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HISTOPATHOLOGICAL REVIEW AND RE-CATEGORIZATION OF THYROID MALIGNANCIES BASED ON WHO CLASSIFICATION OF ENDOCRINE TUMORS, 2022 组织病理学审查和根据谁的内分泌肿瘤分类对甲状腺恶性肿瘤重新分类,2022 年
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/8101528
Ganguly S, Singh Bp, Bhoi SR
Thyroid cancer (TC) is the commonest endocrine malignant tumor whose incidence has been increasing steadily for decades in the world. Thisalarming rise in the incidence of thyroid malignancies, even in the face of low and stable and mortality rates is thought to be predominantly drivenby overdiagnosis; notably evident in the case of papillary thyroid tumors. This has led to otherwise indolent tumors being aggressively managedcausing potential harms to patients and levying unnecessary costs on an already overburdened healthcare system. The 5th edition of the WorldHealth Organization (WHO) classication of endocrine tumors, released in 2022, has introduced several changes to the nomenclature, grading andprognostication of thyroid proliferations based on pathologic features and molecular prole that can help in improving risk stratication bycategorizing tumors based on histological and molecular characteristics, thereby reducing the burden of diagnosis of incidental and indolentlesions, as well as de-escalate the treatment. The present study attempts to review the histopathological diagnosis of all previously reported thyroidneoplasms at our institution and reclassify them according to the recently updated criteria.
甲状腺癌(TC)是最常见的内分泌恶性肿瘤,几十年来其发病率在全球稳步上升。尽管甲状腺恶性肿瘤的发病率和死亡率都很低且保持稳定,但甲状腺癌发病率的惊人增长仍被认为主要是由过度诊断引起的;这一点在甲状腺乳头状瘤的病例中尤为明显。这导致原本并不严重的肿瘤被积极治疗,给患者造成了潜在的伤害,并给已经不堪重负的医疗系统带来了不必要的费用。2022年发布的世界卫生组织(WHO)第五版内分泌肿瘤分类cation对甲状腺增生的命名、分级和基于病理特征和分子原le的诊断进行了一些修改,这些修改有助于根据组织学和分子特征对肿瘤进行分类,从而改善风险分cation,从而减轻偶发和不偶发肿瘤的诊断负担,并降低治疗难度。本研究试图回顾我院以前报告的所有甲状腺肿瘤的组织病理学诊断,并根据最近更新的标准对其进行重新分类。
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引用次数: 0
UNRAVELING THE ANATOMICAL COMPLEXITY: IMPLICATIONS OF GREAT SAPHENOUS VEIN VARIATIONS ON SURGICAL STRATEGIES 揭开解剖复杂性的面纱:大隐静脉变异对手术策略的影响
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/4601715
Rajasekhara Babu. G, Laxmi Durga Vuddi, Sagar Reddy. G, Ushanajali. V, Nithin Kumar M
Varicosities of the great saphenous vein (GSV) and its tributaries pose a common medical concern affecting up to 25% of adults. Understanding theintricate anatomical variations and their correlation with the fascia lata of the thigh is paramount for clinical management. This study conducteddissections on forty cadaveric lower limbs to scrutinize these anatomical nuances. The fascia lata of the anterior thigh was found to bifurcate intothe supercial saphenous fascia and the deep fascia lata proper, forming distinct saphenous compartments. Three types of saphenous compartmentswere delineated: Type 1, characterized by a triangular compartment accommodating the GSV and its tributaries (30%); Type 2, featuring a fascialcanal housing the GSV(30%); and Type 3, displaying a small fascial saphenous compartment with variable boundaries containing the GSVand oneor two of its tributaries (40%). The study also observed the number of supercial tributaries