In order to treat multidrug resistant TB, pretomanid, a nitroimidazooxazine antimycobacterial agent, is used with other antituberculosis medications. There is no technique for its analysis that uses spectroscopy, HPLC or HPTLC. Since a UV spectrophotometric approach for Pretomanid analysis must be developed. Utilizing a Shimadzu UV-2600, a quick, accurate, straightforward, and affordable UV spectrophotometric approach has been devised to determine Pretomanid. Solvent made of methanol to assess the bulk Pretomanid concentration. The detection process was placed at a wavelength of 321 nm. The parameters linearity, accuracy, precision, ruggedness, and robustness were taken into consideration during method validation in accordance with ICH Q2R1 criteria, as well as LOD and LOQ. It demonstrated linearity in the 10– 30(g/mL) range at a predetermined max of 321 nm, and had a strong correlation coefficient (R2-0.997) and outstanding mean recovery (99.00–100.07%). In terms of intraday and interday precision, Pretomanid’s% RSD was discovered to be 0.6366 and 0.666, respectively. Pretomanid identification using this approach was effective. The method’s linearity, accuracy, repeatability, and reproducibility were statistically and empirically verified. The out- comes demonstrated the method’s applicability for both routine examinations of protomanid bulks and industrial formulations. The suggested UV-Vis Spectrophotometric approach was verified in accordance with ICH requirements and found to be simple, accurate, precise and quick for the determination of Pretomanid.
{"title":"Development and Validation of Simple UV Spectrophotometric Method for the Determination of Pretomanid","authors":"Vaishali Pardeshi, Tushar Lokhande, Ashwini Shelke","doi":"10.26452/ijrps.v13i4.3939","DOIUrl":"https://doi.org/10.26452/ijrps.v13i4.3939","url":null,"abstract":"In order to treat multidrug resistant TB, pretomanid, a nitroimidazooxazine antimycobacterial agent, is used with other antituberculosis medications. There is no technique for its analysis that uses spectroscopy, HPLC or HPTLC. Since a UV spectrophotometric approach for Pretomanid analysis must be developed. Utilizing a Shimadzu UV-2600, a quick, accurate, straightforward, and affordable UV spectrophotometric approach has been devised to determine Pretomanid. Solvent made of methanol to assess the bulk Pretomanid concentration. The detection process was placed at a wavelength of 321 nm. The parameters linearity, accuracy, precision, ruggedness, and robustness were taken into consideration during method validation in accordance with ICH Q2R1 criteria, as well as LOD and LOQ. It demonstrated linearity in the 10– 30(g/mL) range at a predetermined max of 321 nm, and had a strong correlation coefficient (R2-0.997) and outstanding mean recovery (99.00–100.07%). In terms of intraday and interday precision, Pretomanid’s% RSD was discovered to be 0.6366 and 0.666, respectively. Pretomanid identification using this approach was effective. The method’s linearity, accuracy, repeatability, and reproducibility were statistically and empirically verified. The out- comes demonstrated the method’s applicability for both routine examinations of protomanid bulks and industrial formulations. The suggested UV-Vis Spectrophotometric approach was verified in accordance with ICH requirements and found to be simple, accurate, precise and quick for the determination of Pretomanid.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83709932","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}
To arrive at an understanding about the view and attitudes of pregnant women regarding late termination of pregnancy after prenatal diagnosis of a severe fetal anomaly. A semi-structured questionnaire based prospective descriptive study was conducted from January 2022 to September 2022 in Obstetrics and Gynecology department of Saveetha Medical College and Hospital, Thandalam. 16 pregnant women with severe fetal anomalies detected after 23 weeks were included. All the women were counselled about the type and lethality of the anomaly including management option. Informed consent was obtained from all the patients and ethical approval was obtained. A total of 16 women with congenital anomalies in fetus detected after 23 weeks of gestation over 8 months of the study period were included in the study. All the participants were properly counselled and given adequate time to make the decision. Among which 11 decided to terminate the pregnancy and 5 continued. All 11 who opted for termination of pregnancy was joint decision by the family. 5 women continued their pregnancy. Reasons to continue the pregnancy were praying that baby will born normal (n=1), hoping that surgery can correct the abnormality (n=3) and wanting to see the baby (n=1). This study shows that women who are pregnant with serious fetal anomalies have a range of opinions and attitudes regarding termination. To compare with initial decision making larger follow-up studies will be necessary to see whether patient’s perspective changes over time.
