bluuebunny/crossref_metadata_2025_split huggingface dataset:
TO ASSESS VARIOUS BRAIN LESIONS ON MRI
Authors: Kumar Vivek , Meena Deepak , Meena G.L. 
Published: July 2020

Background- The danger of intracranial pathology is that expansion in an enclosed space leads to brain compression causing ischemia, swelling and loss of function that can be permanent and possibly fatal.
Methods- This was a simple observational prospective study carried out at the Department Of Radio-Diagnosis And Modern Imaging, S.P.M.C. & A.G. Of P.B.M. Hospitals, Bikaner. All the patients presented for MR brain study with some neurological complaints and showed positive findings on MRI were included in this study.
Results- out of total 120 stroke cases, there were 33 cases of acute arterial infarct, 4 of HIE, 6 cases of ICH, 76 of subacute arterial infarct and 1 case of venous infarct. Similarly, out of total 17 cases of tumors, 9 cases were of meningioma, 4 of lymphoma, 2 of glioma and metastasis each. Out of total 9 cases of infections, there were 3 cases of abscess, 2 of encephalitis and 4 of tubercular meningitis. There were 1 case of pontine myelinolysis, 2 cases of ADEM and 1 cases of diffuse axonal injury in this study.
Conclusion- Stroke comprised the majority of lesions at 120 cases (80% of the total cases studied).
Keywords: MRI, Brain, lesion.
TO ANALYZE THE SENSITIVITY OF DIFFUSION WEIGHTED IMAGING (AT HIGHER B VALUE, IN DIFFERENT IMAGING PLANES AND COMPARISON WITH ADC, FLAIR, T2W IMAGING).
Authors: Kumar Vivek , Meena Deepika , Meena G.L. 
Published: July 2020

Background- The danger of intracranial pathology is that expansion in an enclosed space leads to brain compression causing ischemia, swelling and loss of function that can be permanent and possibly fatal.
Methods- This was a simple observational prospective study carried out at the Department Of Radio-Diagnosis and Modern Imaging, S.P.M.C. & A.G. Of P.B.M. Hospitals, Bikaner. All the patients presented for MR brain study with some neurological complaints and showed positive findings on MRI were included in this study.
Results-Mean ADC value in different type of intracranial lesions and found that abscess had mean ADC value of 0.35±0.11, acute arterial infarcts had 0.44±0.11, ADEM had 0.38±0.06, encephalitis had 0.38±0.04, glioma had 0.47±0.02, HIE had 0.36±0.03, ICH had 0.58±0.17, lymphoma had 0.52±0.15, meningioma had 0.61±0.16, metastasis had 0.51±0.03, subacute arterial infarct had 0.44±0.11, TBM had 0.48±0.05 and diffuse axonal injury, pontine myelinolysis and venous infarct had mean ADC value was 0.43, 0.52 and 0.42 respectively
Conclusion- The diffusion weighted MR images should be interpreted along with other sequences and also along with clinical details of the patient.
Keywords: MRI, Brain, lesion.
EVALUATION OF LEFT VENTRICULAR SYSTOLIC PARAMETERS IN PRE-ECLAMPTIC WOMEN
Authors: Sunita Garhwal , Asha Verma 
Published: July 2020

Objective: to study systolic parameters with echocardiography in pre-eclampsia. Pre-eclampsia is a multisystem disorder of unknown etiology. The underlying pathophysiological mechanism is to be impaired torphoblastic invasion of spiral arteries with placental hypoperfusion and hypoxia.
Methods: This was a hospital based prospective case control study carried out in Department of Obstetrics & Gynaecology in SMS Medical College, Jaipur during the period of June 2018 to Aug 2019. 60 women enrolled inthe study after applying inclusion and exclusion criteria. All women underwent 2D-echocardiography. Cardiac systolic parameters were recorded and compared.
Results: 2D-echocardiography revealed impairment in form of mean LVESV in pre-eclamptic women was 35.73 ± 0.70 mL, mean stroke volume was 63.50 ± 13.26 mL when compared to normotensive women LVESV 33.40 ± 0.63 ml (p = 0.04) and stroke volume was 53.96 ± 9.46 mL (p = 0.02).
Conclusion: To identifying pre-eclamptic patients who are at higher risk of developing cardiovascular complication later in life by non-invasive 2D-echocardiography.
Keywords: Echocardiography, Systolic parameters, Stroke volume, Left ventricular end systolic
COMPARISON OF PRE AND POST INDUCTION BISHOPS SCORE IMPROVEMENT IN INTRACERVICAL FOLEY’S CATHETER AND PGE2 GEL
Authors: Meena B.S. , Dhaka Mohinee , Garhwal Sunita , Banerjee K.P. , Pant Reena 
Published: July 2020