ranging from 3 to 7 with a mean of 5.12 ± 1.95, while theGSV length ranged from 5 to 8.5 cm with a mean of 6.43 ± 1.65 cm. Furthermore, the length of tributaries in the saphenous compartment variedfrom 2 to 6 cm with a mean of 3.82 ± 2.74 cm. Noteworthy ndings include the intimate association of the external pudendal artery (EPA) with thesaphenofemoral junction (SFJ) in 30% of cases and the relationship between cutaneous branches of the femoral nerve with the GSV, its tributaries,and SFJ in 52.5% of cases. This intricate understanding of anatomical relationships is indispensable for devising precise surgical strategies tomanage varicosities effectively
大隐静脉(GSV)及其支流的静脉曲张是一种常见的医学问题,影响着多达 25% 的成年人。了解错综复杂的解剖变异及其与大腿筋膜的相关性对于临床治疗至关重要。本研究对 40 具尸体下肢进行了解剖,以仔细研究这些解剖上的细微差别。研究发现,大腿前侧的大隐筋膜分叉为大隐筋膜上层()和大隐筋膜深层(deep fascia lata proper),形成不同的大隐筋膜室。我们划分出了三种类型的隐静脉区:类型 1 的特征是一个容纳 GSV 及其支流的三角形隔室(30%);类型 2 的特征是一个容纳 GSV 的筋膜镰(30%);类型 3 显示了一个边界不固定的小筋膜隐窝,其中包含 GSV 及其一个或两个支流(40%)。研究还观察到,超级cial 支流的数量从 3 到 7 不等,平均为 5.12 ± 1.95,而 GSV 长度从 5 到 8.5 厘米不等,平均为 6.43 ± 1.65 厘米。此外,隐静脉腔内支流的长度从 2 厘米到 6 厘米不等,平均为 3.82 ± 2.74 厘米。值得注意的 ndings 包括:30% 的病例中,外阴动脉(EPA)与隐股交界处(SFJ)密切相关;52.5% 的病例中,股神经皮支与 GSV、其支流和 SFJ 之间存在关系。这种对解剖关系的复杂理解对于制定精确的手术策略以有效治疗静脉曲张是不可或缺的。
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引用次数: 0
EXPLORING ANTICANCER POTENTIAL OF CENTAUREA BEHEN L., ELAEOCARPUS GANITRUS ROXB, GLORIOSA SUPERBA L. AND FICUS RELIGIOSA L. AGAINST HUMAN LUNG CANCER (A-549) CELL LINES 探索仙人掌、皂荚、芒柄花和薜荔对人类肺癌(A-549)细胞株的抗癌潜力
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/3505321
Satnam Singh, Amandeep Kaur, R. G. Saini
Background: Phytochemicals form the basis of research and development of new molecules leading to the development of new novel drugs. In theoncology sector, plants have contributed more than 60% of the anti-cancer drugs, directly or indirectly. The present study Aims and Objectives:was conducted with the objective to explore the antitumor activity of various extracts obtained from dried roots of Centaurea behen L., driedfruits/beads of Elaeocarpus ganitrus Roxb., dried roots of Gloriosa superba L. and dried leaves of Ficus religiosa L. against human lung cancer(A 549) cell lines. Method: Phytoconstituents were extracted by Soxhlet method using hexane, chloroform, methanol and water as solvents. MTTassay was used to nd the anti-proliferative potential of these plant extracts. The trypan blue dye exclusion test was used to determine the number ofviable cells present in a cell suspension. Cytotoxic activity was also evaluated against non-cancerous cell lines (MCF-10A). Results: On A-549 celllines, 93% cell death was reported with G. superba aqueous extract followed by E. ganitrus methanol extract and F. religiosa hexane extract andC. behen aqueous extract with 87%, 81.61% and 75 % cell death respectively. However, none of the extracts showed cytotoxic effect upontesting against normal non-cancerous cell lines (MCF- 10A). Conclusions: The results of the current ndings prove that phytoconstituents presentin these plant extracts have high anticancer potential. This study strongly suggests the possibility of medicinal plants as an important source ofanticancer drug development.
