bluuebunny/crossref_metadata_2025 huggingface dataset:
STAGES OF REHABILITATION OF PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENT
Authors: Kas I. V. , Petukhova I. S. , Ustymenko T. P.
Published: April 2021

One of the urgent tasks of modern medicine is organizing the rehabilitation for patients who have suffered a stroke at different stages of rehabilitation. Restoration of impaired functions in such patients occurs in the first 3−5 months from the onset of the disease, that is influenced by a number of factors: duration of the stroke, size of the lesion and pool of lesions, active participation in the process of a patient him−/herself. The main principles of rehabilitation include its early onset in an acute period of stroke; regularity and duration; complexity and multidisciplinarity (formation of multidisciplinary teams); adequacy of rehabilitation measures, i.e. creation of individual programs taking into account the severity of neurological deficit and dysfunction; stages. Different methods of recovery are applied to each patient individually or in combination, or sequentially according to the rehabilitation program, which is based on the analysis of the patient's condition by all members of the multidisciplinary team, taking into account the results of functional testing and objective examination. Medical support, postural correction, kinesitherapy, mechanotherapy (including robotic), field therapy, hardware physiotherapy, massage, acupuncture according to the indications, functional neurotraining and cardiotraining, neuropsychological training are used. The results of research confirm that the integrated use of kinesitherapy, physical factors, balneotherapy, the methods of psychological rehabilitation of patients after stroke provides a faster recovery of neurological deficit, activates non−specific brain systems, restores mental and somatic functions of the body. Therefore, in addition to health, the patient needs to renew his ability to work and social status.

Key words: acute cerebrovascular accident, medical rehabilitation, stages of rehabilitation.
DACRYOCYSTITIS AS AN OTOLARYNGOLOGICAL PROBLEM: OWN TREATMENT EXPERIENCE
Authors: Samusenko S. O. , Filatova I. V.
Published: April 2021

The urgency of improving the effectiveness of dacryocystitis treatment is determined by: their stable proportion among eye diseases, a high percentage of post−traumatic, iatrogenic and chronic forms, ability to be a source of dangerous complications and social significance. Existing anatomical and physiological relations and values of rhinogenic factors determine the involvement of otolaryngologists in dacryocystitis treatment. In order to determine the characteristics of the contingent of patients with dacryocystitis, structure of rhinogenic factors, methods of examination, surgical treatment and principles of postoperative management of patients, a study was conducted with 107 patients with chronic disease. The clinical effectiveness in diagnosis and planning of surgical intervention of the combination of endonasal optical rhinoscopy, probing and contrast of the nasolacrimal pathway with triombrast with subsequent radiological and (or) CT examination was determined. It is shown that the correction of endonasal structures should be performed simultaneously with dacryocystorhinostomy. The efficiency of the classical West−Bokstein surgery has been determined, the necessity of an individual approach to its planning has been shown. The main tasks of each stage of the surgery, which significantly affect its outcome, are established. When performed correctly, the effectiveness of "plastic" and "simple" rhinostomy, management of patients with and without stenting is almost the same. It has been proven that the use of radio wave and shaver techniques can greatly simplify the stages of the surgery and improve healing. Based on the obtained results, a conclusion was made about the expediency of involving an otolaryngologist in the consultation of patients with chronic dacryocystitis in each case. The criterion for choosing treatment tactics in favor of endonasal endoscopic dacryocystorhinostomy is the presence of rhinogenic factors of dacryocystitis.

Key words: dacryocystitis, endonasal endoscopic dacryocystorhinostomy, rhinogenic factors, stenting, surgical treatment, epiphora, lacrimation.
Police Brutality and Custodial Torture in Technological Era: Need for Anti-Torture Law in India - A Critical Analysis
Authors: A. Nirmal Singh Heera  , Rajasathya K.R  , N. Prabhavathi
Published: April 2021

Police audacity and brutality is not an uncommon phenomenon. It has caught the attention of the publicand the judiciary and eventually a catena of directions was promulgated by the National Human RightsCommissions (NHRC), High Courts as well as the Supreme Court of India right from the ancient era totechnological era. Yet, the menace and inhumane attitude of the police officials have not declined; instead, itis increasing day by day and one step ahead, Tamil Nadu has seen the worst of its effect that has resulted inthe death of an innocent father and his son. This incident has grabbed the attention of not only the State ofTamil Nadu but also the entire Nation. In this situation, the authors intend to analyse the power of the policeto manhandle the public, the liabilities and responsibilities of the police in case of death caused by suchbrutality, and third-degree methods used by the police. This article ponders on the question Does the policehave the power to torture the public for any reasons whatsoever? If so, what are the limitations placed onthe powers of the police while harassing the public? and so on… the authors aspire to analyse the duties ofthe police while making the arrest, the duties of the magistrates while ordering for judicial custody, and theauthors also intend to suggest the remedial measures to curb the menace of lockup deaths.Aim and Scope: To know the powers of the police to torture the public under the guise of investigation, toknow the judicial approach to curtail the menace of torture by the police, and its implications and to knowthe feasibilities of technologies to be implemented during the investigating process.Method: For the purpose of the research, secondary data such as books, articles, news papers, case laws, andlegal provisions of Indian Laws are collected and analysed.Conclusion: In spite of the Constitutional and statutory provisions including International Conventions,decision and directions promulgated by the Apex Court of India and the NHRC, there is a constant increasein the custodial torture, custodial death and custodial ill-treatment which is a disturbing factor that causesdeep anxiety in the society. The Prevention of Anti-Torture Act is the need of the hour
Pattern of Thoraco-Abdominal Injuries in Fatal Road Traffic Accidents in Mangalore City
Authors: Abymon K K  , Mohd Amjad Bhat  , Azia Manzoor Bhat
Published: April 2021

