bluuebunny/crossref_metadata_2025 huggingface dataset:
Iatrogenic Rectal Perforation Following Colonoscopy -in a Case of Sigmoid Volvulus
Authors: VS Kappikeri , RR Hallikeri
Published: November 2024

The incidence of rectal perforation while doing flexible colonoscopy is rare. We report a case of rectal perforation while performing colonoscopy in a patient with undiagnosed sigmoid volvulus which was operated immediately. A primary closure of rectal perforation after detorsion of viable sigmoid colon and sigmoid tube colostomy with sigmiodopexy was done. Patient had a good post operative recovery without any complications.
Updated National Immunization Schedule of Karnataka State– 2011
Authors: S Poornima. , MC Somashekar
Published: November 2024

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A Case of Fibrocalculous Pancreatic Diabetes
Authors: Harsoor Suresh , Chincholli Akshay
Published: November 2024

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Central Nervous System Involvement and its outcome in Dengue Fever
Authors: ML Kulkarni , Saurabh Kumar , Kalvehalli Sanjana
Published: November 2024

Background and objective To study the incidence of CNS manifestations in children with dengue its spectrum of neurological manifestations and presence of dengue specific IgM antibodies in the CSF.Method Prospective study of all serum positive dengue patients 100 cases admitted to the hospitals attached to J.J.M Medical College Davangere from January 2009 to September 2010. Children who presented with neurological symptoms were separately grouped and CSF analysis especially IgM was done in them.Result The neurological incidence in our study was 40. Seizures were present in 70 of cases and altered sensorium was present in 80 of cases. Papilloedema and cranial nerve palsies were observed in 30 of cases and meningeal signs were present in 80 of cases. CSF protein was high in 80 of cases and pleocytosis was present in 80 of cases. CSF IgM was positive in 35 of cases. In our study and overall mortality was 4.Interpretations and Conclusion Dengue fever encompasses an expanding clinical spectrum not just restricted to WHO specified criteria for making a diagnosis other than DHF or DSS. It frequently causes encephalitis probably due to a direct neurotropic effect of dengue virus.nbsp
Profile of HIV Positive Patients Admitted in Hanagal Sri Kumareshwar Hospital and Medical Research Centre, S.N.Medical College, Bagalkot, Karnataka
Authors: Shankar Gowri
Published: November 2024

Introduction HIV epidemic has posed enormous challenges to public health around the world. In India. HIV is destroying entire homes leaving behind women as widows and children as orphans. Bagalkot district in North Karnataka is the third highest for the number of people living with HIVAIDS in India. This study was conducted to study the profile and opportunistic infections in HIV positive patients admitted in a tertiary care teaching hospital in Bagalkot Karnataka.Materials and Methods This was a retrospective study of 231 HIV positive patients admitted in Hanagal Sri Kumareshwar Hospital and Medical Research Centre Bagalkot Karnataka during the year 2007. Ethical clearance was obtained from Institutional Review Board S. N. Medical College Bagalkot. Data was obtained from the Medical records Department on a pre-designed and pre-tested proforma and analyzed using percentages and chi-square test.Results Majority of the patients 83.12 were from Bagalkot district. It was observed that 66.67 HIV patients were males. Majority 59.31 were in the age group of 21 to 40 years plt0.05. Majority 72.29 were from rural areas. On admission 68.40 presented with cough with expectoration breathlessness. Tuberculosis was the most common opportunistic infection 61.04. Case fatality rate was 11.69.Conclusion Most of the HIV positive patients were youth from rural areas and there is the utmost need to strengthen Behavior change communication activities in primary health care in India.
VIP Syndrome
Authors: Mohanty K.C.
Published: November 2024

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Collodion Baby
Authors: L Kulkarni Muralidhar , R Sandeep , K Gayathri , Raghoji Chaitali , S Charudutta , . Shitole , Shetty Manohar , B Nagesh
Published: November 2024

We report two cases of Collodion baby presented to NICU with parchment like skin which were diagnosed and managed. Initial stabilization management and nursing consideration of the neonate with impaired skin integrity leading to repeated infection is outlined with a note on antenatal diagnosis
Management of Bilateral Undescended testes in Adult with Infertility
Authors: Eshwar B Kalburgi , BS Patil , . KanthiKiran
Published: November 2024

Infertility risk of cancer torsion and gangrene of the testis are common concern in the management of post pubertal bilateral undescended testis cryptorchidism. Orchidectomy is the only choice in torsion leading to gangrene of undescended testis. In cryptorchidism whether it is orchidectomy or orchidopexy and close observation the controversy still exists. But through studies the treatment paradigms are changed
Comparative study of tonsillectomy done under local and general anaesthesia in KVG Medical College, Sullia
Authors: M. Naik Sudhir , S. Naik Sarika
Published: November 2024

Background Objectives Tonsillectomy using local anesthesia local tonsillectomy is a safe and effective alternative to general anesthesia in the healthy cooperative teenage or adult patients. Blood loss morbidity complications and patient satisfaction were better in some studies with tonsillectomies done under general anesthesia.Design Comparative case series analysis study of two groups of patients who underwent tonsillectomies under local and general anaesthesia during the study period of 53 months from March 2007 to August 2011.Setting Department of ENT Head Neck Surgery and Anesthesia K V G Medical College Sullia.Materials and methods 1114 cases of tonsillectomies done for chronic tonsillitis were included under the study.334 cases operated under general anaesthesia and 780 cases operated under local anaesthesia were compared. The parameters compared were duration of surgery blood loss and the mean pain visual analogue score.Results Significant difference in duration of surgery blood loss during surgery and VAS pain scores were seen in the two groups with local anaesthesia scoring over general anaesthesia.Conclusion Tonsillectomy under local anaesthesia is a good alternate for the procedure under general anesthesia with limited resources and in cooperative adults.
The Science of Constructing Good Multiple Choice Questions (MCQs)
Authors: S Poornima , M Vinay
Published: November 2024

