bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cutaneous adverse effects of chemotherapy in cancer patients: A clinico epidemiological study
Authors: Das Kuldip , Padhi Tanmay , Panigrahi Deepak , Dash Ranjan 
Published: July 2023

With chemotherapy being the major modality of treatment, cutaneous and systemic side effects have been a concern for not only the patients, but also the treating clinicians. Because chemotherapy target not only the cancer cells, but also the other rapidly proliferating cells, skin and skin appendages like hair and nails are most commonly affected.: To study the cutaneous adverse events associated with the commonly used cancer chemotherapy drugs.: 120 patients of clinically diagnosed cancer who underwent chemotherapy and satisfied the inclusion and exclusion criteria were included in this observational study. Photographic images of skin, hair and nails were taken before and after every cycle of chemotherapy were collected. Data were analysed using SPSS version 16.0.: 120 patients including 72 females and 48 males were included in this study with majority (56%) belonging to age group of 55-70 years. The common indications for chemotherapy were carcinoma breast (34%), carcinoma oropharynx (22%) and carcinoma stomach (12%).Hair changes were the most common presentation, reported in 38 patients, skin changes in 35 cases, nail changes in 15 cases. Xerosis (46%) and hyperpigmentation (22%) were the most commonly observed adverse event affecting skin.: Since all cancer chemotherapy agents are not target based, adverse effects of skin and appendages become inevitable. However, early detection of such adverse effects can help them managed effectively and thereby reducing the morbidity and increasing the quality of life of cancer patients.
Study of altered blood glucose levels in term neonate with sepsis
Authors: Murmu Mangal Charan , Barik Subhakankshi , Pradhan Madhusmita , Champatiray Jyotiranjan 
Published: July 2023

Neonatal hypoglycemia is common metabolic disorder. Hyperglycemia can also occur in other conditions like exogenous parenteral glucose administration, preterm, ELBW babies, stressed premature infants (requiring mechanical ventilation), hypoxia or neonatal diabetes mellitus. The major clinical problems associated with hyperglycemia are hyper osmolality and osmotic dieresis leading to alteration in cerebral auto regulation. Aim & objective: To study the effect of hyperglycemia in term neonate with sepsis and compare it with hypoglycemia. It is a hospital based prospective observational study .The study was carried out in the special care neonatal unit and pediatric indoor of Department of Pediatrics, SCB Medical College, Cuttack and SVP Postgraduate Institute of Pediatrics, Cuttack during the period from September 2018 to August 2020. The number of cases of neonatal sepsis with normoglycemia hypoglycemia and hyperglycemia were, 90(44%), 67(32%), 52(24%) cases respectively. The total number of cases with proven sepsis (n=47) hyperglycemia accounts for 40.4%of cases followed by hypoglycemia 18 cases (38.3%) and normoglycemia seen in 10 cases (21.2%). Both hypoglycemia and hyperglycemia were associated with increased mortality rates at all thresholds but hyperglycemia was independently associated with increased odds of death in patients with neonatal sepsis compared to hypoglycemia.
Turbinates involvment in rhino orbital cerebral mucormycosis in covid positive cases - A study on 100 cases
Authors: Ambika Perla , Rathod J B S 
Published: July 2023

