bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN RIWAYAT PEMBERIAN ASI EKSLUSIF, BERAT BADAN LAHIR RENDAH, DAN KONDISI FISIK RUMAH DENGAN ANGKA KEJADIAN PNEUMONIA PADA BALITA
Authors: Erliandani Mira , Priono Risky Irawan Putra , Ruqayyah Siti , Benvenuto Ananta Fittonia
Published: July 2023

Indonesia masuk dalam 10 besar negara dengan kematian tertinggi akibat pneumonia. Kebaruan penelitian ini karena meneliti tentang hubungan riwayat pemberian ASI ekslusif, BBLR (Berat Badan Lahir Rendah), dan kondisi fisik rumah dengan angka kejadian Pneumonia pada balita. Penelitian ini dilakukan untuk menganalisis hubungan ASI eksklusif, BBLR, dan kondisi fisik rumah dengan angka kejadian pneumonia pada balita. Penelitian kuantitatif analitik observasional dengan desain penelitian cross sectional, penelitian ini sudah disetujui dan lolos uji etik. Teknik pengambilan sampel menggunakan purposive sampling. Penelitian dilakukan di wilayah kerja Puskesmas Kediri dengan sampel penelitian sebanyak 62 responden. Data yang diperoleh dianalisis dengan uji chi square dan regresi linier berganda. Batas nilai signifikansi adalah P-value 0,05. Hasil penelitian ini Berdasarkan hasil uji statistik yang dilakukan, terdapat hubungan yang signifikan antara hubungan riwayat pemberian ASI eksklusif, BBLR, dan kondisi fisik rumah dengan angka kejadian pneumonia pada balita. Koefisien korelasi yang positif (+) berarti terdapat hubungan yang sangat kuat dan searah antara variabel bebas dan terikat, serta koefisien korelasi bernilai negatif (-), yang berarti terdapat hubungan yang kuat antara riwayat pemberian ASI eksklusif, Berat Badan Lahir Rendah, dan kondisi fisik rumah dengan kejadian pneumonia pada balita. Kesimpulannya adalah terdapat hubungan yang signifikan antara riwayat pemberian ASI eksklusif, riwayat BBLR, dan kondisi fisik rumah dengan pneumonia pada balita
ANALISIS PENGGUNAAN TELUR YANG BERBEDA PADA TILIAYA TERHADAP TINGKAT PENERIMAAN AHLI GIZI
Authors: Napu Arifasno , Maridji Agustian A. , Uri Nur Natalia H. , Alam R. Ayu Cahyaning , Bait Yoyanda
Published: July 2023

Tiliaya merupakan satu dari sekian ratus makanan tradisional yang disukai di Gorontalo dan terkait dengan budayanya. Terbuat dari telur, gula aren, santan dan biasanya ditambahkan rempah diantaranya kayu manis atau daun pandan atau sereh atau cengkeh. Kebaruan dalam penelitian ini karena meneliti tentang penggunaan telur yang berbeda pada Tiliaya terhadap tingkat penerimaan ahli gizi berdasarkan buku menu khas Daerah Gorontalo. Tujuan penelitian adalah untuk menganalisis pengaruh penggunaan telur ayam kampung, bebek dan telur ayam ras pada Tiliaya terhadap daya terima ahli gizi. Metode penelitian yaitu eksperimen untuk menganalisis pengaruh pemberian telur ayam kampung, bebek dan ayam ras pada Tiliaya terhadap daya terima ahli gizi. Responden adalah ahli gizi, ditentukan secara purposive dari salah satu institusi pendidikan. Pertanyaan berskala Likert dan dianalisis melalui uji Anova. Hasil penelitian nilai rata-rata uji hedonik Sig.P=0.05 yaitu Suka=0.77, Rasa=0.10, Aroma=0.60, Warna=0.09, Tekstur=0,29. Kesimpulan dalam penelitian bahwa penggunaan telur yang berbeda pada Tiliaya tidak mempengaruhi tingkat penerimaan ahli gizi.
STUDY OF FUNCTIONAL OUTCOME OF SUPRACONDYLAR HUMERUS FRACTURES IN CHILDREN TREATED BY CROSS PINNING.
Authors: Gosavi Rakesh , Goyal Nandkishor , Singh Vipin , Raghavendra Kulkarni Sriram
Published: July 2023

Supracondylar fracture humerus are most common fractures in children1. These fractures are most common in age group of 5 to 7 years2.Boys have higher incidence of these fractures than girls2.Left side predominates in all studies. 2/3rd of the children hospitalised with elbow injuries have supracondylar fractures3.Nerve injury is common in 7% and vascular injury is common in 1% 3. There is difculty in maintaining adequate reduction with only cast immobilisation. So stabilisation of reduction of fracture with k wire placed percutaneously is the universally accepted treatment 3. In our study there was no nerve or vascular injury. The median nerve is much more commonly injured, particularly the anterior interosseous nerve (AIN)4 .Ulnar nerve is occasionally injured iatrogenically during pinning or in exion type of fracture 5,6,7,8,9 . We treated surgically these fractures with one lateral pin and one medial pin through distal Humeral fragment and engaging the opposite cortex of the proximal fragment and medial pin to enhance the xation10.Our goal is union of fracture and restoration of normal anatomy with early recovery of function with full and painless motion of elbow joint.Baumann's angle(BA) and anterior Humeral line (AHL) is used as universal guide to assess the fracture reduction in paediatric supracondylar Humeral fractures. Time taken for union is Results minimum 3 weeks and maximum 4 weeks.28% have excellent results and 60% have good results and 8% fair and 4% have poor results.
“METASTATIC MATURE TERATOMAS IN TESTICULAR CANCER - A RARE CASE HIGHLIGHTING GROWING TERATOMA SYNDROME”.
Authors: Renthlei Lalhmingmawii , Bhanji Abhijit , Neelakantan Amrita
Published: July 2023

