Menopause is the permanent cessation of menstruation due to exhaustion of the ovarian functions. Due to increased life expectancy, women worldwide are expected to spend almost a third of their life in menopause. This study was undertaken to assess the prevalence of various menopausal symptoms and the severity according to the menopause rating scale (MRS) in the rural women of Gurugram district of Haryana as a cross-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 and therapeutic measures provided to have a healthy post-menopausal life.
{"title":"A STUDY OF MENOPAUSAL SYMPTOMS USING THE MENOPAUSE RATING SCALE (MRS) IN THE RURAL WOMEN OF GURUGRAM DISTRICT OF HARYANA, NORTH INDIA","authors":"Jayati Nath, Nikita Ghanshyam Jain","doi":"10.36106/ijsr/8901207","DOIUrl":"https://doi.org/10.36106/ijsr/8901207","url":null,"abstract":"Menopause is the permanent cessation of menstruation due to exhaustion of the ovarian functions. Due to increased life expectancy, women\u0000worldwide are expected to spend almost a third of their life in menopause. This study was undertaken to assess the prevalence of various\u0000menopausal symptoms and the severity according to the menopause rating scale (MRS) in the rural women of Gurugram district of Haryana as a\u0000cross-sectional study in 100 subjects. Our patients mostly complained of physical exhaustion, mental disturbance, joint and muscular discomfort,\u0000hot ushes and night sweats – mostly had mild to moderate symptoms is high and spread of awareness regarding the same and prevalence and\u0000therapeutic measures provided to have a healthy post-menopausal life.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"18 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: 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 inuencing the risk of these complications are many but maternal obesity, an increase in the subcutaneous fat, and its closure after the procedure are the main risk factors. Since there are no basic recommendations regarding suturing, the type of suture materials to be used, etc., the procedure varies among the practitioners, and hence the complications after the procedure. Thus, in this article, the effects of suturing the subcutaneous fat in cesarean sections on wound disruption are reviewed and the current status of the choice of suture materials to be used is also considered. Conclusion:There are no strong shreds of evidence to prove the inuence of suturing the subcutaneous fat or the type of suture material used on wound disruption during cesarean section. Most of the authors agree with the fact that closure of the subcutaneous fat reduces the risk of wound disruption for subcutaneous tissue larger than 2 cm
{"title":"SUBCUTANEOUS FAT SUTURE IN CESAREAN SECTIONS AND WOUND DISRUPTION","authors":"Nahla Hatam Hamodi","doi":"10.36106/ijsr/0520762","DOIUrl":"https://doi.org/10.36106/ijsr/0520762","url":null,"abstract":"Background: Cesarean sections, which are performed either elective or as an emergency, have become a common procedure in obstetrics.\u0000Although 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.\u0000Wound infection, or disruption is a common complication following caesarean section. The factors inuencing the risk of these complications are\u0000many but maternal obesity, an increase in the subcutaneous fat, and its closure after the procedure are the main risk factors. Since there are no basic\u0000recommendations regarding suturing, the type of suture materials to be used, etc., the procedure varies among the practitioners, and hence the\u0000complications after the procedure. Thus, in this article, the effects of suturing the subcutaneous fat in cesarean sections on wound disruption are\u0000reviewed and the current status of the choice of suture materials to be used is also considered. Conclusion:There are no strong shreds of evidence to\u0000prove the inuence of suturing the subcutaneous fat or the type of suture material used on wound disruption during cesarean section. Most of the\u0000authors agree with the fact that closure of the subcutaneous fat reduces the risk of wound disruption for subcutaneous tissue larger than 2 cm","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141145553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Objectives: Epidemic kind of scenario for Pertussis with leukemoid reaction at a rural area of Gujarat, India. A new indication for therapeutic leukocytapheresis,as limited literature on this topic is available. Pertussis (Whooping cough) is a respiratory tract infection characterized by paroxysmal cough.]It spreads through airborne droplets and is highly contagious. Risk factors for acquiring pertussis include pregnancy, epidemic exposure, lack of immunization, close contact with an infected individual. Materials and Methods: Study was done retrospectively. Follow up of pediatric patients diagnosed with Pertussis on swab with leukemoid reaction was done. Leukocytapheresis was done on Spectra Optia machine with the exchange kit. Clinical and hemodynamic laboratory parameters were evaluated. Results: Out of 3 pediatric patient, one survived follow up was done till 6 months post procedure,2 patients died 10-20 days post-procedure. Conclusion: we conclude that at present there is no effective treatment for malignant pertussis..Leukocytapheresis have been associated with high mortality and complications. Role of leukocytapheresis can't be established by mere 3 procedures large number of target population is required
