bluuebunny/crossref_metadata_2025_split huggingface dataset:
OUTCOME OF THE UNIDENTIFIED/UNACCOMPANIED PATIENT OF TRAUMATIC BRAIN INJURY IN TRAUMA UNIT OF GANDHI MEDICAL COLLEGE AND ASSOCIATED HAMIDIA HOSPITAL BHOPAL (INDIA)
Authors: Chaurasia Dr. I. D. , Shukla Dr. Shikha , Gupta Dr. Aryish , Maheshwari Dr. Rajat , Koshariya Dr. Mahim , Songara Dr. M.C. 
Published: March 2020

All unidentified / unaccompanied & unknown TBI patients admitted in department of neurosurgery, Gandhi Medical College Bhopal from June 2016 to May 2019 were enrolled in this study. Management of unidentified and unaccompanied patients is difficult in any health care setup due to challenges in managing their day to day care. Traumatic brain injury is the most common cause of death in trauma patients. We analyzed demography, mode of injury, clinical presentation & condition at admission, treatment given, hospital stay, outcome & factors affecting outcome of the patients. Very few studies in world literature are available on this subgroup of patients. We analyzed data pertaining to 100 consecutive patients at our hospital.
Aim and Objectives: The aim and objective of this study is to determine the outcome of traumatic Brain Injury in patients who were admitted in trauma unit/ Neurosurgery unit of Gandhi medical College Bhopal India from June 2016 to May 2019. As unaccompanied / unknown/ unidentified. In this study we collected the data of unknown/ unidentified patients of TBI to analyze the outcome.
Material and Methods: It was a prospective study of all unaccompanied/ unknown patients who were admitted in the trauma unit/ Neurosurgery unit of surgery department of Gandhi Medical College & Associated Hamidia Hospital Bhopal India from June 2016 to May 2019 a total number of 100 unidentified /unaccompanied patients were admitted whose data were collected and analyzed Departmental staff, social workers, police and media persons help were take in for relocation of unknown patients to their home or non government organization shelter homes .
Results: There were total 100 consecutive patient enrolment in this study, 87% of the patients were male. Most common age group was 40-59 years, 48% patients falls in this age group.
Most common cause of trauma was road traffic accident (48%), followed by Cause Unknown (36%). Overall mortality was 39%. Others clinical characteristic and type of lesion in traumatic brain injury of unidentified and unaccompanied patients is given in detail in.
Out of 100 patients, 43 (43%) patients were managed conservatively based on CT head findings and neurological status & 57 (57%) were operated. Decompressive Craniectomy was most common operative procedure depending on the clinical & neurological status. Overall complication rate during hospital stay was 26%.
Keywords: TBI, Unidentified Patient & Unaccompanied & Decompressive Craniectomy, Rehabilitation.
ASSESSMENT OF LIPID PROFILE AMONG PATIENTS OF NON-DIABETIC CHRONIC KIDNEY DISEASE AT TERTIARY CARE CENTRE
Authors: Gupta Dr Bakul 
Published: March 2020

Background: Various studies have shown the association between dyslipidemia and cardio-vascular risk among patients of chronic renal disease but the association non-significant than patients with normal renal function. There was lack of evidence exists because patients with chronic renal disease were excluded from the major clinical studies where the association with that target dyslipidemia treatment was being evaluated
Material & Methods: The present prospective study was conducted among the patients of Chronic Kidney Disease above 18 years of age and diagnosed on the basis of history, detailed clinical examination, and biochemical and sonological examination based upon National Kidney Foundation (NKF) criteria were enrolled into the study. Clearance from hospital ethics committee was taken before start of study. Written informed consent was taken from each study participant.
Results: In the present study out of total study participants of chronic kidney disease 46% were in the 3rd stage of CKD, 38% were in the 4th stage of CKD and 16% were in the 5th stage of CKD. Out of total study participants of chronic kidney disease, 82% were managed by conservative treatment and 18% were being managed by hemodialysis. Out of total study participants of chronic kidney disease, 38% had normal lipid profile while 62% patients had dyslipidemia. We found statistically significant (p value < 0.05) association between dyslipidemia and hemodialysis and association between dyslipidemia and stages of chronic kidney disease was statistically non- significant (p value > 0.05).
Conclusion: We concluded from the present study that dyslipidemia is significantly associated as an additional risk factor in patients of Chronic Kidney Disease. We found significant association of hemodialysis with abnormal lipid profile.
Key words: Chronic kidney disease, dyslipidemia, hemodialysis.
DIARY BOOK MEDIA FOR MONITORING THE TEETH BRUSHING ACTION OF ELEMENTARY SCHOOL STUDENTS
Authors: Nugraheni Hermien , . Sadimin , Aryati Endah , Nurjati Raaufa I. , Rajiani Ismi 
Published: March 2020