Multiple Choice Questions MCQs are the most widely used tools for screening of students in competitive exams and as a part of formative evaluation. The objectivity ability to cover wide range of topics assess large number of students in a short span of time have made MCQs the versatile tools of evaluation. However in order to maintain quality of the examination system reliability and validity of MCQs is of utmost importance. This technical paper is written with the objective to empower our medical colleagues teachers working in medical colleges in the science of constructing and validating MCQs. The paper discusses in brief the pre validation parts of an MCQ and Post validation ITEM analysis of MCQs.
Unilateral (Right) Partial Bifid Ureter- A Case Report with Review
Authors: Sultana Arshiya , Pasha Mahaboob , Ur Rahman Khaleeq , Wadud Abdul
Published: November 2024

Congenital anomalies of urogenital system are seen nearly in 10 of all human beings. Bifid and double blind ureters are two rare congenital anomalies of the upper urinary tract. Here we present an interesting case of a 23ndashyear-old Indian female with primary infertility married 1frac12 years and anxious to conceive and complained of vague flank pain from 2 months was seen in the National Institute of Unani Medicine. Initial abdomen and pelvis ultrasonography showed a left bifid collecting system which was followed by intravenous urography. Her intravenous urographic finding showed bilateral duplex collecting system with right sided partial bifid ureter joining at the level of fifth lumbar vertebra. Her hysterosalpinogram was normal with no evidence of congenital anomalies. They condition should be promptly detected before the manifestations of complications.
Advantages of Propofol Anaesthesia in Endonasal Endoscopic Surgeries
Authors: S Naik Sarika , M Naik Sudhir
Published: November 2024

Background A complete hemostasis and clear visualization of the operative field anatomy during surgery is necessary for successful outcome of all nasal surgeries. Unless hypotensive methods are used general anaesthesia results in more blood loss which makes surgery difficult.Design Comparative case series analysis study done over 56 months between Jan 2007 to November 2011.Materials and Methods 562 cases of endoscopic sinus surgeries done for nasal polyposis sinusitis and dacryocystitis were analyzed. Group A included cases done under local anaesthesia Group B under general anaesthesia with propofol and Group C under general anaesthesia with halothane.Result A good operative field and hemostasis was seen with propofol anaesthesia compared to halothane and local infiltrative anaesthesia.Conclusion Propofol when used in general anaesthesia in nasal endoscopic surgeries significantly reduces the blood loss thereby improving the visibility of the endonasal structures and minimizes the chance of complications related these surgeries
Tuberous Sclerosis
Authors: ML Kulkarni , M. Shanbhag Manas , Hiremath Girish , M. Kulkarni Akhil , VV Vivekananda , Thakur Shashidhar , Desai Anish , SS Sidramayya
Published: November 2024

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Cell Dispersal, Morphology and Morphometry: A Combined Approach in the Diagnosis of Thyroid Aspirates
Authors: Ahmed Shuaib , Shariff Shameem
Published: November 2024

Fine Needle Aspiration Cytology has presently become a first line diagnostic technique to evaluate thyroid gland nodules and select those lesions which necessitate surgery. Apart from singling out lesions for a surgical excision the challenge to most cytopathologists is in arriving at a definite diagnosis. A combination of cell scores on cell dispersal at Fine Needle Aspiration Cytology and morphometric parameters were used with an aim to differentiate the various diagnostic categories. It was observed that cell scores from 0 to 5 in combination with morphometric parameters of nuclear diameter nuclear area and LS ratio largest smallest nuclear ratio and coefficient of variation of nuclear area helped in differentiating the various categories-thyrotoxicosis lymphocytic Hashimotos thyroiditis and multinodular goitre follicular neoplasms and other carcinomas. It was also observed that worrisome nuclear changes may be present in thyrotoxicosis and Hashimotos thyroiditis.
A Rare Case Report of Gastric Carcinoma
Authors: SM Patil , VS Kappikeri , AV Mudda , Dubey Shubhi
Published: November 2024

Abdominal lymphangiomas are rare clinical entity. The report discusses the clinical presentation and diagnosis of Gastric lymphangioma in a 30-years old female patient who initially presented with heart burn vomiting and a palpable epigastric mass. On exploratory laparotomy a sub-mucosal mass arising from posterior wall of stomach was dissected out. Histopathology examination of the mass confirmed the diagnosis of gastric lymphangioma
Prevalence of Hypertension among Doctors Working in M. R. Medical College, Gulbarga
Authors: . S.R.Nigudgi , G Ajaykumar , S.G Tenglikar , B Shrinivasreddy
Published: November 2024