Testicular cancer comprises 1-2% of male solid malignancies and is most common in males aged 20-34 years. Non Seminomatous Germ Cell Tumours (NSGCTs) are less common but more aggressive than Seminomas. Approximately 50% of NSGCTs have teratomas, and Metastatic Mature Teratoma(MMT) patients often show teratoma in their primary tumour(1). We present a rare case: a 26-year-old with a history of inguinal orchidectomy 8 months ago, diagnosed with Malignant Mixed Germ Cell Tumour. He received 2 cycles of chemotherapy, the last one 4 months ago, and now presents with enlarging left-sided neck and retroperitoneal swellings. Two specimens are received: Retroperitoneal and left Supraclavicular masses. Both are nodular, bosselated multiloculated cystic tumours with cysts ranging from 0.2-4 cm. Histopathological findings are similar in both, consistent with Metastatic Mature Teratoma. Testicular neoplasms have excellent 5-year survival with complete excision(64%) and chemotherapy(96%)(2). However, MMT often persist despite chemotherapy, necessitating regular follow-up with serum markers and imaging.
EFFECTIVENESS OF GINGER TEA ON PRIMARY DYSMENORRHEA AMONG EARLY ADOLESCENT GIRLS
Authors: Shalini Shalini , Kumar Sharma Ram , Godiyal Pooja
Published: July 2023

Background: Menarche is the rst menstruation period in female adolescent which signals the beginning of reproductive
abilities. The pattern of changes during menarche and dysmenorrhea during menstruation can affect adolescent's health.
Primary and secondary dysmenorrhea are the two types. Analgesics are most often used by early adolescent girls to relieve symptoms of
dysmenorrhea. Home and alternative therapies are available to treat primary dysmenorrhea with no side effects if used properly. Ginger tea is one
of the best home remedies containing gingibain which has ameliorative effect and it could be related to the inhibition of prostaglandin and
leukotriene biosynthesis. Objective: To determine the effectiveness of ginger tea administration on dysmenorrheal pain among early adolescent
girls. Quantitative research approach with time series design was used i Material and methods: n the study. Purposive sampling technique was
used to collect data from 60 early adolescent girls of Govt. Intercollege, Mehuwala, Dehradun. Ginger tea was administered by using 3gm of
ginger slice boiled in 100ml of water till it remained half, i.e., 50ml. Data was collected by using Self structured Socio Demographic Tool and
Numerical Pain Rating Scale (NPRS). NPRS was administered two times a day up to three days, before administering ginger tea and 30 minutes
after administration. Results: Results showed a statistically signicant reduction in level of dysmenorrhea after ginger tea administration with
p=0.001. A mean difference of 1.83±0.37 at day 1 (Wilcoxon T test- 7.47), 1.73±0.44 at day 2 (Wilcoxon T test- 7.62) and 1.82±0.53 at day 3
(Wilcoxon T test- 5.11) was found signicant. Conclusion: The ndings revealed that ginger tea is an effective method in reducing primary
dysmenorrhea among adolescent girls.
ASYMPTOMATIC PRIMARY PULMONARY VEIN STENOSIS: A CASE REPORT
Authors: Chiranjeevi Thota , Tokala Hemachandra , Krishna Dev T Rama , V. Kumar R.
Published: July 2023

Pulmonary vein stenosis is a rare congenital disease that effects children, and the prognosis is poor in most of the patients. Stenosis of the individual pulmonary veins, rst described by Reve [1] is uncommon. It is characterized by congenital extrapulmonary obstruction and leads to signicant alteration of pulmonary structure and function. An angiography will typically be able to conrm the diagnosis. When there is a history of recurrent lung infections, Dyspnea, Failure to thrive, Hemoptysis, or Pulmonary Hypertension that cannot be explained, stenosis of particular veins should be examined.
A STUDY OF SERUM TRACE ELEMENT LEVEL IN PATIENT OF CORONARY ARTERY DISEASE
Authors: Jain Jyoti , Agarwal Shalaka , Sharma Asha , Gupta Swati , Ranawat Aditi
Published: July 2023

The present study was undertaken to determine the status of trace element in coronary artery disease. The samples were analysed by atomic absorption spectrophotometer. The ndings revealed that the values of Serum Zinc and serum Selenium decreased in CAD patient in comparison to normal subject was found to be statistically signicant P< 0.01. Whereas, the value of Serum iron increased in CAD patient in comparison to the control subjects which was statistically Signicant P<0.01. The level serum Copper also increased in the CAD patient but the difference is not statistically signicant P>0.05.
A PROSPECTIVE STUDY FOR THE PREDICTION OF PREECLAMPSIA WITH SERUM PROLACTIN LEVEL
Authors: Baghel Shobhini , Sharma Shefali , Gupta Surbhi
Published: July 2023

Introduction: Preeclampsia is a pregnancy-specic condition which is diagnosed based on the presence of the
following clinical features: blood pressure (BP) ≥140/90 mmHg after 20 weeks of gestation and proteinuria ≥300 mg/24-
hr or +1 with dipstic. Serum prolactin, being a vasoinhibin precursor molecule and it its anti-angiogenic activity may contribute to the
pathophysiology of preeclampsia. So that Serum prolactin can be used as a new reliable parameter in early prediction of preeclampsia. Material
and Methods: Prospective observational study carried out which included 139 pregnant women taken for study after pre-lling the inclusion
and exclusion criteria, serum prolactin was done of every patient from 16-20 weeks then followed till delivery for the development of
preeclampsia. The preeclampsia incidence was seen to be 12.24%(17 patients) Results: during the study duration. The mean serum prolactin
levels were higher for the preeclampsia patients (382.41 vs 163.78) with a statistically signicant difference (P<0.001). The sensitivity and
specicity of the prolactin levels at cut off of 302ng/ml was 94.12% and 90.16%. The PPV and NPV were 57.14% and 99.10%. Conclusion:
Study concluded that there is an increased risk of development of Preeclampsia with an increased level of serum prolactin in early pregnancy.
Early prediction of PE will offer a great potential to lower the rate of fetomaternal complications and provide a window for early intervention.
KNOWLEDGE AND ATTITUDE REGARDING CONTRACEPTION AMONG MARRIED WOMEN IN SELECTED AREAS OF GUWAHATI, KAMRUP (M), ASSAM: A DESCRIPTIVE STUDY
Authors: Dey Jayshree , Beshra Arline
Published: July 2023

