shital , Pathak Ketaki
Published: January 2023

Objective: The emergence of Human immunodeciency virus(HIV), Hepatitis B virus (HBV) and hepatitis
C virus (HCV) infections has posed the greatest challenge to public health in modern era. Study was done
retrospectively to nd out burden of HIV, HBV and HCV in community. Similarly we tried to study other sociodemographic factors
and correlates of HIV. Methodology: A retrospective study was done. Serum samples were processed and analysed in the
department of microbiology, in tertiary care hospital since JAN 20 to JAN 22. The study included all OPD and IPD patients
sample. Results: A total of 21600 samples were analysed retrospectively. Prior consent was taken. Of these, 13490 were males
and 8110 were females. The seroprevalence of HIV was found to be 0.5% , HBsAg 0.70% and HCV was 0.25 among population
visiting Tertiary Care Centre. Coinfection rate of hepatitis B and hepatitis C with HIV positive patients was found to be 5 (0.23%).
Conclusions: Prevalence HIV, HBV and HCV seropositivity was found to be very low in this population around our tertiary care
hospital. Sexually transmitted infection history was most relevant risk factors of co-infection among seropositive population.
Coinfection rate of hepatitis B and hepatitis C with HIV positive patients was on higher side among patients with high risk sexual
behaviour..
SEMICONDUCTOR SHORTAGE AND INDIAN AUTOMOBILE SECTOR: EMPIRICAL ANALYSIS
Authors: Kesavan D. , Marianand N.
Published: January 2023

The semiconductor shortage has had a signicant impact on the automobile sector in India.
Semiconductors are a vital component in the production of vehicles, and the shortage has resulted in
production delays and reduced output for many automobile manufacturers in India. This research paper examines the impact of
the current semiconductor shortage on the automotive industry. The research paper begins by exploring the causes of the
shortage, including the global shift towards digitalization, the pandemic-induced surge in demand for technology products, and
the limited production capacity of semiconductor manufacturers. The paper then examines the economic effects of the shortage,
including reduced revenues, increased costs, and reduced supply. It further explores the strategies adopted by automotive
manufacturers to mitigate the impact of the shortage, such as increasing production and increasing their investments in
semiconductor manufacturers. Finally, the paper discusses the implications of the shortage and suggests effective solutions to
address the crisis. A simulation is carried out to forecast the strength of manufacturing in India. The ndings of this research
indicate that the current semiconductor shortage is having a signicant impact on the automotive industry, and that appropriate
strategies should be adopted to address the crisis.
EXTRAARTICULAR MANIFESTATIONS OF RHEUMATOID ARTHRITIS
Authors: Kathpal Aman , Kejriwal Amrit , Khan Ahmed , Thakkar Mitesh
Published: January 2023

Rheumatoid arthritis (RA) is a systemic autoimmune disease. The main characteristic of RA is persistent
joint inammation resulting in joint damage and loss of function. Rheumatoid arthritis may lead to a
variety of extra articular manifestations. Extra-articular organ involvement in RA is more frequently seen in patients with severe,
active disease and is associated with increased mortality. The occurrence of these systemic manifestations is a major predictor
of mortality in patients with RA. [1] Our case series attempts to provide a glimpse into the various extra articular manifestations of
Rheumatoid arthritis. In total, 3 patients have been included for this case series. All 3 patients were a known case of Rheumatoid
arthritis who presented with extra articular manifestations at MGM hospital, Kamothe.
COMPARISON OF DEXMEDETOMIDINE VERSUS FENTANYL IN ATTENUATING PRESSOR RESPONSE DURING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION
Authors: Atri Ankita , Devi Meenakshi
Published: January 2023

