Background Early detection and diagnosis of short stature decrease the effect of any underlying health condition and optimizes final adult height.This study was done identify the etiological profile of short stature.Methodology This was a prospective observational study conducted in children aged 2 to 18 years with short stature. Children who fail to complete the etiological work up and those who are not fitting in definition for short stature were excluded. Results 80 children were included .44 were females and 36 were males. Endocrinological cause was the commonest, 53%(N=42) among which Growth hormone deficiency was predominant (20%).24 children(30%) had non endocrine causes among which syndromic causes were predominant(N=9).14 children had non pathological causes and familial short stature(N=8) was predominant in them Conclusion Pathological short stature was predominat among which endocrine causes were the commonest. Isolated Growth Hormone deficiency was the most common endocrine cause followed by hypopituitarism and hypothyroidism. There was statistically significant relationship between the presence of dysmorphism (p< .01) and parental consanguinity (p < .05) separately with the etiology. Majority (40%)were aged between 11-18 years denoting fairly late referral for short stature . So general paediatricians could be made aware of routine growth monitoring in children & early referral to a tertiary centre.
{"title":"TO STUDY THE ETIOLOGICAL PROFILE OF SHORT STATURE AMONG CHILDREN ATTENDING TERTIARY CARE CENTRE","authors":"Thilagavathi Duraisamy, Gem Raghav Prashanth R, Karnam Ravikumar","doi":"10.36106/paripex/0603590","DOIUrl":"https://doi.org/10.36106/paripex/0603590","url":null,"abstract":"Background Early detection and diagnosis of short stature decrease the effect of any underlying health condition and\u0000optimizes final adult height.This study was done identify the etiological profile of short stature.Methodology This was a\u0000prospective observational study conducted in children aged 2 to 18 years with short stature. Children who fail to\u0000complete the etiological work up and those who are not fitting in definition for short stature were excluded. Results 80\u0000children were included .44 were females and 36 were males. Endocrinological cause was the commonest, 53%(N=42)\u0000among which Growth hormone deficiency was predominant (20%).24 children(30%) had non endocrine causes among\u0000which syndromic causes were predominant(N=9).14 children had non pathological causes and familial short\u0000stature(N=8) was predominant in them Conclusion Pathological short stature was predominat among which endocrine\u0000causes were the commonest. Isolated Growth Hormone deficiency was the most common endocrine cause followed by\u0000hypopituitarism and hypothyroidism. There was statistically significant relationship between the presence of\u0000dysmorphism (p< .01) and parental consanguinity (p < .05) separately with the etiology. Majority (40%)were aged\u0000between 11-18 years denoting fairly late referral for short stature . So general paediatricians could be made aware of\u0000routine growth monitoring in children & early referral to a tertiary centre.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"88 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140507933","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}
RANKL are the chemical mediators secreted by the resident cells of the connective tissue and in the mileau of periodontium they are released during the process of bone turnover either for bone remodelling during orthodontic tooth movement, normal masticatory force bearing, age related changes or for bone resorption due to pathological reasons where plaque influences the cells of inflammation to release PGE2, IL-1 and TNF alpha. These RANKL act on the circulating pre osteoclasts or monocyte macrophage cells which under the influence of M-CSF will start to colacase to form multinucleated osteoclasts that will resorb the bone. Thus, for these various changes to occur in the macrophages and preosteoclasts there will be a need of transcription factors like NFK, NFATc1, cFos and others. To understand intracellular mechanisms when RANKL binds onto the trimeric receptor RANK which leads to a better understanding of therapeutic management to deal with pathological bone destructive disease, so we have consolidated this narrative review.
{"title":"THE RANK AND RANKL NEXUS – MOLECULAR ASPECTS","authors":"Javeria Khan, Devaratnamma Mv, Asma Naaz, Pooja Deshkar, Sahiti Soni, Sumanya Bandi","doi":"10.36106/paripex/3703970","DOIUrl":"https://doi.org/10.36106/paripex/3703970","url":null,"abstract":"RANKL are the chemical mediators secreted by the resident cells of the connective tissue and in the mileau of periodontium\u0000they are released during the process of bone turnover either for bone remodelling during orthodontic tooth movement,\u0000normal masticatory force bearing, age related changes or for bone resorption due to pathological reasons where plaque\u0000influences the cells of inflammation to release PGE2, IL-1 and TNF alpha. These RANKL act on the circulating pre osteoclasts\u0000or monocyte macrophage cells which under the influence of M-CSF will start to colacase to form multinucleated osteoclasts\u0000that will resorb the bone. Thus, for these various changes to occur in the macrophages and preosteoclasts there will be a\u0000need of transcription factors like NFK, NFATc1, cFos and others. To understand intracellular mechanisms when RANKL\u0000binds onto the trimeric receptor RANK which leads to a better understanding of therapeutic management to deal with\u0000pathological bone destructive disease, so we have consolidated this narrative review.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"42 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140508075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.36106/paripex/1400945
Digvijay Singh
Rhinosporidiosis is a chronic granulomatous disease of nasal cavity. It is prevalent in few parts of India. Here we present a case which involved the maxillary sinus with its extension to choana and nasopharynx. Mass removed by lateral rhinotomy approach. Very few articles published on involvement of maxilla and different surgical approaches were mentioned for its removal.