Background of the study: India is the second most populous country in the world and is anticipated to surpass that of
China by 2028. In 1952, India became the rst nation to launch a family planning programme. The aim being controlling
its population. The challenges now has extended beyond population stabilization. As the maternal mortality of India is very high, the focus of
national family programme has shifted its focus to saving lives and improving the health of mothers and children through use of reversible
spacing methods. It will eventually lead to reduction in unwanted, closely spaced mistimed pregnancies and avoid high-risk pregnancies and
chances of unsafe abortions. To nd out knowledge and attitude regarding contraception am Aim: ong married women in selected areas of
Guwahati, Kamrup (M), Assam. The research approach adopted was the quantitati Methods And Materials: ve research approach. Nonexperimental descriptive research design and interview method were used with purposive sampling technique for selecting the samples. The
tools used for the study were structured knowledge questionnaire and 5 point likert scale. The stud Result: y revealed that out of 150 married
women , 110(74%) had moderately adequate knowledge, 38(25%) had adequate knowledge and 2(1%) had inadequate knowledge towards
contraception. Whereas, in attitude majority i.e. 148(99%) had desirable attitude and 2(1%) had moderately desirable attitude towards
contraception. There was a moderately positive co-relation between knowledge and attitude regarding contraception among married women.
Conclusion: Majority of married women had moderately adequate knowledge on contraception with most of them having desirable attitude. It
can be inferred that when knowledge of contraception among married women increases their attitude towards it also increases. Healthcare
providers thus need to spread information and also motivate married women regarding the contraception for a healthy and effective family
DISTRIBUTION OF HLA- B*27 ALLELE SUBTYPE IN PATIENTS WITH ANKYLOSING SPONDYLITIS AMONG NORTH INDIAN POPULATION
Authors: Rajput Saroj , Chowdry Mohit , Nath Makroo Raj
Published: July 2023

Background The association of Human Leukocyte Antigen-B27 (HLA-B27) with ankylosing spondylitis (AS) and spondyloarthropathies is well known. It varies among different racial and ethnic populations. The aim of this study Aim: is to perform an investigation regarding the distribution of the human leukocyte antigen HLA-B27 and its subtypes in Indian healthy controls and in patients with AS and to compare this with different reports from different populations. One hundred and eighty seven Materials & methods: patients with spondyloarthropathy were referred to our department for HLA-B27 typing. For all HLA-B*27 positive patients, sub typing was also done to nd the specic HLA-B27 allele. The prevalence of HLA-B27 in the normal population was also studied which included 200 subjects of both genders with no family history of spondyloarthropathy. An association bet Results: ween AS and HLA B27 was identied; HLAB*27 allele was carried by 45 (24.1%) of patients and 13 (6.5%) subject from healthy controls was found to be positive. Three HLA- B27 alleles were observed in this study: B27: 05: 02 (n=30, 66.7%), B*27:04:01 (n=9,20.0%), B27:07:01 (n=6, 13.3%). HLA-B27 is strongly Conclusion: associated with AS in Indian population. Our results showed a restricted number of HLA-B27 subtypes with predominance of HLA-B27: 05 alleles. We found the HLA- B27 the prevalence is 6.3% in healthy groups, where in AS patients it is around 24.1%. This study showed that HLAB27: 05, HLA- B27: 04, and HLA-: B27: 07 are the subtypes found in our population.
THE GROWTH AND POTENTIAL OF AI APPLICATIONS IN MEDICINE AND HEALTHCARE
Authors: Rastogi Munish
Published: July 2023

Articial Intelligence (AI) is rapidly transforming the healthcare industry by enabling faster and more accurate diagnosis,
personalized treatment, and efcient drug discovery. This review article provides an in-depth analysis of the current state
of AI in healthcare, covering topics such as machine learning in medicine, surgical decision-making, and deep learning in radiology. Additionally,
the article highlights the potential benets and challenges of integrating AI into healthcare, including ethical considerations and regulatory
hurdles. With the increasing availability of healthcare data and the growing demand for more effective healthcare solutions, AI is poised to play an
increasingly signicant role in shaping the future of healthcare.
UNILATERAL VARIATION OF RENAL ARTERY AND RENAL PELVIS A CASE STUDY
Authors: C Jithesh , R John Jisha , Vinayak Varun
Published: July 2023

Knowledge of the anatomical relations are essential for the surgeons to avoid injury during different surgical procedures that requires an approach to the renal arteries. During our dissection of a male cadaver aged about 60-years, we observed unilateral variation in renal artery and renal pelvis. On the left side renal arteries (main and accessory renal arteries) were altered and a bifurcated renal pelvis was seen. Radiologists and surgeons must be aware of all possible variations to avoid diagnostic pitfalls and for optimization of surgical techniques to prevent postsurgical morbidities.
PREVALENCE OF FETAL CONGENITAL ANOMALIES AMONG PREGNANT WOMEN IN TERTIARY CARE HOSPITAL
Authors: P.N. Karunavathi G. , Bindu Hima , L. Shobitha G. , Deepthi K.
Published: July 2023