Background: After the strict implementation of helmet rule the number of head injuries due to road trafficaccidents has subsequently decreased, but injuries sustained to thoracic and abdominal regions are still on therise. Because of their size and anatomical position, they are major regions of trauma in road traffic accidents.This post mortem study of profile of thoraco-abdominal injuries, type, pattern and nature of external andinternal injuries involved, was an attempt to highlight the trends & pattern of thoraco-abdominal injuries infatal road traffic accidents in Mangalore city. Material and Methods: Present study was a retrospective,autopsy-record based study of thoraco-abdominal injuries sustained in fatal road traffic accidents. Detailsof deceased individuals such as age, sex, information furnished by the police in the inquest papers (form146 (i) & (ii)), autopsy findings, investigation reports if any and cause of death were noted in proforma.Results: During study period among 4271 cases 859 cases (20%) were due to road traffic accidents. Out ofthese 859 cases of road traffic accidents 247 cases (29%) sustained thoraco-abdominal injuries. 38.5% caseshappened on city roads & pedestrians were most common victims (45.8%). Most common injuries werefractures of ribs (60%), followed by injuries to lungs (37%) cases and injuries to heart (23%). Crush injurieswere observed in 6% of cases. There were 136 (55%) cases of internal abdominal injuries, most commonorgan injured was liver (38%), followed by spleen (17%) & abdominal wall (14%). Among the 247 cases,most common cause of death was head injury (47%) followed by thoraco- abdominal injury (20%), headinjury and thoracic injury (8%), only thoracic injury (7%), abdominal injury (6%). Conclusion: Most fatalaccidents were reported on city roads, in summer season and cause of death was head injury followed bythoraco-abdominal injuries. Ribs, lungs and Liver were the organs most commonly injured.
A Conceptual Study on Prevention Management of Covid -19 Pandemic with Special Reference to Janapadodwamsa
Authors: Anamika Khatana  , Rakesh Khatana
Published: April 2021

Introduction: Ayurveda being one of the oldest surviving Medical Tradition, has a key role to play inthis crucial situation.Covid-19 it is not a simple infectious disease it is a pandemic disease caused byCoronavirus which reflects in human but stay as a host in animals. These viruses contain seven differentstrains; of which SARS-COV-2 is responsible for Covid-19. Its spread through droplets via air dueto sneezing, cough, talking and direct or indirect contact with an infected patient such as handshake,touch surfaces contact by an infected person. This virus causes the severe acute respiratory syndrome.Its incubation period varies between 2 to 14 days, the disease can transmit from symptoms less personto person. Material & Methods: Covid-19research information was collected from the world healthorganization, books, research papers, journals. Ayurveda literature from reference books, internet, andopinions of experts utilize as a review. Observations and Results: COVID-19 can be provisionallyunderstood from the Ayurvedic perspective as v?takapha dominant sannip?tajvara of ?gantu originwith pitt?nubandha. The asymptomatic, presymptomatic, mild, moderate, severe and critical stages ofCOVID-19 with varying clinical presentations have been analysed on the basis of nid?na, do?a, d??ya,nid?napañcaka and ?a?kriy?k?la. Conclusion: It will be good to take preventive measures which boostour immunity in these times. Ayurveda extensive knowledge base on preventive care by which eachindividual can achieve by uplifting and maintain his or her immunity. In Ayurveda, Immunity comes underthe heading of Vyadhiksamatwa. In Ayurveda, many single drugs or compound formulation were mentionedas Rasayana to boost up Immunity (Bala or Vyadhiksamatwa).
Effectiveness of Nurse Led Intervention Regarding Management of Hypertension on Awareness, Treatment Compliance, Life Style and Quality of Life among Hypertensive Adults: A Systematic Review
Authors: Eenu  , Poonam Sheoran  , Jyoti Sarin
Published: April 2021

Introduction: Hypertension is one of the most common conditions affecting the health worldwide and isalso the leading cause of death around the globe. There is a persistent need for effective nurse led interventionfor interrupting the further spreading roots of the hypertension in the community. There is also a great needfor creating awareness, ensuring the compliance with the treatment, modification of lifestyle and improvingthe quality of life for the sufferers of this condition.Methods: The study design was systematic review and it includes studies from databases of PUBMED,MEDLINE, Cochrane library, SCOPUS, Science direct, and Google scholar (2008-2019). The includedstudies were focusing on the management of hypertension among hypertensive adults in terms of awareness,treatment compliance, life style and quality of life.Result: The data was grouped and analyzed in terms of meta-analysis. Total 20 relevant articles wereundertaken. Abstracted information is related to study design, population characteristics, intervention andoutcomes.Conclusion: The nurse led intervention in the management of hypertension is an effective strategy inimproving the health outcomes in terms of creating awareness, ensuring the compliance with the treatment,modification of life style and improving the quality of life among hypertensive adults.
Endurance and Respiratory Training, an Approach to Delay the Symptomatic Progression in Multiple Sclerosis - A Case Report
Authors: Divya Jethwani  , Mohd. Irshad Qureshi  , Ragini Dadgal  , Ashish W. Bele
Published: April 2021

