bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factores sociales y culturales condicionan la desnutrición crónica en niños de 3 a 5 años de edad adscritos micro red de Chupaca
Authors: Rojas Perales Geovana Patricia , Garay Quintana Soledad Aura 
Published: July 2020

Resumen La investigación desarrollada tuvo como objetivo Identificar los Factores sociales y culturales que condicionan la desnutrición crónica en niños de 3 a 5 años de edad adscritos a la micro red de salud Chupaca, el tipo investigación básica, nivel descriptivo, diseño de la investigación transaccional, la población estimada fue de 700 madres con de niños en estado de desnutrición crónica, la muestra 70 madres de los niños en mención, el instrumento utilizado el cuestionario, la técnica la encuesta. Los resultados señalan; el 40% de las madres su nivel de escolaridad es secundaria completa, 51,42 % vienen hacinados y solo cuenta con fluido eléctrico, el 91,42 % sus ingresos son s/.950.00 identificados como factores sociales y como factores culturales el 80.01% de las madres tienen creencias que condicionan a la desnutrición de sus hijos, el 60%su dienta alimenticia es deficiente y el 67% de las madres muestran deficiente practica culturales en el cuidado del niño llegando a la conclusión. La desnutrición de los niños es a causa de la práctica de patrones culturales alimenticias de las madres que no los alimentan regularmente con alimentos nutritivos e influenciados por las condiciones sociales para la adquisición de los recursos alimenticios. culturales los hábitos alimenticos, las creencias equivocadas Palabras Claves: Niños(as)desnutridos, Factores sociales, Factores culturales
PREVALENCE AND COMPARATIVE STUDY OF MALNOURISHED CHILD BELOW 5 YEARS OF RURAL AND URBAN AREAS OF BIHAR
Authors: Jha Rajiv Kumar , Kumar Sanjay 
Published: July 2020

Status of nutrition reflects the status of health of a country. Infant and young child feeding practices are multidimensional and age specific. Inappropriate feeding practices and their consequences are major obstacles to sustainable socioeconomic development and poverty reduction. This study was a step to sort out various prevailing feeding practices and awareness status of the family of child in rural and urban areas of Bihar state among the age group of below 5 Years and their outcome. This study was a hospital based descriptive study carried out in PMCH (OPD and Indoor) Patna Bihar. Total number of participants in our study is 180 in the age group 0-5 years which was further divided into 3 groups according to their age each group (0-6, 6-24, and24-60months), had 60 participants. These groups were further equally divided on the basis of location rural and urban; these Subgroups were further divided into 2 equal subgroups according to sex. In this study variety of food given is 63% and 50% in urban and rural population respectively. It is revealed that population getting variety of food has significantly better outcome in nutritional status rather than population not getting it. This study has revealed that population getting nearly proper consistency and calories are only 53% and 41% in urban and rural areas respectively. Population getting nearly proper consistency and calories has significantly better outcome in nutritional status rather than population not getting it. Prevalent mode of feeding in children below 6 months in non exclusive BREAST feeding is bottle feeding in rural and urban areas. 42% and 50% of urban and rural population BOTTLE feed their children above 6 months respectively bottle feeding significantly affect the outcome i.e. the poor nutritional status as compared to the KATORI spoon feeding.
Keywords: Healthy food, varieties of nutritional food intake, Breast feeding practices.
FETAL GESTATIONAL AGE DETERMINATION BY BIPARIETAL DIAMETER
Authors: Meena B S , Sahay Shalini , Sharma Manju , Kumar Devendra 
Published: July 2020

Background: To find out correlation between biparietal diameter and gestational age
Methods: This was a cross sectional study of uncomplicated pregnant women who presented for routine obstetric ultrasound at S M S medical college & hospital.
Informed consent was obtained from the patients before inclusion in the study. Only singleton pregnancies were included. Exclusion criteria included pregnant women who had concomitant disease that could possibly affect fetal growth (e.g. diabetes mellitus, asthma, hypertension, renal disease, thyroid disease), complicated pregnancy (e.g. bleeding, preeclampsia), foetal abnormality detected during the examination, women with a history of obstetric complications, intrauterine growth retardation and macrosomia
Results: The cases were in the age group of 18 to 37 yrs. Maximum number of cases are in middle age group and minimal in elderly age group. Mean BPD at 41 weeks of gestational age was 89.00 mm and 40 weeks of gestational age was 88.00±3.42 mm.
Conclusion: It can be concluded from the study that there is good correlation of BPD measurement by ultrasonography and gestational age. It is a reliable tool especially in those women where LMP is not known or doubtful, for assessing gestational age.
Keywords: Gestational Age, Biparietal Diameter, Trimester, Pregnant Women
A COMPARATIVE STUDY OF SERUM AND SALIVARY BIOCHEMICAL MARKERS IN DIABETES MELLITUS TYPE II WITH HEALTHY INDIVIDUALS
Authors: Srivastava Priya , Agarwal B.K , Chandel M S 
Published: July 2020

