Introduction:- The aim of this retrospective observational study was to compare the potential efcacy of epidural steroid injection along with other conservative measures for relieving pain and improving function in patients with lumbosacral pain with radiculopathy caused by lumbar disc herniation. The route of administration (transforaminal, caudal or translaminar) were chosen on basis of pattern of radiculopathy and mri ndings of disc herniation. Methods:- This study included 131 patients who presented with low back pain and radiculopathy due to lumbar disc herniation(at levels of L4–L5 or L5–S1) diagnosed clinically and conrmed by means of MRI. 4 patients were lost to follow up remainig 127 patients at nal follow up.(127 patients)All patients were given fair trial of conservative treatment with drugs and physiotherapy. All patients were assessed at presentation and after starting the treatment at the second week and then third and sixth month using the visual analogue scale (VAS) for pain and the Oswestry Disability Index (ODI) for function status. Results:- In the transforaminal group (45 patients), there was a statistically signicant improvement in the ODI scores from before the injection (ODI mean 62.4) to 2 weeks after the injection (ODI mean 24.4, P < 0.01), and upon follow-up at 3 months. (ODI mean 20.8, P < 0.01). 21 patients (16.5%) required 1 or 2 repeated injections, 4 (3.1%) patients underwent surgery. In the interlaminar group (19 patients), there was a statistically signicant improvement in the ODI scores from before the injection (ODI mean 60.7) to 2 weeks after the injection (ODI mean 30.1, P < 0.01), but not upon follow-up (ODI mean 43.2, P = 0.09).5 (26.3%) patients required 1 or 2 repeated injection, 2 (10.5%) patients underwent surgery and 4(21%) patients developed transient paraparesis.In caudal group(63 patients) there was statistically signicant improvement in ODI SCROES from before the injection (ODI mean 39.6) to 2 weeks after the injection (ODI mean 29.6) which deteriorate at 3 months( ODI mean 31.8).There was an insignicant difference (P > 0.05) between the transformainal and caudal groups in the VAS, except at the third month (P < 0.05). Epidural steroid injection could be a preferable choice in chronic lowback and radicular Conclusion:- pain due to LDH. It has shown good short term outcomes and can be safe, cost effective and minimally invasive treatment and alternative to surgery.
{"title":"MANAGEMENT OF LUMBOSACRAL PAIN WITH RADICULOPATHY BY EPIDURAL STEROID INJECTION IN TERTIARY CARE HOSPITAL IN DAR ES SALAAM, TANZANIA","authors":"Kaustubh M Chauhan","doi":"10.36106/gjra/1501286","DOIUrl":"https://doi.org/10.36106/gjra/1501286","url":null,"abstract":"Introduction:- The aim of this retrospective observational study was to compare the potential efcacy of\u0000epidural steroid injection along with other conservative measures for relieving pain and improving\u0000function in patients with lumbosacral pain with radiculopathy caused by lumbar disc herniation. The route of administration\u0000(transforaminal, caudal or translaminar) were chosen on basis of pattern of radiculopathy and mri ndings of disc herniation.\u0000Methods:- This study included 131 patients who presented with low back pain and radiculopathy due to lumbar disc\u0000herniation(at levels of L4–L5 or L5–S1) diagnosed clinically and conrmed by means of MRI. 4 patients were lost to follow up\u0000remainig 127 patients at nal follow up.(127 patients)All patients were given fair trial of conservative treatment with drugs and\u0000physiotherapy. All patients were assessed at presentation and after starting the treatment at the second week and then third\u0000and sixth month using the visual analogue scale (VAS) for pain and the Oswestry Disability Index (ODI) for function status.\u0000Results:- In the transforaminal group (45 patients), there was a statistically signicant improvement in the ODI scores from\u0000before the injection (ODI mean 62.4) to 2 weeks after the injection (ODI mean 24.4, P < 0.01), and upon follow-up at 3 months.\u0000(ODI mean 20.8, P < 0.01). 21 patients (16.5%) required 1 or 2 repeated injections, 4 (3.1%) patients underwent surgery. In the\u0000interlaminar group (19 patients), there was a statistically signicant improvement in the ODI scores from before the injection\u0000(ODI mean 60.7) to 2 weeks after the injection (ODI mean 30.1, P < 0.01), but not upon follow-up (ODI mean 43.2, P = 0.09).5\u0000(26.3%) patients required 1 or 2 repeated injection, 2 (10.5%) patients underwent surgery and 4(21%) patients developed\u0000transient paraparesis.In caudal group(63 patients) there was statistically signicant improvement in ODI SCROES from before\u0000the injection (ODI mean 39.6) to 2 weeks after the injection (ODI mean 29.6) which deteriorate at 3 months( ODI mean\u000031.8).There was an insignicant difference (P > 0.05) between the transformainal and caudal groups in the VAS, except at the\u0000third month (P < 0.05). Epidural steroid injection could be a preferable choice in chronic lowback and radicular Conclusion:-\u0000pain due to LDH. It has shown good short term outcomes and can be safe, cost effective and minimally invasive treatment and\u0000alternative to surgery.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"165 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455893","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}
