Manika Sharma, Bhawna Chawla, Kanav Gupta, Brij K Gupta
Purpose To Check the importance of Intraocular Pressure Asymmetry In Rural-Based Hospitals In North India. Methods A prospective study was conducted on all the patients above the age of 40 years who attended ophthalmology OPD of NC Medical College and Hospital, Israna. The study was conducted for a period of 6 months from December 2022 to May 2023. A total of 200 patients were taken for the study. The purpose of this study was to investigate the importance of IOP asymmetry in patients visiting hospitals in north India. Intraocular pressures were measured by Non-contact tonometry (NCT) for both eyes in each case two times. The ones with IOP asymmetry of more than 3mmHg is measured again with Goldmann applanation tonometry (GAT). The amount of absolute IOP asymmetry between the 2 eyes was calculated by subtracting the lower IOP from the higher IOP, which were hence compared to see the percentage difference of IOP asymmetry present in glaucomatous and non-glaucomatous patients. Glaucoma was diagnosed if the intraocular pressure asymmetry difference was > 5 mm hg with signicant glaucomatous optic disk and eld changes. Results A difference of >3mmHg is associated with 19% probability of having glaucoma and a difference of >5mmHg with 50% probability of having glaucoma. Conclusions Inter-eye Intraocular pressure (IOP) asymmetry is a regular nding in glaucoma patients. There is a direct relationship between the amount of IOP asymmetry between fellow eyes and the probability of having glaucoma.
{"title":"DIAGNOSTIC VALUE OF INTRAOCULAR PRESSURE ASYMMETRY IN RURAL BASED HOSPITAL OF NORTH INDIA","authors":"Manika Sharma, Bhawna Chawla, Kanav Gupta, Brij K Gupta","doi":"10.36106/gjra/5401305","DOIUrl":"https://doi.org/10.36106/gjra/5401305","url":null,"abstract":"Purpose To Check the importance of Intraocular Pressure Asymmetry In Rural-Based Hospitals In North\u0000India. Methods A prospective study was conducted on all the patients above the age of 40 years who\u0000attended ophthalmology OPD of NC Medical College and Hospital, Israna. The study was conducted for a period of 6 months\u0000from December 2022 to May 2023. A total of 200 patients were taken for the study. The purpose of this study was to investigate the\u0000importance of IOP asymmetry in patients visiting hospitals in north India. Intraocular pressures were measured by Non-contact\u0000tonometry (NCT) for both eyes in each case two times. The ones with IOP asymmetry of more than 3mmHg is measured again\u0000with Goldmann applanation tonometry (GAT). The amount of absolute IOP asymmetry between the 2 eyes was calculated by\u0000subtracting the lower IOP from the higher IOP, which were hence compared to see the percentage difference of IOP asymmetry\u0000present in glaucomatous and non-glaucomatous patients. Glaucoma was diagnosed if the intraocular pressure asymmetry\u0000difference was > 5 mm hg with signicant glaucomatous optic disk and eld changes. Results A difference of >3mmHg is\u0000associated with 19% probability of having glaucoma and a difference of >5mmHg with 50% probability of having glaucoma.\u0000Conclusions Inter-eye Intraocular pressure (IOP) asymmetry is a regular nding in glaucoma patients. There is a direct\u0000relationship between the amount of IOP asymmetry between fellow eyes and the probability of having glaucoma.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An insurgency is a violent, armed rebellion against government. In Assam various sub-national groups like ULFA, NDFB, DHD etc. seem to have been involved and involved for fullment of demands for safeguarding their identity, rights over land and resources. It has often been manifested as ethnic terrorism; sometimes, deliberate violence to advance their cause; sometimes, seen as proto-guerrilla terror acts directed against symbolic targets, designed largely to foster self identity as well as development. Whereas, stability for a country where there belongs to different communities, castes, religions, all recognize the fact of unity and integrity for much needed peace and security for development. Insurgency and stability are the two relative terms, though one challenges the other. The insurgency phenomenon has been hampering the process for a long period of time in Assam. The question for its emergence seems to have been the most enigmatic, most destructive; arguably second to none in terms of brutality, savagery, wanton callousness, scope of operation and in terms of challenges it paused to stability and integrity. The conict dynamics ranges from autonomy to secession and from sponsored terrorism to ethnic violence; mostly generated due to continuous ow of illegal migrants across the borders. The failure of the government in safeguarding the interest of indigenous people by deporting illegal migrants brought obviously insurgency vis-a-vis the question of stability in the state. This paper tries to understand the root causes of insurgency problem in Assam and the concomitant stability problem for bringing permanent solution it created which hampers the socio-economic development in the light of focusing much needed harmony, peace and security in the state.