Background: Congenital anomalies also commonly referred as birth defects, congenital disorders, congenital malformations or congenital abnormalities are conditions of prenatal origin that are present at birth, potentially impacting an infant health, development or survival. An estimated 24000 newborns die worldwide within 28th day of birth every year due to birth defects and 170000 deaths of children between ages of 1 month and 5 years and contribute to long term disability which later signicantly depends on individual facilities, health care systems and societies. The proportion of under 5 deaths are increasing due to congenital anomalies as other causes of under 5 deaths are controlled (10). Fetal anomaly scan is the most effective measure of reducing the prevalence of serious congenital abnormalities and increasing the survival rate of those born with these issues. Knowledge about the prevalence of congenital anomalies is useful to obtain baseline rate and identifying clues to the etiology of conditions which help to plan and access antenatal screening for congenital anomalies especially high-risk population. To analyze the prevalenc Aim and Objectives: e of major and minor congenital anomalies in pregnant women attending the tertiary care hospital. This is Methods: a retrospective study done in the department of obstetrics and gynecology at Siddhartha Medical College, Vijayawada, India between January 2019 to December 2021 (Three years). All antenatal mothers attending the labor room and outpatient department of Obstetrics & Gynecology were included in the study and subjected to TIFFA Scans. All antenatal women who gave consent for the study were included. The study was started after obtaining the ethical committee approval from our institute. International statistical classication of diseases and related health problems, 10th revision (ICD-10) was used for uniformity and international comparison. The further subcategorization was done as per the WHO birth defects surveillance manual. The prevalence of individual as well as overall congenital anomalies was calculated. Results:A total of 12488 deliveries were done in our tertiary care hospital. Out of which 86 congenital anomalies were detected with a prevalence of 0.7 %., among which, CNS anomalies were the most common. Conclusion: Prenatal diagnosis of congenital anomalies provides information for proper decisions during pregnancy, fetal intervention, effective parental counselling and appropriate perinatal treatment, thereby improving perinatal outcomes.
A RARE CASE OF RECURRENCE AT STOMA REVERSAL SITE FOLLOWING SURGICAL MANAGEMENT OF COLORECTAL CANCER
Authors: Nandakumar Ananthu , Antony Ajil
Published: July 2023

Cutaneous and subcutaneous metastasis from colorectal adenocarcinoma are extremely rare. Cutaneous metastasis
usually occur in less than 4% of colorectal carcinoma. The commonest site of cutaneous metastasis in colorectal cancer is
the abdominal wall skin. The patient was a 61-year-old man who presented with complaints of bleeding per rectum and with history of
constipation. On further evaluation for the same he was diagnosed to have carcinoma rectosigmoid. A Hartman's procedure was performed.
Histopathology was well differentiated mucinous adenocarcinoma with resected margins free of tumour. Postoperatively patient received 1 cycle
of chemo and 28 cycles of radiation. Prior to Hartmann reversal distal stump and proximal colon was evaluated with exible sigmoidoscopy and
colonoscopy. And being normal Hartmann's reversal was done. On regular follow up patient complained of a swelling near the previous stoma
site. FNAC was taken from the swelling suggestive of metastatic adenocarcinoma. Wide local excision was done and the defect was reinforced
with a polypropelene mesh and closed. The histopathological report was metastasis from adenocarcinoma with mucinous differentiation with all
the resected margins and overlying skin free of tumor. It is uncommon to have metastatic adenocarcinoma at the colostomy stoma site from
colorectal cancer without local recurrence or distant metastases.
RESISTANCE PATTERN OF METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS ISOLATES FROM SAMPLES OF CRITICAL CARE UNIT PATIENTS WITH SPECIAL REFERENCE TO INDUCIBLE CLINDAMYCIN RESISTANCE
Authors: Kumar Mohit , Kumar Goyal Rahul , Sardana Vandana , Khan Fauzia
Published: July 2023

Background & objectives: Occurrence of methicillin resistant Staphylococcus aureus (MRSA) is an area of therapeutic
concern. MRSA isolates with inducible clindamycin resistance (ICR) are resistant to erythromycin and sensitive to
clindamycin on routine testing. This present study was carried out to study the resistance pattern of methicillin resistance Staphylococcus aureus
and ICR among isolates from critical care unit. The clinical samples from Methods: ICU patients submitted at the Microbiology laboratory were
processed and all Staphylococcus aureus isolates were included in this study. All isolates were identied morphologically and biochemically by
standard laboratory procedures and subjected to antibiotic sensitivity testing (AST) by Kirby-Bauer's disk diffusion method as per CLSI guideline
to estimate the occurrence of MRSA and their resistance pattern. D-test was employed to detect ICR. Out of 5986 various samples from Results:
ICU, S.aureus were found to be 118. The frequency of MRSA among the isolates of S.aureus was found to be 75.42% (89). Out of 89 MRSA 18
(20.22%) were ICR positive. Resistant to vancomycin and linezolid were found to be 5.6% and 4.5% respectively. Continuous Conclusions:
surveillance of infection and monitoring of antibiotic sensitivity pattern of S. aureus is required to reduce MRSA burden.
PROSTHODONTIC REHABILITATION OF POST COVID MUCORMYCOSIS BY CONVENTIONAL AND DMLS CAST PARTIAL OBTURATOR FROM PATIENT'S SATISFACTION PERSPECTIVE – A TWIN CASE REPORT
Authors: Shikha Tripathi Deep , Tandon Ayushi , Agarwal Bhaskar , Chand Pooran
Published: July 2023

The recent years have seen a pandemic in the form of COVID 19 and post Covid mucormycosis has been a debilitating associated complication in diabetic Covid patients. The following report presents a clinical case of two patients who were diagnosed with post covid rhino orbital mucormycosis. The defect classication was similar for them (Aramany Class II). The chief complaint was compromised mastication and swallowing, nasal regurgitation and esthetics. They were planned for denitive rehabilitation with cast partial denture with a hollow bulb single piece obturator. The difference lied in the fabrication process of the cast partial denture framework. One patient was given a conventionally casted and the other patient was given a framework fabricated by CAD-CAM (Direct metal laser sintering) process. A one year follow up was taken up for both of them. Denitive rehabilitation of maxillary defects secondary to post covid mucormycosis has been a challenging task. Use of metal cast partial framework has various advantages over acrylic. Within the limitations of the present report, both patients had a comparable satisfaction level with the obturators.
MAXILLOFACIAL DERMOID CYST RARE PRESENTATION : A CASE REPORT
Authors: Chandgothia Nehal , Prasad Prasad , Chandra Debnath Subhas , Nath Tanmoy , N. Chishi Anovili.
Published: July 2023