{"title":"Patient perspective regarding late termination of pregnancy at a tertiary care Hospital","authors":"Archana Kumari, Hephzibah Kirubamani N., Vaanathi Ramu","doi":"10.26452/ijrps.v13i4.3725","DOIUrl":"https://doi.org/10.26452/ijrps.v13i4.3725","url":null,"abstract":"To arrive at an understanding about the view and attitudes of pregnant women regarding late termination of pregnancy after prenatal diagnosis of a severe fetal anomaly. A semi-structured questionnaire based prospective descriptive study was conducted from January 2022 to September 2022 in Obstetrics and Gynecology department of Saveetha Medical College and Hospital, Thandalam. 16 pregnant women with severe fetal anomalies detected after 23 weeks were included. All the women were counselled about the type and lethality of the anomaly including management option. Informed consent was obtained from all the patients and ethical approval was obtained. A total of 16 women with congenital anomalies in fetus detected after 23 weeks of gestation over 8 months of the study period were included in the study. All the participants were properly counselled and given adequate time to make the decision. Among which 11 decided to terminate the pregnancy and 5 continued. All 11 who opted for termination of pregnancy was joint decision by the family. 5 women continued their pregnancy. Reasons to continue the pregnancy were praying that baby will born normal (n=1), hoping that surgery can correct the abnormality (n=3) and wanting to see the baby (n=1). This study shows that women who are pregnant with serious fetal anomalies have a range of opinions and attitudes regarding termination. To compare with initial decision making larger follow-up studies will be necessary to see whether patient’s perspective changes over time. ","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86114759","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}
Microsponges are those drug delivery systems which are intended in a way to deliver a minimum dose of the drug or pharmaceutically active ingredient to increase the stability of formulation, to alter drug release profile. Ketoconazole is an imidazole anti-fungal agent belonging to BCS class II. The main objective of this research work is to formulate and evaluate ketoconazole microsponge for topical delivery by using various polymers such eudragit S-100, eudragit L-100 in four ratios 1:2, 1:3, 1:4, 1:5 by quasi emulsion method. The formulations prepared were labelled based on the ratios as ES 2. ES 3, ES 4, ES 5 for eudragit S-100 and EL 2, EL 3, EL 4, EL 5 for eudragit L-100. Evaluation tests like entrapment efficiency, production yield, drug content was performed and formulation of eudragit L-100 (EL 5) and eudragit S-100 (ES 5) showed better results. ES 5 and EL 5 formulations were optimized and tests like in vitro dissolution studies were conducted which showed that the formulation ES 5 showed released upto 8 hours and can be used in the formulation of gel. The gel (GES5) was prepared by usingmicrosponges containing the drug ketoconazole equivalent to 1 % w/w and was incorporated into the gel base made up of Carbopol 934. The microsponges were sieved and were dispersed in Carbopol gel. Evaluation tests like pH measurement, visual inspection, spreadability studies, drug content and in vitro diffusion studies. This method of formulating microsponges has improved drug delivery therefore helping in the enhancement of the bioavailability of the drug and also acts as an efficient carrier through the skin.
