bluuebunny/crossref_metadata_2025 huggingface dataset:
ETIOLOGY, TREATMENT, AND OUTCOME OF POST-OPERATIVE ENTEROCUTANEOUS FISTULAE: A PROSPECTIVE STUDY
Authors: P. B Niranjana , A. M Darshan. , N. H Shivakumar
Published: April 2023

Background: Approximately 75% of enterocutaneous stula (ECF) occur following surgery. Due to the high morbidity and mortality associated
with ECF, prompt and effective treatment is important. Objectives: To study the outcome and management of patients with enterocutaneous
stula. Methods: Total 50 patients developing the enterocutaneous stula following surgery were included. All patients were treated either
conservatively or operatively by various means and varying period of time. Treatment was focused on the correction of dehydration, controlling
sepsis, management of electrolyte imbalance and nutritional support. Results: out of 50 patients mean age was 39.20±20 years. The study was
male preponderance (70%). Around 62% of patients had small bowel stula (20 ileal, 6 duodenal, 5 jejunal) and 38% were large bowel stula. 72%
patients had High-output stula. the most common complication was skin excoriation seen in 36% of patients followed by Intra-Abdominal
Abscess (24%). 24% of skin excoriation was seen in high-output stula which was not signicant (p=0.33). 14% IAAwas seen in low output stula
which was also not signicant. out of 50 patients 8 patients were died during follow up and 42 were recovered. Conclusions: Conservative
management with emphasis on improvement of nutrition, control of sepsis, management of uid and electrolyte balance and control of stula
output is rst line of management.
VARIATIONS OF BILIARY DUCTALANATOMY ON MRCP
Authors: Anshul Anshul , Kaur Manjot
Published: April 2023

Introduction:- Biliary anatomy and its common and uncommon variations are of considerable clinical signicance when performing living donor
transplantation, radiological interventions in hepatobiliary system, laparoscopic cholecystectomy, and liver resection (hepatectomy,
segmentectomy). Thus, magnetic resonance cholangiopancreatography (MRCP) has become the modality of choice for noninvasive evaluation of
abnormalities of the biliary tract. The purpose of this study is to describe the variations of biliary ductal anatomy on MRCP. Material And
Method:- Hospital based prospective study for a period of 1 year and 6 months in Department of Radiodiagnosis, AIMSR Bathinda after applying
inclusion and exclusion criteria and after obtaining their informed written consent. Results:- In our study of the anatomical type of right hepatic
duct, A1 type was most commonly found type in 75.2% (n=100) of patients out of which 65% (n= 65) of patients were found to be females and 35%
(n=35) were found to be males. Left hepatic duct was found to be A1 type in 100 % of patients out of which 65.4 was females and 34.5 % was males.
In our study, cystic duct insertion was found to be right lateral in 78.9% (n=105) of patients out of which 64.8% (n= 68) of patients were found to be
females and 35.2% (n=37) were found to be males. Conclusion:-It was noticed that A1 remains the most common type of right hepatic duct but still
one should be cautious for other types as they still make for one fourth of cases. Similarly, In case of cystic duct, although Right lateral type was
most commonly encountered but since other types were found in nearly one fourth of patients, one should be on active look out for them too
PNEUMATIC PUMPAND ITS ROLE IN LYMPHEDEMA MANAGEMENT : REHABILITATION TECHNOLOGY-A REVIEW
Authors: Sawant Shardul , Kumar Sunil
Published: April 2023

Lymphedema means localized swelling of the limbs, which is caused due to lymphatic system blockage. The sickness is caused by a blockage in the
lymphatic system, which is part of the immune and circulatory systems. Lymph nodes are the prime part of our lymphatic system. Due to cancer,
there may be destruction or eradication of lymph nodes, which may manifest as lymphedema. Distension of the arm or leg is the most common
symptom, which may be accompanied by pain or discomfort. A blocked lymphatic system that leads to lymphedema, can be treated with lymph
drain massage; it consists of manual lymph drainage and drainage with mechanical modalities. One of such mechanical modalities is pneumatic
pumps. Pneumatic pumps are compression pumps. They are made up of pneumatic cuffs attached to a pump. Compressed air is used to power them.
When used on the affected limb, they force out the excess lymph saturated in that limb by using compressed air. Pneumatic pumps are also being
advocated as a supplementary care for patients with venous ulcers as well. Manual lymphatic drainage has been shown to be successful in the
treatment of lymphedema; having said that, this procedure won't be able to work for millions of sufferers with lymphedema all over the world
TO EVALUATE AND COMPARE THE EFFECTS OF PERIOPERATIVE INFUSION OF 2% LIGNOCAINE VERSUS DEXMEDETOMIDINE ON POSTOPERATIVE PAIN AND QUALITY OF RECOVERY IN PATIENTS UNDERGOING LAPAROSCOPIC SURGERIES UNDER GENERAL ANESTHESIA
Authors: Saisree Gogineni , Bhashyam Snehalatha , Deepak P. , Vinay Kumar K.
Published: April 2023