Background and objectives: Laryngoscopy and intubation is associated with a sympathetic response
that results in a rapid increase in blood pressure and heart rate. The mechanisms underlying these
hemodynamic changes are incompletely understood. They may be caused by a reex sympathetic discharge due to
stimulation of the upper respiratory tract. It has been observed that hemodynamic responses to tracheal intubation are
associated with an increase in plasma catecholamine concentrations and are attenuated by β-adrenergic blockade. This study
was conducted to compare the efcacy of dexmedetomidine and fentanyl for attenuation of pressor response during
laryngoscopy and intubation. Materials and methods Following approval by ethical committee, 60 ASA grade I and II patients
of either sex undergoing general anaesthesia for elective surgery were included in this study. Patients were randomly divided
into two groups of 30 patients each. Dexmedetomidine in a dose of 1μg/kg i.v was given to Group A patients and Fentanyl 2
μg/kg i.v was given to Group B patients. Both the drugs were diluted with normal saline solution to make 10ml and were
administered slow intravenous 10 min before induction. The hemodynamic parameters were recorded, demographic data was
analyzed using unpaired t-test and hemodynamic variables were analyzed by using unpaired and paired t-test. Side effects
were analyzed using chi square test. Result: The two groups were comparable in their demographic proles.
Dexmedetomidine proved itself to be an excellent drug when given intravenously in dose of 1μg/kg to attenuate hemodynamic
response to laryngoscopy and intubation. It blunted the hemodynamic response to laryngoscopy and intubation to a greater
magnitude than fentanyl in a dose of 2μg/kg intravenously as a premedication. Conclusion: We conclude that fentanyl 2μg/kg
i.v. given ten minutes prior to airway instrumentation shows an inconsistent response to laryngoscopy and intubation. Between
the two drugs under study, the use of dexmedetomidine 1μg/kg i.v. is satisfactory and produces a more favorable hemodynamic
prole while fentanyl 2μg/kg is found to be non- dependable and less effective for the attenuation of the pressor response to
laryngoscopy and endotracheal intubation.
AN OBSERVATIONAL STUDY TO CORRELATE THE MACULAR THICKNESS IN PATIENTS WITH HIGH MYOPIA USING OCULAR COHERENCE TOMOGRAPHY IN A TERTIARY CARE CENTRE
Authors: A V Pradeep , Anil Parvathi
Published: January 2023

Myopia is the commonest refractive error encountered in the OPD among young adults. High myopia is
dened as the refractive error more than or equal to -6.0D Spherical equivalent or Axial length more than
or equal to 26.5mm. This study aims to observe the correlation of the macular thickness in patients with high myopia using
Ocular Coherence Tomography. This observational study was conducted for a period of 6 months on 55 subjects. The foveal,
parafoveal and perifoveal thickness were assessed using fast macular thickness scanning protocol. Full foveal thickness was
not correlated with spherical equivalent (p value >0.05) but the parafoveal and perifoveal thicknesses had signicant positive
correlations with SE (p value>0.05). Serial follow up of high myopic patients with OCT helps in assessing the rate of alteration in
macular thickness which helps in helps in understanding the macular thickness status while evaluating other macular
pathologies.
DELIRIUM: NARRATIVE REVIEW
Authors: Piedrahita Rincon Angelica Natalia , Conde Rodriguez Blas Dario , Rodriguez Palacos Santiago , Casablanco Jose Luis , Peŕ ez Garcia Tatiana Paola , Rojas Sánchez Valentina , Díaz Díaz Miguel Angel
Published: January 2023

Delirium is a neuropsychiatric syndrome characterized by acute onset of decits in attention and in
multiple aspects of cognition. The prevalence of delirium varies considerably by patient group and
setting, tending to be more common in hospitalized older adults or the critically ill. Three phenotypes of delirium are recognized
depending on psychomotor activity (hyperactive, hypoactive, mixed). Its diagnosis is based on the criteria established in the
DSM V, however we have diagnostic tools used in clinical practice such as 4A, CAM and ICDSC. The pharmacological
management of delirium is still a matter of debate, treatments with antipsychotic drugs have been shown to reduce motor
activity, but they do not seem to affect the dura
STUDY ON RISK FACTORS FOR ASTHMA IN CHILDREN ADMITTED IN GGH, GUNTUR.
Authors: Nikhita B. , Padmalatha Padmalatha
Published: January 2023

Asthma is being the leading cause of hospitalization for
children, it is one of the most important chronic conditions
causing elementary school absenteeism. The risk of
developing asthma depends on a variety of predisposing
factors, both hereditary and environmental. Risk factors are:
genetic predisposition (family history of atopy or asthma);
perinatal factors (low birth weight, prematurity); exposure to a
variety of allergens; upper respiratory tract infections; air
pollution; tobacco smoke , diet and obesity. Substantial
increase in the incidence of asthma over the past few decades,
and geographic variation prevalence rates, supports the
hypothesis that environmental factors may play an important
role.
PERIOPERATIVE MANAGEMENT OF A CASE OF CHRONIC RHEUMATIC HEART DISEASE POSTED FOR EMERGENCY CAESAREAN SECTION
Authors: Mounika A.V. , Aftab Shaik , Muni Reddy MVR , Karthik Lagusani , Srivani Mechineni , Nikhil Mudgalkar
Published: January 2023

