with age, residence, education, occupation and parity of ANCs but not with BMI and bad obstetric history of ANCs. Anemia was found significantly more in younger age, less educated and housewives than their counterparts. Likewise ANCs of rural area had more chances of Anemia than those residing in urban areas. And ANCs having either zero parity or parity more than two had more probability to have anemia than their counterparts.
Abstract— Anemia in pregnancy is commonly considered as risk factor for poor pregnancy outcome and can threaten the maternal and fetal life also. So this present cases control study was carried at R. K. Joshi District Hospital Dausa (Rajasthan) India, with the aim to find out the effect of anemia in Antenatal period on pregnancy outcomes. For this study, 50 Antenatal Cases (ANCs) with anemia were selected as study group among ANCs attending for delivery in district hospital Dausa. For control group age and BMI matched 50 normal healthy ANCs without anemia were selected from the same area. ANCs with any other diseases were excluded from the study. It was found in this study that although proportion of ANCs with LSCS, PPH and Sepsis were higher in anemic ANCs but it was not found significant. Likewise IUGR, LBW babies, premature births and still births were more in anemic ANCs but it was found significant only in case of LBW babies. So it can be concluded that anemia in ANCs effect weight of newborn babies born by ANC with anemia.
Abstract—Diabetes Mellitus is a lifestyle disease it is increasing with increase of urbanization. It is a side effect of development. Nowadays with the development of community it is also on increase trend. So this study was conducted on 250 patients of diabetes attended at Diabetic Clinic of SMS Hospital Jaipur, with the aim to find out socio-demographic profile of these diabetes cases. General information about the these case was gathered in a pre-designed semi-structured performa. It was found in this study that majority of cases were in age group of 31 to 45 years with slight male dominance. Education wise majority were Graduate followed by secondary educated and others. Likewise occupation wise majority were either unemployed of professional. Majority of cases were from Socio economic Class II and III. So it can be concluded that diabetes is a disease of middle age slight male dominance and of educated middle class individuals. Further studies are required to establish this fact.
India is second largest country to have people with Diabetes Mellitus (DM) in world. Gestational Diabetes Mellitus (GDM) has bad pregnancy outcomes so this present case control study was conducted on 50 pregnant women (ANCs) with GDM and 50 normal ANCs to assess the bio-socio-demographic risk factors of Gestational Diabetes. It was found that GDM was significantly associated with age, religion, residence and BMI of woman. GDM was found significantly more with increasing age and increasing BMI. ANCs residing in urban areas and belonging to Muslim religion were more pron to have GDM than their counter parts. Family history of diabetes also favors in occurrence of GDM. So clinicians should increase GDM screening at first ANC visit and prompt treatment is recommended to prevent complication. Early identification of woman at risk of GDM may prevent maternal and perinatal morbidity.
Methods: The current case-control study was conducted at Ain Shams University Maternity Hospital. The study included two groups of women: group A, including pregnant women with a history of unexplained recurrent miscarriage; and group B, including control pregnant women with no prior miscarriage. Women included in either group were at their first trimester of pregnancy (6-13 weeks of gestation). For all included women, 3-hour oral glucose test was performed. Serum insulin levels were measured at the same times. Markers of insulin resistance, including HOMA-IR, HOMA-B, AUCG and AUCI were calculated.
Prevalence of anemia and socio-demographic factors associated with anemia amo...IOSR Journals
Objective: To study the prevalence of anemia and socio-demographic factors associated with anemia among pregnant women attending antenatal hospital. Material and methods: Total 100 pregnant women were selected for the study and the study was carried out from Sep 2011 to Jan 2012. Pretested and prestructured questionnaire was used to collect general information. Blood samples were collected by qualified technician for hemoglobin estimation. Socio-economic classification by B.G. Prasad was adopted. Classification of anemia by WHO was used. Chi-square test was used for statistical analysis. Results: Overall prevalence of anemia among the pregnant women was found to be 63%. Factors such as level of education and socio-economic status were found to be significantly associated with prevalence of anemia. Conclusion: There is a need for realization that health system should focus on various factors that contribute to the occurrence of anemia and include them as important mediators in the National Health Policy.
Novel Approach Of Diabetes Disease Classification By Support Vector Machine W...IJARIIT
Early diagnosis of any disease with less cost is always preferable. Diabetes is one such disease. It has become the fourth leading cause of death in developed countries and is also reaching epidemic proportions in many developing and newly industrialized nations. Diabetes leads to increase in the risks of developing kidney disease, blindness, nerve damage, blood vessel damage and heart disease also. In this study, we investigate an automatic approach to diagnose Diabetes disease based on Bacterial Foraging Optimization and Artificial Neural Network .firstly, we applied Bacterial Foraging Optimization for features selection and then we implement artificial neural network for finding out the classification accuracy. The proposed SVM method obtains 87.23% accuracy on UCI diabetes dataset which is better than other models.
