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}
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}
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}
Cryptorchidism is a common congenital anomaly affecting newborn males. It is commonly located in the inguinal canal but can also be found intraabdomen. Early detection before one year of age is recommended and must be operated for orchidopexy. Surgery does not reduce the incidence of the development of testicular cancer but helps to detect the cancer early if it happens. Cancer risk for adults with cryptorchidism in childhood is 5–10 times greater than usual.
{"title":"ABDOMINAL LUMP IN A CASE OF BILATERAL UNDESCENDED TESTIS- CASE REPORT","authors":"Jainil Parikh, Mayank Dhalani, Monal Swapnil Shah, Kanak Purohit","doi":"10.36106/ijsr/1405892","DOIUrl":"https://doi.org/10.36106/ijsr/1405892","url":null,"abstract":"Cryptorchidism is a common congenital anomaly affecting newborn males. It is commonly located in the inguinal canal but can also be found intraabdomen. Early detection before one year of age is recommended and must be operated for orchidopexy. Surgery does not reduce the incidence of\u0000the development of testicular cancer but helps to detect the cancer early if it happens. Cancer risk for adults with cryptorchidism in childhood is\u00005–10 times greater than usual.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"10 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138072","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: Cardiovascular disease remains the most common cause of morbidity and mortality in Type 2 Diabetes Mellitus. Insulin Resistance and Dyslipidemia are the important factors contributing to cardiovascular risk in Diabetes. Adiponectin is an adipocytokine involved in the regulation of glucose and lipid metabolism. In the present study we studied the association of Plasma Adiponectin with Insulin Resistance and Lipid prole parameters in Type 2 Diabetes.Materials and Methods: The study included 100 Type 2 Diabetic Subjects and 100 age-matched healthy individuals with no history of Diabetes. The Anthropometric measurements, Fasting and Post prandial plasma glucose, Fasting insulin, Plasma Adiponectin and Lipid prole were measured in these subjects. HOMA- IR formula was used to calculate Insulin Resistance. Results: Fasting and Post prandial plasma glucose, Insulin and HOMA-IR were increased in Type 2 Diabetic Subjects when compared to controls. Plasma Adiponectin was signicantly reduced in Type 2 Diabetic Subjects compared to controls. In Type 2 Diabetic Subjects, Plasma Adiponectin was found signicantly inversely correlated with insulin resistance (r=-0.58, p<0.01), Total cholesterol (r=-0.51, p<0.01), Triglycerides (r=-0.44, p<0.01) and LDL-C levels (r=-0.56, p<0.01). Asignicant Positive correlation was also observed between Plasma Adiponectin and HDL-C level (r=0.37, p<0.01) in Type 2 Diabetic Subjects. Conclusion:Hypoadiponectinemia in Type 2 Diabetes is associated with Insulin Resistance and Dyslipidemia and plays a key role in the development of cardiovascular risk.
{"title":"HYPOADIPONECTINEMIA IS ASSOCIATED INSULIN RESISTANCE AND DYSLIPIDEMIA AND HENCE INCREASES CARDIOVASCULAR RISK IN TYPE 2 DIABETES MELLITUS","authors":"G. Kanakasabai, N. Saravanan, G Hariprasath.","doi":"10.36106/ijsr/3405984","DOIUrl":"https://doi.org/10.36106/ijsr/3405984","url":null,"abstract":"Background: Cardiovascular disease remains the most common cause of morbidity and mortality in Type 2 Diabetes Mellitus. Insulin Resistance\u0000and Dyslipidemia are the important factors contributing to cardiovascular risk in Diabetes. Adiponectin is an adipocytokine involved in the\u0000regulation of glucose and lipid metabolism. In the present study we studied the association of Plasma Adiponectin with Insulin Resistance and\u0000Lipid prole parameters in Type 2 Diabetes.Materials and Methods: The study included 100 Type 2 Diabetic Subjects and 100 age-matched\u0000healthy individuals with no history of Diabetes. The Anthropometric measurements, Fasting and Post prandial plasma glucose, Fasting insulin,\u0000Plasma Adiponectin and Lipid prole were measured in these subjects. HOMA- IR formula was used to calculate Insulin Resistance. Results:\u0000Fasting and Post prandial plasma glucose, Insulin and HOMA-IR were increased in Type 2 Diabetic Subjects when compared to controls. Plasma\u0000Adiponectin was signicantly reduced in Type 2 Diabetic Subjects compared to controls. In Type 2 Diabetic Subjects, Plasma Adiponectin was\u0000found signicantly inversely correlated with insulin resistance (r=-0.58, p<0.01), Total cholesterol (r=-0.51, p<0.01), Triglycerides (r=-0.44,\u0000p<0.01) and LDL-C levels (r=-0.56, p<0.01). Asignicant Positive correlation was also observed between Plasma Adiponectin and HDL-C level\u0000(r=0.37, p<0.01) in Type 2 Diabetic Subjects. Conclusion:Hypoadiponectinemia in Type 2 Diabetes is associated with Insulin Resistance and\u0000Dyslipidemia and plays a key role in the development of cardiovascular risk.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"62 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139573","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: Acute splenic sequestration is a complication of sickle cell syndromes. it is dened by a sudden increase of more than 2 cm in the size of the spleen, and a drop in hemoglobin level of at least 2 g/dl. we report a case of splenic sequestration managed by surgery after failure of transfusion procedures.Observation: A 20 year-old man with homozygote sickle cell syndrom admitted in intensive care unit for acute anemia and left upper abdomen pain, after transfusion and rehydratation, we note no improvement in the hemoglobin level and the appearance of fever and abdominal contracture. Emergency splenectomy reveal signs of early splenic infarction. Even if it is Conclusion: rare in adults, splenic sequestration may impose splenectomy if there is a clinical and biological aggravation after transfusion.