{"title":"Formulation and Evaluation of Ketoconazole Microsponge Topical Gel","authors":"Joshna Booravilli, Janaki Devi Sirisolla, Shivani Saluru","doi":"10.26452/ijrps.v13i4.3630","DOIUrl":"https://doi.org/10.26452/ijrps.v13i4.3630","url":null,"abstract":"Microsponges are those drug delivery systems which are intended in a way to deliver a minimum dose of the drug or pharmaceutically active ingredient to increase the stability of formulation, to alter drug release profile. Ketoconazole is an imidazole anti-fungal agent belonging to BCS class II. The main objective of this research work is to formulate and evaluate ketoconazole microsponge for topical delivery by using various polymers such eudragit S-100, eudragit L-100 in four ratios 1:2, 1:3, 1:4, 1:5 by quasi emulsion method. The formulations prepared were labelled based on the ratios as ES 2. ES 3, ES 4, ES 5 for eudragit S-100 and EL 2, EL 3, EL 4, EL 5 for eudragit L-100. Evaluation tests like entrapment efficiency, production yield, drug content was performed and formulation of eudragit L-100 (EL 5) and eudragit S-100 (ES 5) showed better results. ES 5 and EL 5 formulations were optimized and tests like in vitro dissolution studies were conducted which showed that the formulation ES 5 showed released upto 8 hours and can be used in the formulation of gel. The gel (GES5) was prepared by usingmicrosponges containing the drug ketoconazole equivalent to 1 % w/w and was incorporated into the gel base made up of Carbopol 934. The microsponges were sieved and were dispersed in Carbopol gel. Evaluation tests like pH measurement, visual inspection, spreadability studies, drug content and in vitro diffusion studies. This method of formulating microsponges has improved drug delivery therefore helping in the enhancement of the bioavailability of the drug and also acts as an efficient carrier through the skin.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83773358","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}
Diabetes is non-communicable disorder that is often a result of change in lifestyle or genetic variations among individuals across the globe. Diabetes is a fatal condition and it is an unpredictable disorder hence it is regarded as a tragedy, painful, horrible and terrifying disorder. This is why this article is intended to call out readers, researchers and scientists to do whatever could be done to prevent, withstand, overcome or cure diabetes particularly type 2 which is mostly found widely. Although the cure of diabetes has not yet been found, the goal is to be able to alter diabetic patient perceptive about the disorder so that they can bear the disorder as a part of who they are bravely, instead of being affected by the disorder condition, and to gradually alert patient awareness will improve patient disorder state, tolerance and acceptance while science and technology are advancing to find the cure or vaccine. Since this chronic disorder have no cure or vaccine, the patient suffers a lot from not only health problems but also psychological, emotional and financial problems therefore it is essential to develop strength within diabetic patients to withstand the disorder state via treatment, surgery, yoga, meditation, exercise, nutrition and habitual changes. Elevating diabetic mellitus patient’s attitude, knowledge, self-acceptance and strength will result into better patient compliance toward the treatment but also society’s perceptive will be enhanced by care toward diabetic mellitus patients, through various seminars and Counselling.
{"title":"Management of Diabetes Mellitus to Improve the Quality Life of Patients","authors":"Akimana Cedrick, Janaki Devi Sirisolla, Joshna Booravilli, Shubham Yadav","doi":"10.26452/ijrps.v13i4.3408","DOIUrl":"https://doi.org/10.26452/ijrps.v13i4.3408","url":null,"abstract":"Diabetes is non-communicable disorder that is often a result of change in lifestyle or genetic variations among individuals across the globe. Diabetes is a fatal condition and it is an unpredictable disorder hence it is regarded as a tragedy, painful, horrible and terrifying disorder. This is why this article is intended to call out readers, researchers and scientists to do whatever could be done to prevent, withstand, overcome or cure diabetes particularly type 2 which is mostly found widely. Although the cure of diabetes has not yet been found, the goal is to be able to alter diabetic patient perceptive about the disorder so that they can bear the disorder as a part of who they are bravely, instead of being affected by the disorder condition, and to gradually alert patient awareness will improve patient disorder state, tolerance and acceptance while science and technology are advancing to find the cure or vaccine. Since this chronic disorder have no cure or vaccine, the patient suffers a lot from not only health problems but also psychological, emotional and financial problems therefore it is essential to develop strength within diabetic patients to withstand the disorder state via treatment, surgery, yoga, meditation, exercise, nutrition and habitual changes. Elevating diabetic mellitus patient’s attitude, knowledge, self-acceptance and strength will result into better patient compliance toward the treatment but also society’s perceptive will be enhanced by care toward diabetic mellitus patients, through various seminars and Counselling.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76038919","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}
Pub Date : 2022-10-07DOI: 10.26452/ijrps.v13i4.2903
Jaysree R C, Rajendran N
Biosurfactants are produced by different microorganisms like bacteria, algae, fungi on to the cell surface. They are amphipathic in nature which helps them to aggregate at the interfaces, thereby reducing the surface tension. They are characterized by the molecular weight into two i.e. low molecular and high molecular. According to the different biomolecule such as protein, carbohydrate moiety attached, they have distinct and different structures which provide them different functions and applications in different fields. In this present review, the relationship among microorganism, biosurfactant and hydrocarbon has been described and the different applications in various industries have also been explained.