Introduction: Blood is the gold standard body fluid for diagnosis of Diabetes Mellitus (DM) but saliva can offers an alternative to serum as a biological fluid for diagnostic purposes because it contains serum constituents. People wants that medical science should promote non invasive method for diagnosis of disease.
Aim: The study was conducted to estimate and compare serum and salivary glucose, total protein, calcium and phosphorus levels in DM type ll and healthy subjects and to evaluate whether saliva can be used as a diagnostic fluid in DM type ll patients. The target population of this study was individuals who have Type-2 DM for different period of time and resident INDORE.
Materials & Methods: Study consisted of 50 subjects from OPD/IPD Index Medical College & Research Center, INDORE, MADHYA PRADESH, India. The study groups were divided into Group I-25 DM patients (TypeII) and Group II-25 healthy subjects. The saliva and serum samples were collected from each subject and levels of different biochemical parameters were estimated.
Result: were noted. On comparing values in saliva and serum, among two groups, a significant difference (p<0.005) was found between few of them.
Conclusion: Values regarding blood and salivary biochemical parameters were distinctly different between two groups suggesting salivary parameters can be used as a diagnostic alternative to blood parameters for diabetes mellitus.
AMELIORATIVE EFFECTS OF POLYHERBAL EXTRACT ON HIGH FAT DIET HYPERLIPIDEMIA IN RATS
Authors: Shubhada Mangrulkar , Sukanya Korewar , Pratik Gadkari , Priyanka Mazumdar , Twinkle Charde , Dinesh Chaple 
Published: July 2020

Hypercholesterolemia is extremely common in the general population, is regarded as a high-risk factor for several health problems in this 21st century. This may be due to increased trends towards the western lifestyle and high cholesterol-rich diet intake. Drug based cholesterol control is a common norm in allopathic treatment, though there are several side effects. While many efficient lipid-lowering synthetic drugs exist, none is in effect for all lipoprotein disorders, and all such agents are accompanying with some adverse effects. The present study was intended to investigate the anti-hyperlipidemic activity of polyherbal extract in High Fat Diet (HFD) induced hyperlipidemia in wistar rats in an attempt to establish traditional use of the different components of this polyherbal extract. In hyperlipidemic rats, it has been observed that there is a gradual increase in the body weight of animals. Moreover, HFD fed group showed significant change in lipid profile and serum liver biomarker enzyme levels. However, high dose of polyherbal extract showed significant improvement in liver biomarker enzyme levels, lipid profile and liver histopathology. In this study, the mechanism of action of polyherbal extract correlates with anti-hyperlipidemic drugs that decrease the synthesis of triglycerides which ultimately decreased the lipid level in blood. Hence, polyherbal extract (PHE) at higher dose (1500mg/kg) can be used to treat hyperlipidemia and related complications.
A COMPARATIVE STUDY OF CAROTID ARTERIAL INTIMA-MEDIA THICKNESS IN PRE-ECLAMPSIA AND NORMOTENSIVE PREGNANT WOMEN IN DEPARTMENT OF OBSTETRICS & GYNAECOLOGY, SMS MEDICAL COLLEGE, JAIPUR
Authors: Garhwal Sunita , Verma Asha , . Mohinee , Choudhary Kavita , Bajiya Prem 
Published: July 2020