{"title":"ACUTE SPLENIC SEQUESTRATION IN ADULT","authors":"Essarghini Mohamed, Tarchouli Mohamed","doi":"10.36106/ijsr/8120224","DOIUrl":"https://doi.org/10.36106/ijsr/8120224","url":null,"abstract":"Introduction: Acute splenic sequestration is a complication of sickle cell syndromes. it is dened by a sudden increase of more than 2 cm in the\u0000size of the spleen, and a drop in hemoglobin level of at least 2 g/dl. we report a case of splenic sequestration managed by surgery after failure of\u0000transfusion procedures.Observation: A 20 year-old man with homozygote sickle cell syndrom admitted in intensive care unit for acute anemia and\u0000left upper abdomen pain, after transfusion and rehydratation, we note no improvement in the hemoglobin level and the appearance of fever and\u0000abdominal contracture. Emergency splenectomy reveal signs of early splenic infarction. Even if it is Conclusion: rare in adults, splenic\u0000sequestration may impose splenectomy if there is a clinical and biological aggravation after transfusion.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":" 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141132102","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}
Ramesh Chand Sharma, Mukesh Jain, Mary Joan, Arun Chougule
Computed Tomography (CT) scans are invaluable tools in medical diagnostics, offering detailed imaging of various anatomical regions. However, concerns regarding radiation exposure, particularly to radiosensitive organs like the thyroid, have prompted to estimate and evaluate the radiation dose to thyroid gland from head CT scans. The amount of radiation exposure varies depending on several factors including the specic type of CT scan, the settings used during the scan, and the individual's size and age. The results were compared with studies reporting thyroid doses from head CT scans, including dose measurements, dose estimation methods, and dose-reduction techniques. The estimated average thyroid dose from the OSLD measurements in the present study was 0.939+- 0.072 mGy. Though ndings of the study is similar to the reported thyroid doses from head CTscans, it is observed that there is a wide variability inuenced by scanner technology, scanning protocols, patient characteristics, and anatomical considerations. Understanding thyroid doses from head CT scans is essential for optimizing imaging protocols and minimizing radiation risks without compromising diagnostic efcacy. Establishing local/ regional and national diagnostic reference levels (DRL) is a recommended way forward. Efforts to further minimize radiation exposures especially in pediatric, women and sensitive populations are highly needed. Further large scale multi-centric studies in the region are highly recommended so that the cumulative population radiation dose may be reduced by rening dose estimation techniques, implementing dose-reduction strategies, and assessing long-term health outcomes to ensure safe and effective CT imaging practices.
{"title":"ESTIMATION OF RADIATION DOSE TO THYROID GLAND FROM HEAD COMPUTED TOMOGRAPHY: A PILOT STUDY","authors":"Ramesh Chand Sharma, Mukesh Jain, Mary Joan, Arun Chougule","doi":"10.36106/ijsr/1607382","DOIUrl":"https://doi.org/10.36106/ijsr/1607382","url":null,"abstract":"Computed Tomography (CT) scans are invaluable tools in medical diagnostics, offering detailed imaging of various anatomical regions. However,\u0000concerns regarding radiation exposure, particularly to radiosensitive organs like the thyroid, have prompted to estimate and evaluate the radiation\u0000dose to thyroid gland from head CT scans. The amount of radiation exposure varies depending on several factors including the specic type of CT\u0000scan, the settings used during the scan, and the individual's size and age. The results were compared with studies reporting thyroid doses from head\u0000CT scans, including dose measurements, dose estimation methods, and dose-reduction techniques. The estimated average thyroid dose from the\u0000OSLD measurements in the present study was 0.939+- 0.072 mGy. Though ndings of the study is similar to the reported thyroid doses from head\u0000CTscans, it is observed that there is a wide variability inuenced by scanner technology, scanning protocols, patient characteristics, and anatomical\u0000considerations. Understanding thyroid doses from head CT scans is essential for optimizing imaging protocols and minimizing radiation risks\u0000without compromising diagnostic efcacy. Establishing local/ regional and national diagnostic reference levels (DRL) is a recommended way\u0000forward. Efforts to further minimize radiation exposures especially in pediatric, women and sensitive populations are highly needed. Further large\u0000scale multi-centric studies in the region are highly recommended so that the cumulative population radiation dose may be reduced by rening dose\u0000estimation techniques, implementing dose-reduction strategies, and assessing long-term health outcomes to ensure safe and effective CT imaging\u0000practices.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"153 8‐9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139175","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}
Microbial testing and antibiotic sensitivity from central venous, arterial line and urinary catheter tips have a paramount importance in reduction of infection in post operative patients. Objectives were to nd out the incidence of culture positive tips of central venous catheter, arterial line catheter and urinary catheter, and to identify the microorganisms along with their antibiotic sensitivity. Male participants were the majority with 21 to 40 years age group to be maximum affected and CABG to be the most common procedure involved. Samples were plated on blood agar and MacConkey agar, followed by performing gram stain and biochemical tests for microbial identication. Incidence of causative bacteria isolated from different catheter tips revealed gram negative bacilli to be more than gram positive organisms. Escherichia coli and Acinetobacter baumannii complex showed maximum sensitivity to Minocycline and partial sensitivity to aminoglycosides with other antibiotics to be predominantly resistant. Klebsiella pneumoniae showed maximum sensitivity to cotrimoxazole and partial sensitivity to aminoglycosides. Pseudomonas aeruginosa was pan resistant. MRSA was sensitive to linezolid, gentamicin, enterococcus faecium to vancomycin and staphylococcus saprophyticus to cotrimoxazole and linezolid. Antibiogram is thus an important tool in choosing selected antibiotics in order to prevent emergent bacterial resistance.