Aims amp Objectives A study was undertaken to determine the prevalence of hypertension amongst doctors and to identify certain risk factors amongst doctors. Materials and Methods A Cross- sectional study in M R Medical College and Basaveshwara Hospital Gulbarga. 212 doctors selected randomly. They underwent anthropometric measurement blood pressure and answered a pretested questionnaire. Statistical analysis Proportion odds ratio. Results The prevalence of hypertension amongst doctors was 32.07. Out of which in female doctors it was 46.67. Prevalence of hypertension was more in doctors with age more than 50 years. Family history of hypertension and stress were the risk factors positively associated amongst doctors. 59 doctors felt the stress often. The frequent emotional effect of stress was hard to concentrate 38.98 and the frequent physical effects were disturbed sleep and persistent indigestion. Conclusion Practicing physicians involved in clinical care have good access to information on disease frequency and determinants. Therefore knowledge and awareness regarding the health consequences of lifestyle changes are generally expected to be high among clinicians. This in turn could influence the prevalence of lifestyle diseases such as diabetes and hypertension among them
Total Spinal Anaesthesia, an Unusual Complication of Interscalene Brachial Plexus Block
Authors: Kattishettar Deepa , C.L Gurudatt , H.D Rashmi
Published: November 2024

Regional blocks are commonly used nowadays due to their multiple advantages over general anaesthesia. Since Winnie and colleagues introduced interscalene block in 1970s it has become a very popular anaesthetic technique for upper limb and clavicular surgeries. Though the interscalene block is very safe still complications such as intravascular injections epidural injections and intrathecal injections producing total spinal anaesthesia occasionally occur. Here we are reporting a case of total spinal anaesthesia as a complication of interscalene brachial plexus block which was recognized early and managed successfully. The present case report lays an emphasis on good monitoring techniques keeping all resuscitation equipments ready before instituting the block and a vigilant anaesthesiologist.nbsp
Vitamin D and Elderly
Authors: Tiwaskar Mangesh
Published: November 2024

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Drug Treatment of Obesity
Authors: Shankar P.S.
Published: November 2024

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Access to Health Care Services of Rural Populations in Karnataka State, India
Authors: Talanki   Corresponding Author: Varun Talanki Varun , Path Pond , . Setauket , . NY , . USA
Published: November 2024

Access to health care services has been limited in rural areas of developing countries. This has been particularly true in India. The purpose of this study was to investigate which population subgroups in rural Karnataka are less likely to seek medical attention in order to help devise targeted legislation to improve healthcare in India. We studied healthcare access in rural subpopulations of Karnataka India with a particular emphasis on access to primary health services as well as mental health services. Mental health research and healthcare are nearly absent in rural regions of India. Data was obtained from a population-based sample of women and men residing in rural villages aged 18-98 in Karnataka India during May-August 2012 n353. Multiple logistic and linear regression analyses were conducted to evaluate the agreement between responses about demographic and healthcare characteristics.
A rare case of Rapunzel syndrome – Trichobezoar
Authors: Shetty B Rajeeva , Kumar V Murthy , Prakash Jain Sunita
Published: November 2024

Rapunzel syndrome refers to trichobezoar extending into small bowel. Small bowel symptoms by these bezoars are very rare. We are reporting a case which presented as acute small bowel obstruction.nbsp
Partial preperitoneal mesh repair of inguinal hernia :A new approach
Authors: Kumar V Murthy
Published: November 2024

Context One of the commonly performed surgeries for inguinal hernias is tension free mesh repair Lichtenstein Mesh Repair. Recurrence after lichtenstein repair varies between 0-12 with a mean of 3-4. The common sites of recurrences include area just above and lateral to pubic tubercle area lateral to internal ring. The following study is conducted with the intension of evaluating the efficacy of the newer method of mesh fixationAim To study the factors of postoperative pain morbidity and recurrence following partial pre-peritoneal mesh repair of inguinal hernia and comparing the same with Lichtenstein repair of inguinal herniaMethods and Material Patients were divided into group A and group B who underwent Lichrenstein and partial pre-peritoneal mesh repair respectively. Postoperatively patients were followed up up to 1 year and various factors such as pain loss of sensation and recurrence were evaluated.Results During 8 day follow-up patients who underwent partial pre-peritoneal mesh repair complained less pain compared to other group. But they had higher chance of loss of sensation. During later follow-ups no significant difference was noted. No recurrence was noted in our study.Conclusion Partial pre-peritoneal mesh repair can be used as an effective alternative to Lichtenstein mesh repair with the advantage of covering the potential weak point of medial and lateral ends inguinal canal more widely.nbsp
Vitamin D and elderly
Authors: Tiwaskar Mangesh
Published: November 2024

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Fronto-orbital advancement and cranial remodeling for Craniosynostosis in Apert syndrome - A Case Report
Authors: DN Varadaraju , Babu HV Satish , Sastrii Savitr , G Ananth
Published: November 2024

Apert syndrome is a form of acrocephalosyndactyly a congenital disorder characterized by malformations of the skull face hands and feet. We present here a case of 6 month old male child with history of feeding difficulties and nasal regurgitation of feeds recurrent episodes of cough since birth. There was abnormal shape of the head and webbing of fingers and toes. There was one episode of convulsion at the age of 5 montha. There was vomiting since 2 days. Examination revealed brachycephaly with prominent eyes downward slanting flat forehead proptosis epicanthic folds hypertelorism low set ears short and depressed nasal bridge mid facial hypoplasia cleft palate and sSyndactyly. Both upper and lower limbs exhibited mild developmental delay for the age. The condition was diagnosed as Apert syndrome. Patient underwent ldquoFronto-orbital advancement and cranial remodeling. At sixth month follow-up the child was conscious and alert Anthropometric examination revealed weight- 12 kg Height -78 cms Head circumference- 46 cms. And developmental assessment showed the child walking with support pincer grasp was present and the child was playing a simple ball game. At age of one year the physical and mental developments were almost normal.
Clostridium difficile Infection
Authors: Shankar PS
Published: November 2024