{"title":"PEDIATRIC CASES OF PERTUSIS WITH LEUKEMOID REACTION TREATED WITH THERAPEUTIC LEUKOCYTAPHERESIS","authors":"Saneha Anjum Shaikh, Farzana Kothari","doi":"10.36106/ijsr/8706714","DOIUrl":"https://doi.org/10.36106/ijsr/8706714","url":null,"abstract":"Background and Objectives: Epidemic kind of scenario for Pertussis with leukemoid reaction at a rural area of Gujarat, India. A new indication\u0000for therapeutic leukocytapheresis,as limited literature on this topic is available.\u0000Pertussis (Whooping cough) is a respiratory tract infection characterized by paroxysmal cough.]It spreads through airborne droplets and is highly\u0000contagious. Risk factors for acquiring pertussis include pregnancy, epidemic exposure, lack of immunization, close contact with an infected\u0000individual. Materials and Methods: Study was done retrospectively. Follow up of pediatric patients diagnosed with Pertussis on swab with\u0000leukemoid reaction was done. Leukocytapheresis was done on Spectra Optia machine with the exchange kit. Clinical and hemodynamic laboratory\u0000parameters were evaluated. Results: Out of 3 pediatric patient, one survived follow up was done till 6 months post procedure,2 patients died 10-20\u0000days post-procedure. Conclusion: we conclude that at present there is no effective treatment for malignant pertussis..Leukocytapheresis have been\u0000associated with high mortality and complications. Role of leukocytapheresis can't be established by mere 3 procedures large number of target\u0000population is required","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131551","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}
S. Vissa, Sivakumar Vulava, R. Nandyala, Burla Rama Mounika, Visweswara Rao Guthi
Background: Ewing sarcoma family of tumors are aggressive tumors with small round cell morphology constituting 6% to 8% of primary bone tumors occuring in children and young adults. Aims: Study aims to identify the differences in the clinicopathological features and their prognostic importance in patients with skeletal and extraskeletal Ewing sarcoma Methodology: A retrospective hospital based study was carried out in the department of pathology from January 2015 to June 2023 after getting approval from institutional committee. Clinic pathological data of Ewing sarcoma cases were collected from hospital records and analyzed. Results: our study included 37 cases of Ewings sarcoma. Out of which maximum were skeletal and showed male predominance. Skeletal Ewings were seen more in at bones and extraskeletal in thigh. Maximum number of tumors were seen in the age group below 20years and were of size more than 5cms. Metastasis was seen in maximum number of extraskeletal ewings, with tumor size larger than 5cms and in patients with age group less than 20 years. Conclusion: Extra skeletal Ewing sarcoma, male sex, age less than 20 years, size more than 5cms were associated with worse prognosis.
{"title":"CLINICOPATHOLOGICAL FACTORS AND THEIR PROGNOSTIC IMPORTANCE IN EWING SARCOMA: AN INSTITUTIONAL STUDY","authors":"S. Vissa, Sivakumar Vulava, R. Nandyala, Burla Rama Mounika, Visweswara Rao Guthi","doi":"10.36106/ijsr/7307226","DOIUrl":"https://doi.org/10.36106/ijsr/7307226","url":null,"abstract":"Background: Ewing sarcoma family of tumors are aggressive tumors with small round cell morphology constituting 6% to 8% of primary bone\u0000tumors occuring in children and young adults. Aims: Study aims to identify the differences in the clinicopathological features and their prognostic\u0000importance in patients with skeletal and extraskeletal Ewing sarcoma Methodology: A retrospective hospital based study was carried out in the\u0000department of pathology from January 2015 to June 2023 after getting approval from institutional committee. Clinic pathological data of Ewing\u0000sarcoma cases were collected from hospital records and analyzed. Results: our study included 37 cases of Ewings sarcoma. Out of which\u0000maximum were skeletal and showed male predominance. Skeletal Ewings were seen more in at bones and extraskeletal in thigh. Maximum\u0000number of tumors were seen in the age group below 20years and were of size more than 5cms. Metastasis was seen in maximum number of\u0000extraskeletal ewings, with tumor size larger than 5cms and in patients with age group less than 20 years. Conclusion: Extra skeletal Ewing\u0000sarcoma, male sex, age less than 20 years, size more than 5cms were associated with worse prognosis.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"103 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134506","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}
Priya Gupta, Vishakha Kalikar, Avinash Supe, Roy Patankar
Acute calculous cholecystitis is one of the most common surgical entities seen in practice and laparoscopic cholecystectomy is the gold standard surgical procedure for its treatment. According to the Tokyo guidelines , Grade 3 cases present with organ dysfunction and hence Percutaneous cholecystostomy (PCT) has been recommended as a bridge to surgery to control sepsis when a patient is unt for surgery or has a high ASA grading and the ones who do not respond to antibiotics. Successful laparoscopic cholecystectomy after percutaneous cholecystostomy can be safely carried out without the need for conversion to open surgery with a thorough knowledge of the biliary anatomy, surgical modications such as subtotal cholecystectomy and access to advanced imaging system and procedures such as intravenous indocyanine green and intra-operative ERCP.