{"title":"INSURGENCY AND THE QUESTION OF STABILITY IN ASSAM","authors":"Lakhinanda Bordoloi","doi":"10.36106/gjra/4103050","DOIUrl":"https://doi.org/10.36106/gjra/4103050","url":null,"abstract":"An insurgency is a violent, armed rebellion against government. In Assam various sub-national groups\u0000like ULFA, NDFB, DHD etc. seem to have been involved and involved for fullment of demands for\u0000safeguarding their identity, rights over land and resources. It has often been manifested as ethnic terrorism; sometimes,\u0000deliberate violence to advance their cause; sometimes, seen as proto-guerrilla terror acts directed against symbolic targets,\u0000designed largely to foster self identity as well as development. Whereas, stability for a country where there belongs to different\u0000communities, castes, religions, all recognize the fact of unity and integrity for much needed peace and security for\u0000development. Insurgency and stability are the two relative terms, though one challenges the other. The insurgency\u0000phenomenon has been hampering the process for a long period of time in Assam. The question for its emergence seems to have\u0000been the most enigmatic, most destructive; arguably second to none in terms of brutality, savagery, wanton callousness, scope\u0000of operation and in terms of challenges it paused to stability and integrity. The conict dynamics ranges from autonomy to\u0000secession and from sponsored terrorism to ethnic violence; mostly generated due to continuous ow of illegal migrants across\u0000the borders. The failure of the government in safeguarding the interest of indigenous people by deporting illegal migrants\u0000brought obviously insurgency vis-a-vis the question of stability in the state. This paper tries to understand the root causes of\u0000insurgency problem in Assam and the concomitant stability problem for bringing permanent solution it created which hampers\u0000the socio-economic development in the light of focusing much needed harmony, peace and security in the state.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ameloblastoma is a benign but locally aggressive odontogenic tumor accounting for 9-11% of all odontogenic tumors. It is the most common odontogenic neoplasm in India Here we report a rare case of ameloblastoma in a 37 years old male patient presenting with multiple histologic patterns along with a brief review of literature.
{"title":"AMELOBLASTOMA WITH MULTIVARIANT HISTOLOGIC PATTERNS- A RARE CASE REPORT HIGHLIGHTING REVIEW OF LITERATURE","authors":"D. G, Sudha S, Resmi G Nair, Anu Andrews","doi":"10.36106/gjra/4105735","DOIUrl":"https://doi.org/10.36106/gjra/4105735","url":null,"abstract":"Ameloblastoma is a benign but locally aggressive odontogenic tumor accounting for 9-11% of all\u0000odontogenic tumors. It is the most common odontogenic neoplasm in India Here we report a rare case of\u0000ameloblastoma in a 37 years old male patient presenting with multiple histologic patterns along with a brief review of literature.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The case study is presented of a 32 year old man that presented with intermittent pus discharge from a recurrent boil in his peri-anal region that was diagnosed as stula-in-ano. The case was well managed with Apamarga Kshar Sutra and Ayurvedic medications. The patient recovered very well within 4 weeks. Ayurveda treatment modalities possess promising result in the cases of Bhagandara (stula-in-ano). The use of Kshar Sutra in treating stula-in-ano is characterized by its simplicity, low complication rates and cost effectiveness. Therefore, Kshar Sutra is proved to be a highly efcacious, minimally invasive surgical approach for managing stula-in-ano.