Rheumatic heart disease(RHD) still remains an endemic in India. It is one of the major causes of mortality
and morbidity in parturients in developing countries. We present a 26 year old second gravida with
history of chronic rheumatic heart disease with multiple valvular disease. She presented with complaints of palpitations,
dyspnoea progressing from New York Heart Association (NYHA) class II to class III. On physical examination, patient was pale,
had bilateral pedal edema, tachycardia, dyspnoea, undifferentiated murmur on auscultation. Further evaluation revealed
anemia, dilated left atrium, moderate mitral regurgitation, mild mitral stenosis, mild aortic regurgitation and fetal distress.
Patient was taken for emergency caesarean section in the view of maternal condition and fetal distress. She developed
pulmonary edema during surgery and was kept on ventilator to optimize the patient condition with further management. She
was successfully extubated after 3 days of meticulous care in intensive care unit (ICU).
FISH BOWL AN INNOVATIVE TEACHING LEARNING METHOD ON 'SOCIAL PROBLEM' AMONG UNDERGRADUATE NURSING STUDENTS
Authors: Nair Pooja , James Sinha Monalisha , Surendra Kr Sain Chanchal
Published: January 2023

Background: Collaborative learning approach is an innovative learning process which encourage &
motivate students to learn how to cooperate in a classroom setting & commonly achieve the objectives of
learning. Peer learning is possible in groupwork because students in group work not only learn from their peers, but also
develop new skills and improve their learning abilities. To assess the students' percep Objectives: tion on Fish Bowl as an
innovative teaching method. Descriptive Study. Selected Nursing Colleges in a metropolitan city, Design: Setting: Participants:
29 undergraduate nursing students. A lecture was taken on specic topic. Later, on the Methods: same topic students
performed Fish Bowl Discussion, where 5 students were sitting in the center, discussing the topic & rest of students were the
audience. During the discussion teacher had also given her inputs & moderated the discussion. The total time allotted for Fish
Bowl is 30 minutes. At the end of the discussion feedback was taken from the students on the perception upon Fish Bowl
Technique of discussion. The study result shows 79.3% students strongly agreed that t Results: his method helpful in
understanding the communication and topic effectively. 72.4% students strongly agreed that this method helps to improve
attention, active listening, uent communication stimulate interest in the class. Fish Bowl Techniq Conclusion: ue can be
adapted as a add on to lecture method to learn in an innovative way which will not only encourage the students to comprehend
but also it will enhance their communication skill.
LATERAL PLACENTATION IN ULTRASONOGRAPHY AND PREDICTION OF PREECLAMPSIA
Authors: Kumari Archana , Kirubamani N. Hephzibah
Published: January 2023

Lateral placentation was found to show statistically signicant association between lateral placentation
and pre-eclampsia, therefore these pregnancies may need cautious obstetric management to ensure a
better maternal and perinatal outcome. This study aims to establish whether laterally located placenta in ultrasonography can
be taken as a predictor of pre-eclampsia.This prospective descriptive study was conducted in OBG department of Saveetha
Medical College and Hospitals, Thandalam from JANUARY 2022 to June 2022. A total of 50 low-risk women with singleton
pregnancy underwent ultrasonography to locate the placenta. These cases were followed for the development of signs and
symptoms of pre-eclampsia. In this study the calculated sensitivity of lateral placenta for prediction of pre-eclampsia was 75%,
specicity of 70.6%, PPV (positive predictive value) was found to be 54.5% %, NPV (negative predictive value) was 85.7%. We
concluded that there is considerable relation between placental lateralisation and development of pre-eclampsia, hence
Ultrasonography is a fairly straightforward, non-invasive, affordable, simple to use, and widely accessible diagnostic
technique to spot patients at risk.
SIGMOID VOLVULUS IN CHILDREN : A CASE REPORT
Authors: Swetha D. , Babu Rao C. , Rajesh M. , Reddy P. Sarweswar
Published: January 2023