Sickle cell disease (SCD) is an inherited genetic disorder characterized by the production of abnormal hemoglobin, known as hemoglobin S. This alteration leads to the formation of sickle-shaped red blood cells, impeding their passage through blood vessels and causing blockages, ischemia, and pain. Additionally, individuals with SCD are more susceptible to infections and vascular complications. Acute pain crises are a common manifestation of SCD, triggered by blood vessel obstruction. These crises may necessitate immediate medical intervention to alleviate pain and prevent complications. Long-term complications include chronic organ damage, such as kidney failure, lung injuries, and cardiac disorders. COVID-19 has raised additional concerns, as SCD patients may face an elevated risk of severe complications. Hydroxyurea and blood transfusions are therapeutic strategies used to reduce pain crises and prevent complications. Ongoing research seeks more effective therapies and comprehensive management strategies to enhance the quality of life for those living with this genetic disorder.
{"title":"SICKLE CELL DISEASE AND COMPLICATIONS: AN IN-DEPTH NARRATIVE EXPLORATION","authors":"Ana Maria Aristizabal Gil","doi":"10.36106/gjra/3606805","DOIUrl":"https://doi.org/10.36106/gjra/3606805","url":null,"abstract":"Sickle cell disease (SCD) is an inherited genetic disorder characterized by the production of abnormal\u0000hemoglobin, known as hemoglobin S. This alteration leads to the formation of sickle-shaped red blood\u0000cells, impeding their passage through blood vessels and causing blockages, ischemia, and pain. Additionally, individuals with\u0000SCD are more susceptible to infections and vascular complications. Acute pain crises are a common manifestation of SCD,\u0000triggered by blood vessel obstruction. These crises may necessitate immediate medical intervention to alleviate pain and\u0000prevent complications. Long-term complications include chronic organ damage, such as kidney failure, lung injuries, and\u0000cardiac disorders. COVID-19 has raised additional concerns, as SCD patients may face an elevated risk of severe\u0000complications. Hydroxyurea and blood transfusions are therapeutic strategies used to reduce pain crises and prevent\u0000complications. Ongoing research seeks more effective therapies and comprehensive management strategies to enhance the\u0000quality of life for those living with this genetic disorder.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"195 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456065","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}
T. Nulukurthi, Ch. Anjini Suvarchala Devi, V. S. R. K. N. Sree Dutta
Background: The discovery of cystic lesions within the retroperitoneal region is a rare occurrence that presents clinicians with the problem of a difcult diagnosis and management of the condition. The present paper details the management of a case wherein a substantial cystic lesion was incidentally identied following an episode of dengue fever during a routine abdominal scan. Case Presentation: A 24-year-old male presented to the surgical outpatient department (OPD) with the incidental discovery of an intra-abdominal cystic mass during an ultrasound scan conducted as part of his evaluation for dengue infection. He underwent surgery and was discharged after a successful recovery. Conclusion: Mesenteric cysts are uncommon benign abdominal lesions with a 3% risk of malignant development. Most cysts are asymptomatic and are discovered by chance or during the treatment of their problems. The mesentery of the small bowel is the most common origin, followed by the mesocolon. A case report of a 24-year-old male with a huge abdominal mesenteric retroperitoneal cyst arising from caecum and ascending colon is presented
