We presented the case of a 32-year-old woman with a history of two early pregnancy losses and previous cesarean delivery 2012. had a laparoscopic repair of the cesarean niche in 2018, she experienced an intrauterine fetal demise at 27 weeks in her subsequent pregnancy, leading to medical management with Misoprostol. In 2023 with new pregnancy at 39 weeks and 6 days gestation, she presented with lower abdominal pain, necessitating emergency management with cesarean section due to a scar dehiscence-like pouch. A baby girl was delivered with favorable outcomes. This case underscores the importance of early diagnosis and appropriate management of cesarean niche pregnancy to prevent maternal complications. Early recognition and prompt intervention are crucial for optimizing outcomes in cesarean niche pregnancies.
{"title":"OBSTETRIC MORBIDITY ASSOCIATED WITH CESAREAN NICHE: A CASE REPORT","authors":"Nahla Hatam Hamodi","doi":"10.36106/ijsr/4720649","DOIUrl":"https://doi.org/10.36106/ijsr/4720649","url":null,"abstract":"We presented the case of a 32-year-old woman with a history of two early pregnancy losses and previous cesarean delivery 2012. had a laparoscopic\u0000repair of the cesarean niche in 2018, she experienced an intrauterine fetal demise at 27 weeks in her subsequent pregnancy, leading to medical\u0000management with Misoprostol. In 2023 with new pregnancy at 39 weeks and 6 days gestation, she presented with lower abdominal pain,\u0000necessitating emergency management with cesarean section due to a scar dehiscence-like pouch. A baby girl was delivered with favorable\u0000outcomes. This case underscores the importance of early diagnosis and appropriate management of cesarean niche pregnancy to prevent maternal\u0000complications. Early recognition and prompt intervention are crucial for optimizing outcomes in cesarean niche pregnancies.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":" 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131918","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}
Introduction: The COVID-19 pandemic has revealed a spectrum of pulmonary complications, ranging from acute respiratory distress syndrome (ARDS) to long-term sequelae such as interstitial lung disease (ILD). Post-COVID ILD presents a novel challenge, characterized by a broinammatory process that differs from traditional ILDs. This article aims to provide a comprehensive understanding of post-COVID ILD, exploring its pathogenesis, clinical manifestations, diagnostic approaches, and therapeutic considerations. We delve into the interplay between viral infection, dysregulated immune responses, and brotic pathways, shedding light on the mechanisms underlying disease progression. Clinical phenotypes and radiological patterns of post-COVID ILD are elucidated, emphasizing the importance of multidisciplinary collaboration for accurate diagnosis and management. By synthesizing current evidence and clinical insights, this article aims to enhance clinicians' understanding of post-COVID ILD, facilitating optimized care for affected individuals in the post-pandemic era. The Material and Methods: study was a retrospective, observational cross-sectional study conducted in JNUIMSRC, Jaipur, Rajasthan. A total of 15 patient cases who presented to the Outpatient Department of JNUIMSRC, Jaipur from August 2022 to March 2023, with symptoms of cough, shortness of breath, chest pain and dyspnea with symptom history of more than 3 months were evaluated using High resolution computed tomography. We assessed the clinical symptoms and radiological patterns of the cases to determine the trajectory of the disease. This study included patients of all ages and genders who presented with symptoms of dyspnea, cough and chest pain with symptom duration > 3 months with a clinic-radiological diagnosis of COVID-19 infection who consented to be a part of this study. The proposition that post-COVID-19 syndrome contr Results- ibutes to Interstitial Lung Disease suggests that tissue damage occurs directly, potentially inciting autoimmunity, and is compounded by exposure to neoantigens, as well as the generation of antibodies whose identities remain elusive. This phenomenon arises from a complex interplay involving immunological responses, genetic predispositions, tissue damage resulting from COVID-19 infection, the impact of acute respiratory distress syndrome, and the inltration of macrophages during the acute phase of the disease. These factors collectively instigate a broproliferative cascade, culminating in the recruitment of broblasts and myobroblasts, alongside excessive extracellular matrix deposition within the pulmonary interstitium. This process ultimately leads to brosis and architectural damage within the lung tissue. Conclusion- After experiencing SARS-CoV-2 pneumonitis, a subset of patients develop interstitial lung disease, resulting in enduring functional impairment of the lungs. Even a minor proportion of individuals affected by this condition is poised to impos
