Ayurveda, this ancient science deals upon it's principle of 'swasthasya swaasth rakshanam aaturasya vikaara prashamanam cha' i.e to maintain health of healthy and to cure disease of diseased. Dealing with and curing various diseases,the ideology of this age old science lays on balancing the normal state and pacifying the vitiated state of 'Doshas' i.e Vata,Pitta and Kapha & achieve dhatu samyata. Kaasa in garbhini (pregnant woman) may have moderate to severe consequences. Kaasa happens due to dushti of “Pranvaha Shrotas''and originates from aamashaya. Prana Vaayu & Udana Vayu are responsible for proper functioning of Pranavaha Shrotas.When Udana Vayu deviates from its normal course of path and gets urdhwagati, it blocks the way of praana vayu and both come out from moola i.e. kantha (throat) with force and is called 'Kaasa'. It also creates symptoms like dry cough, hoarsness of voice, irritation in throat, dyspnoea, headache, pain in chest etc. A case study was conducted & observed positive result in management of garbhini kaasa with ayurvedic treatment.
{"title":"CASE REPORT OF GARBHINI KAASA IN AYURVEDA W.R.T. RESPIRATORY TRACT INFECTION","authors":"Anukriti Sah, Pradnya Shirke","doi":"10.36106/ijar/4603534","DOIUrl":"https://doi.org/10.36106/ijar/4603534","url":null,"abstract":"Ayurveda, this ancient science deals upon it's principle of 'swasthasya swaasth rakshanam aaturasya vikaara\u0000prashamanam cha' i.e to maintain health of healthy and to cure disease of diseased. Dealing with and curing various\u0000diseases,the ideology of this age old science lays on balancing the normal state and pacifying the vitiated state of 'Doshas' i.e Vata,Pitta and Kapha\u0000& achieve dhatu samyata. Kaasa in garbhini (pregnant woman) may have moderate to severe consequences. Kaasa happens due to dushti of\u0000“Pranvaha Shrotas''and originates from aamashaya. Prana Vaayu & Udana Vayu are responsible for proper functioning of Pranavaha\u0000Shrotas.When Udana Vayu deviates from its normal course of path and gets urdhwagati, it blocks the way of praana vayu and both come out from\u0000moola i.e. kantha (throat) with force and is called 'Kaasa'. It also creates symptoms like dry cough, hoarsness of voice, irritation in throat,\u0000dyspnoea, headache, pain in chest etc. A case study was conducted & observed positive result in management of garbhini kaasa with ayurvedic\u0000treatment.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"45 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030191","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}
India is home to the world's largest population of cattle, and among the indigenous breeds in Kerala, Vechur (Bos indicus) stands out. Recognized for its medicinal value, the Bos indicus Vechur breed cow is classied as critically maintained by the Food and Agriculture Organization. Remarkably, it holds the distinction of being the smallest cow globally, standing at approximately 90 cm in height, while producing a comparatively high volume of milk compared to other breeds. Notably, the Vechur cow has low feed requirements and displays heightened resistance to diseases. The milk produced by Vechur cows is particularly noteworthy, characterized by a high proportion of small fat globules and saturated fatty acids. This unique composition renders the milk suitable for infants and individuals who are unwell. Renowned in the Ayurveda system of medicine, the milk is considered to possess medicinal properties. Despite these observed characteristics, the authenticity of traditional notions surrounding the Vechur cow, such as disease resistance and the medicinal properties of its milk, remains unproven with solid evidence. Designated as a critically maintained breed by the FAO, the Vechur cow is distinct within the Bos indicus category due to its exceptionally small size, minimal fodder requirements, adaptability, ease of domestication, and the traditional medicinal attributes of its milk. However, it is essential to note that many traditional beliefs associated with the Vechur cow, including disease resistance and the medicinal nature of its milk, are based on eld observations and lack robust scientic evidence. Consequently, the place of the Vechur cow in the livestock industry remains a subject of scrutiny and uncertainty. To further delve into the exploration of Vechur cows, an article has been crafted with the aim of enhancing our understanding and knowledge about these unique bovine creatures. The intention is to rephrase and expand upon existing information to offer a more comprehensive and insightful perspective on the subject.