{"title":"KSHAR SUTRA MANAGEMENT AS AN UNRIVALED SOLUTION OF FISTULA-INANO: A CASE STUDY","authors":"Ekta Ekta","doi":"10.36106/gjra/2307265","DOIUrl":"https://doi.org/10.36106/gjra/2307265","url":null,"abstract":"The case study is presented of a 32 year old man that presented with intermittent pus discharge from a\u0000recurrent boil in his peri-anal region that was diagnosed as stula-in-ano. The case was well managed\u0000with Apamarga Kshar Sutra and Ayurvedic medications. The patient recovered very well within 4 weeks. Ayurveda treatment\u0000modalities possess promising result in the cases of Bhagandara (stula-in-ano). The use of Kshar Sutra in treating stula-in-ano\u0000is characterized by its simplicity, low complication rates and cost effectiveness. Therefore, Kshar Sutra is proved to be a highly\u0000efcacious, minimally invasive surgical approach for managing stula-in-ano.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lower urinary tract symptoms (LUTS) are common and severe in men, causing them to avoid social situations and struggle with home and work activities. A prospective study investigated the use of the Synthesis repertory in managing cases of male LUTS in older adults. 30 cases of LUTS were selected, and medicines were prescribed based on symptoms. Out of 30 cases, 19 showed good improvement, 6 showed moderate improvement, and 5 failed to improve. The study concluded that Synthesis Repertory has a role in managing cases of male LUTS in older adults, as evidenced by clinical trials and observations from homoeopathic similimum outcomes.
{"title":"STUDYING THE ROLE OF SYNTHESIS REPERTORY IN THE MANAGEMENT OF MALE LOWER URINARY TRACT SYMPTOMS IN OLDER ADULTS.","authors":"Rashmi Rajendra More","doi":"10.36106/gjra/4005561","DOIUrl":"https://doi.org/10.36106/gjra/4005561","url":null,"abstract":"Lower urinary tract symptoms (LUTS) are common and severe in men, causing them to avoid social\u0000situations and struggle with home and work activities. A prospective study investigated the use of the\u0000Synthesis repertory in managing cases of male LUTS in older adults. 30 cases of LUTS were selected, and medicines were\u0000prescribed based on symptoms. Out of 30 cases, 19 showed good improvement, 6 showed moderate improvement, and 5 failed to\u0000improve. The study concluded that Synthesis Repertory has a role in managing cases of male LUTS in older adults, as evidenced\u0000by clinical trials and observations from homoeopathic similimum outcomes.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vinay. M, Sumanth Gowda R, Mallikarjunappa B, Akshay Gupta, Rakshitha C, Darshan H S
In today's obstetrics, the ultrasound is one of the most often utilized diagnostic tools for identifying fetal developmental abnormalities. However, it is crucial to understand which defects may be diagnosed with great certainty during pregnancy and which ones can only be discovered partially or not at all before giving birth. Our study aims to evaluate the role of ultrasound in detecting congenital fetal anomalies and to nd out the most common system involved / most common fetal anomaly encountered in our institution. Prenatal diagnostics also requires a great deal of medical professional responsibility because the effects of an unintentionally incorrect diagnosis can have a negative impact on both the fetus and the family.