Multiple sclerosis (MS) is an autoimmune disease which is inflammatory in nature and shows gliosis anddemyelination which lead to acute and chronic symptoms impairing the quality of life due to disability.Presence of immune-mediated response in Central Nervous System leads to the above presentation. MSis the most common condition of CNS which causes disability. Treatment of Multiple Sclerosis consistsof treating the exacerbations along with slowing the disease process and including symptomatic therapies.The most invalidating symptom in people with MS is Fatigue. This case reports shows the effectiveness ofendurance and respiratory training towards the delaying the progression of symptoms in MS.
A Cross Sectional Study “Impact of Corona Virus Pandemic on Nursing Education: A Paradigm Shifting or Sustaining the Roots?
Authors: Mahendra Kumar Saini  , Shelly  , Binal Joshi  , Ankita Singh
Published: April 2021

Background:COVID 19 outbreak miens critical concern to global education system across the world.The closure of universities has left billions of students behind. Nursing educators and students relied ontechnology to continue learning online during the pandemic. However, online education is hampered by thelack of networks, power, infrastructure such as inaccessible and lack of digital skills.Aim: The aim of the study was to evaluate the impact of the COVID 19 outbreak on nursing education.Objectives:1. To assess the perception regarding impact of corona pandemic on nursing education, limitations ofE-learning and required modifications among nursing educators.2. To find out the association between perception of nursing educators with their socio-demographicvariables.Material and Methods: Quantitative Cross sectional research design was adopted with Non probabilitytechnique(Convenient sampling) .Data were collected through a Google form consisting of selfstructured Likert scale on perceptions of nursing educators. The Subdomains of the perception were impactof COVID-19 outbreak on Nursing education, Limitations of e-learning and essential modifications required.Result: of the study revealed that the corona pandemic outbreak has adversely impacted nursing educationand urgent need to implement effective e-learning teaching learning strategies of nursing educators tounderstand their perception and issues they are facing during e- classes to foster teaching-learning.Themean and SD of (7.9 + 3.9) shows negative impact of COVID pandemic on nursing education and are oflimitations in E-learning methods with a mean and SD score of (6.2 + 2.4).Conclusion: The process of imparting education has seen a sea change during the threat of the COVIDpandemic. Besides, technology is affecting every side of society and changing it regularly. Challenges inthe E-learning context shows the requirement for up-gradation in institutional technology infrastructure andteacher’s capacity building training to improve technological expertise.
Assessment of Knowledge, Attitude, and Practice of Recent Diagnostic Aids for Oral Cancer among Dental Students
Authors: Manju J  , Krithika C  , Sharmila. S  , Siva Kumar. S  , Soniya. H  , Sri Hamsika. N
Published: April 2021

Aim: The aim of the present study was to assess the knowledge, attitude and practice of recent diagnosticaids for oral cancer among dental students.Materials and Methods: This study was conducted among 100 students using a 15-item self-administeredquestionnaire during COVID-19 pandemic period involving both undergraduates and postgraduate dentalstudents.It was formatted on google forms and shared through social media. The data collected was analysedstatistically.Results: A total of 100 dental studentsparticipated in the survey. The total knowledge, attitude, and practiceabout recent diagnostic aids for oral cancer (based on summing all the positive responses -- for all therelevant questions -- and calculating the percentage) was 90% for post-graduates (highest), 88% for internsgroup, 84% for final years and 80% for third years (least) respectively.The results of this study show thatpostgraduates had good knowledge about recent diagnostic aids for oral cancer when compared to othergroups.Conclusion: These findings concerning dental students suggests that they have sufficient knowledge in therecent diagnostic methods of oral canceras they are the ones who have higher chances of diagnosing oralcancer at earlier stages as they routinely examine oral cavity.
Prevalence of Hypertension in Patients with Coronary Artery Diseases with and without Type-II Diabetes Mellitus
Authors: Mishra Mritunjay  , DVSS Ramavataram  , Tejas Shah  , Trushna Shah
Published: April 2021