{"title":"UNDERSTANDING INTERSTITIAL LUNG DISEASE IN POST COVID-19 PATIENTS AS A NEW FIBROINFLAMMATORY DISEASE","authors":"Apoorva Tripathi, Rajeev Mudkavi, Sumit Anand","doi":"10.36106/ijsr/6808741","DOIUrl":"https://doi.org/10.36106/ijsr/6808741","url":null,"abstract":"Introduction: The COVID-19 pandemic has revealed a spectrum of pulmonary complications, ranging from acute respiratory distress syndrome\u0000(ARDS) to long-term sequelae such as interstitial lung disease (ILD). Post-COVID ILD presents a novel challenge, characterized by a\u0000broinammatory process that differs from traditional ILDs. This article aims to provide a comprehensive understanding of post-COVID ILD,\u0000exploring its pathogenesis, clinical manifestations, diagnostic approaches, and therapeutic considerations. We delve into the interplay between\u0000viral infection, dysregulated immune responses, and brotic pathways, shedding light on the mechanisms underlying disease progression. Clinical\u0000phenotypes and radiological patterns of post-COVID ILD are elucidated, emphasizing the importance of multidisciplinary collaboration for\u0000accurate diagnosis and management. By synthesizing current evidence and clinical insights, this article aims to enhance clinicians' understanding\u0000of post-COVID ILD, facilitating optimized care for affected individuals in the post-pandemic era. The Material and Methods: study was a\u0000retrospective, observational cross-sectional study conducted in JNUIMSRC, Jaipur, Rajasthan. A total of 15 patient cases who presented to the\u0000Outpatient Department of JNUIMSRC, Jaipur from August 2022 to March 2023, with symptoms of cough, shortness of breath, chest pain and\u0000dyspnea with symptom history of more than 3 months were evaluated using High resolution computed tomography. We assessed the clinical\u0000symptoms and radiological patterns of the cases to determine the trajectory of the disease. This study included patients of all ages and genders who\u0000presented with symptoms of dyspnea, cough and chest pain with symptom duration > 3 months with a clinic-radiological diagnosis of COVID-19\u0000infection who consented to be a part of this study. The proposition that post-COVID-19 syndrome contr Results- ibutes to Interstitial Lung Disease\u0000suggests that tissue damage occurs directly, potentially inciting autoimmunity, and is compounded by exposure to neoantigens, as well as the\u0000generation of antibodies whose identities remain elusive. This phenomenon arises from a complex interplay involving immunological responses,\u0000genetic predispositions, tissue damage resulting from COVID-19 infection, the impact of acute respiratory distress syndrome, and the inltration\u0000of macrophages during the acute phase of the disease. These factors collectively instigate a broproliferative cascade, culminating in the\u0000recruitment of broblasts and myobroblasts, alongside excessive extracellular matrix deposition within the pulmonary interstitium. This process\u0000ultimately leads to brosis and architectural damage within the lung tissue. Conclusion- After experiencing SARS-CoV-2 pneumonitis, a subset of\u0000patients develop interstitial lung disease, resulting in enduring functional impairment of the lungs. Even a minor proportion of individuals affected\u0000by this condition is poised to impos","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140473","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}
Rising incidents of various psychological problems even self-harm among adolescents is an increasing concern globally for which a descriptive study was undertaken to assess the perceived parental pressure for academic success and associated psychological problems among the students of the selected higher secondary school, West Bengal. The adopted conceptual framework was based upon the Stress bucket model (2002) and represented in the Input-process-output model (1973). From government- aided school, convenience sample of 100 higher secondary students responded through paper-pencil test. The study ndings by using descriptive and inferential statistics revealed that 17% perceived high parental pressure and 68% perceived medium parental pressure; 22% students were extremely severe depressed, 35% were having extremely severe anxious and 11% were having extremely severe stress. Calculated 'r' of perceived parental pressure with three domain wise psychological problems i.e. depression/anxiety/stress were 0.553/0.495/0.582 respectively (moderate positive associations.) There are signicant associations between level of perceived parental pressure with father's educational status, mother's occupational status, number of siblings; all the three domain wise psychological problems were associated with father's occupational status and only anxiety domain with mother's educational status, mother's occupational status. Recommendations for future studies are large sample size, in different settings, comparative design, at least one intervention and evaluation.