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Exploration of Community Health Problems in Rural Puducherry
Authors: V Vijayaramanan , MR Thirunavukarasu , G Kalaiselvan , AR Dongre
Published: November 2024

Background In order to keep our services teaching and research at our Rural Health Training Centre in alignment with the needs of the local community we did community needs assessment. Objectives To explore the common health problems and health needs of the community in order to formulate a need based plan and strategy.Methods We used qualitative method Focus Group Discussion FGD and quantitative method questionnaire survey in local community for needs assessment.Results The major problem in the community was non communicable diseases which comprised diabetes 118 39.5 hypertension 80 26.8 heart diseases 258.4. The focus group discussion revealed three broad categories health problems health facilities and expectations of the community.Conclusion The study showed a high burden of health needs in the community and high burden of non communicable diseases among the community.
Scleritis in Hepatitis B: A case report
Authors: P Kannan , MT Vyas , VA Rao
Published: November 2024

Scleritis is a common disease associated with various systemic disorders. We report a case of nodular scleritis with Hepatitis B infection who presented with pain and watering of left.eye. We highlight this case because of the high infectivity of Hepatitis B virus via tears and we emphasize the importance of universal precaution to be implemented in our day-to-day practice.nbsp
Unusual presentation of foreign body at angle of anterior chamber
Authors: P Kannan , Vaishnav Ravish , VA Rao
Published: November 2024

Intraocular foreign body IOFB is a common association of penetrating ocular trauma. Early diagnosis and removal of IOFBs especially if they are metallic is very important to determine further management and the final result of treatment. Here we report a case of a missed inert intraocular foreign body in the anterior chamber over a significant period without causing any inflammatory reaction.nbsp
Ruptured appendix in Tuberculous abdomen
Authors: Bhushan ST Ved , MA Mulla , Kumar Vijay
Published: November 2024

Abdominal tuberculosis is the commonest extra-pulmonary clinical condition. It is a chronic condition with vague symptoms and unclear signs. Acute abdomen in abdominal tuberculosis is rare and is usually secondary to other intra-abdominal pathology such as acute intestinal obstruction due to small bowel adhesions or at ileo-caecal junction. Sometimes there may be small perforation due to adhesions.Acute appendicitis can occur at any age or gender both in tuberculous or non- tuberculous abdomen. Acute appendicitis secondary to tuberculosis is quite rare. Clinical picture of peritonitis is seen whenever there is perforated appendix.
Clinical experience with respect to safety & efficacy of polyclonel anti D immunoglobulin for intravenous use (KamRho D IV) for management of thrombocytopenia of varied origin.
Authors: S.Laddhad Deepak , U. Mahajan Ajay , D.Laddhad Sangeeta , T. Dinde Yogita , S Bhabad Sachin
Published: November 2024

Background Severe thrombocytopenia is one of the major manifestations of many critical emergencies apart from idiopathic thrombocytopenic purpura ITP Lymphoproliferative disorders and Myelodysplastic syndrome MDS. Objective Present study was carried out to study efficacy and safety of polyclonal Anti-D i.v immunoglobulin in thrombocytopenia of varied origin other than ITP MDS and Lymphoproliferative disorders. Method This was a prospective clinical trial 3 carried out on 28 adults with thrombocytopenia of varied origin with platelet count less than 35000 mm . They were given polyclonal Anti D immunoglobulin by iv route. The dose was 75 microgkg body weight as a bolus after enrolling the patients. The rise in platelets was observed daily for three consecutive days and then at day 7. Hb levels were observed on day 1 2 and 7. Results efficacy -Out of 26 patients included 57 responded to kamRho D IV within 24 hrs with a significant rise in platelet counts. After 48 hrs the percentage of respondents increased to 88.5 and after 72 hrs there were no non-respondents left in the study population. 96 of patients has platelet count above 100000 after day 7. Safety Of 26 patients 23 showed a fall in haemoglobin level. The mean decrease in Hb was 1.39 gmdl. There were no side effects. Conclusion Intravenous Anti-D is safe effective and well tolerated treatment in secondary thrombocytopenia of varied origin. IV Anti-D can be safe alternative for secondary thrombocytopenia where immediate platelet transfusion is not available.nbsp
Correlation between chronological age, cervical vertebral maturation and Fishman's skeletal maturity indicators in Chennai population
Authors: Babu a Dinesh , Baskaranarayananb Balashanmugam , c Karunanidhi , Arumugamd Manonmani
Published: November 2024

This was a study conducted in the Department of Orthodontics and Dentofacial Orthopaedics at Government Dental College amp Hospital. The study was designed to determine the correlation between chronological age cervical vertebrae maturation and Hand - Wrist maturation stages in Chennai population. The study included a total of 500 patients 250 males and 250 females belonging to age group of 9 to 16 years.The results indicated that there was a high correlation between chronological age and stage V in Hand ndashWrist and maturation stage in Cervical Vertebrae p0.0 18 whereas low correlation was seen between chronological age and other stages in both Hand-Wrist and cervical vertebrae stages. This lead to the conclusion that chronological age taken alone is a poor indicator of skeletal maturity and should be supplemented with the analysis of hand wrist and cervical vertebral maturation.
Feeding practices among Under-5 in an urban slum of Villupuram
Authors: J Sahithyaa , E Suguna , R Dongre Amol
Published: November 2024