Background: It is important to have good postoperative pain control and early recovery after laparoscopic surgeries. Intravenous 2% lidocaine has
anti-hyperalgesic, anti inammatory and analgesic effects while dexmedetomidine provides anti-nociception, analgesic, sedative and
sympatholytic effects. This study aims to compare the effects of both these drugs in terms of postoperative pain and quality of recovery after
laparoscopic surgeries. After obtaining approval of the hospital ethical commit Method: tee and informed consent, 80 patients were randomly
allocated into two group of 40 each, In group L (Lidocaine group), patients received intravenous 2% lidocaine (preservative free) 1.5mg/kg bolus
followed by an infusion of 2mg/kg/hr and in group D (dexmedetomidine group), patients were given 1mcg/kg dexmedetomidine bolus followed by
an infusion of 0.5mcg/kg/hr. The postoperative, pain scores, time for rst request of rescue analgesia, total analgesic consumption and quality of
recovery were recorded in both the groups. The mean VAS score over 24 hours, Time for rst Results: request of rescue analgesia, Total
Postoperative Analgesic Consumption was similar in both the groups. The Quality of Recovery Score –the combined QoR score was higher in
group D 196.60±1.22 compared to group L 195.58±1.44 which was statistically highly signicant (p=0.001) Perioperative infusions Conclusion:
of dexmedetomidine and lidocaine were found to have a similar analgesic sparing effect. However, dexmedetomidine proved superior to lidocaine
in the Quality of Recovery
ROLE OF MEAN PLATELET VOLUME IN THE DIAGNOSIS OF ACUTE APPENDICITIS IN GOVERNMENT MEDICAL COLLEGE THIRUVANANTHAPURAM- A CASE CONTROL STUDY
Authors: Job Jim , S Preetha
Published: April 2023

Introduction: Acute appendicitis is a common surgical emergency encountered in the casualty. Delay in diagnosis of acute appendicitis may cause
a variety of life threatening complications. Diagnostic difculties may lead to negative appendicectomies or cases of missed appendicitis resulting
in complications such as appendiceal perforation or abscess formation. The mean platelet volume (MPV) is a parameter detected during routine
blood count and to which clinicians do not usually pay attention. The aim of the study is to assess role of mean platelet volume in the diagnosis of
acute appendicitis. To assess the role of Mean Platelet Volume as Objectives: an inammatory marker in the diagnosis of Acute Appendicitis in
patients whose post- appendicectomy histopathology reports were conrmatory of acute appendicitis and to determine the relationship between
Mean Platelet Volume and Total White Blood Cell count and Neutrophil count in patients with acute appendicitis. It Methodology Study Design:
was a Case control study conducted in Government Medical College Thiruvananthapuram involving 82 patients who underwent emergency open
appendicectomy and 82 patients posted for elective open appendicectomy. Platele Results: t count was measured in all 164 patients. The sensitivity
was 37.8%, specicity 78.05%. Positive predictive value 63.3 and Negative predictive value 55.7, positive likelihood ratio of 1.72 and a negative
likelihood ratio of 0.8. Youden Index J is 0.1585. From the current study it is concluded that Conclusion: platelet indice , Mean platelet volume
might have a role in the diagnosis of acute appendicitis and might help to avoid possible negative appendicectomies
HISTOPATHOLOGICAL SPECTRUM OF COLORECTAL CANCER IN A TERTIARY CARE CENTRE
Authors: Daimary Anjali , Medhi Pranita
Published: April 2023

Background: Colorectal cancer is a heterogeneous disease that can occur in any area of the colon, including the rectum. It is the fourth most
common cancer worldwide and one of the leading causes of cancer related deaths. Aim: To study the histopathological spectrum of colorectal
cancer in relation to age and gender of the patients and the site of the lesion. It was a retrospective cross sectional study Materials and Methods:
carried out in the Department of Pathology, AMCH, Dibrugarh from January 2022 to December 2022. Out Results: of 41 cases, Majority were
reported in males with commonest age group involved being 4th to 6th decades. The most common histological type was found to be moderately
differentiated adenocarcinoma and most common site was rectum. This study c Conclusion: oncluded that incidence of colorectal cancer increases
with increasing age with slight male preponderance. Moderately differentiated adenocarcinomas being the most common malignant lesion with
commonest site being rectum.
COMPARISON OF BODY FLUID CELL COUNTING BETWEEN AUTOMATED HEMATOLOGY ANALYZER AND MANUAL MICROSCOPIC METHOD
Authors: Chatterjee Purbita , Sharma Sangeeta , Jaiswal Navya , Bansal Rani , Khare Anjali , Kansal Tiwari Archita , Sharma Vertika
Published: April 2023

Cytological study of uids is an inexpensive, simple procedure and has signicant utility in diagnosing neoplastic and non neoplastic lesions. The
cytological examination of uids in combination with physical examination helps identify aetiologic agents, follow the natural process of the
disease and monitor the response to the treatment.Aim: To determine the diagnostic utility of serosal uid cytology and analyse the incidence of
neoplastic and non neoplastic lesions using serous uid cytology.Materials and Methods: This was a descriptive cross-sectional study comprising
311 cases conducted in a tertiary care hospital.Purposive sampling was used to recruit the participants. All the patients with pleural effusions,
ascites or in whom Cerebral Spinal Fluid (CSF), pericardial and synovial uids examination was indicated were included. The provisional
diagnosis was obtained from case sheets, including relevant clinical information. Smears were prepared from freshly tapped specimens without
adding anticoagulants and were processed by routine, conventional smear technique. The data were analysed using the SPSS version 22.0 for
Windows. Numerical variables were reported as frequency and percentage. The chi-square test was used wherever necessary, and the p-value less
than 0.05 were considered signicant.Results: The peritoneal uid was the most common uid collected in the present study, followed by pleural
uid and CSF. The malignancy rate in the present study was 19 (10.4%) of peritoneal uid, 6 (5.9%) for pleural uid, and 2 (4.1%) for CSF.
Conclusion: Adenocarcinoma was the most common malignancy found in this study, which was in concordance with the research conducted
earlier, where gold standard investigations conrmed the ndings. In the peritoneal uid, most of the patients had cirrhosis and tuberculosis. In
pleural uid and cerebrospinal uid, most of them had tuberculosis and chronic inammatory conditions, respectively. Previous researchers
conrmed similar ndings in their studies. It is seen that malignant and benign conditions like tuberculosis can be diagnosed well with effusion
cytology.
A STUDY ON EXPRESSION OF LATENT MEMBRANE PROTEIN 1 OF EPSTEIN BARR VIRUS IN NASOPHARYNGEAL CARCINOMA IN SOUTH INDIA
Authors: Sultana Afreen , Srivani N. , Sri Swarna
Published: April 2023