{"title":"ASSESSMENT OF THE PERCEIVED PARENTAL PRESSURE FOR ACADEMIC SUCCESS AND ASSOCIATED PSYCHOLOGICAL PROBLEMS AMONG THE STUDENTS OF THE SELECTED HIGHER SECONDARY SCHOOL, WEST BENGAL","authors":"Sayani Naskar","doi":"10.36106/ijsr/1700657","DOIUrl":"https://doi.org/10.36106/ijsr/1700657","url":null,"abstract":"Rising incidents of various psychological problems even self-harm among adolescents is an increasing concern globally for which a descriptive\u0000study was undertaken to assess the perceived parental pressure for academic success and associated psychological problems among the students of\u0000the selected higher secondary school, West Bengal. The adopted conceptual framework was based upon the Stress bucket model (2002) and\u0000represented in the Input-process-output model (1973). From government- aided school, convenience sample of 100 higher secondary students\u0000responded through paper-pencil test. The study ndings by using descriptive and inferential statistics revealed that 17% perceived high parental\u0000pressure and 68% perceived medium parental pressure; 22% students were extremely severe depressed, 35% were having extremely severe\u0000anxious and 11% were having extremely severe stress. Calculated 'r' of perceived parental pressure with three domain wise psychological problems\u0000i.e. depression/anxiety/stress were 0.553/0.495/0.582 respectively (moderate positive associations.) There are signicant associations between\u0000level of perceived parental pressure with father's educational status, mother's occupational status, number of siblings; all the three domain wise\u0000psychological problems were associated with father's occupational status and only anxiety domain with mother's educational status, mother's\u0000occupational status. Recommendations for future studies are large sample size, in different settings, comparative design, at least one intervention\u0000and evaluation.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"2008 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027140","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}
The four different dengue virus strains known as DENV 1-4 can cause dengue fever when they infect a person. Risk of suffering dengue hemorrhagic fever-dengue shock syndrome increases when there is co-circulation of multiple serotypes. Acute phase sera from suspected cases of fever were tested for the presence of DENV serotypes. A total of 169 serum samples were tested for the presence of NS1 antigen and positive samples were subjected to Serotyping. Of these, 41 (24.2%) were positive for NS1 antigen and DENV Serotyping by Conventional PCR showed 36.5% had DENV serotypes. All the serotypes were found Co-circulating with DENV 1 60%, followed by DENV 2 serotype with 20% respectively. Among 15 virus positive samples, single infection with DENV 1 was found in 9(60%) samples, DENV 2 in 3(20%) samples, doubly infected with (DENV 3+DENV 4)in 1(6.6%) and (DENV 1 + DENV 4) in 1(6.6%) sample and triple infection with (DENV 1 + DENV 3 + DENV 4) was noticed in 1(6.6%) sample. This study provided more information on the dengue serotype distribution in Vijayawada. Infecting dengue serotype and Co-circulation of different serotypes play an important role in disease severity among individuals infected with the virus.
{"title":"PREVALENCE OF SEROTYPE VARIANTS OF DENGUE VIRUS IN VIJAYAWADA, ANDHRA PRADESH","authors":"P. Sowmya, D. Sarada, B. S. Babu, L. Krishnamraju","doi":"10.36106/ijsr/1900395","DOIUrl":"https://doi.org/10.36106/ijsr/1900395","url":null,"abstract":"The four different dengue virus strains known as DENV 1-4 can cause dengue fever when they infect a person. Risk of suffering dengue\u0000hemorrhagic fever-dengue shock syndrome increases when there is co-circulation of multiple serotypes. Acute phase sera from suspected cases of\u0000fever were tested for the presence of DENV serotypes. A total of 169 serum samples were tested for the presence of NS1 antigen and positive\u0000samples were subjected to Serotyping. Of these, 41 (24.2%) were positive for NS1 antigen and DENV Serotyping by Conventional PCR showed\u000036.5% had DENV serotypes. All the serotypes were found Co-circulating with DENV 1 60%, followed by DENV 2 serotype with 20%\u0000respectively. Among 15 virus positive samples, single infection with DENV 1 was found in 9(60%) samples, DENV 2 in 3(20%) samples, doubly\u0000infected with (DENV 3+DENV 4)in 1(6.6%) and (DENV 1 + DENV 4) in 1(6.6%) sample and triple infection with (DENV 1 + DENV 3 + DENV\u00004) was noticed in 1(6.6%) sample. This study provided more information on the dengue serotype distribution in Vijayawada. Infecting dengue\u0000serotype and Co-circulation of different serotypes play an important role in disease severity among individuals infected with the virus.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"182 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040266","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}
While ventilatory support can be life-saving, it can also have negative consequences such as postintubation tracheal stenosis, which is caused by injury to the larynx and trachea. Cardiopulmonary bypass is typically not employed for the surgical treatment of tracheal stenosis. Nevertheless, wait s discovered that utilising cardiopulmonary bypass can offer benets during tracheal resection and reconstruction.