Background: Pre-eclampsia, a condition specific to pregnancy, is a leading cause of maternal and perinatal mortality and morbidity. It has been shown in non-pregnant patients that hypertension increases the tensile stress applied on the carotid artery; in essential hypertension this leads to increased carotid arterial intima–media thickness (IMT) and stiffness.
Methods: It was a hospital based comparative observational study conducted at department of Obstetrics and Gynecology, SMS Medical College and attached hospitals, Jaipur. The study included two groups consisting of 30 women in each group. The study group was consist of 30 women with singleton pregnancy with gestational period of ³20 weeks with preeclampsia. 30 normotensive women with singleton pregnancy with gestational period of ³20 weeks was the controls.
Results: Mean IMT in study group was higher as compared to control group and the difference was statistically significant (0.45 ± 0.09 mm v/s 0.35 ± 0.09 mm). Carotid artery internal diameter was higher in study group as compared to control group (7.36 ± 0.61 mm v/s 6.73 ± 0.72 mm). The difference was statistically significant.
Conclusion: Intima media thickness measurements in women with pre-eclampsia could offer an opportunity to identify a high-risk group of women who might benefit from early screening and preventive measure. These measures would include life style modification such as improving diet and physical activity and increase surveillance of blood pressure, blood glucose and serum lipid, thereby reducing their cardio-vascular related morbidity and mortality in later life.
Keywords: Intima media thickness, pre-eclampsia, blood pressure.
TO CATEGORIZE THE CAUSES OF ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSAL WOMEN AS PER THE NEW CLASSIFICATION SYSTEM PALM COEIN BY THE INTERNATIONAL FEDERATION OF GYNAECOLOGY AND OBSTETRICS (FIGO) AT SMS MEDICAL COLLEGE, JAIPUR
Authors: S Anusha , Solanki Samta , Meena B S 
Published: July 2020

Background: The International Federation of Gynaecology and Obstetrics working group on menstrual disorders has recently developed a classification system (PALM-COEIN) for causes of the AUB in non-gravid women.
Methods: This was a hospital based descriptive study conducted on perimenopausal women with complaints of abnormal uterine bleeding admitted in Obstetrics and Gynaecology, SMS Medical College, Jaipur.
Results: Leiomyoma being the most common tumor of female genital tract constituted the most common etiology of AUB on the basis of clinical examination, followed by ovulatory disorders, which are predominant during the period of perimenopausal transition.
Conclusion: The FIGO PALM-COIEN classification system helps to simplify terminology, focus treatment concepts and facilitate clinical and scientific research collaboration.
Keywords: FIGO, Classification, Gyaecological practice.
THYROID DISORDERS AND POLYCYSTIC OVARY SYNDROME Dr. B S Meena1, Dr. Neeta Meena2
Authors: Meena B S , Meena Neeta 
Published: July 2020

Background: Polycystic ovarian syndrome (PCOS) is the most common form of chronic anovulation associated with androgen excess; perhaps occurring in 5-10% of reproductive women.
Methods: Observational study done in the Department of Obstetrics & Gynaecology, SMS Medical College, Jaipur. Forty cases of women with PCOS based on Rotterdam’s criteria and an equal number of age-matched controls (women without PCOS) were included in the study.
Results: T4 level was significantly lower in PCOS group with mean free T4 level 0.87 ± 0.75 ng/ml in PCOS group v/s 1.92 ± 0.84 ng/ml in control group (p-value = 0.001). TSH level was significantly higher in PCOS group with mean TSH level 8.86 ± 7.57 mU/L in PCOS group v/s 3.40 ± 1.21 mU/L in control group (p-value = 0.001)
Conclusion: High prevalence of thyroid disorders in PCOS patients thus points towards the importance of early correction of hypothyroidism in the management of infertility associated with PCOS.
Keywords: T4, T3, TSH, PCOS
MANAGEMENT AND OUTCOME ANALYSIS OF PROXIMAL HUMERUS FRACTURES BY PHILOS - A PROSPECTIVE STUDY
Authors: Naveen Mukka , Narsimlu D. 
Published: July 2020

Introduction: Proximal humerus fracture is considered as one of the commonest fractures in clinical practice. Most of these fractures occur as a result of osteoporosis. Proximal humerus fractures are often nondisplaced or minimally displaced fractures with two parts, which can be managed conservatively. Surgical interventions include closed reduction and percutaneous pinning (CRPP). It also involves trans-osseous suture fixation, Open Reduction Internal Fixation (ORIF) with either conventional or Proximal Humerus Interlocking Osteosynthesis System (PHILOS) or hemiarthroplasty. Good clinical outcomes have been achieved by the PHILOS as they stabilize the proximal humeral fractures with steady fixation in osteoporotic bone and assisted aged patients in early functional exercises which resulted in early recovery.
Aim: To analyse the functional results and complications associated with management of proximal humerus fractures treated with PHILOS.
Materials and Methods: This is a prospective study conducted at Department of Orthopaedics, Prathima Institute Of Medical Sciences, Nagunur, Karimnagar, from July 2017 to January 2019. 58 patients were taken into study with two-part, three-part, four-part fracture of the proximal humerus in adults >18 years of age. In all patients PHILOS plating was done and surgical events and surgical difficulties faced, post-surgery local or systemic complications, time needed for fracture union and time taken to return to pre-fracture activity were documented. They were followed up till there were signs of union on radiographs or for at least a period of 1 year.
Results: The results were assessed with Constant Murley Score at 6 months post-surgery and Visual Analogue Scale at 6 weekly intervals. The mean Constant score for two-part fractures was 88.1, for Three-part 82.5, for Four-part 72.7. The patients with two-part and three-part fractures had a significantly better VAS than patients with four-part fractures till 18 months of surgery. After 18 months the VAS was similar for all 3 groups. 6.9% developed shoulder stiffness, 2 patients from four-part fracture group developed Varus angulation.
Conclusion: we conclude that the PHILOS is safe, effective and provides stable fixation for proximal humerus fractures and in patients with indigent bone quality.
Keywords: PHILOS, Proximal Humerus Fracture
RIVAROXABAN IN THE PROPHYLAXIS AGAINST VENOUS THROMBOEMBOLISM AFTER TOTAL KNEE ARTHROPLASTY- A PROSPECTIVE STUDY IN A TERTIARY CARE CENTRE
Authors: Rao V. Abhilash , Naveen Mukka 
Published: July 2020