Background- Nasopharyngeal carcinoma arises from the nasopharynx epithelial lining and is caused by Epstein Barr virus. Latent Membrane
Protein 1(LMP 1) expressed on cytoplasmic portion of cell surface of Epstein Barr virus is an oncoprotein which triggers multiple cell signalling
pathways and facilitates the expression of virus infected cell population at an early stage of development of nasopharyngeal carcinoma. Aims and
Objectives- To study the age,sex distribution, clinical presentation, histologic spectrum and expression of LMP1 in the histologic types of
nasopharyngeal carcinoma. The present study is a cross sectional study done over a Material And Methods- period of two years at a tertiary care
hospital.Histologic typing of nasopharyngeal carcinoma done on light microscopy followed by expression of Latent Membrane Protein 1 by
Immunohistochemistry. The present study showed a male predominance (75%), bimodal age Results- distribution in second and fth decades of
life, presented most commonly as nasal obstruction (82.5%), non keratinising undifferentiated type being the commonest histologic type (80%)
and LMP 1 expression in 45% of cases. The detection of Latent Membrane Protei Conclusion- n 1 by immunohistochemistry helps in early
diagnosis of nasopharyngeal carcinoma and may aid in treatment as a therapeutic target
THE FUNCTIONAL OUTCOME OF FRACTURES OF OLECRENONE TREATED WITH ANATOMICAL LOCKING PLATE.
Authors: Tijoriwala Prabhav , Kucha Yogesh , Dhankara Akshay
Published: April 2023

Objective :
Ÿ To study the results of operative procedures in olecrenon fractures
Ÿ To study the improvement in pain, range of motion and activities of daily living following surgery
Ÿ To study the advantages and complications of various surgical procedures done for the complex comminuted fractures of olecranon.
Methods: A prospective study of 29 patients of complex comminuted fractures of olecrenone was done. All patients were operated in Tertiary care
Hospital, Surat and complete clinical examination was done with satisfactory follow up. Selected patients were evaluated clinically and Results:
radiologically, after the relavant lab examinations, they were taken for surgery. Fractures were classied according to various classication system,
operated with Open Reduction Internal Fixation using anatomical locking plate. Post operative immobilization was given and active mobilization
of elbow given within 1-3 weeks. Operative treatment with anatomical inte Conclusion: rnal xation will be the line of treatment for all types of
olecrenone fracture, more so in young adults as it gives best chance to achieve good elbow function
A STUDY OF CARDIAC COMPLICATIONS BASED ON ECG CHANGES IN COVID 19 POSITIVE PATIENTS
Authors: V SUSHMA T , N Ravishankar S
Published: April 2023

Aims & Objectives
Ÿ To study the cardiac complications based on ECG changes in COVID 19 positive patients.
Materials And Methods
Ÿ It is a Prospective case study with sample size of 500 done in East point Medical College and Research hospital, Bangalore.
Results: 300 patients had normal sinus rhythm.130 patients had tachycardia, 70 patients had bradycardia. 30 patients had arrhythmia, 27 patients
had evidence of cardiac injury.154 patients had evidence of myocarditis. 40 patients had evidence of heart failure and 15 patients had
cardiomyopathy. 50 patients had an evidence of venous thromboembolic events. Cardiac invol Conclusion: vement is very common in SARS
–Cov-2 infection. Myocarditis is more common, though it may not be fatal in most cases, it can be problematic in case of associated co-morbid
conditions
FIRST REPORTED CASE OF OSTEOCHONDROMA IN CONDYLE OF MANDIBLE IN BHOPAL
Authors: Prashant Pillai MC. , Sharma Aakanksha , Kumar Mukesh , Chabbariya Khushbu , G Krishna Arun
Published: April 2023

Osteochondroma is a rare tumor of the mandibular condyle. Much confusion seems to exist in the literature in differentiating these tumors from
chondromas as well as condylar hyperplasias. Due to considerable overlapping features between chondromas and condylar hyperplasia, it is likely
to get misdiagnosed, thereby resulting in inadvertent diagonosis in the treatment.
TO EVALUATE CARDIAC BIOMARKERS AND ECG CHANGES IN ASSESSING CARDIAC DYSFUNCTION IN CHILDREN WITH ACUTE SEVERE BRONCHIAL ASTHMA
Authors: Meena Kapil , N. Sehra R. , Lal Meena Chiranji
Published: April 2023

Introduction:Asthma is a chronic inammatory disease of the airways, characterized by recurrent episodes of airow obstruction resulting from
edema, bronchospasm, and increased mucus production. There are an estimated 300 million people who have asthma worldwide, with a signicant
geographic variation of prevalence, severity, and mortality. The exact etiology of asthma remains unclear and appears to be multifactorial. Both
genetic and environmental factors seem to contribute. Aim and Objective: To evaluate role of cardiac biomarkers and ECG changes in assessing
the cardiac dysfunction in children with acute severe bronchial asthma. Material and Methods: This was Prospective, observational, Hospital
based study at department of pediatric medicine, SPINPH (JK Lone hospital), SMS Medical College, Jaipur, Rajasthan. The study includes 51
patients admitted during study period of 18 months. Sample size was calculated of 95% condence level, α error of 0.05 expecting 15% abnormal
CK-MB levels as one of the biomarker in children with acute severe bronchial asthma. Result: The study included Sample size of 51 Patients in
each group. In our study, mean age of study participants was 8.8±2.5 years. Out of the 51 participants, 37 were in age of 5-10 years and 14 in age
above 10 years. Male participants were 32 and female were 19. Mean FEV1 of study participants was 77.7±5.7%. Conclusion: Our study
concluded that at the time of admission, children with acute severe bronchial asthma exhibited abnormal CPK-MB in 21.6%, abnormal trop-I in
58.8%, and abnormal BNPin 11.6%. The most common ECG nding in these patients was sinus tachycardia
PLATELET PARAMETERS IN BLOOD DONORS : AN OBSERVATIONAL STUDY IN A TERTIARY CENTRE IN NORTH-EAST INDIA
Authors: Bijoy Saikia Partha , Sharma Adity
Published: April 2023