{"title":"LAPAROSCOPIC CHOLECYSTECTOMY AFTER PERCUTANEOUS CHOLECYSTOSTOMY : ASSESSING FEASIBILITY AND SAFETY.","authors":"Priya Gupta, Vishakha Kalikar, Avinash Supe, Roy Patankar","doi":"10.36106/ijsr/4307980","DOIUrl":"https://doi.org/10.36106/ijsr/4307980","url":null,"abstract":"Acute calculous cholecystitis is one of the most common surgical entities seen in practice and laparoscopic cholecystectomy is the gold standard\u0000surgical procedure for its treatment. According to the Tokyo guidelines , Grade 3 cases present with organ dysfunction and hence Percutaneous\u0000cholecystostomy (PCT) has been recommended as a bridge to surgery to control sepsis when a patient is unt for surgery or has a high ASA grading\u0000and the ones who do not respond to antibiotics. Successful laparoscopic cholecystectomy after percutaneous cholecystostomy can be safely carried\u0000out without the need for conversion to open surgery with a thorough knowledge of the biliary anatomy, surgical modications such as subtotal\u0000cholecystectomy and access to advanced imaging system and procedures such as intravenous indocyanine green and intra-operative ERCP.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"359 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138363","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}
Human milk banking has been serving the golden purpose of reaching out to the sick or needed babies by supplying the breast milk. This study was conducted aiming at student nurses understanding and attitude towards human milk banking. A cross sectional descriptive study design was adopted to assess the knowledge of 126 nal year GNM and BSc nursing students selected by convenient sampling and the the information required were collected using socio-demographic sheet; knowledge ascertained by self- structured questionnaire and attitude by Likert scale. Study ndings revealed that majority of nursing students 61.10% had average, 36.50% poor and only 2.40% good knowledge regarding human milk banking whereas 55.6% had satisfactory and 44.4% good attitude towards the human milk banking. There was a signicant correlation found between the nursing students' knowledge and attitude towards human milk banking (p1.68008e-10). There's need for further improvement in knowledge of nursing students by training and hands on experience in the functioning of human milk banking.