{"title":"A Review on Biosurfactants","authors":"Jaysree R C, Rajendran N","doi":"10.26452/ijrps.v13i4.2903","DOIUrl":"https://doi.org/10.26452/ijrps.v13i4.2903","url":null,"abstract":"Biosurfactants are produced by different microorganisms like bacteria, algae, fungi on to the cell surface. They are amphipathic in nature which helps them to aggregate at the interfaces, thereby reducing the surface tension. They are characterized by the molecular weight into two i.e. low molecular and high molecular. According to the different biomolecule such as protein, carbohydrate moiety attached, they have distinct and different structures which provide them different functions and applications in different fields. In this present review, the relationship among microorganism, biosurfactant and hydrocarbon has been described and the different applications in various industries have also been explained.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85697174","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}
Pub Date : 2022-10-07DOI: 10.26452/ijrps.v13i4.2898
Nevin Joseph, Alin Baby, Shaniya Thomas, J. Vilapurathu, Jobin Kunjumon
The risk of morbidity and death in patients with chronic kidney disease (CKD), formerly known as chronic renal failure (CRF), is increased by a number of comorbidities, including infections, cardiovascular disease (CVD), and anaemia. The second most common reason for death in this population is infections. Antibiotics can accumulate in the body and have harmful consequences when given to CKD patients without the necessary dosage modification and in an illogical manner. The purpose of this particular study was to compare the standard treatment protocol with the reasoning and prescribing patterns of antibiotics administered for infections in CKD patients staged 3-5 in the nephrology department of a single Center in Kerala’s Kottayam district. The medical records of 272 patients who met the inclusion and exclusion criteria and were admitted to the nephrology department between November 2019 and November 2020 were examined as part of single-centred retrospective research that was created to address this. Surprisingly, just 45 percent of the prescriptions were rational, while 55 percent of them were nonsensical. Additionally, we discovered that 23 percent of antibiotic selections went outside accepted therapeutic standards. Thus, we could conclude that the prescriber must use the utmost caution while prescribing to a patient with CKD to prevent future difficulties.