{"title":"A RARE CASE REPORT ON AN INCIDENTAL MASSIVE RETROPERITONEAL ASCENDING COLON MESENTERIC CYST","authors":"T. Nulukurthi, Ch. Anjini Suvarchala Devi, V. S. R. K. N. Sree Dutta","doi":"10.36106/gjra/3901193","DOIUrl":"https://doi.org/10.36106/gjra/3901193","url":null,"abstract":"Background: The discovery of cystic lesions within the retroperitoneal region is a rare occurrence that\u0000presents clinicians with the problem of a difcult diagnosis and management of the condition. The\u0000present paper details the management of a case wherein a substantial cystic lesion was incidentally identied following an\u0000episode of dengue fever during a routine abdominal scan. Case Presentation: A 24-year-old male presented to the surgical\u0000outpatient department (OPD) with the incidental discovery of an intra-abdominal cystic mass during an ultrasound scan\u0000conducted as part of his evaluation for dengue infection. He underwent surgery and was discharged after a successful recovery.\u0000Conclusion: Mesenteric cysts are uncommon benign abdominal lesions with a 3% risk of malignant development. Most cysts\u0000are asymptomatic and are discovered by chance or during the treatment of their problems. The mesentery of the small bowel is\u0000the most common origin, followed by the mesocolon. A case report of a 24-year-old male with a huge abdominal mesenteric\u0000retroperitoneal cyst arising from caecum and ascending colon is presented","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"180 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456077","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}
Surgical treatment of facial asymmetry poses challenges not only in execution but also in evaluation and planning. Image analysis methods bring advantages and disadvantages compared to subjective forms. Virtual planning technology using three-dimensional images is an alternative, though underutilized due to the cost of commercial software licenses. By using free software such as Blender® and CloudCompare®, students and healthcare professionals, including plastic surgeons, have access to an objective and effective low-cost method for pre-surgical evaluation and planning. This study established a methodology owchart for analyzing facial asymmetry and constructing a histogram map as a surgical guide.
{"title":"FLOWCHART OF FREE SOFTWARE METHODOLOGY FOR ANALYSIS OF FACIAL ASYMMETRY AND FORMATION OF HISTOGRAM MAPS AS A SURGICAL GUIDE","authors":"Rodrigo de Faria Valle Dornelles, Nivaldo Alonso","doi":"10.36106/gjra/2106570","DOIUrl":"https://doi.org/10.36106/gjra/2106570","url":null,"abstract":"Surgical treatment of facial asymmetry poses challenges not only in execution but also in evaluation and\u0000planning. Image analysis methods bring advantages and disadvantages compared to subjective forms.\u0000Virtual planning technology using three-dimensional images is an alternative, though underutilized due to the cost of\u0000commercial software licenses. By using free software such as Blender® and CloudCompare®, students and healthcare\u0000professionals, including plastic surgeons, have access to an objective and effective low-cost method for pre-surgical evaluation\u0000and planning. This study established a methodology owchart for analyzing facial asymmetry and constructing a histogram\u0000map as a surgical guide.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"137 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456112","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}
Pregnant mothers with mental health problems are less likely to care adequately for their personal needs, to seek and receive antenatal or postnatal care, or adhere to prescribed health regimens. Social support inuences health-related behaviors and can play an important role in adaptation to pregnancy. This study aimed to assess and compare the perceived mental health and social support during pregnancy among primigravida and multipara mothers. Materials: This was a ccomparative study. The accessible sample was recruited from pregnant mothers attending OPD at community health centre in Kurali, Punjab. Total 300 pregnant mothers were selected. Out of these, 150 mothers were primigravida and 150 were multipara mothers who met the inclusion criteria. Perceived mental health was assessed using the kessler distress scale (k-10) and perceived social support was assessed by multidimensional scale. Results: Comparing the perceived mental health and social support scores between pregnant mothers in primigravida and multipara group, it was found that multiparas had more psychological distress and less social support as compared to primigravidas. There was a negative statistically signicant correlations observed between perceived mental health and perceived social support of primigravida and multipara mothers (r = -.454 and p= 0.00* and r =-.526 and 0.00*) respectively. Conclusion: The ndings from this study suggested that multipara mothers during pregnancy are vulnerable for mental illness and perceiving scarcity of social support as compared to primigravida mothers. Hence, it was suggested that high social support lowers the risk of mental illness. Therefore, there is a need to conduct various programs by health professionals related to social support with a view to helping reduce mental health problems among pregnant mothers.