{"title":"A STUDY TO ASSESS THE KNOWLEDGE AND ATTITUDE REGARDING HUMAN MILK BANKING AMONG FINAL YEAR NURSING STUDENTS OF SELECTED NURSING COLLEGE, MANGALORE","authors":"Divya V, Bibi Augustin","doi":"10.36106/ijsr/1701449","DOIUrl":"https://doi.org/10.36106/ijsr/1701449","url":null,"abstract":"Human milk banking has been serving the golden purpose of reaching out to the sick or needed babies by supplying the breast milk. This study was\u0000conducted aiming at student nurses understanding and attitude towards human milk banking. A cross sectional descriptive study design was\u0000adopted to assess the knowledge of 126 nal year GNM and BSc nursing students selected by convenient sampling and the the information required\u0000were collected using socio-demographic sheet; knowledge ascertained by self- structured questionnaire and attitude by Likert scale. Study ndings\u0000revealed that majority of nursing students 61.10% had average, 36.50% poor and only 2.40% good knowledge regarding human milk banking\u0000whereas 55.6% had satisfactory and 44.4% good attitude towards the human milk banking. There was a signicant correlation found between the\u0000nursing students' knowledge and attitude towards human milk banking (p1.68008e-10). There's need for further improvement in knowledge of\u0000nursing students by training and hands on experience in the functioning of human milk banking.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"95 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032272","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 COVID-19 pandemic precipitated an abrupt transition to online education, disrupting the traditional collegiate experience and presenting multifaceted challenges for students, faculty, and administrators. This article examines the impact of the pandemic-induced shift to online learning on college students, focusing on their well-being, academic performance, and future educational plans. A comprehensive review of existing literature reveals heightened frustration and impatience among students due to technical difculties, reduced interaction, increased workload, inadequate support, and challenging home learning environments. These factors have contributed to a decline in student satisfaction and engagement, as well as exacerbated mental health issues, such as anxiety and depression. Furthermore, enrollment trends indicate an increase in student decisions to stop out, inuenced by nancial concerns, mental health struggles, and the desire for a more conventional college experience. The article concludes with a discussion on the implications for the future of higher education, emphasizing the need for institutions to adapt by investing in robust online infrastructure, expanding mental health resources, and fostering community. Strategies for improving student engagement and success in post-pandemic education include the implementation of hybrid learning models, enhanced faculty training, and comprehensive student support services. The ndings suggest that by embracing a student-centered approach and learning from this experience, higher education can better prepare students for future disruptions and ensure a more resilient academic environment.
{"title":"THE LASTING IMPACT OF COVID-19 ONLINE EDUCATION ON COLLEGE STUDENT FRUSTRATION, IMPATIENCE, AND ENROLLMENT TRENDS","authors":"William E. Johnson, Eric Vogel","doi":"10.36106/ijsr/1220182","DOIUrl":"https://doi.org/10.36106/ijsr/1220182","url":null,"abstract":"The COVID-19 pandemic precipitated an abrupt transition to online education, disrupting the traditional collegiate experience and presenting\u0000multifaceted challenges for students, faculty, and administrators. This article examines the impact of the pandemic-induced shift to online learning\u0000on college students, focusing on their well-being, academic performance, and future educational plans. A comprehensive review of existing\u0000literature reveals heightened frustration and impatience among students due to technical difculties, reduced interaction, increased workload,\u0000inadequate support, and challenging home learning environments. These factors have contributed to a decline in student satisfaction and\u0000engagement, as well as exacerbated mental health issues, such as anxiety and depression. Furthermore, enrollment trends indicate an increase in\u0000student decisions to stop out, inuenced by nancial concerns, mental health struggles, and the desire for a more conventional college experience.\u0000The article concludes with a discussion on the implications for the future of higher education, emphasizing the need for institutions to adapt by\u0000investing in robust online infrastructure, expanding mental health resources, and fostering community. Strategies for improving student\u0000engagement and success in post-pandemic education include the implementation of hybrid learning models, enhanced faculty training, and\u0000comprehensive student support services. The ndings suggest that by embracing a student-centered approach and learning from this experience,\u0000higher education can better prepare students for future disruptions and ensure a more resilient academic environment.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"16 S3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Methods: Solid Pseudopapillary Neoplasms of the Pancreas are rare entities, and extrapancreatic origin of SPN are even rarer. (2) We present a case of a 30-year-old female with a slow growing abdominal mass, who underwent exploratory laparotomy owing to the clinical suspicion of a mesenteric cyst. Intraoperatively, there was a nodular growth arising from the mesentery, which on histopathologic exam showed sheets of small round cells arranged in patterns of papillae and pseudopapillae, and on IHC, these cells were positive for β-Catenin, conrming the diagnosis of Solid Pseudopapillary Neoplasms of the Pancreas. (3) There are 50 reported cases of Ext Conclusion: rapancreatic SPN, with only one other documented case arising from the mesentery, in the English literature. Although Pancreatic SPNs have low malignant potential, Extrapancreatic SPNs have been observed to have higher metastatic potential and recurrence rates, hence excision is recommended.