Background: - Hypertension is one of the major public health issue and also have an important area ofresearch. Its high prevalence and being a major risk factor for cardiovascular diseases and other complications.Hypertension accounts for the majority of hypertension in individuals with diabetes, particularly those withType-2 diabetes.Objectives. To study association of hypertension with diabetes and also find out the prevalence ofhypertension in type-II diabetes, CAD patients with or without type-II diabetes mellitus.Materials & Methods: - It is a type of case control study among the rural population of kamothe, whereA total of 120 subjects were included in the study among which 90 were in study subjects and 30 were incontrol groups and among the study subjects (i.e.-90) 30 were in CAD with diabetes, 30 were in CAD and30 in Diabetes mellitus respectively. BMI was calculated by height and weight and BP was recorded. Bloodsugar were measured by enzymatic method on EM-200 analyzerResults:-The mean level of BMI in the group –II that is in the coronary artery disease with diabetes is24.22 ± 1.0, in only coronary artery diseases was 20.65 ± 2.0 and in only diabetes subjects was 24.39±1.0of the study subjects in the comparison of control subjects i.e. 23.17 ± 1.78 and we have also found thestatistical significance (P-0.001) in all the study groups. In the aspects of Blood pressure distribution, wehave distributed it into different stage of hypertension and found that more number of patients from groupIII i.e. only CAD and found 83% diastolic BP in pre hypertension stages and 60% were hypertensive andin only DM, there were 56% SBP and 60% DBP in pre-hypertensive.Conclusion: - Periodic evaluation of patient with pre hypertension and hypertension by applying lifestyle modifications and may favor the good outcome and also prompt the treatment of hypertension andhyperglycemia.
Predisposing Risk Factors Associated with Acute Myocardial Infarction (AMI): A Review
Authors: Mishra Mritunjay  , DVSS Ramavataram
Published: April 2021

Among non-communicable diseases, cardiovascular diseases are major contributors to the resulting morbidityand mortality all over the world and India is no exception. Being one of the densely populated country andcategorized as developing country, the proportion of subjects who are being afflicted with this disease hasbeen progressively increasing. One of the leading causes for cardiovascular complications is myocardialinfarction. The incidence of Acute Myocardial infarction has been observed across all the populations andfrom early adulthood to old age. Over the years there has been change in life style and dietary habits whichis further contributing to increased prevalence. A number of risk factors have been found to be causativefactors for development of the disease. Which include, genetic, environmental, life style modifications etc.The risk factors can be categorized in modifiable and non-modifiable risk factors. Those factors which canbe controlled are categorized as modifiable and by changing them the risk level can be decreased whereasnon modifiable risk factors cannot be changed and by knowing them one can assess the amount of riskinvolved. The present review is focused on various risk factors which are known to cause cardiovasculardiseases and the role of each risk factor in the development of Acute Myocardial Infarction.
Study of the Motives of Hanging Cases Brought for Medico Legal Autopsy in a Tertiary Care Medical College Hospital of Assam
Authors: Nitu Kr. Gogoi  , Richa Pandey  , P.K. Thakuria
Published: April 2021

Death is inevitable for every living being however sudden demise of a human being which is unexpected dueto unnatural causes is an immense loss of valuable human resources causing irreparable loss for the familyand society at large. There are various modes of committing suicide but death by hanging is quite commonamong the masses. The present study was conducted at Tezpur Medical College & Hospital, Tezpur, Assamto find out the various motives of hanging cases in medico legal autopsies during the period 1st January 2019to 31st December 2019.
Sexual Dimorphism in Superadded Teeth - A Cross Sectional Study Conducted among Students of South Indian States
Authors: Pavan Kumar G  , Dileep Kumar R  , Hemanth Raj M N  , Anand Patil
Published: April 2021

The present cross sectional study was conducted on students of south Indian states of SSIMSRC, Davangere.A study casts of 200 was taken (104 males and 96 females) in the age group of {18-25} years. The Mesiodistal and Buccolingual diameters of first and second permanent molars of both maxillary and mandiblewere measured on the study casts, using sliding verneir callipers.The buccolingual and mesiodistal dimensions measured, in both maxillary and mandibular molars, showedhigher values in males compared to that of females. Amongst the parameters studied, the buccolingualdimensions of maxillary molars showed highest sexual dimorphism with an accuracy of 82.1% and themesiodistal dimension exhibited least sexual dimorphism. In present study showed that the maxillary molarsexhibited highest percentage of dimorphism, compared to the dimensions of mandibular molars, the existenceof statistically significant sexual dimorphism in maxillary molars especially the first maxillary molars.
Perception of Nursing Students Regarding Clinical Learning Environment, Supervision (CLES)
Authors: Poonam Sheoran  , Simarjeet Kaur  , Neha Patyal  , Neetu  , Hemlata  , Jyoti Sarin
Published: April 2021

Background: In nursing education, clinical placement is a vital part of nursing students’ education. Theclinical learning environment is considered as first place of professional practice for nurses and student’sopinion contributes to its improvement. Theaim of the current study was to assess the perception of nursingstudents regarding clinical learning environment supervision in obstetric and gynecological department.Method: A quantitative research approach with descriptive survey research design was used to collect datafrom 222 nursing students using total enumerative sampling technique from September 2017 to April 2018.Clinical Learning Environment and supervision scale (CLES) was used to assess the perception of nursingstudents with their clinical learning environments. Results: The study results showed that the sub domainof supervisory relationship (90.62%) was having highest mean percentage and relationship between student,staff and teacher sub domain has lowest mean percentage (84.38%). The nursing students evaluated the subdomain of relationship between student, staff and teacher (22.07%) as ‘need to improve’ andintegrationof theory and practice (67.57%) as ‘good.’There is significant positive co-relation between all domains ofclinical learning and supervision.Conclusion: It was found that the student valued supervision, pedagogical and learning environment.Majority of nursing students experienced the content of supervisory relationship was the most importantdimension in CLES. This means that nursing students were oriented tounit settings/ wards by clinicalinstructor/teacher, they felt that they receive individualized supervision and continuous feedback andsuggestions of improvement from clinical instructors/teacher and there were frequent bed side rounds.
Case Report: 25-year-old Female at Term Labour and Normal Delivery
Authors: Pradnya Gavhale  , Vaishali Taksande  , Shalini Moon
Published: April 2021