有心理健康问题的怀孕母亲不太可能充分照顾自己的个人需求，也不太可能寻求和接受产前或产后护理，或遵守规定的保健方案。社会支持，影响着与健康相关的行为，并能在适应妊娠过程中发挥重要作用。本研究旨在评估和比较初产妇和多产妇在怀孕期间感知到的心理健康和社会支持。材料这是一项比较研究。研究从旁遮普省库拉里（Kurali）社区医疗中心接受产前检查的孕妇中抽取样本。共选取了 300 名孕妇。其中，150 名母亲为早产，150 名母亲为多胎，她们都符合纳入标准。采用凯斯勒痛苦量表（k-10）评估感知心理健康，采用多维量表评估感知社会支持。结果：比较初产妇组和多产妇组孕妈妈的心理健康感知和社会支持得分，发现多产妇比初产妇有更多的心理困扰和更少的社会支持。据统计，初产妇和多产妇的心理健康感知和社会支持感知之间存在显著的负相关（分别为 r = -.454 和 p= 0.00* 和 r =-.526 和 0.00*）。结论本研究 的结果表明，与初产妇相比，多胎妊娠母亲在怀孕期间更容易患上精神疾病，并感到社会支持匮乏。因此，高社会支持可降低患精神疾病的风险。因此，卫生专业人员有必要开展各种与社会支持相关的项目，以帮助减少孕产妇的心理健康问题。
{"title":"PERCEIVED MENTAL HEALTH AND SOCIAL SUPPORT DURING PREGNANCY AMONG PRIMIGRAVIDA AND MULTIPARA MOTHERS: A COMPARATIVE STUDY","authors":"Mehwish Naz, Harpreet Kaur","doi":"10.36106/gjra/2406413","DOIUrl":"https://doi.org/10.36106/gjra/2406413","url":null,"abstract":"Pregnant mothers with mental health problems are less likely to care adequately for their personal\u0000needs, to seek and receive antenatal or postnatal care, or adhere to prescribed health regimens. Social\u0000support inuences health-related behaviors and can play an important role in adaptation to pregnancy. This study aimed to\u0000assess and compare the perceived mental health and social support during pregnancy among primigravida and multipara\u0000mothers. Materials: This was a ccomparative study. The accessible sample was recruited from pregnant mothers attending\u0000OPD at community health centre in Kurali, Punjab. Total 300 pregnant mothers were selected. Out of these, 150 mothers were\u0000primigravida and 150 were multipara mothers who met the inclusion criteria. Perceived mental health was assessed using the\u0000kessler distress scale (k-10) and perceived social support was assessed by multidimensional scale. Results: Comparing the\u0000perceived mental health and social support scores between pregnant mothers in primigravida and multipara group, it was\u0000found that multiparas had more psychological distress and less social support as compared to primigravidas. There was a\u0000negative statistically signicant correlations observed between perceived mental health and perceived social support of\u0000primigravida and multipara mothers (r = -.454 and p= 0.00* and r =-.526 and 0.00*) respectively. Conclusion: The ndings\u0000from this study suggested that multipara mothers during pregnancy are vulnerable for mental illness and perceiving scarcity of\u0000social support as compared to primigravida mothers. Hence, it was suggested that high social support lowers the risk of mental\u0000illness. Therefore, there is a need to conduct various programs by health professionals related to social support with a view to\u0000helping reduce mental health problems among pregnant mothers.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"151 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456148","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}
Period of organogenesis is very precise duration, any factor affecting this period leads to congenital anomaly. Bid tongue is one of the congenital anomalies mostly associated with syndromic cases like Opitz G/BBB syndrome, oral–facial– digital syndrome type I, but isolated bid tongue can also be seen rarely. Here we describe three cases of isolated bid tongue in absence of any intra oral or facial defect.