{"title":"VECHUR COW: A BLESSING TO THE VETERINARY DOMAIN – A REVIEW","authors":"Ponnulekshmi. D, Rabinarayan. Tripathy","doi":"10.36106/ijar/7103332","DOIUrl":"https://doi.org/10.36106/ijar/7103332","url":null,"abstract":"India is home to the world's largest population of cattle, and among the indigenous breeds in Kerala, Vechur (Bos indicus)\u0000stands out. Recognized for its medicinal value, the Bos indicus Vechur breed cow is classied as critically maintained by\u0000the Food and Agriculture Organization. Remarkably, it holds the distinction of being the smallest cow globally, standing at approximately 90 cm\u0000in height, while producing a comparatively high volume of milk compared to other breeds. Notably, the Vechur cow has low feed requirements\u0000and displays heightened resistance to diseases. The milk produced by Vechur cows is particularly noteworthy, characterized by a high proportion\u0000of small fat globules and saturated fatty acids. This unique composition renders the milk suitable for infants and individuals who are unwell.\u0000Renowned in the Ayurveda system of medicine, the milk is considered to possess medicinal properties. Despite these observed characteristics,\u0000the authenticity of traditional notions surrounding the Vechur cow, such as disease resistance and the medicinal properties of its milk, remains\u0000unproven with solid evidence. Designated as a critically maintained breed by the FAO, the Vechur cow is distinct within the Bos indicus category\u0000due to its exceptionally small size, minimal fodder requirements, adaptability, ease of domestication, and the traditional medicinal attributes of\u0000its milk. However, it is essential to note that many traditional beliefs associated with the Vechur cow, including disease resistance and the\u0000medicinal nature of its milk, are based on eld observations and lack robust scientic evidence. Consequently, the place of the Vechur cow in the\u0000livestock industry remains a subject of scrutiny and uncertainty. To further delve into the exploration of Vechur cows, an article has been crafted\u0000with the aim of enhancing our understanding and knowledge about these unique bovine creatures. The intention is to rephrase and expand upon\u0000existing information to offer a more comprehensive and insightful perspective on the subject.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"16 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051180","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}
Colour in animals is mainly due to the presence of Pigmentation in their skin, fur, feathers, scales, or other body parts. This coloration can play an important role to provide various purposes, such as camouage, communication, protection from harmful UV radiation, regulation of body temperature, and even social signaling. Animals achieve pigmentation through different mechanisms like pigment cells, structural colours, biochromes, and selective absorption. Some animals have pigments that selectively absorb certain wavelengths of light while reecting others. This absorption and reection result in specic colors. Pigmentation often plays a crucial role in animal survival and reproduction. It helps animals to blend into their environment to avoid predators or prey, attract mates through displays of vibrant colors, or signal dominance or submission within a social hierarchy.
{"title":"PIGMENTATION IN ANIMALS: A STRATEGY TO LIFE","authors":"Sangeeta Gaur","doi":"10.36106/ijar/9009725","DOIUrl":"https://doi.org/10.36106/ijar/9009725","url":null,"abstract":"Colour in animals is mainly due to the presence of Pigmentation in their skin, fur, feathers, scales, or other body parts. This\u0000coloration can play an important role to provide various purposes, such as camouage, communication, protection from\u0000harmful UV radiation, regulation of body temperature, and even social signaling. Animals achieve pigmentation through different mechanisms\u0000like pigment cells, structural colours, biochromes, and selective absorption. Some animals have pigments that selectively absorb certain\u0000wavelengths of light while reecting others. This absorption and reection result in specic colors. Pigmentation often plays a crucial role in\u0000animal survival and reproduction. It helps animals to blend into their environment to avoid predators or prey, attract mates through displays of\u0000vibrant colors, or signal dominance or submission within a social hierarchy.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025105","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}
Pinninti. Vidya Sagar, Mareedu Raviteja, P. Anudeep Kumar Reddy, B. Sandhya Rani
Fibrous obliteration of appendix is a very rare condition, found in routine histopathological examination after removal of appendix for indication of acute appendicitis.