Objective To study the feeding practices among Under-5 children in Vazhuthareddy and the socio demographic factors associated with it.Material and Methods The present study was undertaken in Vazhuthareddy a field practice area of the Urban Health Training Center of Sri Manakula Vinayagar Medical College. About 700 Family folders of the urban slum Vazhuthareddy were available in the centre which had basic socio demographic details of the households. Out of the 160 households which had under -5 children using simple random sampling a sample size of 100 households was selected. A pre-designed questionnaire was used to collect data about socio demographic characteristics and breastfeeding practices from the mothers of Under-5.The weight of the children were measured using calibrated Salters scale and Infant weighing scale. Epi info software Ver 3.5.4 and WHO AnthroVer 3.2.2 were used for statistical analysis.Results Among 100 under five children 47 47.0 were male and 53 53.0 were female and 2424.0 were underweight for their age. Regarding breastfeeding practices 7272.0 received breast milk within one hour after birth 9090.0 had received colostrum. Pre-lacteal feeds were given to 1616.0 children and 1515.0 had received milk substitutes. About 7272.0 mothers were aware of exclusive breastfeeding. Practice of exclusive breastfeeding was asked to 95 mothers since 5 mothers had infants under 6 months of age. Of 95 mothers 6164.2 have practiced exclusive the breastfeeding. Among 90 children 3033.3 were weaned before 6 month. There was a significant relationship between gender and nutritional status chi square value4.031p0.04 exclusive breastfeeding on nutritional status chi square value 13.07p0.003 exclusive breastfeeding awareness and its practice chi square value 43.02p0.00.Conclusion The findings suggest that colostrum feeding exclusive breastfeeding and weaning practices were good among the study population. More female children were undernourished compared to male and undernutrition was high among children with poor breastfeeding practices. Recommendation Nutrition and Health education has to be provided to the community especially to the mothers of underweight children for its universal practice of breastfeeding.nbsp
Congenital Pena-Shokeir Phenotype : A lethal Pattern of multiple anomalies
Authors: Kansal Bharat , Ravi Deepthi , H Aradhya Gayathri , AC Basavaraj
Published: November 2024

Pena-Shokeir Phenotype is a unique pattern of iethai muitipie maiformation syndrome dispiaying characteristics of muitipie ankyioses camptodactyiy faciai anomaiies abnormai ears hyperteiorism micrognathia and puimonary hypopiasia. Most of them die in-utero or within 1 month after birth. We experienced a case of Pena-Shokeir Syndrome who died within 10 minutes after birth it may have an autsomai recessive or sporadiac pattern.nbsp
Use of Locator Attachment for fabrication of Implant supported mandibular overdenture — A Case Report
Authors: Ali R. Patel Mohammad , Haneef Mohammed
Published: November 2024

Atrophic mandible poses a significant challenge to successful oral rehabilitation with dental implants. The fabrication of lower overdenture by two implants is described with dual retentive resilient self-locating locator attachment system. The locator attachment system has the lowest profile in comparison with the ball and bar attachments and is versatile up to 40deg of divergence between two implants. By using locators as attachments functional economic and social expectations of patients can be easily met.
Phenytoin induced alopecia & Lupus: a case report
Authors: S. Neki N. , M . Shah Divyang
Published: November 2024

Drugs are capable of producing a wide spectrum of hair ioss ranging from barely detectable shedding to irreversible baldness. Drug-induced alopecia is usually described as a diffuse non-scarring alopecia which is reversible upon withdrawal of the drug. Usually antimitotic agents cause hair loss. Hair loss is reported secondary to some anticonvulsant agents. Other drugs like anti-hypertensives salicylates or non-steroidal analgesics anticoagulants and antithyroid drugs oral contraceptives cimetidine retinoids amphetamines bromocriptine and levodopa and some hypocholesterolaemic and a few psychotropics may cause alopecia. Some anticonvulsants such as phenytoin rarely can cause alopecia. Diagnosis of drug-induced alopecia remains difficult. The only way to confirm It Is to see If an improvement occurs after discontinuation of administration of the suspected drug.nbsp
Pre-Exposure Prophylaxis (PrEP) and Risk of emergence of drug resistant HIV
Authors: S. Shankar P.
Published: November 2024

None
Malaria
Authors: Mangesh Tiwaskar Dr
Published: November 2024

None
Bronchial cyst: A case Report
Authors: Ali R Patel Mohammad , MA Sagri , Reddy Rajeev
Published: November 2024

Cystic lesions of the head and neck region are commonly seen and they are frequently misdiagnosed as tumours. Any swelling in the lateral part of the neck occurring in children and young adults should be suspected as a bronchial cyst. CTscan and MRI are very useful as important diagnostic aid in demonstrating the cystic nature and extensions of the Bronchial anomalies. The definite treatment for bronchial anomalies is a complete surgical excision. A case of bronchial cyst in a 24 year old female patient is presented which was successfully managed by complete surgical excision.
Giant Pigmented Basal Cell Carcinoma: A Case Report
Authors: Guruprasad K Yelawanti , Mandakini B Tengli , Shagufta Roohi , Ravindra Chimkod
Published: November 2024

Majority of basal cell carcinomas BCCs occur on sun-exposed areas. BCCs arising on the lower extremities and ones over 5 cm in size are called Giant BCC and are exceedingly rare. We report a very rare case of a Giant Pigmented BCC presenting on thigh.nbsp
Neglected case of congenital muscular torticollis treated with Bipolar release. A case Report
Authors: R Ramdurg Shashank , B Kamareddy Sharan , L Reddy .Jayaprakash , Gubbi Sidbassayya
Published: November 2024