背景:植物化学物质是研究和开发新分子、研制新型药物的基础。在肿瘤学领域,植物直接或间接贡献了 60% 以上的抗癌药物。本研究的目的和目标:本研究旨在探讨从半枝莲(Centaurea behen L.)干根、崖柏(Elaeocarpus ganitrus Roxb.)干果/珠、鹅掌楸(Gloriosa superba L.)干根和榕树(Ficus religiosa L.)干叶中提取的各种提取物对人类肺癌(A 549)细胞系的抗肿瘤活性。研究方法以正己烷、氯仿、甲醇和水为溶剂,用索氏提取法提取植物成分。MTT 分析法用于  这些植物提取物的抗增殖潜力。胰蓝染料排除试验用于确定细胞悬浮液中存活细胞的数量。此外,还对非癌细胞系(MCF-10A)的细胞毒活性进行了评估。结果在 A-549 细胞系中,G. superba 水提取物的细胞死亡率为 93%,其次是 E. ganitrus 甲醇提取物、F. religiosa 己烷提取物和 C. behen 水提取物,细胞死亡率分别为 87%、81.61% 和 75%。然而,在对正常非癌细胞株(MCF- 10A)进行测试时,没有一种提取物显示出细胞毒性作用。结论目前 ndings 的结果证明,这些植物提取物中的植物成分具有很高的抗癌潜力。这项研究有力地证明了药用植物作为抗癌药物开发的重要来源的可能性。
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引用次数: 0
A TRIAD TO DIAGNOSIS- CONGENITAL ADRENAL HYPERPLASIA 三联诊断--先天性肾上腺皮质增生症
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/6303485
Lakshmi Menon, Akshay Raundhal, Shriya Umalkar
Congenital adrenal hyperplasia due to deciency of 17 α Hydroxylase is an autosomal recessive condition caused by mutation of the CYP17A1gene. The following case report demonstrates a rare case of 16 year old female, who presented to the Emergency Department with dehydration andgeneralized weakness (in a state of shock) with hypertension. She had persistent hypokalemia and her mother gave a history of not attainingmenarche. Keeping a triad of hypokalemia, hypertension, and delayed puberty we investigated her endocrine workup which led to the diagnosis of17 α Hydroxylase deciency. She was later started on steroids and estrogen, which showed improvement in her clinical condition on follow-up.
由 17 α 羟化酶脱ciency 引起的先天性肾上腺皮质增生症是一种常染色体隐性遗传病,由 CYP17A1 基因突变引起。以下病例报告展示了一例罕见病例,患者为 16 岁女性,因脱水和全身无力(处于休克状态)伴有高血压而就诊于急诊科。她患有持续性低钾血症,其母亲曾说过她没有初潮。根据低钾血症、高血压和青春期延迟的三联征,我们对她进行了内分泌检查,结果诊断为 17 α 羟化酶脱ciency。随后,她开始服用类固醇和雌激素,随访显示她的临床状况有所改善。
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引用次数: 0
A STUDY OF MENOPAUSAL SYMPTOMS USING THE MENOPAUSE RATING SCALE (MRS) IN THE RURAL WOMEN OF GURUGRAM DISTRICT OF HARYANA, NORTH INDIA 印度北部哈里亚纳邦古鲁格拉姆地区农村妇女使用更年期评分量表(Mrs)对更年期症状的研究
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/8901207
Jayati Nath, Nikita Ghanshyam Jain
Menopause is the permanent cessation of menstruation due to exhaustion of the ovarian functions. Due to increased life expectancy, womenworldwide are expected to spend almost a third of their life in menopause. This study was undertaken to assess the prevalence of variousmenopausal symptoms and the severity according to the menopause rating scale (MRS) in the rural women of Gurugram district of Haryana as across-sectional study in 100 subjects. Our patients mostly complained of physical exhaustion, mental disturbance, joint and muscular discomfort,hot ushes and night sweats – mostly had mild to moderate symptoms is high and spread of awareness regarding the same and prevalence andtherapeutic measures provided to have a healthy post-menopausal life.