阑尾纤维性闭塞是一种非常罕见的病症，是因急性阑尾炎而切除阑尾后进行常规组织病理学检查时发现的。
{"title":"A RARE CASE OF FIBROUS OBLITERATION OF APPENDIX MANIFESTED\u0000AS ACUTE APPENDICITIS","authors":"Pinninti. Vidya Sagar, Mareedu Raviteja, P. Anudeep Kumar Reddy, B. Sandhya Rani","doi":"10.36106/ijar/7300570","DOIUrl":"https://doi.org/10.36106/ijar/7300570","url":null,"abstract":"Fibrous obliteration of appendix is a very rare condition, found in routine histopathological examination after removal of appendix for indication of acute appendicitis.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"440 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028237","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 study was examined the general overview of cloud computing is given in this paper. The integration of businesses or libraries is made simple by cloud computing. Cloud computing provides multiple services that are user-centered. The majority of libraries today use cloud computing technologies to manage their digital collections and social media with a variety of customization options. This document discusses a variety of cloud computing needs, service models, and types of cloud storage, advantages and disadvantages. In the history of services provided by way of the internet, cloud computing is a relatively new phenomenon. No matter where you are in the world, it has fundamentally altered how you use computer power. The fact that it uses platforms, hardware, or software from outside sources to provide services is the advantage that organizations and businesses can most clearly see. It is incredibly cost-effective because it requires fewer investments and money. Cloud computing is available in a variety of formats.
{"title":"AN OVERVIEW ON CLOUD COMPUTING","authors":"C. Muthurasu, M. Suganthi","doi":"10.36106/ijar/3209689","DOIUrl":"https://doi.org/10.36106/ijar/3209689","url":null,"abstract":"The study was examined the general overview of cloud computing is given in this paper. The integration of businesses or\u0000libraries is made simple by cloud computing. Cloud computing provides multiple services that are user-centered. The\u0000majority of libraries today use cloud computing technologies to manage their digital collections and social media with a variety of customization\u0000options. This document discusses a variety of cloud computing needs, service models, and types of cloud storage, advantages and disadvantages.\u0000In the history of services provided by way of the internet, cloud computing is a relatively new phenomenon. No matter where you are in the world,\u0000it has fundamentally altered how you use computer power. The fact that it uses platforms, hardware, or software from outside sources to provide\u0000services is the advantage that organizations and businesses can most clearly see. It is incredibly cost-effective because it requires fewer\u0000investments and money. Cloud computing is available in a variety of formats.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141034473","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}
Neuroendocrine tumors (NET) originate from the diffuse neuroendocrine system. These can arise in almost every organ of the body, although they are most commonly found in the gastrointestinal tract and respiratory system. The skull base and sellar region are extremely rare sites for neuroendocrine carcinoma. Intracranial originating is lower than 0.74 %. A 55year old male was admitted in the neurosurgery department of Owaisi Group of Hospitals (PEH) with chief complaint of severe headache for 15 days, associated with giddiness, nausea and left eye vision disturbance. MRI showed Pituitary macroadenoma. Surgery was performed and the excised specimen of Pituitary adenoma was sent for HPE which revealed that the lesion was a Neuroendocrine tumor.