{"title":"Drug Utilization Review of Antibiotics in Chronic Kidney Disease Patients and Comparison with the Standard Drug of Choice","authors":"Nevin Joseph, Alin Baby, Shaniya Thomas, J. Vilapurathu, Jobin Kunjumon","doi":"10.26452/ijrps.v13i4.2898","DOIUrl":"https://doi.org/10.26452/ijrps.v13i4.2898","url":null,"abstract":"The risk of morbidity and death in patients with chronic kidney disease (CKD), formerly known as chronic renal failure (CRF), is increased by a number of comorbidities, including infections, cardiovascular disease (CVD), and anaemia. The second most common reason for death in this population is infections. Antibiotics can accumulate in the body and have harmful consequences when given to CKD patients without the necessary dosage modification and in an illogical manner. The purpose of this particular study was to compare the standard treatment protocol with the reasoning and prescribing patterns of antibiotics administered for infections in CKD patients staged 3-5 in the nephrology department of a single Center in Kerala’s Kottayam district. The medical records of 272 patients who met the inclusion and exclusion criteria and were admitted to the nephrology department between November 2019 and November 2020 were examined as part of single-centred retrospective research that was created to address this. Surprisingly, just 45 percent of the prescriptions were rational, while 55 percent of them were nonsensical. Additionally, we discovered that 23 percent of antibiotic selections went outside accepted therapeutic standards. Thus, we could conclude that the prescriber must use the utmost caution while prescribing to a patient with CKD to prevent future difficulties.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"340 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86792130","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}
Pub Date : 2022-09-26DOI: 10.26452/ijrps.v13i3.2733
Sukanya L
Ovarian cancer is predominantly cancer in the perimenopausal and post- menopausal age group. A definitive biomarker has not been identified for malignant ovarian cancer and histopathology remains the diagnostic gold standard for this. Risk of Malignancy Index (RMI) in predicting malignant pelvic masses includes serum CA125 level, menopausal status, and ultrasonographic findings. The risk of malignancy index (RMI) was evaluated in the women presented with adnexal masses for its accuracy in predicting the malignancy. This was a retrospective study which included 120 women who presented with adnexal mass in a tertiary hospital. RMI scoring was done based on CA125 levels, ultrasound findings and postmenopausal status and RMI was correlated with the histopathological findings. Out of 120 subjects, 74.1% of subjects were proved to have malignant tumors. RMI in predicting malignancy showed a sensitivity of 88.76%, a specificity of 45.37%, a positive predictive value of 81.63%, a negative predictive value of 66.67% and an accuracy of RMI found to be 82.5%. The RMI is found to be a simple, cost-effective and reliable tool in predicting malignancy in women presenting with adnexal masses that helps in timely referral to a gynaecological oncology center for better management and survival. RMI scoring can be used as it is a better tool for analysing multiple parameters of the tumour.
{"title":"Risk of malignancy index (RMI) for prediction of malignancy in women with adnexal masses","authors":"Sukanya L","doi":"10.26452/ijrps.v13i3.2733","DOIUrl":"https://doi.org/10.26452/ijrps.v13i3.2733","url":null,"abstract":"Ovarian cancer is predominantly cancer in the perimenopausal and post- menopausal age group. A definitive biomarker has not been identified for malignant ovarian cancer and histopathology remains the diagnostic gold standard for this. Risk of Malignancy Index (RMI) in predicting malignant pelvic masses includes serum CA125 level, menopausal status, and ultrasonographic findings. The risk of malignancy index (RMI) was evaluated in the women presented with adnexal masses for its accuracy in predicting the malignancy. This was a retrospective study which included 120 women who presented with adnexal mass in a tertiary hospital. RMI scoring was done based on CA125 levels, ultrasound findings and postmenopausal status and RMI was correlated with the histopathological findings. Out of 120 subjects, 74.1% of subjects were proved to have malignant tumors. RMI in predicting malignancy showed a sensitivity of 88.76%, a specificity of 45.37%, a positive predictive value of 81.63%, a negative predictive value of 66.67% and an accuracy of RMI found to be 82.5%. The RMI is found to be a simple, cost-effective and reliable tool in predicting malignancy in women presenting with adnexal masses that helps in timely referral to a gynaecological oncology center for better management and survival. RMI scoring can be used as it is a better tool for analysing multiple parameters of the tumour.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77972649","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}
Pub Date : 2022-09-12DOI: 10.26452/ijrps.v13i3.2498
Nithya R, Rajalekshmi M, Nasreen Banu M
Cancer cervix accounts for 80% of female genital cancer and is the most common genital cancer. India accounts for 27% of the incidence all over the world. The mortality due to cancer cervix is 14.7%. To assess the reliability of downstaging in early detection of the precancerous lesion. To correlate the findings in 110 women with unhealthy cervix by cytology, colposcopy directed biopsies. The work was carried out continuously over one year and 2 months. 110 women were evaluated. When Cytology was compared with Colposcopy, Cytology had only 38.8% sensitivity. Cytology showed higher specificity (98.4%). 95% of the patients with abnormal Cytology had abnormal colposcopy. Colposcopy showed a sensitivity of 96.3% and a specificity of 72.3%. Sensitivity was more than a Pap smear, but specificity was less than a pap smear. Thus, colposcopy offers an excellent tool for evaluating cervical lesions. It is an easy and perspective method, and its importance lies in teaching, diagnosis and management of cervical lesions, neoplastic and non- neoplastic.