更年期是指卵巢功能衰竭导致月经永久停止。由于预期寿命的延长,预计全世界妇女将有近三分之一的时间处于更年期。本研究以哈里亚纳邦古鲁格拉姆地区的农村妇女为对象,通过对 100 名受试者进行横断面研究,根据更年期评分量表(MRS)评估各种更年期症状的发生率和严重程度。我们的患者大多抱怨身体疲惫、精神错乱、关节和肌肉不适、发热 hes 和盗汗--大多为轻度至中度症状,因此对绝经期症状的认识和流行程度以及为绝经后健康生活提供的治疗措施的普及率很高。
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引用次数: 0
AN OBSERVATIONAL STUDY ON INDICATIONS FOR PRIMARY CESAREAN SECTION AT A TERTIARY CARE CENTRE 关于一家三级医疗中心初次剖腹产适应症的观察研究
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/7804093
Sanjana Kurimella, Subhashini Revu, Ratna Manjula Songa, Siddhartha Kancharla, Karuna Guguloth
Background: Caesarean section is the most commonly performed obstetric surgical procedure which with a suitable indication is potentiallylifesaving. But it has many disadvantages for both mother and baby. Aims and Objectives: Hence, the present study is taken up to analyze variousindications of primary cesarean section in a tertiary hospital, with an aim to reduce the C-section rate. Material and Methods: This is aRetrospective Observational study conducted at GGH Guntur, a tertiary care center, for 1 year from 1st October 2022 to 30 September 2023. Allprimary cesarean sections done at GGH, Guntur during the study period were included. All Repeat cesarean sections, primary sections done inother hospitals and referred to GGH Guntur, and patients with a previous history of laparotomy done for any obstetric or gynecological cause wereexcluded. Results: During the study period, out of 7548 deliveries, Normal deliveries were 3591, whereas Total cesarean sections were 3957. Ofthem, 2148 were primary cesarean sections and 1809 were repeat cesarean sections. So, the rate of primary cesarean section in our hospital was54.3%. Fetal distress (32%) was found to be the most common indication for primary c-section followed by Cephalo Pelvic Disproportion (CPD)(26%). Conclusion: Our study highlights the need to lower c-section rates. Efforts like counseling women about the benets of Normal VaginalDelivery(NVD), precise use of partograph, judicious use of oxytocin with other labour-inducing agents, timely admission and wise decisionmaking while considering c-section, and expertization of instrumental vaginal delivery skills should be taken to achieve this.
背景:剖腹产是最常见的产科外科手术,如果有合适的指征,有可能挽救生命。但它对母亲和婴儿都有许多不利之处。目的和目标:因此,本研究分析了一家三级医院中初次剖宫产的各种指征,旨在降低剖宫产率。材料与方法:本研究是一项回顾性观察研究,于 2022 年 10 月 1 日至 2023 年 9 月 30 日在 GGH Guntur(一家三级医疗中心)进行,为期 1 年。研究期间在贡图尔 GGH 进行的所有初次剖宫产手术均包括在内。不包括所有重复剖宫产手术、在其他医院完成初级剖宫产手术并转诊到贡图尔GGH的患者,以及曾因任何妇产科原因进行过开腹手术的患者。结果:研究期间,在 7548 例分娩中,正常分娩 3591 例,剖腹产 3957 例。其中,2148 例为初次剖宫产,1809 例为再次剖宫产。因此,我院的初次剖宫产率为 54.3%。胎儿窘迫(32%)是最常见的初次剖腹产指征,其次是头盆不称(CPD)(26%)。结论我们的研究强调了降低剖腹产率的必要性。为实现这一目标,应努力向产妇宣传正常阴道分娩(NVD)的好处,准确使用分宫图,合理使用催产素和其他催产药物,在考虑剖腹产时及时入院并做出明智的决策,以及熟练掌握阴道器械分娩技能。
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引用次数: 0
ENTEROCUTANEOUS FISTULA: PRESENTATION, TREATMENT MODALITIES, AND OUTCOMES IN 20 PATIENTS 肠瘘:20 名患者的表现、治疗方式和结果
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/8500465
Kasturi Bharadwaj, P V Dwarakanath Reddy
Background: Enterocutaneous stula (ECF) is a difcult condition managed in surgical wards and is associated with signicant morbidity andmortality. Sepsis, malnutrition, and electrolyte abnormality are the classical triad of complications of ECF. This study Aims & Objectives:explores different treatment modalities and outcomes in SUM Hospital. All consecutive patients who Materials And Methods: developed orpresented with ECF during the study period were included. The etiology, anatomic distribution, stula output, clinical course, complications,predictive factors for spontaneous closure, and outcomes for patients with ECF were studied. A tota Results: l of 20 patients were included in thisprospective observational study, of which 13 were males and 7 were females. About 90% of ECFs were postoperative. The ileum was found to bethe most common site of ECF. Also, 50% of stulas were high and 50% were low. Serum albumin levels correlated signicantly with stula healingand mortality. Surgical intervention was required in 60% of patients. Conclusion: Most of the ECFs are encountered in the postoperative period.Serum albumin levels can predict stula healing and mortality. Conservative management should be the rst line of treatment. Mortality in patientswith ECF continues to be signicant and is commonly related to malnutrition and sepsis. Timely surgical intervention signicantly improves theoutcomes.