Neglected congenital muscular torticollis CMT is a common presentation in developing countries like India. The primary concern of the patients is cosmetic. There is only a few case reports that indicating efficacy of surgery for neglected case of CMT. We report a case of neglected CMT in an 18-year-old female patient which was successfully managed at the institute. We performed a bipolar resection with z plasty lengthening of the sternocleidomastoid muscle SCM. After surgery the range of neck movement and head tilt improved. We emphasize that surgical management of adult patients with neglected congenital muscular torticollis is a treatment option yielding good cosmetic and functional outcome.nbsp
A Case of Childhood Primary Optic Atrophy
Authors: SA Jain , M Subhashini , P Kannan
Published: November 2024

A 7-year old boy with a past history of tuberculous meningitis and hydrocephalus for which he had undergone shunt surgery was referred from the Neurosurgery department to rule out papilloedema. Fundus examination showed bilateral primary optic atrophy. The etiology pathogenesis and clinical features of bilateral primary optic atrophy in childhood are discussed.nbsp
Dermatology Case
Authors: Kadnur Manjunath , Hanumanthayya K
Published: November 2024

None
Compassion ethics and nobility only way so says the Doctor's Day
Authors: Dwivedi S.
Published: November 2024

None
The revolutionary era of Graphene in Dentistry-a review
Authors: Amudha Lakshmi’’ Krishnan , Rao GoUallsha , Arthiseethalakshmi Srikumar , Salooqa Kasim Mohamed Maryam
Published: November 2024

Graphene can be described as a one atom thick layer of graphite. It is the strongest thinnest material known to exist. Research techniques are implemented to prove the efficacy of graphene in dentistry. Graphene based materials have the potential to revolutionize dentistry through its vast applications. This article reviews about Graphene and highlights the chemistry manufacture properties and its applications.
REPRESENTACIONES SOCIALES DE PRODUCTOS MILAGRO EN PACIENTES CON OBESIDAD Y SOBREPESO
Authors: García Eduardo Alberto García , Patiño Donovan Casas , Torres Alejandra Rodríguez
Published: November 2024

Objetivo: Analizar las representaciones sociales del uso de productos milagro para baja de peso en adultos con sobrepeso y obesidad (SPYO) en México.
 
Método: se construyó y valido un instrumento de tipo entrevista semiestructurada, se obtuvo un instrumento con 5 categorías de análisis las cuales son: conocimiento de la enfermedad, Identidad, efectos de los productos milagro, influencia de medios y percepción corporal,  ya obtenido este instrumento, se procedió a entrevistar a 25 adultos con SPYO previo consentimiento informado.
 
Resultados y Análisis: Los adultos con SPYO hacen referencia en sus discursos a que los productos milagro son parte del tratamiento para bajar de peso, lo conciben como la cura, por su rapidez y efectividad, además comentaron que los medios de comunicación (Facebook, Instagram, tik tok y WhatsApp) son el medio por el cual conocen a estos productos, señalando ortesis, dieta milagro, suplementos, medicamentos, herbolarios, y mencionan que se pueden adquirir sin prescripción médica. Pero uno de sus efectos negativos es el apego psicológico a estos productos.
 
Conclusión: Este estudio nos muestra la realidad en torno a un espacio poco explorado, donde la venta, adquisición y consumo de estos productos milagro, requieren ser regulados y verificados por los posibles riegos en torno a efectos adversos para la salud, además nos muestra que en este espacio confluye un fenómeno de mercantilización en salud con consecuencias de gravedad.
Corporate Donations in the Context of Covid-19: Insights on Trust and Policy Innovation Opportunities
Authors: Victorino Guilherme
Published: November 2024

This study aims to investigate the determinants of corporate donations during the initial phase of the Covid-19 pandemic, focusing on the Portuguese context. It explores the interplay between pandemic-related factors, corporate structures, recipient profiles, and media coverage on the levels of corporate donations. In the absence of publicly available data, a comprehensive database of corporate donations was constructed by analyzing over six thousand news pieces from various media sources between March and May 2020. The database comprises 1171 donations from 709 different institutions. The relationship between corporate donations and multiple variables was examined, including the epidemiological progression of the pandemic, corporate ownership structures, recipient characteristics, and media coverage. Our analysis reveals that during the initial wave of the Covid-19 pandemic in Portugal, corporate donations were predominantly made by large companies, primarily directed toward their local regions. Notably, nearly 93% of all donations were allocated to the National Health System. PPEs and hospital equipment were the preferred donation items among the contributing companies. These findings shed light on the factors influencing corporate donation behavior during emergency situations and provide valuable insights into trust levels within the healthcare system. This study contributes to the existing literature by offering a unique exploration of corporate donation behavior during the Covid-19 pandemic, specifically in Portugal. The comprehensive dataset and findings provide novel insights into the factors shaping corporate donation decisions during crises. Doi: 10.28991/ESJ-2024-08-05-010 Full Text: PDF
An Explainable Deep Learning Approach for Classifying Monkeypox Disease by Leveraging Skin Lesion Image Data
Authors: Maseleno Andino , Huda Miftachul , Ratanamahatana Chotirat Ann
Published: November 2024