{"title":"Comparison of downstaging, pap smear, colposcopy and colpo-directed biopsy in the detection of cancer cervix","authors":"Nithya R, Rajalekshmi M, Nasreen Banu M","doi":"10.26452/ijrps.v13i3.2498","DOIUrl":"https://doi.org/10.26452/ijrps.v13i3.2498","url":null,"abstract":"Cancer cervix accounts for 80% of female genital cancer and is the most common genital cancer. India accounts for 27% of the incidence all over the world. The mortality due to cancer cervix is 14.7%. To assess the reliability of downstaging in early detection of the precancerous lesion. To correlate the findings in 110 women with unhealthy cervix by cytology, colposcopy directed biopsies. The work was carried out continuously over one year and 2 months. 110 women were evaluated. When Cytology was compared with Colposcopy, Cytology had only 38.8% sensitivity. Cytology showed higher specificity (98.4%). 95% of the patients with abnormal Cytology had abnormal colposcopy. Colposcopy showed a sensitivity of 96.3% and a specificity of 72.3%. Sensitivity was more than a Pap smear, but specificity was less than a pap smear. Thus, colposcopy offers an excellent tool for evaluating cervical lesions. It is an easy and perspective method, and its importance lies in teaching, diagnosis and management of cervical lesions, neoplastic and non- neoplastic.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85763151","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}
Breast cancer is among the most prevalent type of cancer among women. Mastectomy is a common surgical option for breast cancer, which usually leads to significant functional impairment. Fatigue, anxiety and depression are reported by mastectomy patients. This study aims to investigate the effect of a multimodal exercise program on improving functional impairment, fatigue, anxiety and depression after mastectomy. A 40-year-old female presented with abnormal tissue growth, pain and nipple discharge at the right breast. She was diagnosed with invasive ductal carcinoma stage I and undertook six weeks of neoadjuvant chemotherapy followed by modified radical mastectomy (MRM). Postoperatively, patient had a functional impairment, fatigue, anxiety and depression. An eight-week multimodal exercise program comprising ROM exercises, strength and endurance training, breathing exercises and functional activities was given. DASH for assessing upper extremity functions, BFI for assessing the impact of fatigue on daily activities and HADS for assessing anxiety and depression. An eight-week multimodal exercise program effectively improves functional impairment, fatigue, anxiety and depression in mastectomy patients with rheumatoid arthritis.