Secondly, we applied again Bacterial foraging optimization for features selection and then we applied support vector machine for finding out the classification accuracy .The proposed Correlation with SVM method obtains on UCI dataset.
—In many cultures in India, womanhood is defined through motherhood and infertile women usually carry the blame for the couple inability to conceive. A childless woman is stigmatized and sometimes not allowed to participate in various auspicious ceremonies, particularly those involving childbirth. The present study was undertaken in S.M.S. Medical College, Jaipur, Rajasthan to find out the factors contributing to infertility and the health seeking behavior of infertile women. A hospital based observational study was carried out in year 2017 on eligible women attending OPD of Obstetrics and Gynecology at Mahila Chikitsalaya, S.M.S. Medical College Jaipur. A total 1000 eligible women were recruited using systematic random sampling and interviewed using a predesigned and pretested questionnaire. A total of 119 women (11.9%) were found to be infertile. Age of women, caste, residence, education status of women, occupation, family size and socioeconomic status were found to be significantly associated with infertility (P<0.05). Lower age of women, OBC caste, urban residence, less family size, lesser education status of women, housewives and middle socioeconomic status were found to have significantly more infertile females than their counterparts. Age of women, type of family and religion were not found to be associated with infertility (P >0.05). Improving awareness about infertility and its management could help reduce the burden and its social implications.
Abstract— Anemia in pregnancy is commonly considered as risk factor for poor pregnancy outcome and can threaten the maternal and fetal life also. So this present cases control study was carried at R. K. Joshi District Hospital Dausa (Rajasthan) India, with the aim to find out the effect of anemia in Antenatal period on pregnancy outcomes. For this study, 50 Antenatal Cases (ANCs) with anemia were selected as study group among ANCs attending for delivery in district hospital Dausa. For control group age and BMI matched 50 normal healthy ANCs without anemia were selected from the same area. ANCs with any other diseases were excluded from the study. It was found in this study that although proportion of ANCs with LSCS, PPH and Sepsis were higher in anemic ANCs but it was not found significant. Likewise IUGR, LBW babies, premature births and still births were more in anemic ANCs but it was found significant only in case of LBW babies. So it can be concluded that anemia in ANCs effect weight of newborn babies born by ANC with anemia.
Abstract—Diabetes Mellitus is a lifestyle disease it is increasing with increase of urbanization. It is a side effect of development. Nowadays with the development of community it is also on increase trend. So this study was conducted on 250 patients of diabetes attended at Diabetic Clinic of SMS Hospital Jaipur, with the aim to find out socio-demographic profile of these diabetes cases. General information about the these case was gathered in a pre-designed semi-structured performa. It was found in this study that majority of cases were in age group of 31 to 45 years with slight male dominance. Education wise majority were Graduate followed by secondary educated and others. Likewise occupation wise majority were either unemployed of professional. Majority of cases were from Socio economic Class II and III. So it can be concluded that diabetes is a disease of middle age slight male dominance and of educated middle class individuals. Further studies are required to establish this fact.
India is second largest country to have people with Diabetes Mellitus (DM) in world. Gestational Diabetes Mellitus (GDM) has bad pregnancy outcomes so this present case control study was conducted on 50 pregnant women (ANCs) with GDM and 50 normal ANCs to assess the bio-socio-demographic risk factors of Gestational Diabetes. It was found that GDM was significantly associated with age, religion, residence and BMI of woman. GDM was found significantly more with increasing age and increasing BMI. ANCs residing in urban areas and belonging to Muslim religion were more pron to have GDM than their counter parts. Family history of diabetes also favors in occurrence of GDM. So clinicians should increase GDM screening at first ANC visit and prompt treatment is recommended to prevent complication. Early identification of woman at risk of GDM may prevent maternal and perinatal morbidity.
Methods: The current case-control study was conducted at Ain Shams University Maternity Hospital. The study included two groups of women: group A, including pregnant women with a history of unexplained recurrent miscarriage; and group B, including control pregnant women with no prior miscarriage. Women included in either group were at their first trimester of pregnancy (6-13 weeks of gestation). For all included women, 3-hour oral glucose test was performed. Serum insulin levels were measured at the same times. Markers of insulin resistance, including HOMA-IR, HOMA-B, AUCG and AUCI were calculated.