Background: Indonesian population who brushed their teeth correctly twice a day is only 2.8 %.This shows that education about brushing teeth must start early. The purpose of this study was to determine whether there is an impact of education using diary book media on the correct action of brushing teeth on elementary school students.
Methods: The research design used was quasi-experimental with non- equivalent control group design. Interventions were given to elementary students in one school, and another school was used as a control group. Intervention activities carried out on the students are education using the correct diary or brushing diary. Analysis of the data used is a comparative test with a statistical t-test independent t-test, which aims to find out the average value difference between the group with the intervention and the group that did not get the intervention in the form of a diary media use or rubbing diary tooth
Result: The result is that there are differences in the actions of students who brush their teeth correctly in the group that gets the intervention and those who do not get the educational intervention using the media of the tooth brushing diary book. There is a difference in the correct action of brushing teeth between students before and after getting an educational intervention using a tooth brushing diary book.
Conclusion: School-age children are a time of imagination, creativity, and storytelling. So the diary or diary is very suitable as an educational medium in the effort to change behavior in introducing the way to maintain health of the teeth.
Keyword: Diary Book, Teeth Brushing Action, Students
CORRELATION OF BLOOD GROUP, CHEILOSCOPY, DACTYLOGRAPHIC PATTERN AMONG PHYSIOTHERAPY TRIBAL STUDENT IN CHHATTISGARH.
Authors: Thakur Rajni , Gautam Deepti 
Published: March 2020

Aim: To establish between correlation of ABO blood group, cheiloscopy, dactylographic pattern.
Materials and Methods: This research was carried on 400 students 291 females and 109 males 17 to 27 years age groups in tribal belt Government Physiotherapy College in Chhattisgarh, India. In this research were Students selected those inbred were tribe belongs to Chhattisgarh state. Blood group, cheiloscopy, dactylographic pattern analysed and correlated according to Landsteiner, Suzuki and Tsuchihashi, Michael and Kuchen classification.
Result: We obtained were 400 tribe students which included 109 male and 291 female students. highest frequency was 221 “O” blood group, least frequency obtained “AB’ 26 and total Rh positive 371 and Rh negative was 29, cleiloscopy pattern more frequency was observed in type II branched 209, dactylographic pattern, highest frequency in whorl 229, least common in 6 composite.
Conclusion: We knew that students framework cheiloscopy, dactylographic patterns and blood groups show paramount role in races, crime, forensic identification. Correlation of these three criterion, solely be worn in individual, races identification, but fairly, they can be worn to ratify facts in atrocity, misdeed where there are thoroughly trifling testimony.
Keywords: “O” positive, Worn, Tribes, Races, Agglutination, Chhattisgarh, Physiotherapy.
INJECTION PAIN OF PROPOFOL IN CHILDREN WITH MEDIUM PLUS LONG CHAIN TRIGLYCERIDES AND LONG CHAIN PROPOFOL MIXED WITH LIGNOCAINE
Authors: Mehta Jitendra Punamchand 
Published: March 2020