Volvulus in the pediatric population commonly occurs in the small bowel associated with malrotation or
internal hernia whereas sigmoid volvulus (SV) is extremely rare. Herein we report a case of SV its clinical
history,diagnosis and management.
VISION LOSS DUE TO PITUITARY APOPLEXY: A RARE PRESENTATION OF DENGUE FEVER
Authors: Kothia Darpan , Chatterjee S.S.
Published: January 2023

Introduction Pituitary apoplexy (PA) is an endocrine emergency resulting from hemorrhage or infarction
within a pituitary tumor or non-tumorous pituitary gland. The most important predisposing factors for PA
are cerebral angiographic procedures, systemic hypertension, surgeries, head injury, coagulopathies, and drugs.
Thrombocytopenia is a risk factor for PA. Dengue fever causes thrombocytopenia and there are reporte Purpose d cases of
dengue hemorrhagic fever and dengue fever without hemorrhagic manifestation predisposing to PA. But there are no reported
cases of dengue fever per se predisposing to PA leading to early vision loss, and we report such a case of dengue fever leading
to pituitary apoplexy in pre-existing macroadenoma. 30 year male patient without any past comorb Case idity presented with
complaint of fever and headache since 2 days and came dengue ns1+ve on 3rd day of admission he developed worsening of
headache and complete left sided ptosis and painful ophthalmoplegia, further workup and mri brain showed pituitary
hemorrhage in underlying asymptomatic pituitary adenoma. With rapid deterioration patient lost vision in 2 days before
surgical intervention was done. Pituitary apoplexy is a vision and potentially life threatening di Conclusion sorder with which
every physician needs to be acquainted. Dengue fever with thrombocytopenia is potential risk factor for pituitary apoplexy.
Prompt diagnosis and initiation of treatment is of utmost importance.
PROPERTIES OF PEEK- A NARRATIVE REVIEW
Authors: Kumari K. Nisha , Bhavani D. , Karthika K. , Sowndharya. K.N Devi , Famila Bettie Nirmal , Srividhya Srividhya , Abraham Anandapandian Ponsekar
Published: January 2023

Dental implants made of titanium has its own limitations and may cause a number of issues, such as
hypersensitivity to the metal. A semi-crystalline linear polycyclic thermoplastic called
polyetheretherketone (PEEK) has been suggested as a metal-free alternative for biomaterials. PEEK can also be used as a
superstructure, implant abutment, or implant body when making dental implant components. This article provides a summary of
the desirable properties of PEEK and it's applications in prosthetic dentistry.
TREATING OBSESSIVE COMPULSIVE DISORDER WITH ACCEPTANCE AND COMMITMENT THERAPY AND EXPOSURE AND RESPONSE PREVENTION– A CLINICAL CASE ILLUSTRATION
Authors: Priya P. Padma , Suresh V.
Published: January 2023

Obsessive Compulsive Disorder (OCD) is ranked the top 10 of the most handicapping illnesses by lost
income and decreased quality of life. Hence the need to overcome OCD is imminent. With the present case
of OCD, Acceptance and Commitment Therapy (ACT) and Exposure Prevention Response (ERP) were used for treating OCD.
Assessment was done using Yale Brown Obsessive Compulsive Scale and Weiss Functional Impairment Rating Scale – Self
report. Results show that OCD reduced signicantly after the treatment.
HEMANGIOMA TONGUE: AN UNUSUAL PRESENTATION
Authors: Gill Nishant , Meena Varchasvi , Kalsi Rupali , Mathur Mohit
Published: January 2023