Background: Aim-The success of labor induction depends on the cervical status at the time of induction. Objective- For effective cervical ripening both foley catheter and a dinoprostone gel are used. The aim of this study was to compare the efficacy and safety of the intracervical Foleys catheter and dinoprostone gel in cervical ripening for successful induction of labor.
Methods: It was a randomized controlled study conducted in the obstetrics department at SMS Medical College, Jaipur. 100 Women were enrolled with a bishops score <5with various indication for induction of labour. They intracervical Foleys catheter insertion and group B received Dinoprostone gel 0.5mg instilleted intracervical. Maximum of 2 doses dinoprostone gel could be administered 6 hours apart. Primary efficacy parameter was change in Bishops score as compared to baseline.
Results: The groups were comparable with respect to maternal age, gestation age, indication of induction and initial Bishop's score. Both the groups showed significant change in the Bishop's score at 12 hr,8.02 ± 3.22 and 7.1 ± 4.48 in Foleys catheter and Dinoprostone gel, respectively, But p value was not statistically significant(0.242).
Conclusion- This study shows that both Foleys catheter and Dinoprostone are equally effective in cervical ripening.
TO COMPARE THE FETOMATERNAL OUTCOME OF ORAL MISOPROSTOL SOLUTION AND VAGINAL MISOPROSTOL TABLET FOR INDUCTION OF LABOUR AT TERM IN THE DEPARTMENT OF OBSTETRICS & GYNAECOLOGY, SMS MEDICAL COLLEGE, JAIPUR
Authors: Bhardwaj Neelam , . Parveen , . Prerna , Meena Neeta , . Prem 
Published: July 2020

Background: Induction of labour is a common intervention, required in situations where continuation of pregnancy may be lifethreatening for the mother and/or fetus. In industrialized countries, the induction rate ranges from 10-25%.
Methods: Randomized controlled trial was conducted at Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur.
Results: APGAR score at 1 min and 5 minutes was 6.64 and 6.84 in oral misoprostol and vaginal misoprostol group respectively, while at 5 minutes it is 6.7 oral group and 7 of vaginal misoprostol group. 34% of cases need NICU admission in Group-A (Oral misoprostol) and 14% in Group-B (Vaginal misoprostol) group. Meconium aspiration syndrome which is present 10% of patients in Group-A (Oral Misoprostol) while it is present in 6% of patients in Group-B (Vaginal misoprostol).
Conclusion: The lesser incidence of meconium-stained liquor and NICU admissions and fewer caesareans with better neonatal outcome in women induced with oral misoprostol outweigh its advantages over the vaginal misoprostol
Keywords: Misoprostol, Labor, Induction, Fetomaternal outcome.
PROGNOSTIC IMPORTANCE OF WBC COUNT IN ACUTE MYOCARDIAL INFRACTION
Authors: Agarwal Devendra Kumar , Singhal Ankush , Singhal Pawan , Ranka Ratan Lal 
Published: July 2020

Background: This study is done to know the prognostic importance of WBC count and blood glucose at admission in acute myocardial infarction
Methods: This study was prospective study. 100 patients presenting to Department of cardiology, Sardar Patel Medical College, Bikaner within 24hrs with Acute MI.
Results: Out of 100 patients 15 had LV dysfunction, among these 15 patients 9 were having elevated WBC count and 6 had normal WBC count. Among 100 patients 11 had cardiogenic shock, among these11 patients 7 had elevated WBC count and 4 had normal WBC count. Among 100 patients 7 patients died, among these 7 patients 5 patients had elevated WBC count and 2 patient had normal WBC count.
Conclusion- Elevated WBC count at admission has a prognostic importance as independent and joint variables in predictors for short-term outcome in the form of in-hospital mortality in acute myocardial infarction cases.
Keywords: ST segment elevation myocardial infarction (STEMI), Non ST segment elevation myocardial infarction(NSTEMI), White blood cell (WBC).
DISABILITY AND EXECUTIVE FUNCTIONS IN SCHIZOPHENIA: A CROSSSECTIONAL STUDY. (RELATION OF DISABILITY WITH EXECUTIVE FUNCTIONS)
Authors: Sisodia Anil Kumar , Menia Akhil , Kumar Sudhir , Kumar Rakesh 
Published: July 2020