Introduction Platelets are responsible for maintaining the haemostatic physiology and vascular integrity in humans. Clinical manifestations may
be due to both quantitative and qualitative abnormalities related to platelets. A low platelet count and high mean platelet volume is observed in
north-east India. Aim To determine the platelet count, Mean Platelet Volume (MPV), and Platelet Distribution Width (PDW) in blood donors and
correlate platelet count with Mean Platelet Volume and Platelet Distribution Width. Results And Observations In the study, the mean age of the
donors was 31.4 ± 7.0 years. The mean of platelet count, MPVand PDWwas found to be 2.2 ± 0.7 lacs, 11.8 ± 1.5  and 15.9 ± 4.2  respectively. A
signicant negative correlation was found between platelet count and MPVwith correlation coefcient of -0.713 (p < 0.001). There is also negative
correlation between platelet count and PDW with correlation coefcient of - 0.670 (p<0.001). Conclusion As per the present study, there is an
inverse correlation between platelet count and MPVand PDW
EFFECTS OF BILATERAL INFRAORBITALAND INFRATROCHLEAR NERVE BLOCK ON EMERGENCE AGITATION AFTER SEPTORHINOPLASTY: A RANDOMIZED CONTROLLED STUDY
Authors: P. Vaholiya Khushali , R. Soni Bhavana
Published: April 2023

Aim: Emergence agitation is common after septorhinoplasty and postoperative pain is the main risk factor for this condition. Infraorbital and
Infratrochlear nerve block have been reported to help pain management in patients after nasal surgical procedures under General Anaesthesia.
Method: Our study was conducted randomly amongst sixty four pateints whose septorhinoplasty surgery was planned under general anaesthesia
were included in study. Patients were randomly distributed to Group1(ION and ITN block) and Group2 (No block). Duration of surgery and
anaesthesia, Riker Sedation-Agitation Scale(RSAS), EApresence, Duration of post-operative analgesia, Numerical rating scale(NRS) scores and
cumulative Tramadol consumption were recorded. Result:Incidence of EAand NRS score of the patients in Group1 were statistically signicantly
(p<0.05) lower than the patients in Group2. In addition, total postoperative analgesia duration in Group1 was statistically signicantly (p<0.05)
higher than patients in Group2. Conclusion: Hence, management of Emergence agitation and Pain in early post-operative period after
septorhinoplasty with bilateral ION and ITN block is a simple and efcient technique
COMPARISION OF OUTCOME BETWEEN SKIN CLOSURES WITH ADHESIVE GLUE 2-OCTYLCYANOACRYLATE AND SUTURE MATERIAL IN CLEAN ELECTIVE SURGERIES
Authors: Balasubramanian Lakshman , A Akmal , P Niveditha , C Ramkumar
Published: April 2023

Introduction: Surgical wound closure aims to move close the skin aps for good cosmetic outcome and to favour rapid healing with low risk of
complications. Present study aimed to Compare skin closures with adhesive glue 2-octylcyanoacrylate and suture material in clean elective
surgeries. Material & Method: This comparative observational study was conducted among the patients undergoing clean elective surgical
procedure in the department of General Surgery AVMC medical college and hospital. Skin closure was done with suturing or with 2-
octylcyanoacrlate adhesive glue under same antibiotic coverage for same duration. Ethics committee clearance was obtained, and informed
consent was taken from the study participant. Patient not agreeing for 2-octylocyanoacrylate skin closure, mucocutaneous junctional wound or not
willing to be part of study were excluded from the study. Both group of patients were compared using pain, Asepsis score and Modied Hollander
Cosmesis scale. The collected data were analysed using SPSS v21 operating on windows 10, with p-value of <0.05 considered statistically
signicant. Result: In present study total of 120 patients included with 60 in each group. The mean age of patients was 39.41±12.63yrs. Among
them 53 were female and 67 were male patients. On assessment of the pain score was signicantly less(p=0.03) using 2-octylcyanoacrlate adhesive
glue (0.18±0.39) than suture (0.37±0.55).Asepsis score was signicantly less(p=0.01) using 2-octylcyanoacrlate adhesive glue(11.28±4.23) than
suture(16.28±4.23).Modied Hollander cosmesis scale was signicantly higher(p=0.01) using 2-octylcyanoacrlate adhesive glue(4.33±0.68) than
suture(4.07±0.76). At various interval the Adhesive glue group showed superior result compared to the skin suture group which was statistically
signicant. (p<0.05) Conclusion: Adhesive glue group found to have better tolerance towards the pain in post-operative period compared to the
suture. Also, there was better Asepsis score in adhesive glue group and also better Modied Hollander Cosmesis scale score and overall Cosmetic
outcome among the patients of adhesive glue compared to skin suture.
ROLE OF TOPICAL INSULIN EYE DROP AND ITS COMPARISON WITH PACK-CXL IN CASE OF NON HEALING CORNEAL ULCER
Authors: Chaudhary Aparajita , Verma Shalini , Singh Satyaprakash , Rana Jagriti
Published: April 2023