According to the World Health Organization's (WHO) external situation report on the multi-country outbreak of Monkeypox in 2023, from 11 countries in Southeast Asia Regions, Thailand recorded the highest reported cases, totaling 461. The ongoing Monkeypox outbreak has raised significant public health concerns due to its rapid spread across several nations. Early detection and diagnosis are imperative for effectively treating and controlling Monkeypox. Given this context, this study aimed to determine the most efficient model for detecting Monkeypox by employing interpretable deep learning techniques. This study utilizes deep learning techniques to diagnose Monkeypox based on images of skin lesions. We evaluate based on four models—convolutional neural network (CNN), gated recurrent unit (GRU), long short-term memory (LSTM), and bidirectional long short term memory (BiLSTM)—using a publicly available dataset. Additionally, we incorporate Local Interpretable Model-Agnostic Explanations (LIME) and techniques for explainable AI, facilitating visual interpretation of model predictions for healthcare practitioners. The CNN model's performance and LSTM model's performance have an accuracy of 100%, while the GRU model's performance and BiLSTM model's performance have an accuracy of 99.88% and 99.45%. Our findings demonstrate the effectiveness of deep learning models, including the suggested CNN model leveraging the pre-trained MobileNetV2 and LSTM. These models can play a pivotal role in combating the Monkeypox virus. Doi: 10.28991/ESJ-2024-08-05-013 Full Text: PDF
New Assessment Model of Financing Treatment of Patients with Complete Tooth Loss
Authors: Grachev Dmitry I. , Martynenko Aleksandr V. , Perekhodov Sergey N. , Kostyrin Evgeniy V. , Mustafaev Magomet Sh. , Akhmedov Kamalutdin G. , Deshev Aslan V. , Rozanov Daniil G. , Korotkova Nadezhda L. , Kerasov Stefan N. , Arutyunov Sergey A.
Published: November 2024

According to the World Health Organization, the global prevalence of complete tooth loss is estimated to be 7% among individuals aged 20 years and older, while for those aged 60 and over, this rate significantly increases to 23%. This study is relevant due to the psychological trauma, social challenges, and functional limitations caused by tooth loss, as well as the uneven availability of dental care worldwide. The goal of this research is to develop and implement a new model to assess the socioeconomic feasibility of investing in digital technologies for diagnosing and treating patients with complete tooth loss using removable polymer prostheses produced through additive 3D printing. The study employs scenario analysis, the clustered rankings coordination method, statistical methods, expert opinion assessment using Kendall’s coefficient of rank concordance, system analysis and design, questionnaires, sociometry, and functional modeling. The practical significance of this research lies in providing a quantitative assessment of economic opportunities for effectively using RPDs in three groups: RPDs without additional fixation means; those with special adhesive agents for improved fixation; and implant-supported prosthetics with conditionally removable dentures similar to RPDs. The scientific novelty of this study is the development of a new evaluation model that justifies the choice of prosthetic treatment technology for patients with complete tooth loss, enabling the most rational use of resources. Doi: 10.28991/ESJ-2024-08-05-014 Full Text: PDF
Modelling School Zone Border as Rich Modelling Problem for Secondary School Students
Authors: Suweken Gede
Published: November 2024

This article explores the potential of using the school zoning problem in Indonesia as a vehicle for teaching mathematical modeling to secondary school students. This problem is highly suitable for students as a modeling challenge because it is (i) contextual, (ii) rich, (iii) challenging, and (iv) within students' Zone of Proximal Development (ZPD). School zoning involves a concept called Voronoi, essentially a partitioning problem. For simpler or special-case problems, these partitions can be created using concepts already taught in secondary schools, such as perpendicular bisectors and radical axes. However, for more complex problems with multiple sites, an algorithm is required, which involves advanced mathematical concepts beyond the typical secondary curriculum. Yet, with the rise of visual programming languages like Scratch, Snap!, StarLogo, and TurboWarp, it becomes possible to tackle these partitioning challenges using coding and only basic mathematical principles. This approach not only enhances students' understanding of foundational mathematical concepts but also fosters the integration of computational thinking and coding within mathematics. In summary, the school zoning problem serves as an ideal topic for mathematical modeling for secondary school students, promoting the integration of mathematical concepts, computational thinking, and coding skills. Doi: 10.28991/ESJ-2024-08-05-019 Full Text: PDF
Assessing the Impact of Innovation Processes on Electronic Systems Technology Adoption
Authors: Ouheda Salem , Murray Peter A. , Alam Khorshed , Ali Omar
Published: November 2024

Objectives: This study aims to explore the adoption of electronic health records (EHRs) in the Australian private healthcare sector by integrating three prominent innovation models, namely the Technology Acceptance Model (TAM), the Diffusion of Innovation (DOI) model, and the Technology-Organization-Environment (TOE) framework. The objective of the study is to understand how these combined models might better inform the EHR adoption process and identify the key factors influencing successful implementation. Methods/Analysis: An exploratory qualitative research design employing a phenomenological approach was utilized to investigate the research. Data were collected through semi-structured interviews with senior managers at a private hospital in South-East Queensland. Purposive sampling was employed to select participants, ensuring representation from key decision-makers involved in the EHRs planning process. Thematic analysis, guided by the reflexive thematic analysis (RTA) approach of Braun and Clarke, was used to analyze the data and derive insights into the factors influencing EHRs adoption. Findings: Key findings indicate that perceived usefulness and job relevance (from TAM), innovation attributes and communication channels (from DOI), and technological, organizational, and environmental contexts (from TOE) are critical elements for successful EHRs implementation. The study also highlights the importance of user engagement, comprehensive training, leadership support, and financial resources. Novelty/Improvement: This study offers a novel contribution by integrating the TAM, DOI, and TOE models to provide a more holistic understanding of EHRs adoption in the private healthcare sector. It also introduces the concept of time as a critical innovation artefact, highlighting its significance in the adoption process. Doi: 10.28991/ESJ-2024-08-05-02 Full Text: PDF
Zero-Shot Prompting Strategies for Table Question Answering with a Low-Resource Language
Authors: Jannuzzi Marcelo , Perezhohin Yuriy , Peres Fernando , Castelli Mauro , Popovič Aleš
Published: November 2024