Mucormycosis also called as zygomycosis previously refers to several different diseases caused by infection with fungi belonging to the order Mucorales. Rizopus species are the most common causative organism. The infections are life threatening. Risk factors such as Diabetic Ketoacidosis and Neutropenia are present in most cases. During the pandemic period of COVID-19 2 wave rhino orbital mucormycosis was commonly effected with probable reasons are due to over dosage of steroid usage and o2 therapy, Uncontroled diabetes etc. To know the percentage of involvement of turbinates (MT,IT)in Rhino orbito cerebral mucormycosis cases in covid positive patients by doing endoscopic sinus surgery. A total of 100 covid positive patients with ROMM were selected and taken for radiological evaluation and selected for ESS during intraoperatively turbinates involvement with mucor (eschar/pus/crusting) was noted diagnosis of ROMM was based on CECT findings and symptoms in covid positive cases. Patients who are attending to Gandhi hospital during the pandemic of 2 wave of covid 19 were selected in study. Common age group with ROMM are 36to 55 years, with male predominance, commonest symptoms are unilateral facial pain & swelling, nasal crusting and dental complaints, commonest sinus to be involved is maxillary sinus, comorbid condition is Diabetes mellitus and moderate percentage of involvement of turbinates(common is middle turbinate) were noted. On microbiological and pathological examination of specimen showed positive KOH mount and mucorales order fungi are common followed by rizopus species. Main conclusions in this study are turbinates involvement with mucor in covid positive cases (eschar/necrosis/pus discharge) is more common in 43 patients (43%), most common mucor pathology seen in maxillary sinus in 58 patients(58%),followed by ethmoid sinus and sphenoid and orbit, teeth.
Psychological impact of COVID-19 Pandemic: An internet based survey
Authors: Yadav Kuldeep Singh , Jain Akhilesh , Jain Naman , Goyal Manish Kumar , Yadav Neelam , Kumar Pradhyumn 
Published: July 2023

: COVID-19 Pandemic has caused tremendous turmoil across the world. Disease and measures to control it can cause fear and stress in many individuals, which in turn may lead to various mental health issues. This study was planned to find out various psychological issues in general public during lockdown period. : This was an online internet based survey using a self-designed questionnaire, including socio-demographic profile, clinical profile, and questions about various psychological symptoms. : Repeated thoughts about corona were significantly higher in person with current psychiatric conditions. Sadness was reported significantly higher in non-medical person than the health care workers. Sadness was reported more by female participants and person with current psychiatric illness. Similarly person with current psychiatric illness reported more disturbed sleep, excess worries, and dysfunctions in life. : Major concern about future along with higher reporting of symptom profile suggestive of depression, anxiety, obsessive compulsive disorder, substance craving, and health related anxiety signifies that during Covid-19 period, people are at higher risk of developing mental health issues.
Knowledge, attitude, implementation and satisfaction levels regarding availability of resources for airborne infection control among the nursing staff of a medical college in central India during the COVID-19 pandemic
Authors: Patel Vikas , Bhargava JK , Prakash Brahma , Patel Amrutha , Krishna Heyma , Mishra Satendra 
Published: July 2023

Implementing airborne infection control measures as per guidelines are very important in preventing the spread of airborne infections. Therefore the purpose of this study was to evaluate the gaps in knowledge, attitude, implementation and satisfaction levels regarding the availability of resources for airborne infection control among the nursing staff of a medical college in central India during the COVID-19 pandemic. A cross-sectional survey was done in which 109 nurses participated. This self-administrable questionnaire contained five parts (General information, knowledge, attitude, implementation and satisfaction regarding available resources) and was distributed to the participants. The correct responses as per the National airborne infection control guideline, Ministry of Health and family Welfare, Government of India, 2010 (NAIC) were scored and assessed. The mean age of the participants was 28.9 + 3.02 years. The mean scores out of total score of 10 were 5.48 + 1.2 for knowledge, 6.78 +1.0 for attitude, 5.21 + 1.1 for implementation, and 4.28 + 0.9 for satisfaction of available resources. The knowledge was adequate in 46.8%, the attitude was positive in 89.9 %, the guideline implementation was adequate in 45.9% and the resource satisfaction was only in 9.2% of study participants. Although the nurses had a positive attitude to airborne infection control practices, the overall knowledge and implementation of NAIC were barely adequate and the majority of subjects felt gaps in the availability of resources in implementations of these guidelines. Therefore, it is recommended to enforce their training, ensuring better availability of resources and strict monitoring from hospital administrations for better implementation of NAIC.
Impact of duraplasty on clinical outcome in surgical management of chiari malformation type I
Authors: Kalyan S Sai , Sunkara Raveesh , Naidu Chandrasekhar , Reddy Naresh , Rao K Mohan , Patil Rohan Prithviraj 
Published: July 2023