Labor has been defined as that of the initiation of periodic painful contractions of progressive deletion aswell as dilation of a cervix, followed by a decent part going to lead to the expulsion of its fetus & placentafrom the uterus of mother. Post - natal treatment was its individualized treatment provided that meet theneeds of the baby and mother after delivery/childbirth.Case Report –Mrs. Nikita Matram 25-year-old female was admitted in AVBR Hospital with the complaintof pain in abdomen and increased the fetal movement on date 4/01/2020 and she delivered female baby ondate 6/01/2020 and the baby weight was 2.8 kg at 1:40 am now her complaint was pain on suture side andweakness. But the patient has a previous history of abortion after marriage of four month two and half monthof baby was abort. That time dilatation and curettage was done.Discussion – Patient delivered female baby throughout the vaginal delivery and baby and mother wasnormal after delivery baby was kept with mother on same bed and initiate breastfeeding within one hourafter delivery.Conclusion – Case report conclude that after normal delivery and post-natal care mother and baby wasnormal.
Evaluation of Lip Prints and Its Association with Sex Determination and Blood Group in Adults
Authors: Pragya Tripathi  , Mansi Singh  , Mansi Kharbanda  , Rattan Singh  , Sanjoy Das
Published: April 2021

Introduction: Cheiloscopy is the study of lip prints. Since the inception of the technique, the techniquesis being used to evaluate the individual identity and its association with sex determination. As the bloodstains may also be present at a crime scene, further studies have also been done to evaluate the associationof common blood group pattern with lip prints.Aims and Objectives: To study the patterns of lip print and its association with blood group and gender inadults.Methods: In this prospective observational study, data were collected from 150 subjects (75 males and 75females). All the subjects fulfilling the inclusion and exclusion criteria were in the age group of 18-30 years.In this study lip print pattern samples were collected by paper fold method and blood group samples werecollected and both were analysed according to Tsuchihashi classification and Landsteiner’s classificationrespectively.Results: A The predominant lip print pattern found in males, females and both the gender together was Type1- complete vertical in both upper and lower lips. Predominant blood group found in this study was B+ve.Most frequent lip print pattern found in all blood group types was Type 1- complete vertical.Conclusions: Our study revealed an association between distribution of lip print pattern and gender. Therewas no correlation found in between blood group types and the cheiloscopic patterns. Further studies indifferent populations with large sample size are required to obtain a more definitive picture and statisticalsignificance of this correlation.
Thyroid Profile and Its Correlation with Serum Creatinine in Chronic Kidney Disease Patients in Tertiary Care Hospital
Authors: Roshni G. Sadaria  , Smita N. Vasava
Published: April 2021

Background: Chronic kidney disease (CKD) is defined as abnormalities in kidney structure or functionpresent for > 3 months and have other health implications. Thyroid hormones are important for electrolytehomeostasis and also for the growth and development of the kidney. Study shows that hypothyroidism iscommonly seen in later stages of CKD. This study was conducted to investigate thyroid hormone profile andits correlation with creatinine in CKD patients.Materials and Methods: The present case control study was conducted at Dhiraj General Hospital, Piparia,Vadodara, Gujarat, India in which 100 subjects were enrolled, out of which 50 were cases of CKD patientsand 50 were controls. The age group for the study was 18 to 70 years. Blood samples were drawn to measureblood urea, serum creatinine, thyroid profile. Interpretation of data was done using Medcalc software.Conclusion: Serum TSH levels were high in cases compared to controls but results were not significant.Significant negative correlation was found between free thyroid hormones and serum creatinine. Correlationof creatinine with T3, T4 and TSH were not significant. Subclinical hypothyroidism is found in our populationwith undialyzed CKD. More studies involving large population size are required to ascertain these findings.
Association of BMI with Serum Homocysteine in Polycystic Ovarian Syndrome Women
Authors: Roshni G. Sadaria  , Smita N. Vasava
Published: April 2021

Background: Women of reproductive age group are prone for Polycystic ovarian syndrome (PCOS). Recentstudies have shown that hyperhomocysteinemia is a risk factor for cardiovascular diseases. Prevalence ofcardiovascular disease and cardiovascular morbidities in women with PCOS are increased nowadays. Thepurpose of the study is to assess correlation of BMI with serum homocysteine in PCOS females.Materials and Methods: This is done on 50 PCOS patients and 50 voluntary age matched healthy womenwith no menstrual abnormalities as controls. The age group for the cases and controls is 18-35 years. Thestudy was conducted at Biochemistry Department, SBKS MI & RC, Piparia, Vadodara, Gujarat, India.Measurements of BMI and waist circumference were taken. Fasting blood samples were collected forestimation of FBS, Lipid profile and homocysteine. Medcalc software was used for all statistical analysis. Ap-value less than 0.05 (p< 0.05) is considered as statistically significant.Conclusion: Our study has shown significant higher levels of homocysteine in obese PCOS cases whencompared with non-obese PCOS cases. Also, significant higher level of homocysteine and triglyceride areseen in PCOS cases compared to controls. Regular follow up for lipid profile and homocysteine is requiredfor PCOS patients to prevent CVS complications.
Internal Use of Ajan Vruksha/ Khandu Chakka (Ehretia Laevis Roxb). Plant Leaves Powder in Shoulder Pain Management. – Case Report
Authors: Rushikesh Thakre  , Abhyuday Meghe  , Ketaki Thakre  , Pradip Tekade
Published: April 2021