Background: Venous thromboembolism (VTE) is a major healthcare problem that affects more than 1.6 million persons each year worldwide. Patients undergoing major orthopedic surgery, total knee arthroplasty (TKA), and total hip arthroplasty (THA) are at high risk for developing VTE, which can manifest as deep vein thrombosis (DVT) or pulmonary embolism (PE), and PE can be life-threatening. It is a preventable complication of in-hospital mortality.
The prophylaxis to prevent VTE varies from vitamin K antagonists like warfarin, low molecular weight heparin like enoxaparin, Fondaparinox sodium, direct factor Xa inhibitor like rivaroxaban and apixiban, mechanical thromboprophylaxis.
Materials and Methods: Presented is a prospective study to see the efficacy of Oral rivaroxaban 10mg once daily dose for 14 days in the prevention of VTE in 60 elective cases total knee arthroplasty. The study was done from June 2017- October 2018 in the department of orthopaedics, Prathima institute of medical sciences, Nagunur, Karimnagar. All the operated cases were cemented with cruciate retaining prosthesis. Oral Rivaroxaban 10mg was given after 6-8 hours after wound closure and continued for 14 days. All the patients were closely monitored for signs and symptoms of DVT, PE with Wells DVT score followed by venous angiogram and signs of pulmonary embolism evaluated with modified Gurd and Wilson criteria and subsequent CT pulmonary angiogram.
Results: In study involving 60 primary total knee replacement cases, only one patient developed deep venous thromboembolism (1.6%) with oral Rivaroxaban. No cases of bleeding manifestations or pulmonary embolism were reported.
Conclusion: once daily oral dose of rivaroxaban 10mg for 14 days is an effective modality in preventing the number of cases of VTE after Total knee arthroplasty. The ease of administration of oral agents compared to subcutaneously given agents like Enoxaparin will lead to better patient compliance and early discharge from hospital.
Key words: Venous thromboembolism, Total knee arthroplasty, Rivaroxaban, Deep vein thrombosis, Pulmonary embolism
Hubungan Persepsi tentang Keputihan dengan Perilaku Pencegahan dan Penanganan Keputihan pada Remajaputri di SMAN 1 Banjaran Kabupaten Bandung
Authors: Triana Hani 
Published: July 2020