Dermoid cyst is a benign lesion of developmental origin. It is rare and only about 7% are found in the head and neck region. The diagnosis is made
with clinical examination and conventional radiographs. The treatment comprises of total surgical excision. A maxillofacial dermoid cyst is a rare
but important lesion that can cause a variety of symptoms and complications. Early diagnosis and treatment are essential to prevent complications
and achieve the best possible outcome. A case of dermoid cyst occurring in cheek region in a 45 -year-old male is reported. Excision was performed
under local anesthesia and 6-month follow-up showed excellent healing with no signs of recurrence. Complete surgical excision is the treatment of
choice. Overall, the prognosis of a maxillofacial dermoid cyst is excellent with proper management
“TO STUDY THE ANTIMICROBIAL RESISTANCE PATTERN AND MOLECULAR CHARACTERIZATION OF LASB GENE AND ITS ASSOCIATION WITH BIOFILM PRODUCTION AMONG PSEUDOMONAS AERUGINOSA ISOLATES AT A TERTIARY CARE CENTRE KANPUR”
Authors: Agarwal Divi , Sujatha R.
Published: July 2023

Background: Pseudomonas aeruginosa is a frequent nosocomial pathogen. Multifunctional elastase B (lasB or pseudolysin) is the most abundant
protease harvested from pseudomonal secretome and it has been extensively studied. Because of the importance of biolm formation in
pathogenesis of P. aeruginosa, the association of Las B gene with ability of biolm formation along with antimicrobial resistance pattern in clinical
isolates were determined in the present study. Aims & Objectives: To study the Antimicrobial Resistance Pattern and Molecular Characterization
of LasB gene with biolm formation in P. aeruginosa clinical isolates.Materials & Methods:An analytical prospective study was conducted in the
Department of Microbiology at Rama Medical College, Hospital & Research Centre from January 2021 to December 2021. Total 765 patients of all
age group having pyogenic infection were included in the study. Bio-typing, antibiotic susceptibility test, biolm and LasB gene detection were
performed. All variables were collected in Microsoft Excel sheet for statistical analysis. Result: Out of 765 cases, 397 (50.7%) were culture
positive. The male and female ratio was 1:1.6. Infection was observed more in age group 31 to 40 year. Pseudomonas spp. was the third most
common isolates accounting for 25.2%. The highest level of resistance was recorded against gentamicin (42%) and ciprooxacin (49%), whereas
polymyxin B and colistin presented the lowest rate of resistance 1% both. Biolm production assay was observed in 68 isolates and in a study 28%
of isolates were positive for LasB gene. Conclusion: Thus, we concluded that P. aeruginosa isolates have high ability to produce biolm and LasB
gene considered as a most important and most effective factor for biolm production further more biolm and LasB gene play an important role in
antibiotic resistance mechanism.
CLINICAL PROFILE OF LATERAL MEDULLARY SYNDROME IN A TERTIARY CARE HOSPITAL IN SOUTH TAMILNADU
Authors: Nilofar S Thahseen , Saravanan S. , P Sankaranarayanan
Published: July 2023

Objectives: To describe the clinical prole of Lateral Medullary Syndrome admitted in Department of Neurology in a tertiary care hospital in South TamilNadu. Patients who satised clinical criteria for Latera Methods: l Medullary syndrome were recruited consecutively until sample size of 30 was reached over a period of 12 months. They were examined clinically; vascular risk factors assessed, relevant investigations including FBS, PPBS, MRI Brain with MRA were performed. Results: Among the LMS patients 90% were males. All of them had infarcts. Diabetes and Dyslipidemia were the most common systemic risk factors. Limb Ataxia was universal. 40% of our patients had ipsilateral facial palsy. Ipsilateral hemiparesis was seen in 50%. The most common sensory pattern observed was Stopford type IV. MRA was normal in 60% of patients. Conclusion: LMS presents as a fragmented syndrome. It is more common in males and seen frequently after 50 years. Diabetes and Dyslipidemia are the systemic vascular risk factors frequently associated with LMS. LMS is almost always due to infarct. Small vessel disease is more often the cause. Vertebral artery is the frequently involved large vessel. Ipsilateral facial palsy and ipsilateral hemiparesis was a frequent observation among LMS patients in our population. Stopford type IV sensory pattern was more common than classical Stopford type I in our population. Rare causes of LMS include dolichoectasia, arterial dissection and vascular malformation
TO STUDY THE ROLE OF SUPRACHOROIDAL INJECTION TRIAMCINOLONE IN NON-INFECTIOUS UVEITIS
Authors: Singh Parul , Ritu Ritu , Mohan Shalini , Khan Perwez , Agarwal Surbhi , Patel Namrata
Published: July 2023