{"title":"A CASE REPORT ON PITUITARY NEUROENDOCRINE TUMOR (PitNET) WITH ONCOCYTIC CHANGE","authors":"Sana Munazza Kareem, Idrees Akhtar Afroze","doi":"10.36106/ijar/4803207","DOIUrl":"https://doi.org/10.36106/ijar/4803207","url":null,"abstract":"Neuroendocrine tumors (NET) originate from the diffuse neuroendocrine system. These can arise in almost every organ of\u0000the body, although they are most commonly found in the gastrointestinal tract and respiratory system. The skull base and\u0000sellar region are extremely rare sites for neuroendocrine carcinoma. Intracranial originating is lower than 0.74 %. A 55year old male was admitted\u0000in the neurosurgery department of Owaisi Group of Hospitals (PEH) with chief complaint of severe headache for 15 days, associated with\u0000giddiness, nausea and left eye vision disturbance. MRI showed Pituitary macroadenoma. Surgery was performed and the excised specimen of\u0000Pituitary adenoma was sent for HPE which revealed that the lesion was a Neuroendocrine tumor.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"47 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043219","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}
H. Sharma, Deepak Mittal, Sanjay Saini, Deepesh Mittal
Thymoma is a rare tumor of thymic epithelial cells, often found in association with myasthenia gravis. Surgical resection is the treatment of choice for thymoma, and thoracoscopic thymectomy is a minimally invasive approach that has shown comparable outcomes to open thymectomy. Thoracoscopic thymectomy for thymoma with myasthenia gravis is a safe and effective surgical technique. It allows for complete resection of the tumor while minimizing postoperative complications. This approach provides excellent visualization and access to the thymus and surrounding structures, allowing for precise dissection and tumor removal. Additionally, the use of thoracoscopy reduces postoperative pain and shortens hospital stays compared to open thymectomy. Our case report details the successful use of the left-sided three-portal approach for thoracoscopic thymectomy in a patient with stage-1 thymoma and myasthenia gravis. The minimally invasive nature of this surgical technique not only allowed for complete resection of the tumor but also contributed to a reduction in postoperative pain and shorter hospital stays for the patient. The excellent visualization and access to the thymus and surrounding structures provided by this approach facilitated precise dissection and tumor removal, resulting in favorable outcomes for the patient.
{"title":"THORACOSCOPIC THYMECTOMY FOR STAGE-1 THYMOMA WITH MYASTHENIA GRAVIS USING LEFT-SIDED THREE-PORTAL APPROACH","authors":"H. Sharma, Deepak Mittal, Sanjay Saini, Deepesh Mittal","doi":"10.36106/ijar/0400693","DOIUrl":"https://doi.org/10.36106/ijar/0400693","url":null,"abstract":"Thymoma is a rare tumor of thymic epithelial cells, often found in association with myasthenia gravis. Surgical resection\u0000is the treatment of choice for thymoma, and thoracoscopic thymectomy is a minimally invasive approach that has shown\u0000comparable outcomes to open thymectomy. Thoracoscopic thymectomy for thymoma with myasthenia gravis is a safe and effective surgical\u0000technique. It allows for complete resection of the tumor while minimizing postoperative complications. This approach provides excellent\u0000visualization and access to the thymus and surrounding structures, allowing for precise dissection and tumor removal. Additionally, the use of\u0000thoracoscopy reduces postoperative pain and shortens hospital stays compared to open thymectomy. Our case report details the successful use of\u0000the left-sided three-portal approach for thoracoscopic thymectomy in a patient with stage-1 thymoma and myasthenia gravis. The minimally\u0000invasive nature of this surgical technique not only allowed for complete resection of the tumor but also contributed to a reduction in postoperative\u0000pain and shorter hospital stays for the patient. The excellent visualization and access to the thymus and surrounding structures provided by this\u0000approach facilitated precise dissection and tumor removal, resulting in favorable outcomes for the patient.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"70 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032485","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}
According to the health eld concept, the most important factor affecting health is a life style. A good knowledge and healthy practices regarding eating habit plays a very important role in maintaining good health among adolescents. The descriptive study was conducted among 192 adolescent girls of age group 14-19 years at Girls Higher Secondary School and Pranami Balika Vidhya Mandir Higher Secondary School of Kalimpong district, West Bengal with the aim to assess the knowledge, stated practices and perceived body image in relation to eating habit. The study data was collected by using structured questionnaires. The result revealed that about 10.41%, 74.47% and 15.10% of adolescent girls have good, average, and poor level of knowledge; among them 13.54%, 73.43 % and 13% of adolescent have good, moderate and poor stated practices, related to eating habit. Regarding body image 20.83 %, 68.22% and 10.93% of adolescent girls were highly, moderately and poorly satised, with their body image. There was a negative correlation found between knowledge and stated practices (r= -0.044) and between perceived body image and stated practices (r= -0.0796) related to eating habit at 0.05 level of signicance. Further chi square result showed that there was signicant association between levels of knowledge of eating habit with religion and meal frequency / day at 0.05 level of signicance. The improvement in knowledge and practices about healthy eating habit is essential by awareness programme in schools to promote healthy lifestyle among adolescents.