The aim of the study was to see if there is any association between disability, positive- negative symptoms and executive functions in patients of schizophrenia.
Study had a crossectional design with purposive sampling in 50 patients with schizophrenia. Subjects were assessed using sociodemographic and clinical data sheet, PANSS, IDEAS (disability) and WCST (executive functions).
The result of the study revealed that poor executive functioning is responsible for functional impairment in patients with schizophrenia. A significant association was seen between IDEAS and WCST variables in patients of schizophrenia. A significant association was also seen between PANSS (positive and negative score) with IDEAS and WCST variables (disability and executive functions being more strongly associated with negative symptoms). On correlation analysis of socio-demographic and clinical data with IDEAS and WCST variables, a significant correlation (positive) of age and duration of illness was seen with IDEAS. Age and drug dosage were having significant (positive) correlation with WCST variable and education was found to be having significant (negative) correlation with WCST variables.
Executive functions and negative symptoms are crucial for functional outcome and independent living and are important target for intervention in order to reduce disability and improve quality of life in patients suffering from Schizophrenia.
Keywords: Schizophrenia, Disability, Positive–negative symptoms, Executive functions.
STEP TOWARDS PREVENTION OF ANTIBIOTIC RESISTANCE – A PROSPECTIVE STUDY IN LAPAROSCOPIC CHOLECYSTECTOMY.
Authors: Phadnis Rohit K , Hussain Faiz , Tenneti Praneeth 
Published: July 2020

Introduction: Traditionally antibiotics have been advised pre and post operatively in surgery for gall bladder. The knowledge about usage of a single dose prophylactic preoperative antibiotic in comparison to conventional usage of perioperative antibiotics in laparoscopic Cholecystectomy is limited. Hence, this study focuses on comparing the efficacy of a single dose prophylactic antibiotic versus the usage of pre and postoperative antibiotics in laparoscopic Cholecystectomy.
Method: This is a prospective study conducted in the General Surgery department of Apollo Institute of Medical Sciences and Research. Over 192 consecutive patients subjected for laparoscopic Cholecystectomy were included in study. They were divided in two groups (A&B) after applying exclusion. 74 patients in group A were given single dose of preoperative prophylactic antibiotic. No further post-operative antibiotics were given. 78 patients in group B were given both pre and postoperative antibiotics. Infective complications and cost constraints were compared between both the groups. Statistical analysis was done using chi-square test wherever necessary.
Results: there is no significant difference in the rate of incidence of wound infection in both the groups. Age and gender had no significant association for SSI. The overall cost of Group B was found to be significantly higher than Group A.
Conclusion: Usage of single dose prophylactic preoperative antibiotics with no further post operative antibiotics would be sufficient to prevent surgical site infection in uncomplicated laparoscopic Cholecystectomy.
Keywords: Prevention, Antibiotic Resistance, Laparoscopic Cholecystectomy.
SIGNIFICANT ASSOCIATION BETWEEN ANTI-THYROID PEROXIDASE (ANTI-TPO) ANTIBODIES AND LOW BIRTH WEIGHT IN EUTHYROID PREGNANT WOMEN
Authors: Meena Bhanwar Singh , Netra Harendra Kumar , Joshi Amit Kumar , Banerjee Krishna Priya 
Published: July 2020

Background: Maternal and perinatal morbidities are well-documented complications of pregnancy in women with thyroid dysfunction, both clinical and subclinical. About 2–5% of pregnant women suffer from thyroid disorders and timely intervention can be done if detected early. The presence of anti-TPO Ab is associated with increased rate of pregnancy complications such as miscarriage, preterm delivery, placental abruption, pregnancy-induced hypertension, intrauterine death and low birth weight.
Objectives: Study the effect of anti-TPO Ab positivity on pregnancy outcome especially birth weight and estimate the prevalence of anti-TPO Ab in euthyroid pregnant women.
Methods: This observational study enrolled 500 euthyroid pregnant women, age 20-35 years, up to 20 weeks gestation. Venous blood samples collected and analyzed for the anti-TPO Ab levels. On the basis of Ab positivity they were divided into anti-TPO Ab positive and Ab negative group. These two groups were followed up till delivery and compared fetal outcomes for birth weight.
Result: Prevalence of anti-TPO Ab positivity was 5.2% in euthyroid obstetric women. Most of anti-TPO Ab positive women were overweight. Incidence of low birth weight babies was 4 fold higher in anti-TPO Ab positive women.
Conclusion: Anti-TPO Ab positivity significantly associated with prepregnancy BMI and low birth weight of newborns.
Keywords: Thyroid peroxidase antibodies, Anti-TPO Ab, Euthyroid, Low birth weight.
A PROSPECTIVE STUDY OF COMPLICATIONS IN BIPOLAR HEMIARTHROPLASTY USING MODIFIED HARDINGE APPROACH IN THE MANAGEMENT OF FEMORAL NECK FRACTURES
Authors: Naveen Mukka , Reddy N. Srinivas 
Published: July 2020