{"title":"A UNIQUE CASE OF MAXILLARY RHINOSPORIDIOSIS","authors":"Digvijay Singh","doi":"10.36106/paripex/1400945","DOIUrl":"https://doi.org/10.36106/paripex/1400945","url":null,"abstract":"Rhinosporidiosis is a chronic granulomatous disease of nasal cavity. It is prevalent in few parts of India. Here we present a\u0000case which involved the maxillary sinus with its extension to choana and nasopharynx. Mass removed by lateral\u0000rhinotomy approach. Very few articles published on involvement of maxilla and different surgical approaches were\u0000mentioned for its removal.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140508503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.36106/paripex/5202875
Md. Asaad Raza
In the development of cost-effective and transformational solar energy solutions,International Solar Alliance (ISA) is the action-oriented and mobilized efforts among various countries.ISA is a member-driven and collaborative platform and there are more than 120 countries working under ISA Framework Agreement.India is one of the leading country and has been reelected for ISA. The activity of the ISA is based on the four priory such as Analytics & Advocacy, Capacity Building, Programmatic Support and Readiness & enabling activities.The governance structure of the ISA is followed by ISA Assembly as an apex decision-making body, Steering Committee for strategic guidance, Secretariat as administrative arm and Head of ISA headed by the Director General.Due to immense demand to create and implement solar energy, ISA is initiated with One Sun, One World, One Grid (OSOWOG) programme. Now a days, ISA has various challenges like funding, policy coordination, limited participation and implementation. In this regards India has launched the scheme named as Indian Technical and Economic Cooperation (ITEC). For its proper implementation to get fruitful results on the ground,the administration will play vital role.
{"title":"RELEVANCE OF INTERNATIONAL SOLAR ALLIANCE (ISA) AND ITS CHALLANGES","authors":"Md. Asaad Raza","doi":"10.36106/paripex/5202875","DOIUrl":"https://doi.org/10.36106/paripex/5202875","url":null,"abstract":"In the development of cost-effective and transformational solar energy solutions,International Solar Alliance (ISA) is the\u0000action-oriented and mobilized efforts among various countries.ISA is a member-driven and collaborative platform and\u0000there are more than 120 countries working under ISA Framework Agreement.India is one of the leading country and has\u0000been reelected for ISA. The activity of the ISA is based on the four priory such as Analytics & Advocacy, Capacity\u0000Building, Programmatic Support and Readiness & enabling activities.The governance structure of the ISA is followed by\u0000ISA Assembly as an apex decision-making body, Steering Committee for strategic guidance, Secretariat as\u0000administrative arm and Head of ISA headed by the Director General.Due to immense demand to create and implement\u0000solar energy, ISA is initiated with One Sun, One World, One Grid (OSOWOG) programme. Now a days, ISA has various\u0000challenges like funding, policy coordination, limited participation and implementation. In this regards India has\u0000launched the scheme named as Indian Technical and Economic Cooperation (ITEC). For its proper implementation to\u0000get fruitful results on the ground,the administration will play vital role.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140508596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.36106/paripex/0902606
D. Biswas
The World Health Organization (WHO) describes overweight as one of the today's most important public health problems, which is escalating as a global epidemic. The purpose of the present study was an endeavor to the best method of handling overweight.Out of 96 selected participants from fluvio coastal zone of west Bengal,India on the basis of BMI,80 overweight girls (average age:20) were consider for the study.The subjects were divided into four groups (20 for each group) randomly namely Weight Training Group (WTG), Aerobic Training Group (ATG), Graded Circuit Training Group (GCTG) and Control Group (CG).Separately designed 12 weeks training programme for WTG,ATG and GCTG was applied on the subjects at morning between 8.00 am to 9.15am for three alternative days per week. After every four weeks,total load was increased.Pre and post test on the groups were conducted to measure the training effect on Abdominal Adiposity of the subjects. The collected data were statistically analyzed by using the analysis of Covariance (p<0.05) to determine differences, the LSD test was applied as a post hoc test to find out the paired mean differences. From the obtaining result, it was concluded that weight training, aerobics and graded circuit training are found to be effective for reducing Abdominal Adiposity of overweight college girls.