: In Chiari malformation type I (CIM), the cerebellar tonsils and the medial parts of the inferior cerebellar lobules are displaced downward through the foramen magnum into the upper cervical spinal canal. The primary surgical treatment for the Chiari I malformation is foramen magnum decompression. This study was undertaken to assess the clinical outcome in terms of clinical symptoms improvement in patients with Chiari malformation type I treated with foramen magnum decompression with duraplasty vs. primary repair of dura.: A total of 32, 24 patients retrospectively and 8 cases prospectively were studied after being diagnosed and operated on for Chiari malformation type I. Patients with Chiari types II, III, and IV were not allowed to participate. Before and one year after surgery, a questionnaire was utilized to measure improvements in neck pain and impairment caused by it, head aches and disability caused by it, and overall health. The findings of both groups' questionnaires were analysed and compared.: The third decade (34.38%) was the most prevalent age group for presentations, followed by the fourth decade (31.25 %). The ratio of males to females was 1.2:1. Sensory disturbances were the most frequent presenting symptom, found in 25 patients (78.13%), and followed by neck discomfort in 14 patients (43.75%). Leg weakness was the most frequent symptom, which was reported in 20 patients (62.50%). The foramen magnum decompression and duraplasty was done in 18 patients, whereas the foramen magnum decompression and primary repair was done in 14 patients. In the duraplasty group, there were greater problems. The Duraplasty group had an overall clinical improvement rate of 88.89%, while the non duraplasty group had a lower overall clinical improvement rate of 50%. Specific complaints such as neck discomfort improved at a comparable rate (88.89%) in the duraplasty group compared to the non-duraplasty group (80%).: Although foramen magnum decompression with duraplasty is preferable to foramen magnum decompression with primary repair, duraplasty is associated with a slightly greater risk of complication. Selected patients benefit from foramen magnum decompression alone, but further prospective randomized control studies are needed to learn more.
Histopathological spectrum of ovarian tumors – A prospective study at a tertiary care centre in Srikakulam
Authors: Hanumanthu Lakshmi Vasavi , Rupa K Santhoshi , Jagadeeswari S , Rajani K 
Published: July 2023

Ovarian tumours (OTs) can occur in all age groups, account for 20% of benign and 6% of malignant cases. Increasing age, nulliparity, lower fertility and so on are the risk factors of OTs. With this a study was conducted to categorize OTs based on histopathology, to analyse with respect to the age and classify according to WHO guidelines.This was a prospective, cross-sectional study conducted in the department of Pathology, government Medical College, RIMS, Srikakulam. Study was conducted from July 2019 to December 2020. Study protocol was approved by the institutional ethics committee. Women, aged &#62;18yrs, suspected to be OTs, were included in the study. Specimen in the form of partial or total abdominal hysterectomy were considered. The macroscopic features were recorded in the study proforma, fixed in 10% formalin. Biopsy were taken from multiple as well as relevant areas, thoroughly processed stained with haematoxylin and eosin, examined under the light microscope. Out of 62tumors, 90% were benign tumors (BET) followed by malignant tumors (MLT) and borderline tumors (BLT). Majority were BETs, in 31 – 40 years group. Out of 5 MLTs, maximum (3) were detected in 41 – 50 years. Majority (3) of MLTs were surface epithelial tumours.Thorough study of gross and microscopic features not only help in the proper categorization but also provide a route for treatment plan as the therapeutic approach varies with the subtype of OT. The immunohistochemistry analysis may be an aid if any ambiguity in the diagnosis.
Study of knowledge, attitude and practice of mothers of children under 5 years on immunisation status attending a tertiary care hospital: A cross sectional study
Authors: Singh Muktikanta , Mallick Bijay Laxmi , Pati Siddharth Shankar , Murmu Mangal Charan , Soren Narendra Nath 
Published: July 2023