背景:肠道皮肤stula(ECF)是外科病房中一种难以cult处理的病症,与严重cant的发病率和死亡率相关。脓毒症、营养不良和电解质异常是ECF的典型三联并发症。本研究的目的和目标:探讨SUM医院的不同治疗方式和结果。材料和方法:纳入研究期间发生或出现 ECF 的所有连续患者。研究ECF患者的病因、解剖分布、stula输出量、临床过程、并发症、自发闭合的预测因素以及治疗效果。结果:这项前瞻性观察研究共纳入20名患者,其中男性13名,女性7名。约90%的ECF发生在术后。回肠是最常见的ECF部位。此外,50%的stulas为高浓度,50%为低浓度。血清白蛋白水平与瘘管愈合和死亡率密切相关。60%的患者需要手术治疗。结论:大多数ECF是在术后发生的。血清白蛋白水平可预测瘘管愈合和死亡率。保守治疗应是。ECF患者的死亡率仍然很高,通常与营养不良和败血症有关。及时的手术干预可显著改善。
{"title":"ENTEROCUTANEOUS FISTULA: PRESENTATION, TREATMENT MODALITIES, AND OUTCOMES IN 20 PATIENTS","authors":"Kasturi Bharadwaj, P V Dwarakanath Reddy","doi":"10.36106/ijsr/8500465","DOIUrl":"https://doi.org/10.36106/ijsr/8500465","url":null,"abstract":"Background: Enterocutaneous stula (ECF) is a difcult condition managed in surgical wards and is associated with signicant morbidity and\u0000mortality. Sepsis, malnutrition, and electrolyte abnormality are the classical triad of complications of ECF. This study Aims & Objectives:\u0000explores different treatment modalities and outcomes in SUM Hospital. All consecutive patients who Materials And Methods: developed or\u0000presented with ECF during the study period were included. The etiology, anatomic distribution, stula output, clinical course, complications,\u0000predictive factors for spontaneous closure, and outcomes for patients with ECF were studied. A tota Results: l of 20 patients were included in this\u0000prospective observational study, of which 13 were males and 7 were females. About 90% of ECFs were postoperative. The ileum was found to be\u0000the most common site of ECF. Also, 50% of stulas were high and 50% were low. Serum albumin levels correlated signicantly with stula healing\u0000and mortality. Surgical intervention was required in 60% of patients. Conclusion: Most of the ECFs are encountered in the postoperative period.\u0000Serum albumin levels can predict stula healing and mortality. Conservative management should be the rst line of treatment. Mortality in patients\u0000with ECF continues to be signicant and is commonly related to malnutrition and sepsis. Timely surgical intervention signicantly improves the\u0000outcomes.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"148 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028621","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}
引用次数: 0
PERCEPTION OF EARLY CLINICAL EXPOSURE BY I MBBS STUDENTS 医学学士学生对早期临床接触的看法
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/2702256
Sunil Kumar Nanda, Ramachandran Thiruvengadam
Background: The National Medical Council (NMC) in its new educational reforms has made Early Clinical Exposure (ECE) sessionscompulsory. Though it is being followed by all medical colleges, there are very few studies where perception of ECE in Biochemistry has beenstudied. Objectives: To determine the perception of I MBBS students about ECE in Biochemistry. Materials And Methods: Study design :Ambispective qualitative study, Study setting : Biochemistry Department. Subjects : I MBBS students 2022 Batch, Sampling technique :Purposive sampling, Study duration : 4 months. Retrospective component: ECE Reection questionnaire were given to all students after ECEsessions. We studied 120 ECE reections. Prospective component : We conducted Focused group discussion (FGD) and in-depth interviews(IDI) for 40 students. The Themes generated from reections, Focused group discussion (FGD) and in-depth interviews were analyzed. Results:Thematic analysis Themes on early clinical exposure sessions emerging from Focused group discussion (FGD) and in-depth interviews were :Understanding of ECE Method – “It was helpful and exposed us to different clinical conditions", Impact on Clinical Problem-Solving - “By ECEsessions, we learnt how to encounter clinical cases", Enhancements for ECE Sessions - “taking students to wards”, Diverse Learning Outcomes -“ECE sessions made complex manifestations into easily understandable topics". Conclusion: There was a broad understanding of ECE andperceptual shift in study topics among participants. Integration of basic sciences with clinical subjects was found benecial, though complexitieswere noted. Suggestions for ECE enhancements were more interactive sessions and real-life clinical exposure.