{"title":"EFFECTS OF THREE DIFFERENT TRAINING PROGRAMMES ON ABDOMINAL ADIPOSITY OF OVERWEIGHT COLLEGE GIRLS","authors":"D. Biswas","doi":"10.36106/paripex/0902606","DOIUrl":"https://doi.org/10.36106/paripex/0902606","url":null,"abstract":"The World Health Organization (WHO) describes overweight as one of the today's most important public health\u0000problems, which is escalating as a global epidemic. The purpose of the present study was an endeavor to the best\u0000method of handling overweight.Out of 96 selected participants from fluvio coastal zone of west Bengal,India on the basis\u0000of BMI,80 overweight girls (average age:20) were consider for the study.The subjects were divided into four groups (20\u0000for each group) randomly namely Weight Training Group (WTG), Aerobic Training Group (ATG), Graded Circuit\u0000Training Group (GCTG) and Control Group (CG).Separately designed 12 weeks training programme for WTG,ATG and\u0000GCTG was applied on the subjects at morning between 8.00 am to 9.15am for three alternative days per week. After\u0000every four weeks,total load was increased.Pre and post test on the groups were conducted to measure the training effect\u0000on Abdominal Adiposity of the subjects. The collected data were statistically analyzed by using the analysis of Covariance (p<0.05) to determine differences, the LSD test was applied as a post hoc test to find out the paired mean\u0000differences. From the obtaining result, it was concluded that weight training, aerobics and graded circuit training are\u0000found to be effective for reducing Abdominal Adiposity of overweight college girls.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140507617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.36106/paripex/2403035
Nicolae Alexandru Budeanu
The research in management field from the last decades showed that both knowledge and intelligence are considered as some of the most important assets which help business organizations achieve the competitive advantage in a certain market. In our current times, determined by uncertainty and ambiguity, leaders and managers are in a constant need of valuable and timely information that is required for taking the most desirable decision for the company. Given so, researchers and practitioners developed certain tools and activities in order to achieve the information necessary to decision making process, from both inside and outside the company, known as business intelligence and competitive intelligence. Therefore, this article contains a literature review about the connections between business intelligence, competitive intelligence, on one hand, and management, on the other hand. Using the specialized software VOSviewer, this research presents the bibliometric analysis based on the co-occurrences of certain keywords, which demonstrates the inter-correlation of some specific research fields. The data examined using VOSviewer was retrieved from Web of Science core collection, the world`s largest bibliographic database for scientific research.
过去几十年在管理领域的研究表明，知识和智力被认为是帮助企业组织在特定市场中取得竞争优势的最重要资产之一。在当今这个充满不确定性和模糊性的时代，领导者和管理者不断需要有价值的、及时的信息，以便为公司做出最理想的决策。有鉴于此，研究人员和从业人员开发了一些工具和活动，以便从公司内部和外部获得决策过程所需的信息，这些工具和活动被称为商业情报和竞争情报。因此，本文对商业智能、竞争情报与管理之间的联系进行了文献综述。本研究使用专业软件 VOSviewer，根据某些关键词的共同出现情况进行了文献计量分析，从而证明了某些特定研究领域的相互关联性。使用 VOSviewer 检查的数据取自世界上最大的科学研究文献数据库 Web of Science 核心集。
{"title":"THE IMPACT OF BUSINESS INTELLIGENCE AND COMPETITIVE INTELLIGENCE IN MANAGEMENT: A BIBLIOMETRIC ANALYSIS","authors":"Nicolae Alexandru Budeanu","doi":"10.36106/paripex/2403035","DOIUrl":"https://doi.org/10.36106/paripex/2403035","url":null,"abstract":"The research in management field from the last decades showed that both knowledge and intelligence are considered as\u0000some of the most important assets which help business organizations achieve the competitive advantage in a certain\u0000market. In our current times, determined by uncertainty and ambiguity, leaders and managers are in a constant need of\u0000valuable and timely information that is required for taking the most desirable decision for the company. Given so,\u0000researchers and practitioners developed certain tools and activities in order to achieve the information necessary to\u0000decision making process, from both inside and outside the company, known as business intelligence and competitive\u0000intelligence. Therefore, this article contains a literature review about the connections between business intelligence,\u0000competitive intelligence, on one hand, and management, on the other hand. Using the specialized software VOSviewer,\u0000this research presents the bibliometric analysis based on the co-occurrences of certain keywords, which demonstrates\u0000the inter-correlation of some specific research fields. The data examined using VOSviewer was retrieved from Web of\u0000Science core collection, the world`s largest bibliographic database for scientific research.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"78 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140507815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.36106/paripex/2303309
Krishna Upadhye, Uttam Kumar Aggarwal