{"title":"A WALK THROUGH THE FETUS: A PICTORIAL REVIEW OF CONGENITAL ANOMALIES BY ULTRASONOGRAPHY","authors":"Vinay. M, Sumanth Gowda R, Mallikarjunappa B, Akshay Gupta, Rakshitha C, Darshan H S","doi":"10.36106/gjra/4006353","DOIUrl":"https://doi.org/10.36106/gjra/4006353","url":null,"abstract":"In today's obstetrics, the ultrasound is one of the most often utilized diagnostic tools for identifying fetal\u0000developmental abnormalities. However, it is crucial to understand which defects may be diagnosed with\u0000great certainty during pregnancy and which ones can only be discovered partially or not at all before giving birth. Our study aims\u0000to evaluate the role of ultrasound in detecting congenital fetal anomalies and to nd out the most common system involved / most\u0000common fetal anomaly encountered in our institution. Prenatal diagnostics also requires a great deal of medical professional\u0000responsibility because the effects of an unintentionally incorrect diagnosis can have a negative impact on both the fetus and the\u0000family.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suma Varsha Thota, N. Veneela, Kanumuri Sindhu, Pandirla Swathi
Gonadal dysgenesis is a group of heterogeneous disorders with very rare presentation. The clinical manifestation of disease includes primary amenorrhoea, failure to develop secondary sexual characters and also infertility. Here we are reporting a case of 29 year old phenotypic female who presented with primary infertility with 46, XX karyotype with hypoplastic uterus and streak ovaries (on imaging), with high gonadotropins level and low estradiol. After evaluation of the couple and proper counseling plan was made to go for cyclic hormone therapy for 3 months followed by donor oocyte and husband sperm IVF due to hypoplastic uterus with gonadal dysgenesis. 3 Day 3 embryos were transferred after hormonal therapy of 3 months. She was conceived with twins and later delivered 2 healthy babies at 9 months. We conclude that, pregnancy can be achieved even in gonadal dysgenesis patients after proper diagnosis of the condition and counseling the couple regarding the best treatment options available.
{"title":"PREGNANCY IN A CASE OF PURE GONADAL DYSGENESIS: A RARE CASE STUDY","authors":"Suma Varsha Thota, N. Veneela, Kanumuri Sindhu, Pandirla Swathi","doi":"10.36106/gjra/9707375","DOIUrl":"https://doi.org/10.36106/gjra/9707375","url":null,"abstract":"Gonadal dysgenesis is a group of heterogeneous disorders with very rare presentation. The clinical\u0000manifestation of disease includes primary amenorrhoea, failure to develop secondary sexual characters\u0000and also infertility. Here we are reporting a case of 29 year old phenotypic female who presented with primary infertility with 46,\u0000XX karyotype with hypoplastic uterus and streak ovaries (on imaging), with high gonadotropins level and low estradiol. After\u0000evaluation of the couple and proper counseling plan was made to go for cyclic hormone therapy for 3 months followed by donor\u0000oocyte and husband sperm IVF due to hypoplastic uterus with gonadal dysgenesis. 3 Day 3 embryos were transferred after\u0000hormonal therapy of 3 months. She was conceived with twins and later delivered 2 healthy babies at 9 months. We conclude that,\u0000pregnancy can be achieved even in gonadal dysgenesis patients after proper diagnosis of the condition and counseling the\u0000couple regarding the best treatment options available.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Midwives can meet nearly 90 % of the need for essential sexual,reproductive, maternal, new born and adolescent health interventions, Quality midwifery care provided by skilled and competent midwives of international standard can reduce maternal and neonatal mortality and stillbirth rate by 83% and with 56 maternal andnewbornhealthoutcome.MaterialsAndMethods: Thispaperisbasedonreviewof contemporary literaturedevelopedby the UNFPA,WHO,ICM, Indian NursingCouncilandthe Government ofIndia,focussingon the importance ofimplementation of Nurse Practitioner Midwives of the global standards. Findings And Discussions: Amidst a signicant shortage in the provision of effectiveprimary care, jeopardizing millions ofIndians'access tobasichealthcare services, especially thepoorest, it is very evident that nurse practitioners are the need of the hour in India. Their role in advanced practice could allay a signicant portion of the shortage in the health workforce ratio, thereby, transforming their role as rst contact providers. Taking lessons from wellestablished systems and evidences on the panoramic impacts of nurse practitioners in terms of cost-effectiveness, accessibility, holistic, and patient-cantered approach; their role is very signicant for a country like India. Capitalizing on nurses in advanced practice to increasingpatient'saccess to healthcare services willbeappealingandbenecial. Health systemsare currently hugely burdenedandwillrequiretheinvolvementofnursepractitionersas therstpoint-of-caredeliverypersonnel.Conclusion:Basedon the identied contextual factors prevailing in India and other similar global initiatives and context designing and implementing Midwifery Led Care Unit (MLCU) along with a legal framework to enable midwives to provide full scope of practice in tune with the global standards tocareforwomenduringlabouris theneedofhour.