器官形成期是一个非常精确的时期，任何影响这个时期的因素都会导致先天性畸形。双d 舌是先天性畸形之一，多见于综合征病例，如奥皮茨 G/BBB 综合征、口腔-面部-数字综合征 I 型，但孤立的双d 舌也很少见。在此，我们描述了三例在没有任何口腔内或面部缺陷的情况下出现的孤立双d 舌。
{"title":"CASE SERIES OF BIFID TONGUE: AS AN ISOLATED ENTITY","authors":"Ramraj Yadav, Arpit Goyal, S. Saroj, Deepak Kumar Gupta, Vishwambhar Singh, Rajesh Kumar","doi":"10.36106/gjra/9607722","DOIUrl":"https://doi.org/10.36106/gjra/9607722","url":null,"abstract":"Period of organogenesis is very precise duration, any factor affecting this period leads to congenital\u0000anomaly. Bid tongue is one of the congenital anomalies mostly associated with syndromic cases like\u0000Opitz G/BBB syndrome, oral–facial– digital syndrome type I, but isolated bid tongue can also be seen rarely. Here we describe\u0000three cases of isolated bid tongue in absence of any intra oral or facial defect.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"34 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456365","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: Calcications can occur in the dental pulp as discrete bodies known as pulp stones. Etiology remains obscure. Calcication is a great enigma to an endodontist. A local or systemic condition may give a premonition of such a condition. Also this has been seen to vary according to the different demographic locations. Thus the purpose of my study is to investigate the prevalence of coronal pulp stones in relation to Bruxism and Renal Stones in Gujarat state population. Methodology: Patients with Bruxism and Renal Stones were involved in the study. RVG of all rst molars of each patient were recorded to check for the coronal pulp stones. The Data obtained was subjected to statistical analysis using SPSS Software. Result: Co-relation exists between prevalence of coronal pulp stones in patients with Bruxism and Renal Stones. Conclusion: Thus, it can be concluded that patients with bruxism and patients with renal stones, do have a correlation with the prevalence of coronal pulp stones, in Gujarat state population.