Purpose:- The research was done to study the role of Suprachoroidal injection of Triamcinolone in patients of newly diagnosed non-infectious
anterior, non-infectious intermediate and non-infectious posterior Uveitis and to evaluate the course of the disease and to evaluate the
complications of Triamcinolone via Suprachoroidal route . In our study, 60 patients of new Methods:- ly diagnosed Non-infectious Uveitis were
included & given Suprachoroidal injection Triamcinolone after required investigations. Improvement assessment done by comparing PreInjection & Post injection visual acuity, Slit lamp examination, Fundus photo, & OCT Changes. In our study, Log MAR visual acuity Results:-
Improvement in Non-infectious Anterior, Intermediate and Posterior Uveitis patients after 3 months follow up of Suprachoroidal injection
Triamcinolone were highly Signicant (p<0.0001),& also there was (p<0.000001) highly Signicant reduction in Central Macular Oedema.
Conclusions:- Our study shows that suprachoroidal administered Triamcinolone is a highly efcacious treatment option for non infectious
anterior uveitis as evidenced subjectively (improved visual acuity) and objectively from OCT .Furthermore dreadful complications like raised
IOP, endophthalmitis, are less likely to occur as ocular cavity is not penetrated in this route.
ROLE OF NEGATIVE PRESSURE WOUND THERAPY IN TYPE III OPEN TIBIA FRACTURE IN A TERTIARY CARE HOSPITAL.
Authors: Teron Ramesh , Agarwala Vikash , Dutta Anshuman , Dhar Arijit
Published: July 2023

Background: Tibia shaft are the most common fractured long bones. Wound and its complications due to open fractures of tibia are common in
orthopedics practice. Conventional methods of wound care need prolonged daily antiseptic dressing (ASD), prolonged anti-microbial therapy and
hospital stay, resulting in delayed wound and bone healing and increase complications. To overcome these issues, a more advanced and scientic
method of wound care is the need of the hour. NPWT/VAC is one such technique approved by FDA. Aim and objectives: This study was carried out
with an objective to study the “role of NPWT/VAC in management of wounds in type 3 open tibia fractures.” Hospital-based prospective Methods:
simple randomized control trail from June 2021 to May 2022. Out of 80 admitted cases who required NPWT. 38 cases were randomly selected for
NPWT and another 42 cases for control group, with conventional ASD. NPWT/ VAC Reduc Results: es edema and bacterial counts, earlier
granulation tissue formation, faster wound and bone healing, early wound closure, faster recovery and reduce hospital stays, as compared to
conventional ASD. NPWT is a scientic and reliable method of wound care, Conclusions: it's application will immensely benet those patients in
needs. NPWT is a suitable alternative to conventional ASD.
EVALUATION OF CORRELATION BETWEEN CEPHALOMETRIC ANALYSIS AND PHOTOGRAPHIC FACIAL ANALYSIS
Authors: Vidhya Bharathy S. , Jain Abhishek , Sharma Pratibha , Sharma Mayank
Published: July 2023

Aim: The aim of this study is to nd the correlation between the cephalometric analysis and the photographic analysis by various angular and linear
measurements. The study was conducted in Department of Orthodontics and Dentofacial Orthopaedic Materials and method: s in Mansarovar
Dental College. The inclusion and exclusion criteria were devised. The sample size was 100 individuals with no apparent facial asymmetries. The
lateral cephalogram was done for the subjects. The facial photographs in frontal and prole views at both rest and at smile were taken. The
radiographic analysis and the photographic analysis were done, the mean values were calculated and tabulated. The statistical analysis was done for
the obtained values and probability of p< 0.05 were considered signicant. The study conc Results: luded that there was highly signicant
correlations and no statistically signicant differences were found for sagittal and vertical diagnostic variables in the cephalometric analysis and
photographic analysis. The study concluded that the clinical photographs can be used Conclusion: as an adjunct to lateral cephalograms provided
that the anatomical landmarks are marked properly
OUTCOME OF FIBULAR STRUT GRAFT WITH CANCELLOUS SCREW IN THE MANAGEMENT OF ACUTE FEMORAL NECK FRACTURE WITH POSTERIOR CORTEX COMMINUTION.
Authors: Soni Rajendra , Dhaker Anurag , Prasad Meena Bhagvan , Yadav Ravi , Bishnoi Bhawarlal
Published: July 2023

Background: Displaced femoral neck fracture are more prone to hampered blood supply of femoral head, fresh (< 21 days) neck of femur fracture with posterior comminution have more incidence of non-union, aseptic necrosis and later stage collapse of femur head, when which was treated only with internal xation device. To assess the clinical and radiologica Aim: l outcomes of fresh neck of femur fracture with posterior comminution managed with cancellous screw and non-vascularised bula strut grafting. A Total of 43 patients, age group Material and Methods: 20-60 years (mean age 45.66years), present with fresh femoral neck fracture with posterior comminution and managed with cancellous screw andbula strut grafting, operated between July 2021 to July 2022 at S.M.S hospital, Jaipur Rajasthan. Post operative followed up to 6 months. Clinical outcome assess by HHS (Harris Hip Score), radiological outcome assess by Merle and postel scoring system and complications were studied. Results: Study group consist of 43 patients with mean age 45.66 years, female predominant and right-side neck of femur fracture more common, surgical delay mean time was 8.3 days. 24 patients have more than 90 HHS, 9 patients have 80-89 HHS, 4 patients have 70-79 HHS, 6 patients have below 70 HHS. 18 patients have excellent, 15 have good, 4 have fair and 6 patients have poor Clinical outcome. 25.58% have excellent, 46.51% have good, 13.95 % have fair and poor radiological outcome. In 38 (88.37 %) patients, fracture heal without any complications. Conclusion: Femoral neck fracture treated as an orthopaedic emergency because viability of femoral head decreases with increasing duration of time from injury, as vascularity of femoral head hampered. Fracture with posterior comminution more prone to develop complications like AVN[ Avascular Necrosis] of femoral head, non-union of femoral neck. so, we can treat with Cancellous screw and bula strut grafting to reduce complications.
STANDARDIZATION OF CHYAVANPRASH RASAYAN
Authors: Lal Teli Madan , Sahay Shukl Govind
Published: July 2023