{"title":"RELEVANCE OF NURSE PRACTITIONER MIDWIVES IN INDIAN STATES INCLUDING ASSAM","authors":"Bhuyan H","doi":"10.36106/gjra/7301006","DOIUrl":"https://doi.org/10.36106/gjra/7301006","url":null,"abstract":"Introduction: Midwives can meet nearly 90 % of the need for essential sexual,reproductive, maternal, new\u0000born and adolescent health interventions, Quality midwifery care provided by skilled and competent\u0000midwives of international standard can reduce maternal and neonatal mortality and stillbirth rate by 83% and with 56 maternal\u0000andnewbornhealthoutcome.MaterialsAndMethods: Thispaperisbasedonreviewof contemporary literaturedevelopedby the\u0000UNFPA,WHO,ICM, Indian NursingCouncilandthe Government ofIndia,focussingon the importance ofimplementation of Nurse\u0000Practitioner Midwives of the global standards. Findings And Discussions: Amidst a signicant shortage in the provision of\u0000effectiveprimary care, jeopardizing millions ofIndians'access tobasichealthcare services, especially thepoorest, it is very evident\u0000that nurse practitioners are the need of the hour in India. Their role in advanced practice could allay a signicant portion of the\u0000shortage in the health workforce ratio, thereby, transforming their role as rst contact providers. Taking lessons from wellestablished systems and evidences on the panoramic impacts of nurse practitioners in terms of cost-effectiveness, accessibility,\u0000holistic, and patient-cantered approach; their role is very signicant for a country like India. Capitalizing on nurses in advanced\u0000practice to increasingpatient'saccess to healthcare services willbeappealingandbenecial. Health systemsare currently hugely\u0000burdenedandwillrequiretheinvolvementofnursepractitionersas therstpoint-of-caredeliverypersonnel.Conclusion:Basedon\u0000the identied contextual factors prevailing in India and other similar global initiatives and context designing and implementing\u0000Midwifery Led Care Unit (MLCU) along with a legal framework to enable midwives to provide full scope of practice in tune with the\u0000global standards tocareforwomenduringlabouris theneedofhour.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hollow Viscus Perforation is characterized by loss of gastrointestinal wall integrity with leakage of enteric contents. To Study the Role of Mannheim Peritonitis Index (MPI) scoring system i Aim: n predicting the Mortality and Morbidity in peritonitis due to Hollow Viscus Perforation. This is a hospital Materials and Methods: based cross sectional study which was carried out at Department of General Surgery from November 2017 to October 2019 at Katuri Medical College and Hospital, Chinakondrupadu, Guntur, Andhra Pradesh. Mannheim Peritonitis Index score was used. Results: Mean age group of the patients was 52.35 ± 11.09. Majority of the patients i.e. 19(31.7%) were seen in 51 – 60 years age group. Among the 39(65%) male patients, majority were identied to be in 51-60 years. Among the 21(35%) Female patients, majority i.e. 8 patients were identied to be in 61-70 years. The present st Conclusion: udy suggests that Multiple attempts at developing a scoring system to predict the risk of mortality and morbidity in patients with peritonitis due to hollow viscus perforation undergoing emergency laparotomy. Most of the scoring systems cannot assess individual patient risk. MANNHEIM PERITONITIS INDEX scoring system is an easy and very useful tool for predicting the risk of morbidity and mortality in patients with peritonitis due to hollow viscus perforation.