Childhood Immunization almost guarantees protection from many major diseases. Immunization is regarded as one of the most successful and cost effective public health interventions which averts about 3 million deaths annually and has the potential, if coverage improves, of saving the lives of an additional 1.5 million children annually. To study the knowledge, attitude and practice among the mothers (studied up to class 10th) of children under 5 years regarding immunization status attending a tertiary care hospital during study period. The study was conducted in the department of pediatrics, SCB Medical College, Cuttack from September 2019 to October 2021. It is a cross sectional study. 94.9% mothers had received information from health personnel, 0.9% from family and friends, 1.2% from media or literature and 3.1% from previous births. There is a significant correlation between education and caste and religion with immunization status. 85% of mothers who had studied high school had completely immunized their children, emphasizing the importance of education in immunization. Educated mothers and those who delivered in the hospital have better knowledge, attitude and practice towards immunization. Regular orientation programmes on immunization for women may be arranged by health providers to educate women and share their information to appropriate levels of knowledge of each mother’s understanding to compensate communication gap.
A study of histopathological features of upper gastrointestinal tract endoscopic biopsies in a tertiary care centre
Authors: Naik Preeta , Das Manasa 
Published: July 2023

Upper gastrointestinal tract (UGIT) comprises of esophagus, stomach and duodenum till the second part. Diseases affecting this region include inflammatory lesions, dysplasias, benign neoplasms and malignancies. Endoscopic biopsy and histopathological examination is considered as gold standard for gastrointestinal disorders. Endoscopic biopsy aids in early diagnosis of malignancy and better patient management. Present study was conducted with an aim of studying various histopathological features of endoscopic biopsies obtained from the UGIT.This study was a retrospective study of all UGIT endoscopic biopsies that were received from January 2015 to April 2020. Archived hematoxylin and eosin stained slides were retrieved and reviewed for various morphological abnormalities.During the study period 70 endoscopic biopsies from the UGIT were received. The incidence of malignancy was 74% and non-neoplastic lesions amounted to 26% of the biopsies. Biopsies from the esophagus (63%) constituted the major portion, followed by stomach (34%) and duodenum (3%).In our study incidence of malignancy outnumbered the non-neoplastic conditions. Esophagus was the most commonly biopsied site and squamous cell carcinoma of middle part of the esophagus was the most common malignancy. Inflammatory conditions constituted major part of the non-neoplastic lesions.
Efficacy of prophylactic intravenous dexamethasone on postoperative laryngotracheal symptoms after orotracheal extubation: A randomized study
Authors: S Smitha 
Published: July 2023

Postoperative sore throat (POST) is not an uncommon complaint and has been described as one of the most undesirable outcomes during the postoperative period after orotracheal extubation, because it adversely affects the patient satisfaction and activities after discharge from hospital. Cough and hoarseness are other problems that follow intubation. The objective of this study was to determine the efficacy of prophylactic intravenous dexamethasone in reducing post postoperative sore throat, cough and hoarseness of voice in patients operated under general anaesthesia with orotracheal intubation.After obtaining approval from hospital ethical committee and informed consent from the patients. The patients were divided in to two groups of 40 each. Group C- patients who received a placebo (normal saline) Group D- patients who received a treatment drug (dexamethasone). Assessment of patients for post-operative sore throat, cough, and hoarseness of voice at 1, 6 and, 24 hours after surgery will be carried out by the investigator and anaesthesiologist in charge of the post anaesthesia care unit, who is blinded to the group allocation, using the questionnaire.There was significant reduction in scores of postoperative sore throat and cough in 1postoperative hour (p&#60;0.005) than in 6 and 24 hours in comparison with placebo group (group C). from the present study, it can be concluded that prophylactic iv dexamethasone administration significantly reduces postoperative sore throat, cough when compared to control groups.
Of Dog and Dice: Affective-Messy Posthuman Narratives Through Creative Pedagogies and Corresponding in the Classroom
Authors: Carlyle Donna , Robson Ian 
Published: July 2023