Present study evaluates efcacy of topical insulin eye drops and PACK-CXL in treatment of non-healing corneal ulcer. For this total 20 patients of
corneal ulcer were taken and categorise as two groups, Group-1 and Group-2. Patients of Group-1 were treated with topical insulin eye drop, while
2 Group-2 with PACK-CXL. In result, mean area of ulcer before starting treatment in Group-1 was 25.45 ± 16.5 mm and we observed complete
corneal reepithelization in all patients, with mean duration of reepithelization seen in 35 days. In group-2 mean area of non-healing ulcer before
2
starting treatment was 20.58±10.63 mm , after PACK-CXL, we observed complete corneal reepithelization in all patients with, mean duration of
25.4 days. Final visual acuity was improved from baseline in both groups. Both topical Insulin eye drop and PACK-CXL can promote and
accelerate corneal reepithelization of non-healing corneal ulcers but topical insulin eye drop is cost-effective with no adverse effect
ANTI-CANDIDAL EFFICACY OF OREGANO IN DENTAL PROSTHETICS
Authors: Beeula A. , Deepalakshmi V. , B Adhithya. , Vijayalakshmi P.
Published: April 2023

Introduction: Denture hygiene is considered as an essential part of oral hygiene maintenance for the well-being of oral soft tissue in denture
wearers. Denture induced stomatitis is common among denture wearers and that can be due to adherence of candida species.The purpose of the
present study is to determine and compare the anti-candidal effect of Oregano against Candida albicans for using it efciently as a denture cleansing
agent. Swab from the tissue surface of 20 complete acrylic denture wearers w Materials And Methods: ere collected and cultured to isolate the
Candida albicans. The plant materials were soaked in 99.9 % ethanol and pure extracts were made by the cold maceration method. Various
concentrations of Oregano (1 %, 2 %, 4 %, 8 % and 16 %) dilutions were done. Fluconazole was taken as a control to compare with the plant
products. The Disc diffusion method was done to nd the zone of inhibition by pre-treating the discs with herbal extracts. The zone of inhibition
was measured in millimetres. The mean value of zone of inhibition of Oregano w Results: as less when compared to the uconazole of higher
concentrations. The differences between two groups were analyzed using one way ANOVA test. Oregano showed least anti-candidal Conclusion:
effect when compared to uconazole, Where it can have effects on other species of candida
COMPARATIVE STUDY OF GRANULATION TISSUE FORMATION IN DIABETIC FOOT ULCER BY PHENYTOIN VS POVIDONE DRESSING
Authors: Rajana Vivek , Saraswat Bharti , Kumar Anant , Patel Thanaram
Published: April 2023

Background– Foot ulcers and infections are the most common reason for hospital admission in people with diabetes. Gingival hyperplasia is a
typical adverse effect of phenytoin (diphenylhydantoin) treatment for epilepsy. It was possible that phenytoin may be used to stimulate the healing
of wounds due to its stimulating impact on connective tissue. Aims and objectives of this study to compare granulation tissue formation by topical
agents(phenytoin & povidone). 100 patients with diabetic foot ulcer admitted in Gene Method- ral Surgery at Dr S.N. Medical College,
Jodhpur(Rajasthan) were randomly assigned into two groups, the study group consisting of 50 patients who were treated with phenytoin dressing
and 50 patients into control group who were treated with povidone dressing, assessment of granulation tissue formation done at the end of 14th day
Result- The rate of granulation tissue in phenytoin group was 90.84% as compared to control group which was 80.08% which was statistically
signicant (p value < 0.0001). Wound swab cultures repeated on day 14th revealed that there was 86% negative culture in phenytoin group when
compared to control group of 68% which also was statistically signicant. The mean hospital stay for the patient in phenytoin group was 26.46 days
and in control group, it was 31.22 days. Conclusion- By promoting broblast proliferation and reducing collagenase activity, phenytoin dressing
effectively accelerates the development of granulation tissue. By virtue of its inherent antibacterial activity and indirectly through their effects on
anti-inammatory cells and neovascularization, it not only accelerates granulation tissue but also decreases bacterial load as compared to
conventional dressing. Phenytoin helps to improve overall results by preparing the foot ulcer for early grafting
ALBI GRADE AS A PREDICTOR OF SURVIVALAFTER TRANSARTERIAL CHEMOEMBOLIZATION (TACE) FOR HEPATOCELLULAR CARCINOMA
Authors: Badola Siddharth , Prem Kumar K
Published: April 2023

AIM :Transarterial chemoembolization (TACE) is the standard procedure followed in patients with advanced HCC in the BCLC B stage as
palliative care. The aim of this study is to evaluate the signicance of the pre-TACE ALBI grade of the patients to predict patient survival postTACE. METHODS: This study was conducted in a tertiary care centre in South India from January 2020 to June 2022. A total of 44 patients of
HCC with BCLC B grade underwent the TACE procedure during this time. All the pre-procedure and follow-up data were collected and examined
retrospectively till 6 months of follow-up after the TACE procedure. Pre-TACE ALBI grades were calculated and patient survival was compared at
1,3 and 6 months post-TACE. Survival over the entire period was examined with Kaplan-Meier analysis and signicance was tested with log-rank
tests. RESULTS: ALBI grade is strongly correlated with survival at 1,3 and 6 months. Patients with ALBI grade 1 (n =7) had superior survival at
1,3 and 6 months than those with ALBI grade 2 (n = 23) and ALBI grade 3(n=14). CONCLUSION:ALBI grade as a prognostic indicator in HCC
patients undergoing TACE procedure has shown signicant survival benets in patients with lower ALBI grades compared to higher ALBI grades.
Hence it can be useful in determining post-procedure mortality and can also be helpful in pre-procedure decision-making.
EVALUATION OF THE OUTCOME OF VARIOUS OPERATIVE PROCEDURES IN ACUTE SIGMOID VOLVULUS – OUR EXPERIENCE.
Authors: Chaitanya Babu Bogarapu , Jagadeesh Namballa , Ramamohana Rao Potnuru , Janardhana Rao Konkena , K.V.Sanjeeva Naidu Maddala , Yaswanth Sai Jami , Siri Gopisetty , Poornima Aiswarya Munagala
Published: April 2023