{"title":"TO STUDY THE ROLE OF MANNHEIM PERITONITIS INDEX SCORING SYSTEM IN PREDICTING THE MORTALITY AND MORBIDITY IN PERITONITIS DUE TO HOLLOW VISCOUS PERFORATION","authors":"Nulakani Seetaramayya","doi":"10.36106/gjra/7907492","DOIUrl":"https://doi.org/10.36106/gjra/7907492","url":null,"abstract":"Background: Hollow Viscus Perforation is characterized by loss of gastrointestinal wall integrity with\u0000leakage of enteric contents. To Study the Role of Mannheim Peritonitis Index (MPI) scoring system i Aim: n\u0000predicting the Mortality and Morbidity in peritonitis due to Hollow Viscus Perforation. This is a hospital Materials and Methods:\u0000based cross sectional study which was carried out at Department of General Surgery from November 2017 to October 2019 at\u0000Katuri Medical College and Hospital, Chinakondrupadu, Guntur, Andhra Pradesh. Mannheim Peritonitis Index score was used.\u0000Results: Mean age group of the patients was 52.35 ± 11.09. Majority of the patients i.e. 19(31.7%) were seen in 51 – 60 years age\u0000group. Among the 39(65%) male patients, majority were identied to be in 51-60 years. Among the 21(35%) Female patients,\u0000majority i.e. 8 patients were identied to be in 61-70 years. The present st Conclusion: udy suggests that Multiple attempts at\u0000developing a scoring system to predict the risk of mortality and morbidity in patients with peritonitis due to hollow viscus\u0000perforation undergoing emergency laparotomy. Most of the scoring systems cannot assess individual patient risk. MANNHEIM\u0000PERITONITIS INDEX scoring system is an easy and very useful tool for predicting the risk of morbidity and mortality in patients\u0000with peritonitis due to hollow viscus perforation.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Ultrasonography is widely used indetermination of GA From 2nd trimester onwards apart from Routine parameters used for GA estimation like BPD, HC, and AC and FL, FKL is emerging as useful parameter in estimation of GA more reliably. to dene how precisely FKL measurement by USG can det Objective: ermine GA From 18 weeks onwards. to create baseline reference values of FKL in local population in north- western Ahmedabad from 18 weeks onwards to see population specic variations. A Cross-Sectional - observational Study was Material and Methods: conducted on 200 antenatal women in the second and third trimester with normal singleton pregnancies using SAMSUNG HS50 ultrasound machine. The result suggests a positive linear relationship of GA with fetal kidney Results: length. However, no correlation of GA with volume was noted. FKL measurement can be used as a reliable ultrasonographic Conclusion: parameter for estimating the GA in the 2nd and 3rd trimester and correlation increases when used with other parameters. Population specic baseline reference values for north- west ahmedabad of FKLs for the estimation of GA should be adopted rather than relying on the Caucasians values as universal patterns
{"title":"SONOGRAPHIC ASSESMENT OF GESTATIONAL AGE BY THE FETAL KIDNEY LENGTH AND VOLUME AFTER 18 WEEKS OF GESTATION IN LOCAL POPULATION IN NORTH- WESTERN AHMEDABAD.","authors":"Janki Jaradi, Harshkumar T. Patel, Keval Makwana","doi":"10.36106/gjra/3500798","DOIUrl":"https://doi.org/10.36106/gjra/3500798","url":null,"abstract":"Introduction: Ultrasonography is widely used indetermination of GA From 2nd trimester onwards apart\u0000from Routine parameters used for GA estimation like BPD, HC, and AC and FL, FKL is emerging as useful\u0000parameter in estimation of GA more reliably. to dene how precisely FKL measurement by USG can det Objective: ermine GA\u0000From 18 weeks onwards. to create baseline reference values of FKL in local population in north- western Ahmedabad from 18\u0000weeks onwards to see population specic variations. A Cross-Sectional - observational Study was Material and Methods:\u0000conducted on 200 antenatal women in the second and third trimester with normal singleton pregnancies using SAMSUNG HS50\u0000ultrasound machine. The result suggests a positive linear relationship of GA with fetal kidney Results: length. However, no\u0000correlation of GA with volume was noted. FKL measurement can be used as a reliable ultrasonographic Conclusion: parameter\u0000for estimating the GA in the 2nd and 3rd trimester and correlation increases when used with other parameters. Population\u0000specic baseline reference values for north- west ahmedabad of FKLs for the estimation of GA should be adopted rather than\u0000relying on the Caucasians values as universal patterns","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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