{"title":"A STUDY TO ASSESS THE KNOWLEDGE, STATED PRACTICES AND PERCEIVED BODY IMAGE IN RELATION TO EATING HABIT AMONG ADOLESCENT GIRLS OF SELECTED HIGH SCHOOLS OF KALIMPONG DISTRICT, WEST BENGAL.","authors":"Bandana Chettri","doi":"10.36106/ijar/0602024","DOIUrl":"https://doi.org/10.36106/ijar/0602024","url":null,"abstract":"According to the health eld concept, the most important factor affecting health is a life style. A good knowledge and\u0000healthy practices regarding eating habit plays a very important role in maintaining good health among adolescents. The\u0000descriptive study was conducted among 192 adolescent girls of age group 14-19 years at Girls Higher Secondary School and Pranami Balika\u0000Vidhya Mandir Higher Secondary School of Kalimpong district, West Bengal with the aim to assess the knowledge, stated practices and\u0000perceived body image in relation to eating habit. The study data was collected by using structured questionnaires. The result revealed that about\u000010.41%, 74.47% and 15.10% of adolescent girls have good, average, and poor level of knowledge; among them 13.54%, 73.43 % and 13% of\u0000adolescent have good, moderate and poor stated practices, related to eating habit. Regarding body image 20.83 %, 68.22% and 10.93% of\u0000adolescent girls were highly, moderately and poorly satised, with their body image. There was a negative correlation found between knowledge\u0000and stated practices (r= -0.044) and between perceived body image and stated practices (r= -0.0796) related to eating habit at 0.05 level of\u0000signicance. Further chi square result showed that there was signicant association between levels of knowledge of eating habit with religion and\u0000meal frequency / day at 0.05 level of signicance. The improvement in knowledge and practices about healthy eating habit is essential by\u0000awareness programme in schools to promote healthy lifestyle among adolescents.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"24 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049662","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}
Objective: 1. To determine proportion of “ORTHOSTATIC HYPOTENSION” in diabetic patients. 2. To correlate presence of “ORTHOSTATIC HYPOTENSION” with HbA1c and other factors in diabetic patients. Materials and Methods: The study, conducted over 18 months from June 2022 to November 2023, will focus on indoor patients admitted to our tertiary care hospital. Using a cross-sectional design, data entry will be meticulously conducted in MS Excel spreadsheets, with thorough checks to ensure accuracy. Informed consent will be obtained, and data will be collected via structured clinical Performa. Analysis will be performed using OpenEpi and SPSS software, presenting descriptive statistics with frequency and percentage. Furthermore, statistical tests like the t-test and chi-square test will be utilized for deeper analysis. This study examined orthostatic hypotensi Results: on (OH) in diabetic patients, involving a sample of 100 individuals. OH prevalence among diabetics was 12%, with 12% attributed to antihypertensive medication use. The mean age was 51.78 years, with 45.83% aged 40-59, and a male predominance (58%). Longer diabetes duration correlated signicantly with OH. Elevated HbA1c levels (mean 9.2%) were associated with increased OH risk. Higher mean BMI, fasting blood sugar, and postprandial 2- hour blood sugar were linked to OH. Notably, 12 cases of OH occurred without drug-induced hypotension history. These ndings highlight the complex interplay of clinical and biochemical factors in diabetic OH manifestation. The ndings of t Conclusions: he present study shed light on several signicant correlations regarding orthostatic hypotension (OH) in diabetic patients. Among the diabetic population studied, OH was observed in 12%, with a notable proportion also concurrently using antihypertensive drugs. Furthermore, OH showed direct associations with elevated levels of HbA1c, fasting blood sugar (FBS), postprandial 2-hour blood sugar (PP2BS), longer durations of diabetes mellitus (DM), and higher body mass index (BMI). Interestingly, gender did not emerge as a factor inuencing OH prevalence. Additionally, OH exhibited direct associations with the positivity of other tests for cardiac autonomic neuropathy and non-cardiac autonomic neuropathy, including gastrointestinal, genitourinary, and sudomotor complications, as well as diabetic peripheral neuropathy. These ndings underscore the importance of routine measurement of postural blood pressure in diabetic patients, as it serves as a vital diagnostic tool for detecting OH, an early indicator of underlying cardiac autonomic neuropathy.