Introduction: Propofol is widely accepted drug because of its rapid and smooth induction, short context-sensitive time, rapid terminal half-life time and low incidence of postoperative nausea and vomiting. It is used for sedation and anaesthesia for almost all types of surgeries. During a propofol injection, pain due to the long-chain triglyceride (LCT) emulsion is experienced by 70% of adults and up to 85% of children. Despite various strategies to reduce propofol injection pain, this still poses a clinical problem in adults and children, and the incidence reported to be 30–90%. A medium-chain triglyceride/long-chain triglyceride (MCT/LCT) emulsion has been advised to reduce injection pain as compared to propofol LCT in adults and teenagers
Material and Methods: 100 children aged 5–13 years, in American Society Anaesthesiologists (ASA) class I or II, undergoing elective general anaesthesia without any contraindication to propofol anaesthesia were included in the study. Injection pain following injection propofol was assessed in all patients, but the anaesthetist was blinded for which formula was being used.
Results: The demographic characteristics like age, sex, weight, amount of propofol given, ASA physical status and recovery period was calculated. No statistically significant difference was observed in both the groups. Incidence of pain and severe pain in LCT group was 24 (48%) and 7 (14%) respectively while incidence of pain and severe pain in MCT/LCT group was 15 (30%) and 1 (2%) respectively. Pain score was found less in group MCT / LCT.
Conclusion: Medium plus long chain triglycerides and long chain propofol along with lignocaine significantly reduces the incidence as well as the severity of injection pain in the paediatric age group and can be used in children for sedation or induction of anaesthesia.
BIOCHEMICAL AND CLINICAL EVALUATION OF CORRELATION OF PERIODONTITIS AND EARLY CAROTID ATHEROSCLEROSIS
Authors: Khatoon Shazia , Jain Samir 
Published: March 2020

Periodontal disease is a disease characterized by inflammation of the periodontal tissues caused by microorganisms in the oral cavity and affects approximately 90% of the world population. Losses in the alveolar bone and connective tissue are observed due to periodontal diseases, which may lead to tooth loss. In addition, periodontal disease has been associated with many systemic diseases such as coronary artery diseases, stroke, head and neck cancer, pregnancy complications and diabetes. Periodontal disease is affected by risk factors such as smoking and diabetes, similar to vascular diseases. Hence based on above findings the present study was planned for Biochemical and Clinical Evaluation of Correlation of Periodontitis and Early Carotid Atherosclerosis.
The present study was planned in Department of Dentistry, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India. In the present study 20 cases of the Generalized chronic Periodontitis were enrolled in the Group A as study group patients. And 20 cases of Periodontally healthy individuals were enrolled in Group B as control group patients for comparative evaluation. Under aseptic measures, venous blood samples were drawn by venipuncture in antecubital fossa using 5ml syringe and collected in a plain vacuum tubes and transported to clinical laboratory for lipid profile analysis. Both the groups were subjected for ultrasonography for the assessment of Carotid Intima-Media Thickness (IMT) and Lipid Profile.
The data generated from the present study concluded that periodontal disease has association with early carotid atherosclerosis which is a risk factor for cardiovascular diseases .Thus oral health and systemic health are closely related and overall systemic health of an individual can be improved by maintaining a proper oral health regimen. It is important in terms of health policies that there is no need for an additional cost for this early diagnosis.
Keywords: Periodontitis, Early Carotid Atherosclerosis, Heart disease, etc.
PLASMA ATHEROGENIC INDEX IS AN INDEPENDENT INDICATOR AND PROGNOSTIC VALUE IN RAYNAUD’S PHENOMENON?
Authors: Kader Saadet , Comaklı Hakan 
Published: March 2020

Objective: Raynaud’s phenomenon (RP) is characterized by cold induced temporary ischaemia of the fingers or toes and an inflammatory autoimmune disease of connective tissues. Plasma atherogenic index (PAI) is a valuable marker for the cardiovascular disease and cardiac risk. The aim of this study was to evaluate the role and clinical use of PAI in RP patients.
Materials and Methods: In this retrospective-cohort study, we examined the clinical value count blood cells in 55 patients with RP and 14 clinical controls admitted Konya Training and Research Hospital Department of Cardiovascular Surgery between January 2016-March 2019 were investigated retrospectively screened. PAI was measured as a logarithmic value of triglyceride to high-density cholesterol ratio. PAI levels <0.11 is accepted as low risk, 0,11-0,21 intermediate risk, and 0.21 >increased risk. PAI was measured as a logarithmic value of triglyceride to high-density cholesterol ratio. The lipid and other biochemical parameters of patient and control groups were examined and measured.
Results: The study consisted of 29 females (42.03%) and 40 males (57.97%). There was a significant difference between differences between PAI level groups. There was no significant difference in PAI results between genders (p>0.355).We also found disagreement in biochemical parameters and PAI between controls and patients.
Conclusion: When we evaluated PAI in the patients with RP and controls, it was determined that there was no significant difference in either parameter. However, PAI levels have showed that significant elevated between groups so It can be a simple, economic and non invasive marker to identify for future studies.
Keywords: Raynaud’s phenomenon, Plasma atherogenic index, Blood lipid components
COMPARISON OF ENDOSCOPIC ULTRASOUND AND COMPUTED TOMOGRAPHY FOR EVALUATION OF PANCREATIC MASS LESIONS ASSUMING HISTOPATHOLOGY AS GOLD STANDARD
Authors: Paliwal Anil Kumar , Mendiratta Kuldeep 
Published: March 2020