Steroid-induced diabetes mellitus (SIDM) represents a significant clinical challenge, arising as a consequence of glucocorticoid therapy commonly used in various medical conditions. Clinicians who want to reduce inflammation caused by immune system reactions commonly prescribe steroids. However, one significant side effect of steroid treatment is that patients' blood sugar levels rise. Long-term steroid use raises the risk of acquiring diabetes mellitus. Despite the widespread use of steroids for their anti-inflammatory and immunosuppressive properties,SIDM remains a common and potentially harmful complication that necessitates careful consideration in clinical practice. Two of the most often given steroids, cortisone and prednisone, increase the liver's ability to produce glucose and reduce cells' sensitivity to Insulin. This case study underscores the need for early detection and effective management of SIDM, emphasizing the importance of individualized treatment strategies.Furthermore,it highlights the gaps in understanding the impact of hyperglycemia associated with steroid use on clinical morbidity and mortality,urging for comprehensive guidelines to prevent complications and optimize patient outcomes in the context of the hyperglycemic state. The subject of this case study is a 53-year-old woman who was prescribed injections of methylprednisolone after being diagnosed with nephrotic syndrome. Her blood sugar levels noticeably increased after taking this medicine, which is consistent with the classic presentation of steroid-induced diabetes mellitus. This case study explores the complex relationship between steroids and diabetes mellitus, elucidating the mechanisms underlying hyperglycemia induced by glucocorticoids.
{"title":"\"FROM TREATMENT TO CHALLENGE: EXPLORING STEROID-INDUCED DIABETES MELLITUS – A COMPREHENSIVE CASE STUDY.\"","authors":"Krishna Upadhye, Uttam Kumar Aggarwal","doi":"10.36106/paripex/2303309","DOIUrl":"https://doi.org/10.36106/paripex/2303309","url":null,"abstract":"Steroid-induced diabetes mellitus (SIDM) represents a significant clinical challenge, arising as a consequence of\u0000glucocorticoid therapy commonly used in various medical conditions. Clinicians who want to reduce inflammation\u0000caused by immune system reactions commonly prescribe steroids. However, one significant side effect of steroid\u0000treatment is that patients' blood sugar levels rise. Long-term steroid use raises the risk of acquiring diabetes mellitus.\u0000Despite the widespread use of steroids for their anti-inflammatory and immunosuppressive properties,SIDM remains a\u0000common and potentially harmful complication that necessitates careful consideration in clinical practice. Two of the\u0000most often given steroids, cortisone and prednisone, increase the liver's ability to produce glucose and reduce cells'\u0000sensitivity to Insulin. This case study underscores the need for early detection and effective management of SIDM,\u0000emphasizing the importance of individualized treatment strategies.Furthermore,it highlights the gaps in understanding\u0000the impact of hyperglycemia associated with steroid use on clinical morbidity and mortality,urging for comprehensive\u0000guidelines to prevent complications and optimize patient outcomes in the context of the hyperglycemic state. The\u0000subject of this case study is a 53-year-old woman who was prescribed injections of methylprednisolone after being\u0000diagnosed with nephrotic syndrome. Her blood sugar levels noticeably increased after taking this medicine, which is\u0000consistent with the classic presentation of steroid-induced diabetes mellitus. This case study explores the complex\u0000relationship between steroids and diabetes mellitus, elucidating the mechanisms underlying hyperglycemia induced\u0000by glucocorticoids.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140508316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.36106/paripex/3400223
Pranavi Reddy Gunamgari, Rajendhar Soorineedu, Raja shekar Reballi, Sivaprasad Kasimahanti
Caregivers who possess resilience are better able to manage and overcome adversity that comes with caring for a family member diagnosed with major mental illnesses like Schizophrenia,Bipolar Affective Disorder and Alcohol Dependence Syndrome.Family plays a key role in the care of patients with mental illnesses especially in India owing to the tradition of interdependence and the lack of sufficient mental health facilities making it important to understand the resilience of the caregiver in caring for the mentally ill. Aim:The aim of the present study is to study the resilience in primary caregivers of patients with Schizophrenia, Bipolar Affective Disorder and Alcohol dependence syndrome. Methods: The crosssectional comparative study included 90 primary caregivers of patients, 30 from each group. The diagnoses of the patients were confirmed with the MINI screen scale.A semi-structured interview was used to obtain demographic data and resilience in the caregivers was measured using the Connor Davidson Resilience Scale. Results: Resilience was found to be higher in males, mostly children of the patients hailing from higher income groups and carers with shared burden. Caregivers of the patients with schizophrenia were found to have higher resilience than those of the other 2 groups. Conclusion: Gender, age, socioeconomic status, family support and diagnosis were all factors found to be influencing resilience in a caregiver.