{"title":"THE PROPORTION OF ORTHOSTATIC HYPOTENSION AND ITS RELATIONSHIP WITH HBA1C LEVELS IN PATIENTS WITH DIABETES MELLITUS","authors":"Aditi Arora, Rahul Siwach, Karan Beniwal","doi":"10.36106/ijar/3204263","DOIUrl":"https://doi.org/10.36106/ijar/3204263","url":null,"abstract":"Objective: 1. To determine proportion of “ORTHOSTATIC HYPOTENSION” in diabetic patients.\u00002. To correlate presence of “ORTHOSTATIC HYPOTENSION” with HbA1c and other factors in diabetic patients.\u0000Materials and Methods: The study, conducted over 18 months from June 2022 to November 2023, will focus on indoor patients admitted to our\u0000tertiary care hospital. Using a cross-sectional design, data entry will be meticulously conducted in MS Excel spreadsheets, with thorough checks\u0000to ensure accuracy. Informed consent will be obtained, and data will be collected via structured clinical Performa. Analysis will be performed\u0000using OpenEpi and SPSS software, presenting descriptive statistics with frequency and percentage. Furthermore, statistical tests like the t-test\u0000and chi-square test will be utilized for deeper analysis. This study examined orthostatic hypotensi Results: on (OH) in diabetic patients,\u0000involving a sample of 100 individuals. OH prevalence among diabetics was 12%, with 12% attributed to antihypertensive medication use. The\u0000mean age was 51.78 years, with 45.83% aged 40-59, and a male predominance (58%). Longer diabetes duration correlated signicantly with\u0000OH. Elevated HbA1c levels (mean 9.2%) were associated with increased OH risk. Higher mean BMI, fasting blood sugar, and postprandial 2-\u0000hour blood sugar were linked to OH. Notably, 12 cases of OH occurred without drug-induced hypotension history. These ndings highlight the\u0000complex interplay of clinical and biochemical factors in diabetic OH manifestation. The ndings of t Conclusions: he present study shed light on\u0000several signicant correlations regarding orthostatic hypotension (OH) in diabetic patients. Among the diabetic population studied, OH was\u0000observed in 12%, with a notable proportion also concurrently using antihypertensive drugs. Furthermore, OH showed direct associations with\u0000elevated levels of HbA1c, fasting blood sugar (FBS), postprandial 2-hour blood sugar (PP2BS), longer durations of diabetes mellitus (DM), and\u0000higher body mass index (BMI). Interestingly, gender did not emerge as a factor inuencing OH prevalence. Additionally, OH exhibited direct\u0000associations with the positivity of other tests for cardiac autonomic neuropathy and non-cardiac autonomic neuropathy, including\u0000gastrointestinal, genitourinary, and sudomotor complications, as well as diabetic peripheral neuropathy. These ndings underscore the\u0000importance of routine measurement of postural blood pressure in diabetic patients, as it serves as a vital diagnostic tool for detecting OH, an early\u0000indicator of underlying cardiac autonomic neuropathy.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"29 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047061","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}
Vayyala Raajitha Reddy, Priyanka Chowdary, Viritha Viritha, Badusha Mohammad, Venkata Vedantam, Hema Sundar Gedela, G. V. Arunamayi
Objectives: 1.To investigate the utility of SMARTCOP in effectively stratifying pneumonia patients. 2.To evaluate the necessity for advanced respiratory support based on SMARTCOP categorization. 