Drawing on our work with children in education and with adults in Health and Social Care contexts, this paper presents two vignettes that demonstrate how the authors became “messy” researchers. This “messy” framework offered them the opportunity to view and understand the nuanced mechanisms of teacherly relationships as shared spaces and places of mutual discovery, well-being, and flourishing. In a time when COVID-19 presents challenges to classrooms in terms of touch and social distance measures, re-claiming the body as discourse has never been more relevant to learning and educational settings.
Competences Emotionneles et Style de Leadership Transformationnel chez des Femmes Cadres a Abidjan
Authors: Tidjane Kamagaté Ibrahiman , N’Guessan Assandé Gilbert , Kanga Kouakou Bruno 
Published: July 2023

L’objectif de la présente étude est d’examiner la relation entre les compétences émotionnelles et le style de leadership transformationnel chez des femmes cadres à Abidjan. L’échantillon est composé de 70 femmes cadres exerçant dans divers domaines d’activité dans la ville d’Abidjan. Les niveaux de compétences émotionnelles des sujets ont été mesurés à l’aide du Profil de compétence émotionnelle (PEC) (Mikolajczak & al 2013). Le style de leadership transformationnel a été déterminé par le Multifactor Leadership Questionary (MLQ) Formule 6S (Bass et Avolio, 1990). Les résultats indiquent que la fréquence de femmes cadres qui présentent un niveau élevé en compétences émotionnelles et qui adoptent le leadership transformationnel est supérieure à celle de leurs pairs qui ont un niveau faible en compétences émotionnelles qui adoptent le leadership transformationnel. Ces résultats suggèrent aux managers et dirigeants d’entreprises de promouvoir les compétences émotionnelles au travail pour maintenir des relations professionnelles plus saines et accroître la performance de leurs salariés.

The objective of this study is to examine the relationship between emotional skills and transformational leadership style among female executives in Abidjan. The sample is composed of 70 female executives working in various fields of activity in the city of Abidjan. The subjects' emotional competence levels were measured using the Emotional Competence Profile (PEC) (Mikolajczak & al 2013). The transformational leadership style was determined by the Multifactor Leadership Questionary (MLQ) Formula 6S (Bass and Avolio, 1990). The results indicate that the frequency of women executives who have a high level of emotional competence and who adopt transformational leadership is higher than that of their peers who have a low level of emotional competence who adopt transformational leadership. These results suggest that managers and business leaders promote emotional skills at work to maintain healthier professional relationships and increase the performance of their employees.
Enjeux Socioéconomiques de l’Intégration aux Communautés Protestantes Evangéliques en Côte d’Ivoire : Cas de Vases d’Honneur « Centre Kodesh de Cocody »
Authors: Michèle-Ange Dago 
Published: July 2023

L’objectif de ce travail est d’examiner les enjeux socioéconomiques de l’intégration des populations à la communauté vases d’honneur. Cette étude a privilégié la démarche qualitative en se basant sur la recherche documentaire et l'observation participante menée dans le centre où officie le pasteur principal de la communauté. Les résultats montrent que l’église promeut des idéologies plaçant l’être humain à l’origine de sa vulnérabilité socioéconomique. Pour lutter contre celle-ci, cette communauté enseigne des idéologies et s’est dotée d’une organisation qui accompagne les croyants. Sous ce rapport, elle se présente comme un outil de cohésion sociale et de résilience socioéconomique. L’étude met à la disposition des décideurs et du corps social, des indicateurs de suivi et de contrôle du secteur, dans un contexte de multiplication des communautés religieuses, sujettes à controverses.

The objective of this work is to examine the socio-economic social issues of the integration of populations into the community vessels of honor. This study favoured the qualitative approach based on literature research and participant observation conducted in the main centre where the community's senior pastor officiates. The results show that the church promotes ideologies that place the human being at the root of his socio-economic vulnerability. To fight against it, this community teaches ideologies and has an organization that accompanies believers.. In this respect, it presents itself as a tool for social cohesion and socio-economic resilience. The study provides decision-makers and the social body with indicators for monitoring and control of the sector, in a context of multiplication of religious communities, subject to controversy.