Hemangiomas are benign vascular tumours that arise from vascular tissue cell types. Hemangiomas
generally appear on Face, Lips, Tongue, Scalp, skin of Cheeks, Neck and Head-Neck region and they
may occur throughout the body. They generally appear in rst year of life and generally present as a Red mark anywhere on the
body. They have a tendency of growth for about one year and then they regress as the child gets older. A Hemangioma
generally required treatment when they obscure Airway and inict mass effect on other tissues. There are several types of
Hemangiomas viz., Capillary, Cavernous, Mixed, Racemose, Strawberry, Sponge. The diagnosis of hemangiomas is largely
clinical where a clinician can diagnose hemangioma in clinical examination and no further investigations are required. The
Hemangiomas occurring in Liver and other body organs warrant a full workup and investigations including Skiagrams, USG,
Computed tomography scanning and Contrast Enhanced MRI. The contrast accumulation in the hemangiomas themselves
excellently demonstrates the Size, Location and extend of the Hemangiomas. The Hemangiomas are generally never
subjected to biopsy due to the risk of bleeding. Generally the management involves the use of topical Beta-blocker solution and
Propranolol oral suspension in children having Strawberry birthmarks, These supercial hemangioms disappear after about 1
year of continued treatment. The adverse effects of Beta blockers are high blood sugar, low blood pressure and wheezing. In
those patients where beta blockers are not effective the topical solution of corticosteroids may be an option. In some cases
LASER surgery has been tried to ablate and remove small hemangiomas. In cases where the hemangoima is present in an
internal organ then removing the entire organ is also an option to be considered in treatment.
HEMATOLOGICAL PROFILE IN CHRONIC KIDNEY DISEASE PATIENTS – A RETROSPECTIVE STUDY
Authors: D R Shiju , Thilagar Thilagar , Kumar R Vijaya
Published: January 2023

Background: Chronic kidney disease (CKD) is linked to a variety of alterations in haematological
parameters. The most common abnormality is anaemia, but white cell and platelet counts as well as their
functionality may be compromised. Poor overall clinical prognosis is linked to these abnormalities. Aim: To evaluate the
hematological changes in CKD patients. Materials and Method: Retrospective study conducted was for a period of 2 months in
60 chronic kidney disease patients who attended the nephrology department of our hospital were recruited for the present
study. Data was collected from case record of patients from medical records department. Hematological details such as
Hemoglobin (Hb), red Blood Cell (RBC) count, Mean Corpuscular Volume (MCV), Mean corpuscular Hemoglobin(MCH), Mean
cell hemoglobin Concentration(MCHC), Red Cell Distribution width (RDW), White blood cell (WBC) count, platelet count and
type of anemia were noted. Results were analysed using SPSS 20.0 version. Results: Of the 60 CKD patients, the most common
age group was 5th to 6th decade with male predominance (68.3%). Mean age was 56 years. The study revealed that
Hemoglobin (Hb), Red Blood Cells (RBC) were low in CKD patients. The most common type of anemia was normocytic
normochromic anemia (68.3%). Leucocytosis and thrombocytopenia was seen in 15% and 40% patients respectively.
Conclusion: Anaemia was highly prevalent in CKD patients and was signicantly. Hematological parameters can be
evaluated for the underlying cause and treated appropriately. The present study might help clinicians understand
haematological prole and take necessary steps in the management.
CARDIAC SURGERY IN COVID ERA – AN EXPERIENCE AT OUR TERTIARY CARE CENTER
Authors: Verma Hemlata , Sisodia Anula , Ram Deva , Khan Sami Anwar , Mathur R M
Published: January 2023

Background A sudden emergence of global pandemic due to SARS- Cov -2 has changed the scenario of
management of non COVID diseases. With very high infectivity rate and stormy course, this disease has
made the lives of people miserable so with the health care facilities and treatment. All the medical fraternities are in the state of
confusion that how to treat or not to treat the patients of illness other than the corona virus infection. We are sharing our
experience of cardiac surgery at our tertiary center in lockdown and unlockdown period. Material And Method This is a
retrospective study from April 2020 to November 2020. We have operated upon 232 cases in this duration. Results Out of 232
cases – Overall mortality –26, Post covid operated – 4, Number of covid positive after surgery – 3, Post covid mortality – 1
Conclusion Use of N95 mask, PPE kit or HIV KIT, with regular sanitization of hands have made possible to perform cardiac
surgery in this difcult situation on the patients of cardiac illness which usually cannot wait longer.
A RARE CAUSE OF HEPATOSPLENOMEGALY –MALIGNANT INFANTILE OSTEOPETROSIS
Authors: Sravani K. L. , Brahmaiah Brahmaiah , Chandran Mohan
Published: January 2023