{"title":"PREVALENCE OF CORONAL PULP STONES IN RELATION TO BRUXISM AND RENAL STONES: A SURVEY IN GUJARAT STATE POPULATION.","authors":"Krushnangi Yagnik, Shraddha Chokshi","doi":"10.36106/gjra/5000990","DOIUrl":"https://doi.org/10.36106/gjra/5000990","url":null,"abstract":"Introduction: Calcications can occur in the dental pulp as discrete bodies known as pulp stones.\u0000Etiology remains obscure. Calcication is a great enigma to an endodontist. A local or systemic condition\u0000may give a premonition of such a condition. Also this has been seen to vary according to the different demographic locations.\u0000Thus the purpose of my study is to investigate the prevalence of coronal pulp stones in relation to Bruxism and Renal Stones in\u0000Gujarat state population. Methodology: Patients with Bruxism and Renal Stones were involved in the study. RVG of all rst\u0000molars of each patient were recorded to check for the coronal pulp stones. The Data obtained was subjected to statistical\u0000analysis using SPSS Software. Result: Co-relation exists between prevalence of coronal pulp stones in patients with Bruxism\u0000and Renal Stones. Conclusion: Thus, it can be concluded that patients with bruxism and patients with renal stones, do have a\u0000correlation with the prevalence of coronal pulp stones, in Gujarat state population.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"100 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456397","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}
Kritika Kritika, Brij K Gupta, Isha Gupta, Kanav Gupta
Background- Dry eye disease is the most frequent ophthalmologic disorder seen in routine clinical practice. The prevalence estimates for the general population vary greatly, from 5% to 50%. It is one of the major contributors to lower quality of life among the young population and may have an adverse effect on mental health. AimThe study aims to compare tear lm among digital screen users and non-users. This was a cros Material and Methods- ssectional study conducted on 150 patients who were divided into 2 groups. One group was of digital screen users and the other was of non-users. The patients were selected based on inclusion and exclusion criteria and the study was started after getting ethical clearance. A thorough history was taken and the OSDI questionnaire was lled followed by an examination on IDRA. The values of NIBUT, Interferometry, tear meniscus height, and meibomian gland loss were calculated and analysis was done using STATA and SPSS software. In our study, we found that the tear lm in users Findings- was not as healthy as compared to non-users. In our study, we also found that out of 75 users, more than half of users were having a severe form of DED. It was seen that the values of mean NIBUT, Interferometry, and tear meniscus height were lower in the user group than in non-users and users have more meibomian gland loss in comparison to non-users. The study has a p-value of 0.001. Conclusion- The study concludes that the symptoms and signs of DED are more common among digital screen users than non-users. The main reason behind this is improper knowledge about what measures can be taken to prevent this and long continuous screen hours.
{"title":"COMPARATIVE ANALYSIS OF TEAR FILM IN DIGITAL SCREEN USERS VERSUS NON-USERS.","authors":"Kritika Kritika, Brij K Gupta, Isha Gupta, Kanav Gupta","doi":"10.36106/gjra/4700853","DOIUrl":"https://doi.org/10.36106/gjra/4700853","url":null,"abstract":"Background- Dry eye disease is the most frequent ophthalmologic disorder seen in routine clinical\u0000practice. The prevalence estimates for the general population vary greatly, from 5% to 50%. It is one of the\u0000major contributors to lower quality of life among the young population and may have an adverse effect on mental health. AimThe study aims to compare tear lm among digital screen users and non-users. This was a cros Material and Methods- ssectional study conducted on 150 patients who were divided into 2 groups. One group was of digital screen users and the other\u0000was of non-users. The patients were selected based on inclusion and exclusion criteria and the study was started after getting\u0000ethical clearance. A thorough history was taken and the OSDI questionnaire was lled followed by an examination on IDRA.\u0000The values of NIBUT, Interferometry, tear meniscus height, and meibomian gland loss were calculated and analysis was done\u0000using STATA and SPSS software. In our study, we found that the tear lm in users Findings- was not as healthy as compared to\u0000non-users. In our study, we also found that out of 75 users, more than half of users were having a severe form of DED. It was seen\u0000that the values of mean NIBUT, Interferometry, and tear meniscus height were lower in the user group than in non-users and\u0000users have more meibomian gland loss in comparison to non-users. The study has a p-value of 0.001. Conclusion- The study\u0000concludes that the symptoms and signs of DED are more common among digital screen users than non-users. The main reason\u0000behind this is improper knowledge about what measures can be taken to prevent this and long continuous screen hours.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"273 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455450","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}
Cristian Fabian Triviño Rojas, Laura Steffany González Camacho
Atrial brillation (AF) management involves critical decision points inuenced by patient preferences, duration of AF, and treatment outcomes. Rhythm control is pursued within the rst year of persistent AF, and if unsuccessful or not tolerated, a shift to rate control may be considered. Recurrent AF poses challenges, with an increased risk in specic patient groups. Guidelines from major cardiology societies offer comprehensive recommendations, highlighting individualized approaches for optimal outcomes. Screening for AF, particularly in high-risk populations, enables early detection and intervention. Manifestations vary, and a timely diagnosis relies on comprehensive evaluation, including imaging and rhythm monitoring. Treatment strategies encompass lifestyle modications, anticoagulation, and antiarrhythmic drugs, with integrated care pathways showing promise. Despite advancements, AF remains linked to adverse outcomes, emphasizing the need for personalized management strategies and ongoing research.