Volvulus is a condition in which a segment of the intestine twists on its own mesenteric axis and results in partial or complete obstruction. Increase
in the intraluminal pressure of the bowel along with compromised blood supply leads to gangrene and perforation if unrelieved immediately.
Sigmoid volvulus accounts for 2-3% of all intestinal obstructions. Even though it effects both sexes, males are more effected. Treatment differs
based on the mode of presentation of volvulus. Relief of intestinal obstruction and resection of gangrenous sigmoid colon are the two main
considerations. It is a surgical emergency condition and laparotomy is performed in all patients. Treatment can be divided into resection and nonresection procedures. Primary resection with end-to-end anastomosis is gold standard treatment for sigmoid volvulus. Sigmoid volvulus is more
commonly seen in males when compared to females with high incidences in old aged around 5th and 6th decade of life. Procedures such as
Sigmoidopexy are done in non-gangrenous and viable bowel conditions, while procedures such as resection and end-to-end anastomosis and
Hartmann's procedures are done in cases with gangrene bowel, but carry a risk of mortality
RETROPERITONEAL XANTHOGRANULOMATOUS CYST – A RARE CASE REPORT
Authors: BVC Jagadeesha , K Mahesh , L. Reddy Varsha
Published: April 2023

Xanthogranulomatous cyst is an uncommon condition and presents mostly in the kidneys and gall bladder, very rarely in the retroperitoneum and
gastrointestinal tract. We present a case of a 30 year old female who presented with complaints of mass per abdomen. on further clinical and
radiological examination she was diagnosed with retroperitoneal dermoid (ultrasound abdomen). However CECT abdomen and pelvis showed
mesenteric cyst. Exploratory laparotomy done, cyst found to be in the retroperitoneum with chyle like uid .On histopathological examination it
was conrmed to be xanthogranulomatous cyst. Patient recovered with no short term post operative complications
A COMPARATIVE STUDY OF EFFICACY OF SINGLE DOSE PROPHYLACTIC V/S CONVENTIONAL PERIOPERATIVE ANTIBIOTIC THERAPY IN CLEAN CASES OF MESH HERNIOPLASTY
Authors: Deepak Deepak , Prabhu G. , Tamil Selvan R. , Swapnil Hareshbhai Panchal
Published: April 2023

Introduction: One of the most often carried out general surgical procedures is inguinal hernia surgery. Despite the fact that open inguinal
hernioplasty is one of the cleanest surgical procedures, some surgeons nevertheless provide antibiotics as a preventative measure .The present
study was undertaken to compare the efcacy of the single dose prophylaxis v/s conventional perioperative operational therapy. Material And
Methods: This study was a hospital based observational comparative study which was conducted in the in the Department of General surgery at
Aarupadai Veedu medical college and hospital, Puducherry, A study 60 cases were included. Patients were divided into two groups. Each group
consists of 30 cases of Inguinal Hernia. The study group (Group SDA) received single dose of antibiotic preoperatively while the other group
(Group CA) received 3 days of empirical antibiotic therapy post operatively. After obtaining pre anaesthetic check-up patients were posted for
surgery. All the cases in study group (group SA) were administered with single dose of 1.5gm of inj. Cefuroxime 30 minutes before skin incision
was given. They received no further antibiotics intravenously or oral. The data was analysed using SPSS software Pvalue less then 0.05 consider as
statistically signicant. Data in the form of age, gender, BMI, type of work, side of hernia, type of hernia, habit of alcohol consumption and
smoking, presence of DM, hypertension, CVD, COPD, duration of surgery, immediate postop fever, nausea and vomiting were noted in prescribed
format and statistical analysis was done. Conclusion: However, the SSI in the single dose antibiotic group was remarkably lower than the
proportion of SSI in conventional group on post op day 7 however this difference was not substantial on day 14. Also the length of hospital stay,
time taken to return to daily activities and work were substantially less in single dose antibiotic group compared to conventional group. We infer
that single dose antibiotic is preferred over conventional antibiotics in inguinal hernia repair
MANAGEMENT OF FIREWORK INJURIES AT AN INDIAN REGIONAL BURNS AND PLASTIC SURGERY UNIT : TEN YEARS' EXPERIENCE
Authors: Rao Meenakshi , R.Makadia Monali , Fichadiya Nilesh , Vardhan Rao Harsh
Published: April 2023