Osteopetrosis (“marble bone disease”) is a descriptive term that refers to a group of rare, heritable
disorders of skeleton characterized by increased bone density on radiographs. It is an uncommon
disease of unknown cause. Osteopetrotic conditions vary greatly in their presentation and severity, ranging from neonatal onset
with life-threatening complications such as bone marrow failure , to the incidental nding of osteopetrosis on radiographs .
Osteopetrotic conditions vary greatly in their presentation and severity, ranging from neonatal onset with life-threatening
complications such as bone marrow failure (e.g. classic or "malignant" ARO), to the incidental nding of osteopetrosis on
radiographs (e.g. osteopoikilosis). The severe infantile forms of osteopetrosis are associated with diminished life expectancy,
with most untreated children dying in the rst decade as a complication of bone marrow suppression. A 4 month old male child
presented with anemia and hepatosplenomegaly was diagnosed clinically and radiologically as Malignant Infantile
Osteopetrosis.
CORRELATION OF NIHSS WITH SHORT TERM COMPLICATIONS OF ACUTE ISCHEMIC CVA PATIENT RECEIVING THROMBOLYSIS
Authors: Kaushik Prashant , Manogna Kalluri Sai , Ghanekar Jaishree
Published: January 2023

Stroke is characterized as a neurological decit attributed to an acute focal injury of the central nervous
system (CNS) by a vascular cause, including cerebral infarction, intracerebral haemorrhage (ICH) and
subarachnoid hemorrhage. Thrombolysis is associated with its own complication and side effects and also have its own
contraindication which should be kept in mind when thrombolysis is planned for the patient. Of all thrombolysis- related
complications, intracerebral haemorrhage causes the most signicant morbidity and mortality. A prospective, longitudinal
observational study was done, in which 47 consecutive cases of ischemic CVA, were included from march 2020 to October 2021.
The demographics, risk factors, biochemical parameters and outcomes (mortality and complications) were assessed, until
discharge or in-hospital death. After 24 hours of thrombolysis, 7 patients had NIHSS between 0-4 (1 patient on arrival),19
patient had NIHSS of 5-15 (15 patients on arrival), 6 patients had NIHSS of 16-20 (11 patients on arrival) and 15 patients had
NIHSS of 21-42 (20 patients on arrival). Intra cranial bleed was signicantly more among subjects with NIHSS score (after 24
hours) of 21-42 with 4 out of 7 patients in that group followed by 2 patients with NIHSS of 16-20. Deterioration of power was seen
in 3 patients with 2patients of NIHSS of 21-42. Seizure occurred in 2 patients with single patient in NIHSS of 16-20 and 21-42
group respectively. NIHSS at admission and 24hrs after admission is clinical score which could be assessed bedside and helps
in assessing prognosis for the patients.
LAPAROSCOPIC MESH EXPLANTATION FOR MESH INFECTIONS FOLLOWING INTRA PERITONEAL ON-LAY MESHPLASTY (IPOM): A CASE SERIES
Authors: Lad Sneha , Biswas Pratik , Kallikar Vishakha , Patankar Advait , Patankar Roy
Published: January 2023

The introduction of synthetic mesh has become the standard of care in the management of abdominal
wall hernias [1,2]. However, the slightest of breach in the sterility chain can lead to mesh infection and
biolm formation which often requires a prolonged stay in hospital with long term use of antibiotics and need for multiple
interventions. Incidence of mesh infection is dependent on both Intra-operative events as well as pre-existing modiable risk
factors in the patient. Mesh infection can present as abscess, chronic discharging sinus and sepsis [1] However, in most cases,
mesh explantation is required. In this paper, we present a series of 5 patients who underwent laparoscopic mesh explantation
following IPOM mesh infection with good outcomes.
STUDY OF THYROID PROFILE IN PATIENTS OF TYPE II DIABETES MELLITUS – A CASE CONTROL STUDY
Authors: Soni Shreyansh , Patil Nikhil
Published: January 2023

Thyroid hormones play an indispensable role in various
metabolic process in our body. Excess or deciency of either
insulin or thyroid hormones can result in functional
abnormalities of one another. Though it has been since long
recognised that diabetes and thyroid disorder share a
complex interplay of factors, the present study is planned to
study the thyroid prole in patients of type 2 diabetes mellitus
KNOWLEDGE, ATTITUDE AND AWARENESS ABOUT ORAL CANCER AMONG DENTAL STUDENTS IN CHENNAI, TAMILNADU- A QUESTIONNAIRE STUDY.
Authors: Pazhanivel K. , Ramani Priya , Priyanka R. , Varshini Sahithi , R Preethi. , Gayathri P. S .
Published: January 2023