This work explores the application of zero-shot prompting strategies for table question answering (TQA) in Portuguese, focusing specifically on the Text2SQL task. This task involves translating questions posed in natural language into Structured Query Language (SQL) queries, which can be executed against a database to answer the original question. Given the popularity of relational databases across various domains, advancements in this field can substantially impact the accessibility and democratization of data as simpler and more intuitive interfaces for database interaction are developed. Despite this significant potential, progress in developing Portuguese TQA solutions remains limited. The proposed approach leverages Large Language Models (LLMs)—specifically the GPT-3.5 and GPT-4 models—through zero-shot prompting. The primary objectives are to assess the effectiveness of such LLMs in this task and to identify the most suitable prompt styles. These are evaluated using a Portuguese translation of the popular Spider Text2SQL benchmark. Results reveal that the proposed approach can generate adequate SQL queries to answer Portuguese language questions about various databases, mainly when using GPT-4. The findings suggest that including schema information and database content in the prompts is critical for satisfactory outcomes. Doi: 10.28991/ESJ-2024-08-05-020 Full Text: PDF
Neural Networks in Optimizing the Performance of the Elliptical-Plasmonic Sensor
Authors: Ramadhan Khaikal , Syamsul Andi M. N. F. , Marwan Arip , Agustirandi Beny , Yasir Mhd , Christian Hadi
Published: November 2024

In this work, we report the capability of a PCF-SPR sensor with an elliptical core, which has high sensitivity, and it is explained using a machine learning approach. The sensor component consists of fused silica as the background material, TiO2 as the adhesive material between the dielectric material and the plasmonic material, and Au was chosen as plasmonic material with optimal thicknesses of 35 nm for TiO2and 45 nm for Au. Numerical results show that the sensor component has a high sensitivity of 24,000 nm/RIU for four modes that have consistent shifts, including x-polarized, x-odd, y-polarized, and y-odd. Meanwhile, AS maximums were found of -91.82 1/RIU for x-polarized, -91.88 1/RIU for y-polarized, -90.98 1/RIU for x-odd, and -89.276 1/RIU for y-odd respectively, on the refractive index of the analyte of 1,365 RIU. The ML algorithm was used to optimize the sensor parameters, and it was found that the algorithm had a very low MSE of 0.00083; this result is better than the previous report work. Doi: 10.28991/ESJ-2024-08-05-07 Full Text: PDF
THE EFFECT OF BRAND EQUITY AND BRAND RESONANCE ON TOURIST DECISIONS VISITING THE 2018 ASIAN GAMES LEGACY OF JAKABARING SPORT CITY AS A SPORT TOURISM DESTINATION WITH EVENT: MARKETING AS A MEDIATING VARIABLE
Authors: Martia GUSMA Esxi , HANAFI Agustina , Wahab Zakaria , Yuliani Yuliani
Published: November 2024

Jakabaring Spor Kent Bölgesi'nin gelişimi, ulusal düzeyde, Asya düzeyinde, hatta dünya düzeyinde başlayan çeşitli büyük ölçekli spor etkinliklerine ev sahipliği yapmak üzere Palembang'ın atanmasından ayrılamaz. Palembang'daki Jakabaring Spor Şehri, bir spor kenti imajıyla, Turizm Bakanlığı aracılığıyla merkezi hükümet tarafından bir spor turizmi destinasyonu haline getirilmiştir. Ancak gerçekte, bu alan bir spor turizmi destinasyonu olarak azami ölçüde kullanılmamıştır. Araştırmacılar, çeşitli fenomenler ve literatürden yola çıkarak, Marka Eşitliği ve Marka Rezonansının turistlerin bir spor turizmi destinasyonu olarak 2018 Asya Oyunları Mirası Jakabaring Spor Şehri'ni ziyaret etme kararları üzerindeki etkisinin önemini buluyor. Bu araştırma, amaçlı örnekleme şeklinde örnekleme tekniği ile nicel bir çalışmadır. Bu çalışmada veri analizi Moment Yapısının Analizi (AMOS) programı ile çalıştırılan Yapısal Eşitlik Modellemesi (SEM) analizi kullanılarak yapılmıştır. Anketlerle elde edilen veriler daha sonra bu çalışmadaki hipotezlere cevaplar elde etmek için analiz edilecektir. Bu çalışmanın sonuçları arasında (1) Turistlerin Spor Turizmi Destinasyonu olarak 2018 Asya Oyunları Mirası Jakabaring Spor Şehri'ni (JSC) ziyaret etme kararını olumlu yönde etkileyen Marka Varlığı bulunmaktadır. Ardından, (2) Brand Resonance, turistlerin Spor Turizmi Destinasyonu olarak 2018 Asya Oyunları Mirası Jakabaring Sport City'yi (JSC) ziyaret etme kararında olumlu bir etkiye sahiptir. Ayrıca, (3) Marka Değeri ve Marka Rezonansı, turistlerin 2018 Asya Oyunları Mirası Jakabaring Sport City'yi (JSC) bir Spor Turizmi Destinasyonu olarak ziyaret etme kararını, arabulucu bir değişken olarak pazarlama etkinlikleri aracılığıyla olumlu bir etkiye sahiptir, ancak bunu yapamamıştır. katılımcıların ziyaret kararlarını artırabilecek bir faktör haline gelmek.