{"title":"INSIGHTS INTO ATRIAL FIBRILLATION: A NARRATIVE EXAMINATION OF PATHOPHYSIOLOGY AND TREATMENT MODALITIES","authors":"Cristian Fabian Triviño Rojas, Laura Steffany González Camacho","doi":"10.36106/gjra/8106912","DOIUrl":"https://doi.org/10.36106/gjra/8106912","url":null,"abstract":"Atrial brillation (AF) management involves critical decision points inuenced by patient preferences,\u0000duration of AF, and treatment outcomes. Rhythm control is pursued within the rst year of persistent AF,\u0000and if unsuccessful or not tolerated, a shift to rate control may be considered. Recurrent AF poses challenges, with an increased\u0000risk in specic patient groups. Guidelines from major cardiology societies offer comprehensive recommendations, highlighting\u0000individualized approaches for optimal outcomes. Screening for AF, particularly in high-risk populations, enables early detection\u0000and intervention. Manifestations vary, and a timely diagnosis relies on comprehensive evaluation, including imaging and\u0000rhythm monitoring. Treatment strategies encompass lifestyle modications, anticoagulation, and antiarrhythmic drugs, with\u0000integrated care pathways showing promise. Despite advancements, AF remains linked to adverse outcomes, emphasizing the\u0000need for personalized management strategies and ongoing research.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"367 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455569","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}
When it comes to identifying the deceased and conducting criminal investigations, forensic genetics has become a crucial component of forensic science. Over the years, deoxyribonucleic acid (DNA) has come to be regarded as the gold standard for human identication. It is imperative to employ automated tools to expedite the extraction, quantication, amplication, and production of DNA proles in order to full the increasing demand for DNA analysis. Robotic systems boost productivity and decrease backlog. This topic covers incorporation of an emerging trend of forensic Biorobots in the medicolegal eld to the ultimate benet of society
在鉴定死者身份和进行刑事调查时，法医遗传学已成为法医学的重要组成部分。多年来，脱氧核糖核酸（DNA）已被视为鉴定人类c 的黄金标准。为了满足日益增长的 DNA 分析，必须采用自动化工具来加快 DNA 原 的提取、定量、扩 和生产。机器人系统提高了生产率，减少了积压。本专题涉及将法医生物机器人这一新兴趋势纳入法医，最终造福于社会。
{"title":"BIOROBOTS IN FORENSIC GENETICS- A GIFT OF TIME","authors":"S. S, Shameena P M, Resmi G Nair","doi":"10.36106/gjra/1005365","DOIUrl":"https://doi.org/10.36106/gjra/1005365","url":null,"abstract":"When it comes to identifying the deceased and conducting criminal investigations, forensic genetics has\u0000become a crucial component of forensic science. Over the years, deoxyribonucleic acid (DNA) has come\u0000to be regarded as the gold standard for human identication. It is imperative to employ automated tools to expedite the\u0000extraction, quantication, amplication, and production of DNA proles in order to full the increasing demand for DNA\u0000analysis. Robotic systems boost productivity and decrease backlog. This topic covers incorporation of an emerging trend of\u0000forensic Biorobots in the medicolegal eld to the ultimate benet of society","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"79 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455762","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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