Celebration of various cultural and religious festivals as well as holidays involves use of reworks. Injuries due to reworks is essentially a
preventable injury .The aim of this article is to review cases of burns and associated trauma due to reworks at a regional burns and plastic surgery
unit in India .A retrospective review was performed in all patients presenting to our centre with burn injuries due to reworks over a period of ten
years from March 2012 to March 2022. A Total 463 patients were identied. Cases were studied in terms of patients' demographics, trend of
rework injuries throughout the year, mechanism of injuries, anatomical region wise involvement of burn injuries. Conservative and surgical
treatment was provided according to the extent of burn injuries. Various treatment given and outcomes of treatment were recorded. Mean duration
of hospital stay and recovery time was noted .Most injuries occurred in October and November (around the Diwali festival) Mechanism of injury
were mostly ame burns, contact burns and injury from blast force. Most common injuries were sustained to hands, head and neck region and
torso.A total of 54 (11.66 %) patients needed surgery. Fireworks can lead to burn injuries, a range of soft tissue injuries, fractures, as well as eye
injuries.The severity of rework injuries can effectively by reduced by proper planning which involves preparedness of work force, awareness
campaigns and educating public about safety measures.
A COMPARATIVE STUDY BETWEEN EFFICACY OF TOPICAL INSULIN AND NORMAL SALINE DRESSINGS IN DIABETIC FOOT ULCERS.
Authors: Manmadha Rao Vayalapalli , Jagadeesh Namballa , Yaswanth Sai Jami , Janardhana Rao Konkena , Gopisetty Siri , Damineni Chakrateja , Bandaru Lalitha , Rao Gottapu Dhanunjaya , Naga Sai Sankar Mokara
Published: April 2023

Introduction: One of the most prevalent problems a surgeon encounters is chronic wounds, especially those that do not heal. The development of
agents for wound healing is the subject of ongoing study. Insulin is one such substance that stimulates connective tissue. Objective: To evaluate the
effectiveness of topical insulin dressings with traditional saline dressings in the healing of chronic diabetic foot ulcers (DFUs), in terms of the size
of the ulcer, the amount of time spent in the hospital, and any side effects. In this prospective longitudinal study,the Materials and Methods:
patient's willingness to receive topical insulin therapy was used to separate the study population (n=100) into study group (insulin group, n=50) and
Control group (saline group, n=50). Using paired and unpaired Student's t-tests, the variables of ulcer surface area, granulation tissue formation and
length of hospital staywere compared. A p-value of < 0.05 was deemed signicant. In t Results: he study group, the mean ulcer surface area was
40.4 cm2, compared to 37.6 cm2 in the control group (p-value = 0.012). After dressings, the mean area of granulation tissue formation in the study
group was 39.63 cm2+2.6 , while it was 36.07 cm2+ 5.7 in the control group (p-value=0.001*). The control group's average hospital stay was 31.3
+ 4.2 days whereas in the study group it was 27.8 ± 2.4 days (p-value=0.001*). Insulin is a chea Conclusion: p and superior alternative dressing
agent for diabetic foot ulcer care
OPEN VERSUS CLOSED METHOD OF ESTABLISHING PNEUMOPERITONEUM FOR LAPAROSCOPIC SURGERY- A PROSPECTIVE OBSERVATIONAL STUDY
Authors: P. B Niranjana , N. H Shivakumar , S. Rao Bhavya.
Published: April 2023

Background: The main challenge facing the laparoscopic surgery is the primary abdominal access, as it is usually a blind procedure and associated
with many complications including life threading vascular and visceral injuries. Objectives:To compare the efcacy and safety of the open (direct
trocar insertion/ DTI) and closed method (veress needle) to gain access in the abdominal cavity for laparoscopic surgery. Methods: This is
Prospective Observational study conducted in the department of General surgery, from April 2020 to March 2022 comprising of 100 cases, 50 cases
from each methods. The patients admitted in our department for Laparoscopic surgery was taken up for the study. 100 patients of either sex were
selected who undergone operative procedure for laparoscopy surgery and written informed consent, appropriate workup is done. Purposive
sampling technique was used. SPSS (Version 22.0) was used for analysis. Results: Duration for pneumoperitoneum creation in open method group
is shorter as compared to closed method group for pneumoperitoneum creation in laparoscopic surgery and it was statistically signicant (p<0.05).
Also difculties like multiple attempts, gas leak at port site and port site bleeding are more in open method than in closed method, which is
attributed to larger size of incision in open method, Furthermore, a signicant higher incidence of such minor complications is found in case of BMI
>25 (p<0.05). Wound infection (clear discharge) occurred in ve cases, one in open method and four in closed method group which was statistically
signicant and were treated successfully by antibiotics and dressing. Port site hernia is reported in none 3 cases on the follow up period till date but
longer period of follow up is needed. Previous surgery especially laparoscopic surgery and surgery around umbilicus and their scar may cause
adhesions between viscera and scar and may increases likelihood of injury during pneumoperitoneum which was more in closed method and was
signicant. Conclusions: Open technique is as good as closed technique, and is good alternative to closed technique.
Promoção da paternidade ativa na amamentação de recém-nascidos
Authors: Silva Josielson Costa da , Sousa Anderson Reis de , Andrade Francisca Maria , Calf Rita de Cássia , Whitaker Maria Carolina Ortiz , Palombo Claudia Nery Teixeira , Martins Ridalva Dias , Camargo Climene Laura de
Published: April 2023

Objetivo: Apreender a percepção de pais de recém-nascidos sobre seu papel na promoção da amamentação e instituir estratégias de promoção da paternidade ativa. Método: Estudo qualitativo, realizada com 11 pais de recém-nascidos investigados em um serviço público de saúde do município da Bahia, Brasil. Os dados foram coletados por entrevistas individuais e de imagens após um ensaio fotográfico com os pais e bebês, que derivou estratégias de promoção da paternidade ativa. Procedeu-se à análise de conteúdo e icnonográfica, interpretadas pelo referencial a Política Nacional de Atenção Integral à Saúde do Homem. Resultados: Os pais expressaram sentidos e significados positivos relacionados ao exercício da paternidade que revelaram e a mobilização masculina para o desempenho do aleitamento dos recém-nascidos. Conclusão: A paternidade ativa pode contribuir para a promoção do aleitamento materno. Cabe aos profissionais de saúde a motivação para o engajamento e integração masculina nos cuidados com mãe-bebê.
Descritores: Paternidade; Aleitamento Materno; Recém-nascido; Saúde do Homem; Enfermagem.
Saúde e discriminação no processo de envelhecimento LGBTQIA+
Authors: Soares Julys Nathan Ferreira , Oliveira Ester Mascarenhas , Suto Cleuma Sueli Santos , Jesus Marília Emanuela Ferreira de , Batista Ana Carolaine de Souza , Pegoraro Vanessa Alvarenga , Bampi Luciana Neves da Silva
Published: April 2023