In present scenario Ayurveda spread globally. Rasa Shastra &Bhaishajyakalpana is the most important branch of ayurveda.Rasa Shastra deals with
the metallic and herbo mineral preparations with their types, occurrence, physical properties and organoleptic characteristics. According to
Ayurveda the drugs used for promoting and preserving health, strength and longevity in a healthy person are called Rasayana. Chyawanprash is
formulated by processing around 50 medicinal herbs including the main ingredient Amla (Indian gooseberry), which is the world's richest source of
vitamin C. Chyawanprash preparation involves preparing a decoction of herbs, followed by dried extract preparation, subsequent mixture with
honey, and addition of aromatic herb powders as standard. The nished product has a fruit jam (Avleh) like consistency with sweet, sour and spicy
(Katu) avor. Scientic exploration of Chyawanprash is warranted to understand its therapeutic efcacy in Covid Pandemic.
Chyawanprashrasayan has also listed in ayurvedic treatment of Covid Protocol by Ayush ministry.Chyawanprash have a great property to increase
immunity
CERVICAL CANCER SCREENING IN HIV POSITIVE FEMALES USING LIQUID BASED CYTOLOGY IN A TERTIARY CARE CENTRE OF CENTRAL INDIA.
Authors: Rai Himani , Jain Pramila , Uniya Upasana , Chadar Pratibha , Kumar Meena Ravi
Published: July 2023

Context: Cervical cancer & Human Immunodeciency Virus (HIV) infection both are important public health Centers for Disease Control and Prevention (CDC) in 1993. . HIV-infected females are more likely to show abnormal Pap smear results such as squamous cell carcinoma (SCC), high grade squamous intraepithelial lesion (HSIL) and low grade squamous intraepithelial lesions (LSIL). Because of early detection with Papanicolaou (Pap) smear screening and colposcopy, efcient medication, and preventive methods such as vaccine, the incidence of cervical cancer-related death and morbidity has decreased dramatically over the years. Aims: To evaluate prevalance of cervical dysplasia and cervical carcinoma in HIV positive females. Prospective observational study Cervical Setting and Design: Method and Material: samples collected from total 250 females attending ART centre of Gandhi medical college and Hamidia hospital Bhopal. A low cost LBC “Eziprep” used for processing LBC samples. In present study, prevalance of epithelial abnormalities was Result: found to be 11.6% amongst HIV positive females. The epithelial abnormalities were found to be more prevalent in the age group of 30-39 years in present study suggesting that the risk of cervical cancer is present in HIV positive females even in younger age group. Multiparity and decreased CD4 count status in HIV positive females have also been found to be signicantally associated with epithelial abnormalities. : T Conclusion he high prevalence of epithelial abnormalities in HIV-positive women in present study supports the recommendation of Center for Disease Control and WHO for regular gynaecological examination, including Pap smear in all of these women, even if they have no gynaecological symptoms.
GALL BLADDER WALL THICKNESS AS A PREDICTOR OF INTRAOPERATIVE EVENTS DURING LAPAROSCOPIC CHOLECYSTECTOMY
Authors: N M Srinivas , N Murthy Rakshith
Published: July 2023

Cholelithiasis is one of the most common conditions affecting the gastrointestinal tract. For gallstone disease, laparoscopic cholecystectomy has emerged as the preferred method of surgery. The use of laparoscopic cholecystectomy is expanding in circumstances where surgery was previously contraindicated. By accurately anticipating the challenging nature of the laparoscopic cholecystectomy before surgery, many difculties in these cases can be avoided. Recent advances say that Gall bladder wall thickness is one of the crucial factor in determining the difculties in laparoscopic cholecystectomy.
“A STUDY ON CLINICOETIOLOGICAL PROFILE OF PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING WITH SPECIAL REFERENCE TO HELICOBACTER PYLORI INFECTION.”
Authors: Dharitree Bora , Jawgam Umbon , Rajib Kr Borah
Published: July 2023

Background: Acute gastrointestinal bleeding is one of the most life threatening gastrointestinal emergencies encountered in the medical eld. It remains a major cause of morbidity and mortality all over the world with a variable etiological prole. Hence, this study was undertaken with the aim to analyse the etiological and clinical prole of patients presenting with upper gastrointestinal bleeding and its association with H. Pylori from the region of North East India. This is a cross-sectional observational study, Methods: carried out in the Department of Medicine, at Jorhat Medical College and Hospital in North-east India. We enrolled patients from in-patient setting over a period of 1 year including a total of 120 subjects presenting with upper GI bleed. A detailed clinical history, physical examination and investigations were conducted in alongwith UGI endoscopy. Data was analysed by SPSS. We analysed 120 patients diagnosed with Upper Results: GI bleed (69.2% males, 30.8% females), Ratio of 2.4:1. The most common symptom was found to be melena with hematemesis, 51 patients( 42.5%), endoscopy nding showed that 40.8% patients had UGI bleed due to oesophageal and/ or gastric varcies, 29.1% patients had peptic ulcer disease, 16.6% patients had gastric/ duodenal erosions, 1.7% had MW Tear, 1.7% had gastric malignancy and 1 patient had both oesophageal varices and peptic ulcer disease. H. Pylori was an independent risk factor in both variceal and non-variceal bleed(p<0.003). This study concludes that varices Conclusion: due to portal hypertension is found to be the most common etiology of upper gastrointestinal bleeding, followed closely by peptic ulcer disease in the north east India. Melena with Hematemesis was found to be the most common presentation of these patients and infection with H. pylori acts an independent risk factor for both variceal and non-variceal bleeding.
EVALUATING THE EFFICACY OF SEVOFLURANE IN ATTENUATION OF SYMPATHETIC RESPONSES FOLLOWING ESSENTIAL RESUSCITATIVE PROCEDURE USING CONVENTIONAL HAEMODYNAMIC PARAMETERS
Authors: Rajasekaran Divya , Anil Gugale Amrita
Published: July 2023