Introduction— Shoulder pain and stiffness are common features among working women. It is affectingtheir day to day life style.The main symptoms of the patient and the important clinical findings:- Patient was suffering fromsevere pain in right shoulder with restricted movement of right shoulder from 8 days. Patient was assessedby ( SPADI) Shoulder Pain & Disability Index.The main diagnoses, therapeutics interventions, and outcomes:- Ehretia Laevis Roxb. leaves powdercapsules was made up of 250 mg. Patient was advised to take two capsules in morning and two capsules atnight after food. Daily 1 gm powder was administered internally for 7 daysOn the day zero pain score was 80%, on third day of treatment pain score was 54% and on seventh day painscore was 0. On the day zero disability score was 95%, on third day disability score was 55% and on seventhday score was 0.Conclusion—. Patient cured from pain and shoulder disability by internal use of Ehretia Laevis Roxb.leaves powder within seven days
Addressing Mental Health Issues During COVID -19 Pandemic
Authors: Savita Pohekar  , Arti Raut  , Vaishali Tembhare  , Sheetal Sakharkar
Published: April 2021

Objectives: analyzing psychological issues due to covid 19 and emphasizing psychological copingmechanisms.Method: International journals found in two electronic databases were used to identify studies with largecirculation: Scopus and Embase.Findings: The present epidemic in Wuhan (China) triggered by the pandemic COVID-19, corona virusinfection on human sites around the world, has a major impact on global health and mental health. Inaddition, given all instruments used to battle virus spread, additional strategies for addressing the mentalhealth balance in India are needed. The general issues of mental health are growing, COVID-19 patientstainted, near contacts, older citizens, kids and health staff. Most health professionals who work in isolationunits and hospitals are not trained on mental health. The consequence of mass quarantine seems more likelyto be fear.
Malpractice as a Leading Cause to Maternal Mortality in Egypt: A Postmortem Statistical Study
Authors: Sherine S.Ghaleb  , Magdy A. Kharoshah  , Hisham N.Barakat  , Hebat Allah A.Amin  , Fadwa A. Elroby
Published: April 2021

Background: Maternal deaths are quite common tragic event in developing countries where the main sourceof information on the causes of maternal death is clinical records and autopsies. Knowledge about the causesof these deaths are scarce in Egypt. Efforts to reduce maternal mortality in Egypt are mostly not driven byevidence. This autopsy study was performed to assess the cause of maternal mortality including malpractice,thus providing information which plays an important role in improving clinical practice in Egypt.Methods: A retrospective, descriptive study was conducted at the Egyptian Forensic Authority (EFMA) ina 5-years perios between January 2008 and December 2012 to investigate maternal mortality cases allegedto be due to malpractice.Results:. The total number of maternal deaths was 114 cases. The majority of cases (n=90, 79.0%) werenegative concerning malpractice. Twenty-four deaths (21%) can be attributed to malpractice; 16 due tosurgeon faults and 8 anesthesia-related deaths. The main cause of death was obstetric hemorrhage (n=46)followed by respiratory failure (n=30). Out of the 24 cases, 19 were proved to be due to negligence inthe form of late intervention, improper preparation, unmanaged complication and unauthorized place ofmanagement.Conclusion: Malpractice causes nearly one-fifth of alleged maternal deaths; the most frequenct type ofwhich is negligence. Surgeon errors were double anesthesia related deaths. Hemorrhage was the mostcommon cause of death in malpractice as well as incidental deaths. Quality of obstetric care in Egypt needsfurther improvement in the aspects of health facilities and care providers.
Current Trends in Sudden Natural Deaths in South-Western Maharashtra: A Six Year Retrospective Study
Authors: Thippesh Kumar  , Sarala M  , Shiva Kumar  , Abhishek Rathee  , K V Radhakrishna
Published: April 2021

Background: Sudden and unexpected nature of death is intriguing to the medical practitioner until a definitecause is found. Often a conclusive evidence of a natural cause is missing even after a thorough and elaborateautopsy. Material and methods: A six-year retrospective study of post mortem examinations conducted ata tertiary health care center to analyze the current trends in sudden deaths of natural cause. Results: Out of1465 autopsies conducted ,40.60% cases were of sudden natural deaths with a male predominance (75.45%).Maximum number of natural deaths were found in the age group of 51 – 60 (19.28%) and least between21 – 30 Years (1.98%). The most common system involved in these cases was Cardiovascular followed byRespiratory system. Conclusion: Analysis of causes of sudden natural deaths in various age groups garnersepidemiological data and helps in prevention of hereditary, infective and metabolic disorders which form amajority of these deaths.
Correlation of body mass index with dynamic balance using Y-Balance Test in adults with the Flexible Flat Foot: An Analytical Correlation Research Protocol
Authors: Shobha M. Bhave  , Waqar M. Naqvi  , Arti I. Sahu  , Sakshi P. Arora
Published: April 2021