3.To prognosticate the outcomes of pneumonia cases utilizing the SMARTCOP score. Materials And Methods: "A prospective study was conducted on patients presenting at a tertiary care hospital in Southern India over a two-year period. These patients were diagnosed with pneumonia based on a hospital -based inclusion criteria notably abnormal chest X-rays, clinical symptoms, and laboratory investigations. "The SMARTCOP score was utilized to assess pneumonia patie Results: nts with high severity and their need for intensive care support. A total of 368 patients presented with community acquired pneumonia during the study period and through a comprehensive analysis 80 patients were nally included in the study after exclusion criteria. The SMARTCOP helped in stratifying the patients in -to groups based on their scores the majority 29/80 patients (36.25%) fell into the very high-risk category; SMARTCOP scores (7+) compared to low -risk group of 11/80(13.8%); SMARTCOP SCORE (0-2). This classication aided in identifying individuals who required immediate and intensive medical intervention vis a vis Assisted ventilation or Inotrope support, highlighting the score's effectiveness in clinical decisionmaking. Finally, the patient outcome was categorized in to 3 groups a) Recovered b) Morbidity (requiring home oxygen or NIV at discharge) and c) Expired. Statistical analysis, specically using the Chi-square test, revealed a signicant association (p = 0.030) between SMARTCOP scores and patient outcomes, underscoring the score's utility as a predictive tool in managing pneumonia cases of varying severity. “ "The Conclusion: SMARTCOP score proved to be benecial tool in a)risk stratifying b)identifying need for intensive respiratory support c)determine the prognosis vis a vis recovered, morbidity or expired. “
{"title":"“UTILITY OF SMARTCOP IN COMMUNITY AQUIRED PNEUMONIA” –A PROSPECTIVE STUDY IN A TERTIARY CARE TEACHING HOSPITAL IN SOUTHERN INDIA.","authors":"Vayyala Raajitha Reddy, Priyanka Chowdary, Viritha Viritha, Badusha Mohammad, Venkata Vedantam, Hema Sundar Gedela, G. V. Arunamayi","doi":"10.36106/ijar/2602982","DOIUrl":"https://doi.org/10.36106/ijar/2602982","url":null,"abstract":"Objectives:\u00001.To investigate the utility of SMARTCOP in effectively stratifying pneumonia patients.\u00002.To evaluate the necessity for advanced respiratory support based on SMARTCOP categorization.\u00003.To prognosticate the outcomes of pneumonia cases utilizing the SMARTCOP score.\u0000Materials And Methods: \"A prospective study was conducted on patients presenting at a tertiary care hospital in Southern India over a two-year\u0000period. These patients were diagnosed with pneumonia based on a hospital -based inclusion criteria notably abnormal chest X-rays, clinical\u0000symptoms, and laboratory investigations. \"The SMARTCOP score was utilized to assess pneumonia patie Results: nts with high severity and\u0000their need for intensive care support. A total of 368 patients presented with community acquired pneumonia during the study period and through a\u0000comprehensive analysis 80 patients were nally included in the study after exclusion criteria. The SMARTCOP helped in stratifying the patients\u0000in -to groups based on their scores the majority 29/80 patients (36.25%) fell into the very high-risk category; SMARTCOP scores (7+) compared\u0000to low -risk group of 11/80(13.8%); SMARTCOP SCORE (0-2). This classication aided in identifying individuals who required immediate and\u0000intensive medical intervention vis a vis Assisted ventilation or Inotrope support, highlighting the score's effectiveness in clinical decisionmaking. Finally, the patient outcome was categorized in to 3 groups a) Recovered b) Morbidity (requiring home oxygen or NIV at discharge) and\u0000c) Expired. Statistical analysis, specically using the Chi-square test, revealed a signicant association (p = 0.030) between SMARTCOP scores\u0000and patient outcomes, underscoring the score's utility as a predictive tool in managing pneumonia cases of varying severity. “ \"The Conclusion:\u0000SMARTCOP score proved to be benecial tool in a)risk stratifying b)identifying need for intensive respiratory support\u0000c)determine the prognosis vis a vis recovered, morbidity or expired. “","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":"714 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027988","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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