Introduction: Fracture of femoral neck is on the rise in the recent years owing to the increase in the geriatric population, severe osteoporosis and increased brittleness of the bone with advancing age. Total hip replacement was mostly used in the initial days but owing to higher chances of dislocations, it is less preferred. Bipolar hemiarthroplasty has become one of the main methods of treatment. A variety of surgical approaches have been used. Posterior approach is the most preferred approach currently, followed by Hardinge approach. Complications like dislocation, infection and abductor lurch are still common with current approaches. This study was undertaken to show the functional outcomes of a Modified Hardinge approach which seems to have optimal results out of all the approaches.
Aim: To evaluate the functional outcomes and complications of modified hardinge approach.
Materials and Methods: A total of 20 patients with fracture neck of femur were taken into the study and treated with Bipolar Hemiarthroplasty using modified Hardinge approach between June 2018 and October 2019. Each patient was put through the same preoperative and postoperative protocols. They was screened for comorbidities and were taken up for surgery. Complications after this approach were evaluated post operatively for a period of 6 months.
Results: The mean hip score was 80. Complications like posterior hip dislocation and infection were nil. Abductor lurch was not noted in any of the patients. One patient had infection out of 20 which was managed accordingly.
Conclusion: Bipolar hemiarthroplasty through modified Hardinge approach can be used in the management of femoral neck fractures with lowest complication rate. Complications like posterior dislocation and abductor lurch were nil in the study. The only downside of the procedure being a longer learning curve makes it a less used approach compared to others.
Keywords: Hemiarthroplasty, modified Hardinge approach, femoral neck fracture
Hubungan Pemberian Asi Eksklusif dan Kelengkapan Imunisasi dengan Kejadian ISPA pada Anak Usia 12-24 Bulan
Authors: Wahyuni Fitri , Mariati Ulvi , Zuriati Titi Septia 
Published: July 2020

Berdasarkan data Riskesdas tahun 2018 kejadian ISPA di Indonesia sebesar 4.4% dan diketahui kejadian di provinsi Sumatera Barat mencapai 4.1%. Penyakit ISPA di Puskesmas Lubuk Buaya Padang menjadi penyakit urutan pertama dari 10 penyakit terbanyak pada anak. Tujuan penelitian ini adalah untuk mengetahui adanya hubungan pemberian ASI eksklusif dan kelengkapan imunisasi dengan kejadian ISPA pada anak usia 12-24 bulan. Jenis penelitian Analitik dengan rancangan Case Control dilakukan diwilayah kerja Puskesmas Lubuk Buaya dimulai tanggal 10 sampai 24 Mei 2019. Sampel diambil dengan teknik simple random sampling pada kelompok kasus dan dengan metode pencocokan (matching) pada kelompok control dengan perbandingan 1 : 1, total responden pada penelitian ini adalah 78 orang. Instrumen yang digunakan adalah kuesioner dan lembar observasi. Hasil penelitian menunjukan terdapat hubungan pemberian ASI eksklusif dengan kejadian ISPA pada anak usia 12-24 bulan, (ρ value= 0.007 dan OR = 4.018) dan ada hubungan kelengkapan imunisasi dengan kejadian ISPA pada anak usia 12-24 bulan, didapatkan nilai (ρ value = 0.002 dan OR = 5.091). Kesimpulan dari hasil penelitian didapatkan adanya hubungan antara pemberian ASI eksklusif dan kelengkapan imunisasi dengan kejadian ISPA pada anak usia 12-24 bulan diwilayah kerja Puskesmas Lubuk Buaya Padang Tahun 2019.5Based on 2018 Riskesdas data, the incidence of ARI (Acute Respiratory Infection) in Indonesia is 4.4%. The incidence of ARI in West Sumatra province reached 4.1%. ARI at the Lubuk Buaya Health Center in Padang is the first of 10 diseases in children. Analytical research with Case Control design was conducted in the working area of the Lubuk Buaya Health Center from 10 to 24 May 2019. Samples were taken by simple random sampling technique in case groups and by matching methods in control groups with a ratio of 1: 1, a total of 78 respondents. The instruments used were questionnaires and observation sheets. The results showed that 52.56% of children who did not receive exclusive breastfeeding did not receive complete immunizations. Bivariate analysis shows there is a relationship between exclusive breastfeeding and the incidence of ARI in children aged 12-24 months, (values ρ = 0.007 and OR = 4.018). There is a correlation between the completeness of immunization with the incidence of ARI in children aged 12-24 months, obtained values (values ρ = 0.002 and OR = 5.091). The conclusion from the results of this study found a relationship between exclusive breastfeeding and completeness of immunization with the incidence of ARI in children aged 12-24 months in the working area of Lubuk Buaya Health Center in 2019.
Composição mineral das folhas de pessegueiro sob a influência da adubação nitrogenada de crescimento
Authors: Ferreira Letícia Vanni , Picolotto Luciano , Schmitz Juliano Dutra , Pereira Ivan Dos Santos , Antunes Luis Eduardo Corrêa 
Published: July 2020