Objetivo: Identificar as experiências e discriminações vividas pela população LGBTQIA+ em envelhecimento durante a prestação dos serviços de saúde. Método: Estudo exploratório de abordagem qualitativa, por meio da aplicação de um questionário com informações sociodemográficas e questões sobre experiências anteriores dentro de instituições de saúde e percepção do cuidado recebido. Resultados: Participaram nove pessoas, predominantemente, identificadas como homens cisgêneros; e, apenas um estava com idade entre 65 e 70 anos. Em sua maioria buscam o serviço de saúde duas vezes ao ano motivado principalmente por problemas particulares, do sistema respiratório, hipertensão arterial ou dores persistentes. Indicaram não haver desencorajamento para a procura de serviços e a maioria não relatou experiências de discriminação. Conclusão: A baixa frequência de discriminação pode indicar a dificuldade de caracterizar a exposição e/ou vivências por esta população. Sendo assim, deve-se buscar entender o que essa população considera discriminação por parte dos serviços de saúde a pessoas LGBTQIA + durante o processo de envelhecimento.
Descritores: Minorias Sexuais e de Gênero; Envelhecimento Populacional; Atenção à Saúde; Comportamento de Procura de Cuidados de Saúde; Acesso aos Serviços de Saúde.
Leaf Disease Classification in Bell Pepper Plant using VGGNet
Authors: Kumar Das Pranajit
Published: April 2023

In the era of artificial intelligence, deep learning, and computer vision play a vital role in leaf-based disease identification and categorization. Leaf diseases are the most dangerous calamity that has direct detrimental effects on farmers’ lives, and consequently on gross yield production and the world economy. Nutritious food for all is a great challenge faced by the farmer and agricultural research community. Bell peppers can be categorized as fruit or vegetable that is universally available and full of various nutrients like carbs, vitamins, and fat. Leaves of bell pepper plants infected by bacterial spot diseases affect their yield significantly. The aim of this study is to classify bacterial spots and healthy images of bell peppers’ leaf images taken from the PlantVillage dataset using CNN-based pre-trained architecture. Two CNN architectures, i.e., VGG16 and VGG19 are applied through transfer learning in the binary classification of leaf-based disease. A total of 2475 images are used for training, validation, and testing purposes, with 1478 healthy images and 997 images with bacterial disease spots. Although both VGG16 and VGG19 achieved good performances, VGG16 architecture performs slightly better than VGG19.
Healthy City-Based Nutrition Literacy Model for Stunting Management and Improvement of Healthy Living Behavior
Authors: Majid Makhrajani , Tharihk Andi Jusman , Zarkasy Rahmat
Published: April 2023

The incidence of stunting was mostly found at the age of 12 to 59 months. 90% of human brain growth occurs from the fetus until before the child is five years old. In fact, 70% of brain growth occurs under the age of 2 years. This study aims to determine how the health city-based nutritional literacy model for stunting prevention and improvement of healthy living behavior. This study uses an experimental method in the form of a quasi-experimental one-group pretest-posttest design. The sample was some mothers who have babies in the Work Area of ??the Cempae Public Health Center, Parepare City. Sampling was done by accidental sampling method with as many as 100 people. Data analysis using the Wilcoxon test. The results of this study indicate that there was a change in knowledge after the intervention with the average score being 43,76 with a minimum score of 41 and a maximum value of 45. The attitude of subjects there changed after the intervention, the average score becomes 35,97 with a minimum value of 30 and a minimum score of 30 with, a maximum of 40. It was recommended to increase nutritional literacy regarding stunting prevention and healthy living behavior.
Capacidades de investigación e innovación: la contribución de la Universidad de la República y la crisis por covid-19 en Uruguay
Authors: Gras Natalia
Published: April 2023

La Universidad de la República es la institución pública de educación superior más importante y con mayor tradición de Uruguay. Entre sus funciones está la investigación y la producción de conocimiento de calidad, original, intelectualmente significativa y socialmente valiosa para el desarrollo social, económico y cultural del país. Este trabajo ofrece una mirada de las capacidades y principales contribuciones en materia de investigación e innovación de la Universidad al país, ejemplificada con el papel desempeñado en el entorno de la pandemia por covid-19. Con base en esa experiencia, reflexionamos sobre el proceso de ampliación de esas capacidades, así como sobre las oportunidades y dificultades para profundizarlas y expandirlas.
Entre las tareas de los archiveros, también llamados archivistas
Authors: Flores Padilla Georgina
Published: April 2023

La inexistencia de archiveros o archivistas en diversas instituciones de educación superior en México tiene como consecuencia que ingresen o sean transferidos a sus archivos históricos, fondos, fracciones de series y colecciones documentales sin organizar procedentes de sus facultades, escuelas, institutos de investigación y dependencias administrativas. Ante esta situación y partir de su experiencia en el Archivo Histórico de la unam, se señala la importancia de seguir, en orden secuencial, los procedimientos archivísticos de identificación, clasificación, ordenación y descripción, con el propósito de poner al servicio de la ciudadanía la información contenida en esos fondos y colecciones y sin dejar de insistir en la necesidad de instrumentar la gestión documental en esas instituciones, con el fin de evitar que a los archivos históricos ingresen conjuntos documentales desorganizados.