Latar belakang: Perubahan yang terjadi pada masa remaja salah satunya adalah perubahan fisiologis yang sering terjadi pada organ reproduksi.Salah satu gangguan klinis dari infeksi pada organ reproduksi wanita adalah keputihan. Sekitar 75% wanita di dunia mengalami keputihan paling tidak sekali dalam hidupnya dan sekitar 90% wanita Indonesia mengalami keputihan karena Indonesia adalah daerah yang beriklim tropis. Hasil studi pendahuluan masih terdapat remaja putri yang menganggap keputihan merupakan suatu hal yang biasa dan tidak berbahaya.Tujuan: mengetahui hubungan persepsi dengan perilaku penanganan dan pencegahan keputihan pada remaja putri di SMAN 1 BanjaranMetode: penelitian ini merupakan penelitian kuantitatif dengan jenis penelitian yang digunakan adalah korelasional dengan pendekatan cross-sectional. Jumlah sample dalam penelitian ini sebanyak 84 orang dengan teknik pengambilan sampel yang digunakan adalahstratified random sampling. Instrumen pengumpulan data yang digunakan dalam penelitian ini adalah kuesioner dan analisis data menggunakan uji Chi Square.Hasil:. Hasil penelitian menggunakan uji statistik diperoleh nilai signifikansi p-value sebesar p=0,035.Kesimpulan: Dikarenakan nilai p-value < 0,05 maka Ho ditolak yang artinya terdapat hubungan yang bermakna antara persepsi dengan perilaku pencegahan dan penanganan keputihan. Background: Changes that occur in adolescence one of which is the physiological changes that often occur in the reproductive organs. One of the clinical disorders of infection in the female reproductive organs is vaginal discharge. Around 75% of women in the world experience vaginal discharge at least once in their lives and around 90% of Indonesian women experience vaginal discharge because Indonesia is a tropical climate. Results of preliminary studies are still young women who consider vaginal discharge to be a normal and harmless thing.Aim: The purpose of this study was to determine the relationship between perception and behavioral treatment and prevention of vaginal discharge in young women at SMAN 1 Banjaran. Methods: This research is a quantitative study with the type of research used is correlational with cross-sectional approach. The number of samples in this study were 84 people with the sampling technique used was stratified random sampling. Data collection instruments used in this study were questionnaires and data analysis using the Chi Square test.Results: The results of the study using statistical tests obtained p-value significance of p = 0.035. Because the p-value <0.05.Conclusion: Ho is rejected, which means there is a meaningful relationship between perception and behavioral prevention and treatment of vaginal discharge.
Analisis Faktor Fetus dan Tali Pusat terhadap Risiko Asphyxia Perinatal di Surakarta
Authors: Lestari Siti , Astuti Dyah Dwi , Ramadhani Fachriza Malika 
Published: July 2020

Asfiksia perinatal merujuk pada kekurangan oksigen selama persalinan, sehingga berpotensi menyebabkan kematian dan kecacatan. WHO memperkirakan 4 juta anak terlahir dengan asfiksia setiap tahun, dimana 1 juta di antaranya meninggal dan 1 juta anak bertahan hidup dengan gejala sisa neurologis yang parah. Penelitian ini bertujuan untuk menganalisis faktor risiko fetal dan tali pusat pada asfiksia neonatal.Penelitian dilakukan di lakukan di RS Dr Moewardi Surakarta dengan pendekatan quantitative retrospective case control study. Data diambil dari rekam medis antara tahun 2013-2018. Penelitan ini melibatkan 264 neonatal yang terdiri dari 88 kelompok kasus dan 176 kelompok control. Kelompok kasus adalah bayi dengan diagnosa asfiksia yang dilakukan analisis terhadap faktor risiko fetal, sedangkan bayi yang tidak mengalami asfiksia dijadikan kelompok kontrol. Hasil analisis statistik uji Chi-Square dan Fisher Exact ditemukan bahwa kelahiran prematur (OR 2,07 CI 95% P 0,02), persalinan dengan tindakan (OR 3,61 CI 95% P 0,00), berat bayi (OR 2,85 CI 95% P 0,00), posisi janin (OR 2,37 CI 95% P 0,05), tali pusat ( QR 3,071 CI 95% P 0,01) berisiko terhadap insiden asfiksia perinatal. Air ketuban yang bercampur meconium (OR 1,51 CI 95% P 0,16) tidak memiliki risiko dengan Asfiksia perinatal. Kesimpulan: Risiko terhadap insiden asfiksia perinatal meliputi kelahiran prematur, persalinan dengan tindakan, berat bayi, posisi janin, dan tali pusat.Perinatal asphyxia refers to a lack of oxygen during labor, which has the potential to cause death and disability. WHO estimates 4 million children born with asphyxia each year, in which 1 million dies and 1 million survive with severe neurological sequelae. This study aims to analyze fetal and umbilical risk factors in neonatal asphyxia.This research is a quantitative retrospective case-control study, which was conducted at The Dr. Moewardi hospital, Surakarta. Data was taken from medical records from 2013-2018. The case group was patients diagnosed asphyxia, while those who did not experience asphyxia were treated as a control group. A total of 264 samples, consisting of 88 case group respondents and 176 control group respondents. Statistical analysis Chi- Square and Fisher Exact found that preterm birth (OR 2.07 CI 95% P 0.02), labor with instrument or complication (OR 3.61 CI 95% P 0.00), infant weight (OR 2.85 CI 95% P 0, 00), fetal position (OR 2.37 CI 95% P 0.05), umbilical cord (QR 3.071 CI 95% P 0.01) are at risk for the incidence of perinatal Asphyxia. The amniotic fluid mixed with meconium (OR 1.51 CI 95% P 0.16) has no risk with perinatal asphyxia.The risk factors of incidences of perinatal asphyxia were preterm birth, labor with instrument or complication, baby weight, fetal position and umbilical cord.