{"title":"RESILIENCE IN THE PRIMARY CAREGIVERS OF PATIENTS WITH SCHIZOPHRENIA, BIPOLAR AFFECTIVE DISORDER AND ALCOHOL DEPENDENCE SYNDROME","authors":"Pranavi Reddy Gunamgari, Rajendhar Soorineedu, Raja shekar Reballi, Sivaprasad Kasimahanti","doi":"10.36106/paripex/3400223","DOIUrl":"https://doi.org/10.36106/paripex/3400223","url":null,"abstract":"Caregivers who possess resilience are better able to manage and overcome adversity that comes with caring for a family\u0000member diagnosed with major mental illnesses like Schizophrenia,Bipolar Affective Disorder and Alcohol Dependence\u0000Syndrome.Family plays a key role in the care of patients with mental illnesses especially in India owing to the tradition of\u0000interdependence and the lack of sufficient mental health facilities making it important to understand the resilience of the\u0000caregiver in caring for the mentally ill. Aim:The aim of the present study is to study the resilience in primary caregivers\u0000of patients with Schizophrenia, Bipolar Affective Disorder and Alcohol dependence syndrome. Methods: The crosssectional comparative study included 90 primary caregivers of patients, 30 from each group. The diagnoses of the\u0000patients were confirmed with the MINI screen scale.A semi-structured interview was used to obtain demographic data\u0000and resilience in the caregivers was measured using the Connor Davidson Resilience Scale. Results: Resilience was\u0000found to be higher in males, mostly children of the patients hailing from higher income groups and carers with shared\u0000burden. Caregivers of the patients with schizophrenia were found to have higher resilience than those of the other 2\u0000groups. Conclusion: Gender, age, socioeconomic status, family support and diagnosis were all factors found to be\u0000influencing resilience in a caregiver.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"54 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140506936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.36106/paripex/2500754
C. B. Rao, M. Rajesh, D. Swetha, G. M. Irfan, P. S. Reddy
Background/Purpose: VATS is more effective in early empyema which includes exudative and early fibrinopurulent phase.This study evaluates the role of VATS and compares the results with open decortication cases done during the same period for early empyema thoracis. Method: A prospective study was done on children with empyema thoracis who underwent VATS from March 2017 to March 2020 in a single large center. The collected data included age, clinical presentation, radiological investigation, pleural fluid analysis, intraoperative findings,histopathological findings and post operative course.The length of stay and the post-operative time taken for clinical and radiological lung expansion was compared with cases of open decortication done for early empyema during the same period of study Results: Of the198 cases of empyema, 54 cases underwent VATS and open decortication was done in 130 children.Postoperatively patients became afebrile in 2 ± 1.2 days in VATS and 7 ± 3.2 days in open decortication.Clinical and radiological expansion was earlier in VATS with 3 ± 2.1 and 6 ± 2.2 days respectively. Conclusions: The prospective study concludes that VATS is more effective and less invasive than open thoracotomy for early empyema thoracis in decreasing the morbidity and has better cosmesis.