Prevalence of anemia and socio-demographic factors associated with anemia amo...IOSR Journals
Objective: To study the prevalence of anemia and socio-demographic factors associated with anemia among pregnant women attending antenatal hospital. Material and methods: Total 100 pregnant women were selected for the study and the study was carried out from Sep 2011 to Jan 2012. Pretested and prestructured questionnaire was used to collect general information. Blood samples were collected by qualified technician for hemoglobin estimation. Socio-economic classification by B.G. Prasad was adopted. Classification of anemia by WHO was used. Chi-square test was used for statistical analysis. Results: Overall prevalence of anemia among the pregnant women was found to be 63%. Factors such as level of education and socio-economic status were found to be significantly associated with prevalence of anemia. Conclusion: There is a need for realization that health system should focus on various factors that contribute to the occurrence of anemia and include them as important mediators in the National Health Policy.
Novel Approach Of Diabetes Disease Classification By Support Vector Machine W...IJARIIT
Early diagnosis of any disease with less cost is always preferable. Diabetes is one such disease. It has become the fourth leading cause of death in developed countries and is also reaching epidemic proportions in many developing and newly industrialized nations. Diabetes leads to increase in the risks of developing kidney disease, blindness, nerve damage, blood vessel damage and heart disease also. In this study, we investigate an automatic approach to diagnose Diabetes disease based on Bacterial Foraging Optimization and Artificial Neural Network .firstly, we applied Bacterial Foraging Optimization for features selection and then we implement artificial neural network for finding out the classification accuracy. The proposed SVM method obtains 87.23% accuracy on UCI diabetes dataset which is better than other models.
Secondly, we applied again Bacterial foraging optimization for features selection and then we applied support vector machine for finding out the classification accuracy .The proposed Correlation with SVM method obtains on UCI dataset.
—In many cultures in India, womanhood is defined through motherhood and infertile women usually carry the blame for the couple inability to conceive. A childless woman is stigmatized and sometimes not allowed to participate in various auspicious ceremonies, particularly those involving childbirth. The present study was undertaken in S.M.S. Medical College, Jaipur, Rajasthan to find out the factors contributing to infertility and the health seeking behavior of infertile women. A hospital based observational study was carried out in year 2017 on eligible women attending OPD of Obstetrics and Gynecology at Mahila Chikitsalaya, S.M.S. Medical College Jaipur. A total 1000 eligible women were recruited using systematic random sampling and interviewed using a predesigned and pretested questionnaire. A total of 119 women (11.9%) were found to be infertile. Age of women, caste, residence, education status of women, occupation, family size and socioeconomic status were found to be significantly associated with infertility (P<0.05). Lower age of women, OBC caste, urban residence, less family size, lesser education status of women, housewives and middle socioeconomic status were found to have significantly more infertile females than their counterparts. Age of women, type of family and religion were not found to be associated with infertility (P >0.05). Improving awareness about infertility and its management could help reduce the burden and its social implications.
Predictive Value of the Oxidative Stress Indices in Syrian Women with Threate...ijtsrd
After 10 years of increasing conflict and violence in Syria, women face significant challenges associated with lack of adequate access to maternal health services, threatening their lives along with their immediate and long term health outcomes, among them miscarriage, which has been increasing dramatically. Our aim was to assess whether serum total antioxidant TAS capacity and total oxidant status TOS altered during first trimester pregnancies with vaginal bleeding and abdominal pain, and to investigate the accuracy of these biomarkers in the prediction of miscarriage. In this cross sectional study, A group of pregnant women with vaginal bleeding and abdominal pain n=29 served as patient group and a control group of healthy pregnancies n=30 were included. All of the participants in the two groups were matched for age and gestational age. All pregnant women were recruited from the Khaled Kendel hospital Sarmada, Syria, and Blood samples were collected at 6– 14 weeks from all participants for measurement of oxidative stress markers. The area under curve AUC was used to determine the predictive value of the oxidative stress indices. The mean TOS level was significantly P 0.05 higher in patients whereas mean TAS level was significantly P 0.05 decreased in patient group compared to the control group. The AUC of TOS and TAS were 0.611, 0.895, P= 0.115, 0.001 respectively. The cut off, sensitivity, and specificity of TAS were 0.98, 93.5 and 70.8 respectively. TAS can be used to discriminate between TM and the control subjects sensitivity= 0.956 P 0.0001 . Our analysis of patients presenting with threatened miscarriage in this study presents, imbalance in oxidative stress markers, we recommended supplementing of anti oxidants Throughout pregnancy. finally, Further high quality research in this area is warranted to confirm our results. Ibrahim W. Hasani | Maism. Abdulrazak | Samer Kabba "Predictive Value of the Oxidative Stress Indices in Syrian Women with Threatened Abortion" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-1 , December 2020, URL: https://www.ijtsrd.com/papers/ijtsrd35879.pdf Paper URL : https://www.ijtsrd.com/medicine/gynecology/35879/predictive-value-of-the-oxidative-stress-indices-in-syrian-women-with-threatened-abortion/ibrahim-w-hasani
Evaluation the efficacy of IVIgG in treatment of Hemolytic Disease of Newborniosrphr_editor
Hemolytic disease of newborn (HDN) is an important cause of hyperbilirubinemia in the
neonatal period,and delayed diagnosis and treatment may lead to permanent brain damage. Traditional
neonatal treatment of HDN is intensive phototherapy and exchange transfusion.Intravenous
immunoglobulin(IVIgG) has been introduced as an alternative therapy to exchange transfusion. This study was
conducted to assess the effect of IVIG in HDN .