背景:国家医学委员会(NMC)在其新的教育改革中将早期临床接触(ECE)课程列为必修课程。尽管所有医学院校都在遵循这一规定,但很少有研究对生物化学专业学生的 ECE 感知进行研究。研究目的确定 IMBBS 学生对生物化学 ECE 的看法。材料与方法研究设计:前瞻性定性研究,研究环境:生物化学系。研究对象 :抽样技术:目的性抽样,研究持续时间:4 个月。回顾性部分:在幼教课程结束后向所有学生发放幼教再ection 问卷。我们研究了 120 份幼教回ections。前瞻性部分 :我们对 40 名学生进行了焦点小组讨论(FGD)和深度访谈(IDI)。对从ections、焦点小组讨论(FGD)和深入访谈中产生的主题进行了分析。结果:专题分析 从焦点小组讨论(FGD)和深度访谈中产生的关于早期临床接触课程的主题有:对幼教方法的理解--"它很有帮助,让我们接触到不同的临床情况";对解决临床问题的影响--"通过幼教课程,我们学会了如何遇到临床病例";幼教课程的改进--"把学生带到病房";多样化的学习成果--"幼教课程把复杂的表现变成了容易理解的主题"。结论与会者对欧洲经委会有了广泛的了解,并对学习主题有了观念上的转变。他们认为基础科学与临床学科的结合是有益的cial,但也指出了其中的复杂性。关于加强欧洲经委会的建议是增加互动环节和真实的临床接触。
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引用次数: 0
SUBCUTANEOUS FAT SUTURE IN CESAREAN SECTIONS AND WOUND DISRUPTION 剖腹产中的皮下脂肪缝合和伤口破坏
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/0520762
Nahla Hatam Hamodi
Background: Cesarean sections, which are performed either elective or as an emergency, have become a common procedure in obstetrics.Although there are many advantages of this procedure for the baby as well as for the mother in apt situations, there are many risks associated with it.Wound infection, or disruption is a common complication following caesarean section. The factors inuencing the risk of these complications aremany but maternal obesity, an increase in the subcutaneous fat, and its closure after the procedure are the main risk factors. Since there are no basicrecommendations regarding suturing, the type of suture materials to be used, etc., the procedure varies among the practitioners, and hence thecomplications after the procedure. Thus, in this article, the effects of suturing the subcutaneous fat in cesarean sections on wound disruption arereviewed and the current status of the choice of suture materials to be used is also considered. Conclusion:There are no strong shreds of evidence toprove the inuence of suturing the subcutaneous fat or the type of suture material used on wound disruption during cesarean section. Most of theauthors agree with the fact that closure of the subcutaneous fat reduces the risk of wound disruption for subcutaneous tissue larger than 2 cm
背景:剖腹产是产科的一种常见手术,无论是选择性剖腹产还是紧急剖腹产。虽然这种手术对婴儿和母亲都有很多好处,但也存在很多风险。伤口感染或破坏是剖腹产后常见的并发症。影响这些并发症风险的因素有很多,但产妇肥胖、皮下脂肪增加以及术后伤口闭合是主要的风险因素。由于没有关于缝合、使用何种缝合材料等方面的基本建议,不同医师的手术方法各不相同,因此术后并发症也不尽相同。因此,本文对剖宫产术中缝合皮下脂肪对伤口破坏的影响进行了研究,并对缝合材料的选择现状进行了探讨。结论:没有有力的证据证明缝合皮下脂肪或缝合材料的类型对剖宫产术中伤口破坏的。大多数作者同意,对于大于 2 厘米的皮下组织,缝合皮下脂肪可降低伤口破坏的风险。
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引用次数: 0
ATTITUDE TOWARDS MENTAL ILLNESS, SENSE OF COMMUNITY, SELFCOMPASSION AND HELP-SEEKING ATTITUDE - A COMPARATIVE STUDY 对精神病的态度、群体意识、自我同情和求助态度--一项比较研究
Pub Date : 2024-05-01 DOI: 10.36106/ijsr/2603110
Sushmitha Subramani