Background: Balance is one of the primary requirements for both static and dynamic activities. Body MassIndex (BMI) is measurement for estimating excess body fat. The Lower Quarter Y-Balance Test (YBTLQ) is a screening instrument that measures single-leg balance in different directions. Flexible flatfoot isthe postural aspect with depressed medial longitudinal arch, pronated subtalar joint and valgus position ofcalcaneus, evident only in weight-bearing position.Methods: An analytical correlation study with 255 participants (Purposive sampling) will be taken as perinclusion and exclusion criteria with study duration of 3 years. The BMI, sit to stand Navicular Drop Test(SSNDT), limb length and medial longitudinal arch angle (MLAA) will be measured and compared. Themean score of the Y Balance Test in different categories of BMI will be compared by performing one wayANOVA test. The mean score of the Y Balance Test between two groups in each category of BMI will becompared by Bonferroni t-test.Conclusion: The study aims the correlation of BMI with the dynamic balance on Y-balanced test in adultswith flexible flat foot. The expected outcome of study will concentrate on the significant correlation of YBalance Test in different categories of BMI.
Efficacy of Static Stabilization Exercises along with Progressive Resistive Exercises on Balance and Quality of Life in Elderly Population: A Study Protocol
Authors: Simran Mishra  , Moh’d Irshad Qureshi  , Divya Jethwani  , Ragini Dadgal  , Neha Chitale
Published: April 2021

Background: Balance impairment is one of the most prevalent concern with increasing age. Globally, Onein five older adult experiences balance problem. Prevalence of fall has been estimated at 14-53 %in India.Various intervention has already been use to prevent fall and improve quality of life. Static StabilizationExercises and Progressive Strength training have proven to be effective as a single intervention howeverminimal literature is available on combined effect of both. The main objective of study is to find out efficacyof combined Static Stabilization Exercises and Progressive Resistive Exercises on balance and quality of lifeof elderly population and also establishment of dose response relationship of balance training.Methods/Design: The study will be designed as experimental study. 100 participants will be selected asper inclusion and exclusion criteria and will be allocated in two groups, Combined Intervention Group (A)and Traditional Balance Intervention group (B). Both intervention include 30-45 min session which will becarried out 3-5 times in week for duration of 8 weeks structured into different components. Outcome will beBalance and Quality of Life and outcome measures will be evaluated at baseline, at midway (4th week) andat the end (8th week) of intervention period. Statistical Analysis will be done using SPSS24. Oversion andp<0.005 will be considered as level of significance.Discussion: The study protocol details two Physiotherapy Interventions to improve balance and qualityof life in elderly population. In current literatures there are minimal evidence on combined effect of StaticStabilization Exercises and Progressive Resistive Exercises on balance and quality of life. SuccessfulCompletion of trial will provide evidence for best strategy targeting balance and quality of life andrelationship of dose response and balance training.
Comparative Study on Effectiveness of Peppermint Oil and Hot Fomentation For Joint Pain among Sickle Cell Anemia Patients
Authors: Sneha Tadulwar  , Ranjana Sharma
Published: April 2021

Introduction: Sickle cell anemia may cause pain such as stiffness of the joint, bone pain,muscle weakness, chest or abdominal pain. It is often not recommended to use over - thecounter painkillers (such as ibuprofen, mortin, advil, or aleve) because they can adverselyaffect the function of the kidney and/or liver. Try to use hot compresses for about 15 minutes up to 2-3 timesper day to treat pain spontaneously. Beyond healing irritated skin, increasing endurance and encouragingrelaxing, herbs Are always an effective way to manage pain. It is possible to apply peppermintessential oil on the skin to decrease muscles sore or joint pain1.Objectives:-1. To assess the level of joint pain among sickle cell anemia patients.2. To assess the effectiveness of peppermint oil for joint pain among sickle cell anemia patients.3. To assess the effectiveness of hot fomentation for joint pain among sickle cell anemia patients.4. To compare the effectiveness of peppermint oil and hot fomentation for joint pain among sickle cellanemia patients.5. To associate the effectiveness of peppermint oil for joint pain among sickle cell anemia patients withtheir selected demographic variables.6. To associate the effectiveness of hot fomentation for joint pain among sickle cell anemia patients withtheir selected demographic variables.Material and Methods: For this research, true experimental pre-test post-test research design has beenadopted. The study was conducted in selected area of Wardha district. Simple random sampling techniquewas used to select 60 participants and 30 were recruited for each group. To evaluate joint pain, the toolused for data collection was a scale of (0-10 scale of pain severity) pain scale. Both each groups were givenpeppermint oil and hot fomentation for seven days for three times a day.Result:- The after intervention mean score of hot fomentation 2.90±0.71was higher than that of peppermintoil 1.53 ±0.68 and the calculated ‘ t’ value 7.59 was significant at p<0.0001.Conclusion:- The study proved that peppermint oil was effective than the hot fomentation for reduction ofjoint pain among sickle cell anemia patients
Effects of Ballistic Six Exercises and Theraband Exercises on Physical Performance in Badminton Players: A Randomized Controlled Trial
Authors: Simran Narang  , Deepali Patil  , Kiran Kumar  , Pratik Phansopkar
Published: April 2021