{"title":"EXTRAPANCREATIC PSEUDOPAPILLARY NEOPLASM ARISING FROM THE MESENTERY, MASQUERADING AS A MESENTERIC CYST – A CASE REPORT","authors":"Praharsha G S, B. V. C. Jagadeesh, N. D. T","doi":"10.36106/ijsr/0609116","DOIUrl":"https://doi.org/10.36106/ijsr/0609116","url":null,"abstract":"Background: Methods: Solid Pseudopapillary Neoplasms of the Pancreas are rare entities, and extrapancreatic origin of SPN are even rarer. (2)\u0000We present a case of a 30-year-old female with a slow growing abdominal mass, who underwent exploratory laparotomy owing to the clinical\u0000suspicion of a mesenteric cyst. Intraoperatively, there was a nodular growth arising from the mesentery, which on histopathologic exam showed\u0000sheets of small round cells arranged in patterns of papillae and pseudopapillae, and on IHC, these cells were positive for β-Catenin, conrming the\u0000diagnosis of Solid Pseudopapillary Neoplasms of the Pancreas. (3) There are 50 reported cases of Ext Conclusion: rapancreatic SPN, with only one\u0000other documented case arising from the mesentery, in the English literature. Although Pancreatic SPNs have low malignant potential,\u0000Extrapancreatic SPNs have been observed to have higher metastatic potential and recurrence rates, hence excision is recommended.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"344 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144129","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}
In a comprehensive prospective study involving 50 participants, the efcacy of Anterior Cervical Discectomy and Fusion (ACDF) without the use of anterior plating was evaluated for the treatment of cervical disc herniation. The study's ndings, observed over a 1-year follow-up period, revealed that a substantial majority, 96%, experienced complete relief from radicular pain, and 91% reported signicant functional improvements. The data further highlighted a notable enhancement in patients' quality of life, as evidenced by a marked improvement in Neck Disability Index (NDI) scores from 11% at the 3-month mark to 7% at the conclusion of the study. Additionally, EQ-5D scores, indicative of overall health status, reached an optimal level of 5.0. The incidence of surgical complications and the need for subsequent procedures due to adjacent segment disease were found to be minimal. These promising outcomes underscore the potential of ACDF without plating as a viable, minimally invasive therapeutic option for individuals suffering from cervical disc herniation, emphasizing the necessity for extended research to further validate these preliminary ndings. This prospective study is aimed to evaluate the clinical outcomes of anterior cervical discectomy and fusion (ACDF) without plating in patients with cervical disc prolapse. The study was conducted over a period of one year, encompassing 50 cases that underwent ACDF without anterior plating. The primary objective was to assess the effectiveness of this less invasive surgical approach in terms of pain relief, functional recovery, fusion rates, and overall patient satisfaction.
{"title":"CLINICAL OUTCOMES OF ANTERIOR CERVICAL DISCECTOMY AND FUSION WITHOUT PLATING FOR TREATMENT OF CERVICAL DISC HERNIATION","authors":"V. N. M. Krishna, N Vishnu Vardhan","doi":"10.36106/ijsr/9001622","DOIUrl":"https://doi.org/10.36106/ijsr/9001622","url":null,"abstract":"In a comprehensive prospective study involving 50 participants, the efcacy of Anterior Cervical Discectomy and Fusion (ACDF) without the use\u0000of anterior plating was evaluated for the treatment of cervical disc herniation. The study's ndings, observed over a 1-year follow-up period,\u0000revealed that a substantial majority, 96%, experienced complete relief from radicular pain, and 91% reported signicant functional improvements.\u0000The data further highlighted a notable enhancement in patients' quality of life, as evidenced by a marked improvement in Neck Disability Index\u0000(NDI) scores from 11% at the 3-month mark to 7% at the conclusion of the study. Additionally, EQ-5D scores, indicative of overall health status,\u0000reached an optimal level of 5.0. The incidence of surgical complications and the need for subsequent procedures due to adjacent segment disease\u0000were found to be minimal. These promising outcomes underscore the potential of ACDF without plating as a viable, minimally invasive therapeutic\u0000option for individuals suffering from cervical disc herniation, emphasizing the necessity for extended research to further validate these preliminary\u0000ndings. This prospective study is aimed to evaluate the clinical outcomes of anterior cervical discectomy and fusion (ACDF) without plating in\u0000patients with cervical disc prolapse. The study was conducted over a period of one year, encompassing 50 cases that underwent ACDF without\u0000anterior plating. The primary objective was to assess the effectiveness of this less invasive surgical approach in terms of pain relief, functional\u0000recovery, fusion rates, and overall patient satisfaction.