Background-Diagnostic imaging is an important tool to evaluate pancreatic neoplasms. Accurate detection and staging are essential for ensuring appropriate selection of patients who will benefit from surgery and for preventing unnecessary surgeries in patients with unresectable disease. Ultrasound (US), multidetector computed tomography (MDCT) with multiplanar reconstruction and magnetic resonance imaging (MRI) can help to do a correct diagnosis.
Methods- Hospital based cross-sectional and quantitative study. Patients with suspected pancreatic mass lesions referred to Department of Radiodiagnosis and Modern Imaging and to Department of Gastroenterology for MDCT and EUS respectively.
Results- EUS sensitivity was 98.00%, specificity was 75.00% and by CT scan sensitivity was 93.00%, specificity was 88.00% for mass detection. EUS sensitivity was 88.00%, specificity was 72.00% and of CT scan sensitivity was 76.00%, specificity was 100.00% in detection of vascular involvement. EUS sensitivity was 86.00%, specificity was 74.00% and by CT scan sensitivity was 92.00%, specificity was 100.00% for detection of lymphadenopathy.
Conclusion- In conclusion, our results showed that CT with pancreas protocoland EUS correlate moderatelywell in terms of mass detection, masssize, vascular involvement and lymphadenopathy.
Keywords: CT, EUS, Pancreatic lesion.
A STUDY OF KNOWLEDGE, ATTITUDE, AND PRACTICES REGARDING BIOMEDICAL WASTE MANAGEMENT AMONG THE HEALTH CARE WORKERS AT A TERTIARY CARE TEACHING HOSPITAL OF WESTERN UTTAR PRADESH
Authors: Mehta Abhishek 
Published: March 2020

Background: The hazardous impact of biomedical waste on the community and environment is enhanced manifold if it is not managed effectively. Appropriate knowledge and awareness amongst the health care workers about the biomedical waste management, will help in minimizing health care associated infections.
Purpose: There are no such studies in this part of the country to identify the gaps / lacunae in knowledge, attitude & practices amongst health care workers, so that timely corrective measures could be instituted in the form of educational interventions.
Material & Methods: This Questionnaire based descriptive study was undertaken at a tertiary care teaching hospital of western Uttar Pradesh in March 2018 after obtaining clearance from Institutional ethics committee. A total of 85 subjects (30 Doctors, 30 Nurses, 25 Laboratory technicians) were administered pre structured pre-validated anonymous questionnaire. Mean scores of the Knowledge, Attitudes and practices of the three groups were compared by Anova test and the comparison between any two study groups done using unpaired t test and the significance level was set to 0.05.
Results: While comparing Knowledge, attitude and practices between Doctors & Nurses, though doctors scored higher in all 3 sections but the difference was statistically significant only in the Knowledge and Practice levels. While comparing KAP scores between Nurses & Lab.technicians, though nurses scored higher but a statistically significant difference was seen in the attitude levels only.There was a statistically significant difference in the scores of Doctors, Nurses & Lab. Technicians in all the three sections
Conclusion: Such studies help in detecting the gaps & lacunae in knowledge, attitude & practices amongst different categories of health care providers which could be addressed through targeted educational interventions at regular intervals. This would help in reducing the incidence of health hazards due to improper BMW management.
Keywords: Knowledge, Attitude, Practices, Doctors, Nurses, Laboratory technicians, Questionnaire, Biomedical waste management.
ROLE OF TRANSVAGINAL SONOGRAPHY IN FIRST TRIMESTER VAGINAL BLEEDING
Authors: Dhawane Dr Sanjay Punjaji 
Published: March 2020