Background – Badminton is one of the most active recreational sport played in India. Different trainingprograms have become common to boost the athletic performance and advantages. Some of them areplyometric workouts, gyms, free body weight exercises and resistance exercises. Ballistic Six training isgiven to strengthen the muscles of the rotator cuff with overhead throwing activity to prevent injury to theshoulder whereas therabands with a combination of physical strength and warm-up movements are done formedical issuesObjective – To compare the effects of Ballistic Six exercises and thera-band exercises on strength, agility,speed and function in badminton players.Method - 40 participants aged between 18 – 25 years, playing on regular basis will be targeted in this study.Players will be split randomly into groups A (plyometric group) and B (thera-band group). All the trainingsessions will be initiated after a 10 minutes of warm up session. Protocol given will be twice a week for 8weeks. Main outcomes will be Seated Medicine Ball Throw for shoulder strength, Closed Kinetic ChainUpper Extremity Stability Test for agility, Plate Tapping Test for speed and Kerlan – Jobe Orthopaedic ClinicShoulder & Elbow Score questionnaire will be used to assess the shoulder function. All assessments will bedone at baseline and at the end of 8 - weeks training session. Follow – up will be taken at end of 6 – month.Results – This study aims to compare effectiveness of two strengthening protocols, that is, Ballistic Sixexercise and Thera-band exercises, in young badminton players. Results of this study will depend onoutcome measures that are shoulder strength, agility, speed and function.Conclusion – To conclude, this research may help badminton players to enhance their performance throughthe better exercise protocol.
Epidemiological Study Evaluating Type of Labial Frenum, Attachment Level and Gingival Biotypes in Chennai Population
Authors: Siddharth Narayan  , Kaarthikeyan G
Published: April 2021

Background: Periodontal diseases are multifactorial and while formulating a diagnosis multiple factorsmust be taken into account and considered which may cause the disease or alter the treatment plan andprognosis. Some of the factors affecting surgical prognosis include the gingival biotype and labial frenallevel, type, morphology and attachment. The frenal attachment and level may causes additional pull andforce on gingiva affecting healing, gingival biotype affects the kind of flap to be raised or flapless technique,time taken for healing and also the amount of tissue required while procuring connective tissue and freegingival grafts. The present study was undertaken to get a better understanding of the relation betweenGingival Biotype and Labial Frenal attachment by conducting an Epidemiological survey in a Chennaipopulation. Methodology: A total of one hundred and fifty systemically healthy patients were screenedat random from the outpatients of a dental college and hospital between age groups 22 to 60 years. Eachpatient was screened by a single clinician, where the patients demographic data, type of frenal attachment,the medial maxillary labial frenal classification based on morphology, morphology of labial frenum, level offrenal attachment, Miller`s grade of gingival recession, gingival biotypes, visibility of the periodontal probethrough the gingival sulcus and gingival thickness measured using an endodontic reamer. Conclusion:Among all the patients who had Simple single frenum with no nodule and elongated parallel margins withgingival recession, two thirds of them had a Thin gingival biotype.
COVID…19 is it an agent for Bioterrorism?
Authors: Sonali Kolhekar  , Prerana Sawkharwade  , Khushbo Meshram
Published: April 2021

Biological weapons are referred to as a weapon of mass destruction including chemical, nuclear andradiological Weapons as well.COVID-19 are an infectious disease caused by corona virus, which has recentlybeen discovered. Before the epidemic started in Wuhan, China, in December2019, this sort of new virusand disease was unknown. Chemical and radiation terrorist attacks are early signs of a bioterrorism threat.They have lodged a petition against China before the United Nations Human Rights Council (UNHRC)for suspected crimes against humanity by unleashing COVID-19 on the world, the London InternationalCouncil of Jurists and all the Indian Bar Association. The complaint lodged against the People’s Republic ofChina, the people’s Liberation Army and the Virology Institute in Wuhan charged the novel COVID-19. Thehealth crisis in Covid-19 reminds us that, unlike nuclear or chemical weapons
Effectiveness of Pippalyadi Ointment in Management of Arsha (Haemorrhoids)
Authors: Suraj P Rathod  , Kiran Khandare
Published: April 2021

Arsha is a common anorectal disease so associated with bleeding per anum . It can be compared toHaemorrhoids accoding to modern science. Haemorrhoids are dilated veins in the anal canal. Through allthe modern modalities of treatment in haemorrhoids are universally accepted but all have some or otherlimitations. In Ayurveda various measures have been mentioned for the management of Abhyantar Arsha ,among which lepa karma is one of them . Various study have been done on the application of various lepaso prepared have been conducted depending upon the sign and symptoms. Objective- This study was carriedout to find the effectiveness of Pippalyadi ointment in Ptients of Arsha .Materials and Methods- Here thepatient of Arsha were selected as per criteria and Pipplyadi ointment was advised for 15 days twice a dayas local application.