{"title":"TRACHEAL SURGERY USING PERIPHERAL CARDIOPULMONARY BYPASS WITHOUT USING INITIAL ENDOTRACHEAL INTUBATION","authors":"Avinash Dal, Venkata Anil Chandra Dronamraju","doi":"10.36106/ijsr/7903532","DOIUrl":"https://doi.org/10.36106/ijsr/7903532","url":null,"abstract":"While ventilatory support can be life-saving, it can also have negative consequences such as postintubation tracheal stenosis, which is caused by\u0000injury to the larynx and trachea. Cardiopulmonary bypass is typically not employed for the surgical treatment of tracheal stenosis. Nevertheless,\u0000wait s discovered that utilising cardiopulmonary bypass can offer benets during tracheal resection and reconstruction.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"34 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044073","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}
Tharamel Moideen Muhuesein, Neelufer Arshiya A R, Rajamani Anand, Lavanya G
Introduction: Magnetic Resonance Urography (MRU) is a relatively new and developing technique for the evaluation of obstructive uropathy. It offers unique advantages in terms of safety, particularly in patients where exposure to radiation and contrast are of concern. Aims and objectives: The current study aims to evaluate the diagnostic value of SS-FSE and 3D-FSE techniques of MRU in identifying the varied etiology of obstructive uropathy (OU) and grading the level of obstruction. Materials and methods: A prospective cross-sectional study was conducted using demographic and clinical data of obstructive uropathy (OU) patients (n=30) who underwent Magnetic Resonance Urography (MRU) evaluation using SS-FSE and 3D-FSE sequences after informed consent was obtained. Individual case details documented included age, gender, complaint, location of lesion/obstruction, laterality, hydronephrosis grade, blood urea and serum creatinine, urinary pH, calcium, and oxalates levels. Statistical analysis of the data thus documented in a Microsoft Excel sheet was performed using Version 25 SPSS. Results: The study showed calculus obstruction as the leading cause of uropathy in the study population (76.7%, n=23 out of 30 patients) with distal ureter being the most commonly obstructed (39%, n=9 out of 23 patients). Our analysis revealed the overall diagnostic accuracy of SS-FSE (n=22, 95.7%) and 3D FSE (n=23,100%) sequences when used in conjunction to be very similar to that of CT (n=23,100%) in evaluating etiology. Conclusion: The study concludes that both the MRU sequences of single-shot fast echo and three-dimensional fast spin echo sequence have signicantly high diagnostic value in identifying etiology and grading obstructive uropathy (OU). Further advancements in Magnetic Resonance Urography (MRU) sequences can play a major role in developing a comprehensive protocol or even single step investigation for evaluation of Obstructive uropathy.
{"title":"DIAGNOSTIC VALUE OF SINGLE SHOT FAST SPIN ECHO (SS-FSE) SEQUENCE AND THREE DIMENSIONAL FAST SPIN ECHO (3D-FSE) TECHNIQUE MAGNETIC RESONANCE UROGRAPHY IN EVALUATION OF OBSTRUCTIVE UROPATHY","authors":"Tharamel Moideen Muhuesein, Neelufer Arshiya A R, Rajamani Anand, Lavanya G","doi":"10.36106/ijsr/3005574","DOIUrl":"https://doi.org/10.36106/ijsr/3005574","url":null,"abstract":"Introduction: Magnetic Resonance Urography (MRU) is a relatively new and developing technique for the evaluation of obstructive uropathy. It\u0000offers unique advantages in terms of safety, particularly in patients where exposure to radiation and contrast are of concern. Aims and objectives:\u0000The current study aims to evaluate the diagnostic value of SS-FSE and 3D-FSE techniques of MRU in identifying the varied etiology of obstructive\u0000uropathy (OU) and grading the level of obstruction. Materials and methods: A prospective cross-sectional study was conducted using\u0000demographic and clinical data of obstructive uropathy (OU) patients (n=30) who underwent Magnetic Resonance Urography (MRU) evaluation\u0000using SS-FSE and 3D-FSE sequences after informed consent was obtained. Individual case details documented included age, gender, complaint,\u0000location of lesion/obstruction, laterality, hydronephrosis grade, blood urea and serum creatinine, urinary pH, calcium, and oxalates levels.\u0000Statistical analysis of the data thus documented in a Microsoft Excel sheet was performed using Version 25 SPSS. Results: The study showed\u0000calculus obstruction as the leading cause of uropathy in the study population (76.7%, n=23 out of 30 patients) with distal ureter being the most\u0000commonly obstructed (39%, n=9 out of 23 patients). Our analysis revealed the overall diagnostic accuracy of SS-FSE (n=22, 95.7%) and 3D FSE\u0000(n=23,100%) sequences when used in conjunction to be very similar to that of CT (n=23,100%) in evaluating etiology. Conclusion: The study\u0000concludes that both the MRU sequences of single-shot fast echo and three-dimensional fast spin echo sequence have signicantly high diagnostic\u0000value in identifying etiology and grading obstructive uropathy (OU). Further advancements in Magnetic Resonance Urography (MRU) sequences\u0000can play a major role in developing a comprehensive protocol or even single step investigation for evaluation of Obstructive uropathy.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"10 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055917","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}
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