{"title":"BACTERIOLOGICAL PROFILE AND ANTIBIOGRAM OF INDWELLING CATHETER TIPS IN POST OPERATIVE CARDIAC SURGICAL PATIENTS ADMITTED AT A MEDICAL COLLEGE IN KOLKATA","authors":"Ananya Pal, Aritra Bhattacharya, Sampa Dutta Gupta, Sujit Adhikari","doi":"10.36106/ijsr/3508295","DOIUrl":"https://doi.org/10.36106/ijsr/3508295","url":null,"abstract":"Microbial testing and antibiotic sensitivity from central venous, arterial line and urinary catheter tips have a paramount importance in reduction of\u0000infection in post operative patients. Objectives were to nd out the incidence of culture positive tips of central venous catheter, arterial line catheter\u0000and urinary catheter, and to identify the microorganisms along with their antibiotic sensitivity. Male participants were the majority with 21 to 40\u0000years age group to be maximum affected and CABG to be the most common procedure involved. Samples were plated on blood agar and\u0000MacConkey agar, followed by performing gram stain and biochemical tests for microbial identication. Incidence of causative bacteria isolated\u0000from different catheter tips revealed gram negative bacilli to be more than gram positive organisms. Escherichia coli and Acinetobacter baumannii\u0000complex showed maximum sensitivity to Minocycline and partial sensitivity to aminoglycosides with other antibiotics to be predominantly\u0000resistant. Klebsiella pneumoniae showed maximum sensitivity to cotrimoxazole and partial sensitivity to aminoglycosides. Pseudomonas\u0000aeruginosa was pan resistant. MRSA was sensitive to linezolid, gentamicin, enterococcus faecium to vancomycin and staphylococcus\u0000saprophyticus to cotrimoxazole and linezolid. Antibiogram is thus an important tool in choosing selected antibiotics in order to prevent emergent\u0000bacterial resistance.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"16 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140923","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}
Rehana C Mukundan, Sanjeev K Singh, Ajith Kumar N, T. V. Sathianandan
Background: Multispecialty tertiary care hospitals face the challenge of allocating limited funds effectively to deserving patients, considering their medical needs and socioeconomic circumstances. This study aims to develop a logical model to e Objective: nhance the efciency of fund allocation processes in such hospitals, ensuring equitable access to healthcare services. The propos Methods: ed model integrates factors such as severity of illness, treatment costs, available resources, and patient eligibility criteria into a structured framework for equitable and effective fund allocation. Based on the newly developed fund allocation model, a linear graph was plotted with the Results: total score of 195 patients against the subsidy percentage provided. The equation obtained from the trend line analysis is represented as y = 1.7787x - 42.262, where 'y' represents the subsidy percentage and 'x' represents the total score of the patients. The logical model presented i Conclusion: n this study provides a systematic approach to optimize fund allocation in multispecialty tertiary care hospitals, ultimately improving the quality of care provided to patients and promoting equity in healthcare delivery
背景：考虑到患者的医疗需求和社会经济状况，多专科三级医院面临着将有限的资金有效分配给值得治疗的患者的挑战。本研究旨在建立一个逻辑模型，以提高此类医院资金分配过程的效率ciency，确保公平获得医疗服务。方法：该模型将疾病严重程度、治疗成本、可用资源和患者资格标准等因素整合到一个结构化框架中，以实现公平有效的资金分配。根据新开发的资金分配模型，绘制了 195 名患者的总分与所提供补贴百分比的线性图。趋势线分析得出的等式为 y = 1.7787x - 42.262，其中 "y "代表补贴百分比，"x "代表患者的总分。结论：本研究为优化多专科三级医院的资金分配提供了一种系统方法，最终提高了为患者提供的医疗质量，促进了医疗服务的公平性。
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