{"title":"EFFICACY OF VIDEO-ASSISTED THORACOSCOPIC SURGERY (VATS) IN CHILDREN WITH EARLY EMPYEMA THORACIS IN COMPARISON TO OPEN THORACOTOMY","authors":"C. B. Rao, M. Rajesh, D. Swetha, G. M. Irfan, P. S. Reddy","doi":"10.36106/paripex/2500754","DOIUrl":"https://doi.org/10.36106/paripex/2500754","url":null,"abstract":"Background/Purpose: VATS is more effective in early empyema which includes exudative and early\u0000fibrinopurulent phase.This study evaluates the role of VATS and compares the results with open decortication\u0000cases done during the same period for early empyema thoracis. Method: A prospective study was done on\u0000children with empyema thoracis who underwent VATS from March 2017 to March 2020 in a single large center. The\u0000collected data included age, clinical presentation, radiological investigation, pleural fluid analysis, intraoperative\u0000findings,histopathological findings and post operative course.The length of stay and the post-operative time taken for\u0000clinical and radiological lung expansion was compared with cases of open decortication done for early empyema\u0000during the same period of study Results: Of the198 cases of empyema, 54 cases underwent VATS and open\u0000decortication was done in 130 children.Postoperatively patients became afebrile in 2 ± 1.2 days in VATS and 7 ± 3.2 days\u0000in open decortication.Clinical and radiological expansion was earlier in VATS with 3 ± 2.1 and 6 ± 2.2 days respectively.\u0000Conclusions: The prospective study concludes that VATS is more effective and less invasive than open thoracotomy for\u0000early empyema thoracis in decreasing the morbidity and has better cosmesis.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140507432","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: Aims and USG guided femoral nerve block is useful technique for pain relief in fracture shaft femur. Objective: 1) To study whether USG guided femoral nerve block is more effective in pain management of femoral shaft fractures than systemic intravenous analgesia. 2) To study the duration of action of femoral nerve block for pain relief in femoral shaft fractures. 100 patients of ASA I and II, aged 20-50 years, with traumatic fracture Materials and Methods: femur were randomly allocated to group FNB (n-50, USG guided femoral nerve block using 10 ml 0.75% Ropicvacaine) and group DICLO (n-50, systemic analgesia using Inj. Diclofenac 75 mg.) Each case was subsequently followed up for onset and total duration of analgesia till 6 hours postoperatively. Efficacy in both groups was assessed by visual analogue scale. There is no significant difference in onset of action between both the groups. The duration Results and Summary: of action in group FNB was more (5.58±1.08 hrs) than group DICLO (3.40±1.20 hrs). Visual analogue score showed significant pain reduction in group FNB after 15 minutes and also at 6hr(p=0.001) in comparison with group DICLO. Conclusion: Femoral nerve block is safe, simple and more efficacious procedure in comparison to systemic IV analgesia for acute pain management in patients with fracture shaft femur.
{"title":"COMPARISON OF ULTRASOUND GUIDED FEMORAL NERVE BLOCK AND SYSTEMIC INTRAVENOUS ANALGESIA FOR PAIN RELIEF IN TRAUMATIC SHAFT FEMUR FRACTURES","authors":"Akanksha Monil Parsana, Ajay Kumar Verma, Roshni Gupta","doi":"10.36106/paripex/8900413","DOIUrl":"https://doi.org/10.36106/paripex/8900413","url":null,"abstract":"Background: Aims and USG guided femoral nerve block is useful technique for pain relief in fracture shaft femur.\u0000Objective: 1) To study whether USG guided femoral nerve block is more effective in pain management of femoral shaft\u0000fractures than systemic intravenous analgesia. 2) To study the duration of action of femoral nerve block for pain relief in\u0000femoral shaft fractures. 100 patients of ASA I and II, aged 20-50 years, with traumatic fracture Materials and Methods:\u0000femur were randomly allocated to group FNB (n-50, USG guided femoral nerve block using 10 ml 0.75% Ropicvacaine)\u0000and group DICLO (n-50, systemic analgesia using Inj. Diclofenac 75 mg.) Each case was subsequently followed up for\u0000onset and total duration of analgesia till 6 hours postoperatively. Efficacy in both groups was assessed by visual analogue\u0000scale. There is no significant difference in onset of action between both the groups. The duration Results and Summary:\u0000of action in group FNB was more (5.58±1.08 hrs) than group DICLO (3.40±1.20 hrs). Visual analogue score showed\u0000significant pain reduction in group FNB after 15 minutes and also at 6hr(p=0.001) in comparison with group DICLO.\u0000Conclusion: Femoral nerve block is safe, simple and more efficacious procedure in comparison to systemic IV\u0000analgesia for acute pain management in patients with fracture shaft femur.","PeriodicalId":19910,"journal":{"name":"Paripex Indian Journal Of Research","volume":"38 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140506976","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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