Teores de nutrientes foliares indicam o estado nutricional da planta e auxiliam na recomendação de adubação. Além disso, plantas bem nutridas apresentam um adequado desenvolvimento vegetativo, o que resulta em boa produtividade de frutos. Objetivou-se, com o presente trabalho, avaliar a composição foliar de macro e micronutrientes de pessegueiros em crescimento, cultivados em alta densidade de plantio, submetidos a distintas doses de nitrogênio. O trabalho foi conduzido na área experimental da Embrapa Clima Temperado, entre 2012 e 2015. O delineamento experimental foi o de blocos casualizados em parcelas subdivididas segundo fatorial 2 x 4: duas seleções (‘Cascata 1067’ e ‘Cascata 1513’) e quatro doses de N baseadas em valores da comissão de química e fertilidade do solo (0, 30, 60 e 120 kg N ha-1), conduzidas em quatro repetições, constituídas por quatro plantas. Foi avaliada a concentração foliar de macro e micronutrientes nos anos de 2012, 2013 e 2014. A aplicação de N em pomares adensados aumenta o teor do nutriente nas folhas. Os níveis de nitrogênio influenciam o estado nutricional das plantas cultivadas em alta densidade. A adubação nitrogenada até 120 kg ha-1 é insuficiente para manter os teores foliares de N em níveis considerados normais no terceiro ano após o plantio.
Hematology and oncology clinical care during the coronavirus disease 2019 pandemic
Authors: Shah Manish A. , Emlen M. Frances , Shore Tsiporah , Mayer Sebastian , Leonard John P. , Rossi Adriana , Martin Peter , Ritchie Ellen , Niesvizky Ruben , Pastore Raymond , Cigler Tessa , De Sancho Maria , Scheff Ronald , Van Besien Koen , Roboz Gail , Nanus David , Goldstein Paula , Scrimenti Lara , Hidalgo Manuel 
Published: July 2020

AbstractNew York City has been at the epicenter of the coronavirus disease 2019 (COVID‐19) pandemic that has already infected over a million people and resulted in more than 70,000 deaths as of early May 2020 in the United States alone. This rapid and enormous influx of patients into the health care system has had profound effects on all aspects of health care, including the care of patients with cancer. In this report, the authors highlight the transformation they underwent within the Division of Hematology and Medical Oncology as they prepared for the COVID‐19 crisis in New York City. Under stressful and uncertain conditions, some of the many changes they enacted within their division included developing a regular line of communication among division leaders to ensure the development and implementation of a restructuring strategy, completely reconfiguring the inpatient and outpatient units, rapidly developing the ability to perform telemedicine video visits, and creating new COVID–rule‐out and COVID‐positive clinics for their patients. These changes allowed them to manage the storm while minimizing the disruption of important continuity of care to their patients with cancer. The authors hope that their experiences will be helpful to other oncology practices about to experience their own individual COVID‐19 crises.