{"title":"Effect of Multimodal Exercise Program on Functional Outcome, Fatigue and Emotional Health in Mastectomy Patient with Concomitant Rheumatoid Arthritis: A Case Study","authors":"Saumi Sinha, Rohit Balasaheb Rahane, Rakesh Kumar Sinha","doi":"10.26452/ijrps.v13i3.2125","DOIUrl":"https://doi.org/10.26452/ijrps.v13i3.2125","url":null,"abstract":"Breast cancer is among the most prevalent type of cancer among women. Mastectomy is a common surgical option for breast cancer, which usually leads to significant functional impairment. Fatigue, anxiety and depression are reported by mastectomy patients. This study aims to investigate the effect of a multimodal exercise program on improving functional impairment, fatigue, anxiety and depression after mastectomy. A 40-year-old female presented with abnormal tissue growth, pain and nipple discharge at the right breast. She was diagnosed with invasive ductal carcinoma stage I and undertook six weeks of neoadjuvant chemotherapy followed by modified radical mastectomy (MRM). Postoperatively, patient had a functional impairment, fatigue, anxiety and depression. An eight-week multimodal exercise program comprising ROM exercises, strength and endurance training, breathing exercises and functional activities was given. DASH for assessing upper extremity functions, BFI for assessing the impact of fatigue on daily activities and HADS for assessing anxiety and depression. An eight-week multimodal exercise program effectively improves functional impairment, fatigue, anxiety and depression in mastectomy patients with rheumatoid arthritis.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85258092","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 Gastro intestinal (LGIB) bleeding is one of the most important clinical symptoms which have significant morbidity and mortality. It has an annual admission rate of 0.15% with mortality rate of 5-10%. LGIB can be caused by a number of causes, including both neoplastic and non-neoplastic lesions. Colonoscopy is the gold standard diagnostic measure which is a simple, convenient and cost-effective procedure. The present study aimed to assess the Colonoscopic profile of LGIB presented to our tertiary care centre. This is a cross-sectional observational study conducted in a tertiary health care centre. A total number of 58 adult subjects with LGIB aged above 18 years were recruited over a period of six months after obtaining written informed consent. All included patients underwent detailed history, clinical examination, blood tests and colonoscopic evaluation. Results were analysed. In our study among the 58 subjects (n=33) were males, which were equal to 57%. The majority of our patients were between the mean age of 31-40 years. Most colonoscopic findings were suggestive of ulcerative colitis, which equalled to 31%. Other different aetiologies of LGIB were as following: carcinoma of the colon (15%), haemorrhoids (15%), colonic polyps (14%) carcinoma of anal canal (5%) and so on. The majority of our patients had moderate anaemia, which was equal to 45% and this was due to persistent LGIB. The incidence of lower GI bleeding increased with increasing age among our patients. The leading cause of lower GI bleeding was found to be ulcerative colitis. The prevalence of colon cancer increases with increase in age. It was followed by CA colon, haemorrhoids, and colonic polyps; hence colonoscopy is recommended in all patients with chronic LGIB.
{"title":"Colonoscopic Profile of Lower Gastrointestinal Bleed in Adults: A Tertiary Care Centre Based Study","authors":"Fahad Dadu, Sachin Dhande, Mahendrakumar Kalappan, Jagadeesan Mohanan, Magesh Kumar Sivanesan, Damodharan Jeyachandran","doi":"10.26452/ijrps.v13i3.2092","DOIUrl":"https://doi.org/10.26452/ijrps.v13i3.2092","url":null,"abstract":"Lower Gastro intestinal (LGIB) bleeding is one of the most important clinical symptoms which have significant morbidity and mortality. It has an annual admission rate of 0.15% with mortality rate of 5-10%. LGIB can be caused by a number of causes, including both neoplastic and non-neoplastic lesions. Colonoscopy is the gold standard diagnostic measure which is a simple, convenient and cost-effective procedure. The present study aimed to assess the Colonoscopic profile of LGIB presented to our tertiary care centre. This is a cross-sectional observational study conducted in a tertiary health care centre. A total number of 58 adult subjects with LGIB aged above 18 years were recruited over a period of six months after obtaining written informed consent. All included patients underwent detailed history, clinical examination, blood tests and colonoscopic evaluation. Results were analysed. In our study among the 58 subjects (n=33) were males, which were equal to 57%. The majority of our patients were between the mean age of 31-40 years. Most colonoscopic findings were suggestive of ulcerative colitis, which equalled to 31%. Other different aetiologies of LGIB were as following: carcinoma of the colon (15%), haemorrhoids (15%), colonic polyps (14%) carcinoma of anal canal (5%) and so on. The majority of our patients had moderate anaemia, which was equal to 45% and this was due to persistent LGIB. The incidence of lower GI bleeding increased with increasing age among our patients. The leading cause of lower GI bleeding was found to be ulcerative colitis. The prevalence of colon cancer increases with increase in age. It was followed by CA colon, haemorrhoids, and colonic polyps; hence colonoscopy is recommended in all patients with chronic LGIB.","PeriodicalId":14285,"journal":{"name":"International Journal of Research in Pharmaceutical Sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87245867","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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