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"7 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141023926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background And Aims: Type 2 diabetes is considered an epidemic disease, and its control is important for preventing macro- and microvascular complications. This study aimed to determine the factors associated with poor glycemic control, dened as an HbA1c level >7%, in type 2 diabetic patients in the cardiovascular risk program of the Hospital Central Policia Nacional de Colombia. Methods:This was a descriptive cross-sectional study in which univariate and multivariate analyses were performed on factors associated with poor glycemic control in type 2 diabetes patients. Results: A total of 1058 type 2 diabetic patients were included in this study. The independent factors for poor glycemic control were LDL cholesterol>100 mg/dl, OR=1.47 (95% CI 1.12 to 1.94, p=0.006); HDL<40 mg/dl in men and <50 mg/dl in women, OR=1.44 (95% CI 1.043 to 1.990, p=0.027); duration of diabetes, OR=1.066 (95% CI 1.049 to 1.084, p=0.001); albuminuria>30 mg/g creatinuria, OR=1.484 (95% CI 1.110 to 1.978, p=0.007); and IDF criteria for metabolic syndrome, OR=2.30 (95% CI 1.470 to 3.590, p=0.001), adjusted for age, smoking status, body mass index, and triglycerides. Conclusion: Metabolic syndrome is an independent factor for poor glycemic control in type 2 diabetic patients, which highlights the importance of therapeutic lifestyle changes and suggests that metabolic syndrome should be included in cardiovascular risk prevention and control programs
背景和目的：2 型糖尿病被认为是一种流行病，控制好血糖对预防大血管和微血管并发症非常重要。本研究旨在确定哥伦比亚中央警察医院心血管风险项目中2型糖尿病患者血糖控制不良（HbA1c水平大于7%）的相关因素。方法：这是一项描述性横断面研究，对2型糖尿病患者血糖控制不良的相关因素进行了单变量和多变量分析：本研究共纳入了 1058 名 2 型糖尿病患者。血糖控制不佳的独立因素有：低密度脂蛋白胆固醇>100 mg/dl，OR=1.47（95% CI 1.12~1.94，p=0.006）；高密度脂蛋白30 mg/g肌酐尿，OR=1.484（95% CI 1.110~1.978，p=0.007）；IDF代谢综合征标准，OR=2.30（95% CI 1.470~3.590，p=0.001），并对年龄、吸烟状况、体重指数和甘油三酯进行了调整。结论代谢综合征是 2 型糖尿病患者血糖控制不佳的一个独立因素，这凸显了改变治疗性生活方式的重要性，并建议将代谢综合征纳入心血管风险预防和控制计划。
{"title":"FACTORS ASSOCIATED WITH POOR GLYCEMIC CONTROL IN COLOMBIAN TYPE 2 DIABETIC PATIENTS","authors":"R. Buendia, Mónica Zambrano, A. Buendia","doi":"10.36106/ijsr/4120819","DOIUrl":"https://doi.org/10.36106/ijsr/4120819","url":null,"abstract":"Background And Aims: Type 2 diabetes is considered an epidemic disease, and its control is important for preventing macro- and microvascular\u0000complications. This study aimed to determine the factors associated with poor glycemic control, dened as an HbA1c level >7%, in type 2 diabetic\u0000patients in the cardiovascular risk program of the Hospital Central Policia Nacional de Colombia. Methods:This was a descriptive cross-sectional\u0000study in which univariate and multivariate analyses were performed on factors associated with poor glycemic control in type 2 diabetes patients.\u0000Results: A total of 1058 type 2 diabetic patients were included in this study. The independent factors for poor glycemic control were LDL\u0000cholesterol>100 mg/dl, OR=1.47 (95% CI 1.12 to 1.94, p=0.006); HDL<40 mg/dl in men and <50 mg/dl in women, OR=1.44 (95% CI 1.043 to\u00001.990, p=0.027); duration of diabetes, OR=1.066 (95% CI 1.049 to 1.084, p=0.001); albuminuria>30 mg/g creatinuria, OR=1.484 (95% CI 1.110\u0000to 1.978, p=0.007); and IDF criteria for metabolic syndrome, OR=2.30 (95% CI 1.470 to 3.590, p=0.001), adjusted for age, smoking status, body\u0000mass index, and triglycerides. Conclusion: Metabolic syndrome is an independent factor for poor glycemic control in type 2 diabetic patients,\u0000which highlights the importance of therapeutic lifestyle changes and suggests that metabolic syndrome should be included in cardiovascular risk\u0000prevention and control programs","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"358 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138638","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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