Vaginal bleeding during the first trimester has been estimated to occur in 16% of all pregnant women, while the frequency of spontaneous abortion is estimated at around 10-20%. The clinical approach though helpful here is not of much value. Despite the latest technological developments and laboratory diagnosis the desired goal of early recognition is not achieved.
This study was therefore planned with an objective to evaluate role of ultrasound in patients with first trimester vaginal bleeding. It was an Hospital based study where in a total 300 cases presented with complaint of bleeding per vaginum during first trimester, were enrolled for study. All patients underwent trans-abdominal and transvaginal sonography. About 60 % patients had normal viable pregnancy at time of initial sonography. Rest of the cases had a variety of abortions and other pregnancy related complications. Some of the conditions like molar pregnancy and ectopic pregnancy were life threatening and required immediate clinical intervention.
The Ultrasonographic examinations were done per abdominally by using ultrasound equipment. In the present study normal live embryo with subchorionic bleed was the most common cause of first trimester bleeding. Various types of abortions constituted the second commonest cause of first trimester bleeding. All cases were diagnosed correctly on ultrasonography with 100% sensitivity and accuracy and managed appropriately. Hence it can be suggested that ultrasound helped in establishing correct diagnosis timey and decides the line of management (1)
Keywords: Vaginal bleeding, first trimester, transvaginal sonography.
DYSLIPIDEMIA IN THYROID DISORDERS
Authors: Meena Daulat , Bairwa Ramavatar 
Published: March 2020

Background: Thyroid hormones have profound metabolic effects, the most striking action being an increase in energy expenditure. Thyroid hormones play an important role in regulating lipid metabolism; and thyroid dysfunctions can result in lipid abnormalities which increase the risk of endothelial dysfunction, hypertension and cardiovascular disease.
Methods: A cross-sectional study was conducted on 100 patients with suspicion of thyroid disorders were taken as cases. One hundred patients with normal thyroid profile and no history of other chronic diseases were taken as control group.
Results- The serum TC, TG and LDL levels in hypothyroid individuals (both overt and subclinical) were significantly higher than euthyroid subjects but the levels were comparable between hyperthyroid and euthyroid group.
Conclusion: We conclude that, dyslipidemias are associated with thyroid disorders, so biochemical screening for thyroid dysfunction in all dyslipidemic patients. Therefore, patients presenting with dyslipidemia are recommended for investigation to explore thyroid dysfunction.
Keywords: Total cholesterol, Triglycerides and LDL.
A STUDY ON COMBINED USE OF INTRAVENOUS AND TOPICAL TRANEXAMIC ACID FOLLOWING CEMENTLESS TOTAL HIP ARTHROPLASTY- A RANDOMISED CLINICAL TRIAL
Authors: Rathi Romil , Chandrakar Anurag 
Published: March 2020

Purpose: This study was designed to compare the efficacy and safety of the combined use of tranexamic acid (TXA) with the intravenous (IV) or local use alone in total hip arthroplasty (THA).
Methods: 21 patients were randomised to a IV group, a local group or a combined group. Participants received 1.5 g IV-TXA in the IV group, 3 g local TXA in the local group, or 1 g IV-TXA combined with 2 g local TXA in the com- bined group. The primary outcomes were total blood loss (TBL), maximum haemoglobin drop, and the incidence of deep venous thrombosis (DVT) and pulmonary embolism (PE).
Results: TBL was (77.65 ± 18.95) ml in the combined group, which was significantly lower than in the IV group or the local group (p = 0.015, p = 0.001 respectively). Likewise, the mean values of maximum hemoglobin drop in the combined, IV, and local groups were 2.98 ± 0.78, 3.36 ± 0.78, and 3.89 ± 0.72 g/dL, respectively, with a significant intergroup difference (p<0.001 for all). Asymptomatic DVT was detected in 1 patient of the IV group, and 2 patients of the combined group with the use of ultrasound. There were no episodes of PE, and no significant differences were seen between groups in terms of complications.
Conclusions: Combined use of intravenous TXA and local TXA in primary unilateral THA can effectively decrease total blood loss and increase postoperative haemoglobin levels without influencing complication rates. It is sug- gested that this combined TXA regimen is more effective in decreasing blood loss in cementeless THA than intra- venous or local administration alone.
Keywords: Tranexamic acid, Total hip arthroplasty, Blood loss, Transfusion, Combined treatment