Background: Most studies that have explored sense of community (SOC), attitude towards mental illness (AMI), self-compassion (SC), andattitude towards seeking professional help (ATSPH), have studied them individually in one sample population only without taking intoconsideration the geographical variations.Method: The comparative study used the ex-post facto research design and the mixed-methodexplanatory sequential design to understand the effect of SOC and AMI on SC and ATSPH while comparing University students (n=124) from 2Indian states Uttar Pradesh and Gujarat. Results: The data from Lucknow and Vadodara were compared, SOC had no signicant effect on SC andATSPH, but AMI had a signicant effect on SC and ATSPH. The qualitative study exploring AMI in Lucknow sample from Media department(n=10) highlighted three themes- reactions, causes and cures. The sub-themes of 'reactions' were sympathy, shock, and agony. The sub-themes of'causes' were environmental factors, emotional factors, adverse experiences, and biological factors. The sub-themes of 'cures' were environment,pleasurable activities, care, medications, love, sympathy, and togetherness.
背景:大多数探讨社区感(SOC)、对精神疾病的态度(AMI)、自我同情(SC)和寻求专业帮助的态度(ATSPH)的研究,都只是在一个样本人群中对它们进行单独研究,而没有考虑到地域差异:这项比较研究采用了事后研究设计和混合模式解释性顺序设计,以了解 SOC 和 AMI 对 SC 和 ATSPH 的影响,同时比较了印度北方邦和古吉拉特邦的大学生(人数=124)。结果:比较了勒克瑙和瓦多达拉的数据,SOC对SC和ATSPH没有显cant的影响,但AMI对SC和ATSPH有显cant的影响。对勒克瑙媒体部门(样本数=10)AMI 的定性研究突出了三个主题--反应、原因和治疗。反应 "的次主题是同情、震惊和痛苦。原因 "的次主题是环境因素、情绪因素、不良经历和生物因素。治疗 "的次主题是环境、愉悦的活动、照顾、药物、爱、同情和团结。
{"title":"ATTITUDE TOWARDS MENTAL ILLNESS, SENSE OF COMMUNITY, SELFCOMPASSION AND HELP-SEEKING ATTITUDE - A COMPARATIVE STUDY","authors":"Sushmitha Subramani","doi":"10.36106/ijsr/2603110","DOIUrl":"https://doi.org/10.36106/ijsr/2603110","url":null,"abstract":"Background: Most studies that have explored sense of community (SOC), attitude towards mental illness (AMI), self-compassion (SC), and\u0000attitude towards seeking professional help (ATSPH), have studied them individually in one sample population only without taking into\u0000consideration the geographical variations.Method: The comparative study used the ex-post facto research design and the mixed-method\u0000explanatory sequential design to understand the effect of SOC and AMI on SC and ATSPH while comparing University students (n=124) from 2\u0000Indian states Uttar Pradesh and Gujarat. Results: The data from Lucknow and Vadodara were compared, SOC had no signicant effect on SC and\u0000ATSPH, but AMI had a signicant effect on SC and ATSPH. The qualitative study exploring AMI in Lucknow sample from Media department\u0000(n=10) highlighted three themes- reactions, causes and cures. The sub-themes of 'reactions' were sympathy, shock, and agony. The sub-themes of\u0000'causes' were environmental factors, emotional factors, adverse experiences, and biological factors. The sub-themes of 'cures' were environment,\u0000pleasurable activities, care, medications, love, sympathy, and togetherness.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024264","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}
引用次数: 0
期刊
International journal of scientific research
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