Aim and objectives; To assess the knowledge, attitude and awareness about oral cancer among dental students in Chennai. A cross-sectional questionnaire study was conducted Materials and methods; among the undergraduate dental students between 3rd, 4th & those who are pursuing internship in Chennai, Tamilnadu. A questionnaire consisted of 15 questions regarding the knowledge, attitude and awareness towards oral cancer. The questionnaire was circulated among the dental students as Google forms through various social media modes and responses were noted and evaluated for statistical analysis by SPSS software version 24.0. Results; of all the 121, (57.03%) were intern students followed by (29.75%) nal years and (13.22%) third years. About(70.2%) of the dental students were aware of the diagnostic tool for oral cancer and about (80.2%) were aware of oral squamous cell carcinoma as the most commonly occurring oral cancer. While (74.4%) agreed that there is a need for additional training or information regarding oral cancer. Conclusion; The current study implies that knowledge, especially about the causes, symptoms and best modes of treatment has to be reinforced throughout the undergraduate dental students so that it helps in better diagnosis and proper treatment.
IMPACT OF COVID-19 PANDEMIC ON HEALTHCARE ASSOCIATED INFECTIONS: A STUDY FROM A TERTIARY CARE TEACHING INSTITUTE FROM NORTH INDIA
Authors: Saini Deepali , Singh Peetam , Chaturvedi Priyanka , Pandey Anita
Published: January 2023

Background: The disease COVID-19 caused by SARS CoV-2 is highly contagious and strict infection
control strategies have been adopted to limit the spread of this virus. We studied the impact of COVID-19
prevention and control measures on the rates of other healthcare associated infections (HCAI). Aims and Objectives: Impact of
COVID-19 prevention and control measures on the rates of other HCAIs. Study Design: This retrospective study was conducted
in the department of microbiology, tertiary care teaching hospital during 2019 and 2020. Material and Methods: Strict Infection
prevention and control measures were implemented since 2020 including segregation of patients with respiratory symptoms,
mandatory use of mask and strict adherence to standard precautions like hand hygiene. The rates of HCAIs were compared
during pre- and post-pandemic periods. Results: Total number of samples were 14,778 and 12,018 in the years 2019 and 2020
respectively. Out of 14,778 samples 271 (1.83%) were found to be positive for HCAI in 2019, while 224 (1.86 %) out of 12,018
samples were found to be positive for HCAI in the year 2020. Conclusion: This study concluded reduction in the rate of SSI
during the COVID-19 in the year 2020. Adherence to strict hand hygiene practices was one of the most important factors in
preventing SSI.
REACTIVE ARTHRITIS AS CLINICAL SUSPICION OF COVID-19 INFECTION
Authors: Solis Cartas Urbano , Hernández Perdomo Wilmar , Valdés González Jorge Luis
Published: January 2023

Rheumatic manifestations occur relatively frequently in the course of COVID-19. In the cases of
paucisymptomatic patients they constitute an element of clinical suspicion for the denitive diagnosis of
the disease. Reactive arthritis is the most common rheumatic manifestation seen in COVID-19. The objective of this work is to
report the case of a female patient in which the presence of reactive arthritis constitutes the elements of suspicion for the denitive
diagnosis of the disease. It is concluded that rheumatic manifestations constitute an important element of suspicion to diagnose
COVID-19, mainly in patients without respiratory manifestations of the disease.
ROLE OF FIBEROPTIC BRONCHOSCOPY IN DIAGNOSIS OF SPUTUM NEGATIVE PULMONARY TUBERCULOSIS
Authors: Sharma Hemant , Patel Bhumin , Mestri Sundeep
Published: January 2023

Tuberculosis is a disease caused by Mycobacterium tuberculosis. It is a systemic disease, predominantly
affecting the lungs. Globally, tuberculosis affects around 10.4 million people per year, and kills around
million of them, with the majority of patients presenting with pulmonary disease. One of the key challenges to global tuberculosis
control is correct diagnosis. The diagnosis of Pulmonary Tuberculosis can be obtained from microscopy and culture of a number
of different sources including expectorated sputum, induced sputum, gastric washings and bronchoscopy. Fiberoptic
bronchoscopy (FOB) can provide an early conrmative diagnosis in such patients. Among the bronchoscopic materials,
bronchoalveolar lavage (BAL) is the best diagnostic material for the diagnosis of PTB.