Background: The utility of Sevourane in controlling haemodynamic response following laryngoscopy and
endotracheal intubation is not fully understood. The existing study was intended to evaluate the effects of Sevourane
induction for hemodynamic responses as well as emergence features among patients undergoing elective surgery with general anaesthesia.
Methodology: A randomized study was carried out among 60 patients of ASA –I category at tertiary care institute in Mumbai. All 60 patients were
divided into two groups namely Group 1(experimental group) patients who were mask ventilated with 100% oxygen and 1% Sevourane whereas
Group 2 (control group) patients were mask ventilated and received only 100% oxygen. The hemodynamic changes were assessed at different
levels and data analysis was done in SPSS Software Version 20. Results: Among the study group treated with 1% Sevourane, the heart rate,
systolic blood pressure, diastolic blood pressure and mean arterial pressure at 3 minutes interval showed statistically signicant decrease as
compared to control group. The study emphasized that 1% Sevourane is signicant in c Conclusions: ontrolling major haemodynamic
parameters including HR, SBP, DBP and MAP as a result of stress response due to airway insertion.
ASSOCIATION OF BLOOD GROUPAND RH TYPE WITH TYPE 2 DIABETES PATIENTS AT TERTIARY CARE CENTRE
Authors: Ruiwale Surabhi , Bari Vaibhav , Ambhere Trupti , Kori Shivkumar
Published: July 2023

Background: Type 2 diabetes mellitus is increasing in prevalence all over the world. and many studies have demonstrated the clinical signicance of ABO and Rh blood group system with many diseases. There is assumption that ABO blood group system is linked to specic molecules related to the type 2 diabetes mellitus. Method: A cross sectional study was undertaken at a tertiary care centre where 100 cases of diabetes mellitus type 2 and 100 controls (Nondiabetic) were included in the study. Blood grouping was done for all using the slide method and conrmed by tube method. Data obtained was statistically analyzed and chi square test was applied to nd out if there is any association between ABO and Rh blood group system and diabetes mellitus type 2. Results: Blood group O was of the highest frequency in diabetics and control cases. The association between ABO blood group and diabetes mellitus was not signicant as p value was more than 0.05. 96% were Rh positive among the diabetics and the association of Rh system and diabetes mellitus was also not signicant statistically. Conclusion : The present study showed no association between diabetes mellitus and ABO and Rh blood group systems
TO STUDY VARIOUS SYMPTOMS IN POST CORONAVIRUS DISEASE-19 (COVID-19) PATIENTS IN A TERTIARY CARE CENTRE- A CROSS SECTIONAL STUDY
Authors: Parotra Aabhasha , Ahmed Waseem , Hamid Shazia , Mahajan Aakriti
Published: July 2023

Corona virus was a major challenge throughout the globe. Post-acute COVID-19 is dened as the presence of symptoms extending beyond 3 weeks
from the initial onset of symptoms and chronic COVID-19 as extending beyond 12 weeks. It was observed that the common complications among
hospitalized patients with COVID- 19 include pneumonia, acute respiratory distress syndrome, acute liver injury, cardiac injury, acute heart
failure, dysrhythmias and myocarditis and prothrombotic coagulopathy resulting in venous and arterial thromboembolic events (10-25%) acute
kidney injury (9%); neurologic manifestations, including impaired consciousness (8%) and acute 1cerebrovascular disease (3%); and shock (6%).
The present cross-sectional observational study was conducted in the Department of Medicine, Government Medical College, Jammu for a period
of one year, w.e.f 1st November 2020 to 31st October 2021 with the aim to investigate the post-COVID-19 manifestation to demonstrate the
different symptoms or signs that appeared on subjects after recovery from the disease, also to link these symptoms with several factors (age, sex,
disease severity). And also, to detect the percentage, type, and risk factors of persistent symptoms after improvement from acute COVID-19
infection. In 200 patients during post covid period symptoms of disease were recorded, fever was most frequent complain (48.5%), followed by
cough (, 38%), dyspnea was present in 51 subjects (25.5%), 21(10.5%) patients complain of loss of taste sensation, 18 (9%) patients had loss of
smell, complain of lethargy was by 17 (8.5%) subjects, headache by 10 (5%), myalgia by 8 (4%), diarrhea by 7 (3.5%) and whereas only 3% had
complain of arthralgia. It was concluded that patients with COVID-19 require long-term follow-up even after recovery for observation and
management of their post-COVID ailments. A comprehensive rehabilitation program is essential for such patients during hospitalization and
discharge
MRI EVALUATION OF SPINAL DYSRAPHISM WITH DEPICTION OF THE SPECTRUM OF MRI FINDINGS
Authors: Yadav Eshita , R. Verma Sameer , Pimoli Kalpana , Soni Raghav
Published: July 2023

Aims and objectives - MR evaluation of spinal dysraphism with depiction of the spectrum of MRI ndings in spinal dysraphism Materials and Methods- This hospital based study was done over a period of two years and included 22 patients diagnosed with spinal dysraphism on MRI at a tertiary care teaching hospital in northern Uttar Pradesh. MRI examinations were carried out on MRI Magnetom Skyra 3.0 Tesla and MRI Sampra 1.5 Tesla and MRI ndings in the various disorders of spinal dysraphism were recorded. A Results- total of 22 patients including 8(36%) females and 14(64%) males with age range from 1st day of life to 10 years were diagnosed as having spinal dysraphism with its associated manifestations. There were 8(36%) cases of open and 14 (64%) cases of close spinal dysraphism. Spectrum of MRI ndings included tethered cord (45%), myelomeningocele (36%), diastematomyelia (23%), syrinx (18%), tonsillar herniation (18%), hydrocephalus(14%), lipomyelocoele (9%), lipomeningomyelocoele (9%), meningocoele (9%), intradural lipoma (9%), corpus callosal dysgenesis (5%) myelocystocoele (5%) and caudal agenesis (5%). MRI is the investigation of choice for the detection of spinal dysra Conclusion- phism and the associated CNS abnormalities.