Varying work schedules are suspected of increasing risks to pregnant women and to fetal well being. In particular, maternal hormonal disturbance arising from sleep deprivation, circadian rhythm disruption might impair fetal growth or lead to complications. This review was based on few high quality studies.
The Relationship between Maternal Anemia and Birth Weight in New Borniosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Mathematical Model for Drug Therapy in Patients With Diabetes MellitusIJESM JOURNAL
This study presents a new mathematical model for Drug Therapy in Patients with Diabetes
Mellitus which includes external rate at which blood glucose, insulin and epinephrine is being
increased in the form, ( , , ) ( )
.
Y f g h e r t i i . The system has been analyzed and solved to provide
the systems natural frequency, ω0, which is the basic descriptor of saturation level of the drug.
We establish that the resonance period for the final model, that is, T0=3.76912 hrs, agrees well
with the data for the existing insulin therapy, showing that the peak, which is the time period for
insulin to be most effective in lowering blood sugar, is in the acceptable therapeutic range.
Mathematics Subject Classification: Primary 93A30; Secondary 91B74, 93C15, 92C50, 92C42
Predictive Value of the Oxidative Stress Indices in Syrian Women with Threate...ijtsrd
After 10 years of increasing conflict and violence in Syria, women face significant challenges associated with lack of adequate access to maternal health services, threatening their lives along with their immediate and long term health outcomes, among them miscarriage, which has been increasing dramatically. Our aim was to assess whether serum total antioxidant TAS capacity and total oxidant status TOS altered during first trimester pregnancies with vaginal bleeding and abdominal pain, and to investigate the accuracy of these biomarkers in the prediction of miscarriage. In this cross sectional study, A group of pregnant women with vaginal bleeding and abdominal pain n=29 served as patient group and a control group of healthy pregnancies n=30 were included. All of the participants in the two groups were matched for age and gestational age. All pregnant women were recruited from the Khaled Kendel hospital Sarmada, Syria, and Blood samples were collected at 6– 14 weeks from all participants for measurement of oxidative stress markers. The area under curve AUC was used to determine the predictive value of the oxidative stress indices. The mean TOS level was significantly P 0.05 higher in patients whereas mean TAS level was significantly P 0.05 decreased in patient group compared to the control group. The AUC of TOS and TAS were 0.611, 0.895, P= 0.115, 0.001 respectively. The cut off, sensitivity, and specificity of TAS were 0.98, 93.5 and 70.8 respectively. TAS can be used to discriminate between TM and the control subjects sensitivity= 0.956 P 0.0001 . Our analysis of patients presenting with threatened miscarriage in this study presents, imbalance in oxidative stress markers, we recommended supplementing of anti oxidants Throughout pregnancy. finally, Further high quality research in this area is warranted to confirm our results. Ibrahim W. Hasani | Maism. Abdulrazak | Samer Kabba "Predictive Value of the Oxidative Stress Indices in Syrian Women with Threatened Abortion" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-1 , December 2020, URL: https://www.ijtsrd.com/papers/ijtsrd35879.pdf Paper URL : https://www.ijtsrd.com/medicine/gynecology/35879/predictive-value-of-the-oxidative-stress-indices-in-syrian-women-with-threatened-abortion/ibrahim-w-hasani
Evaluation the efficacy of IVIgG in treatment of Hemolytic Disease of Newborniosrphr_editor
Hemolytic disease of newborn (HDN) is an important cause of hyperbilirubinemia in the
neonatal period,and delayed diagnosis and treatment may lead to permanent brain damage. Traditional
neonatal treatment of HDN is intensive phototherapy and exchange transfusion.Intravenous
immunoglobulin(IVIgG) has been introduced as an alternative therapy to exchange transfusion. This study was
conducted to assess the effect of IVIG in HDN .
Varying work schedules are suspected of increasing risks to pregnant women and to fetal well being. In particular, maternal hormonal disturbance arising from sleep deprivation, circadian rhythm disruption might impair fetal growth or lead to complications. This review was based on few high quality studies.
The Relationship between Maternal Anemia and Birth Weight in New Borniosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Mathematical Model for Drug Therapy in Patients With Diabetes MellitusIJESM JOURNAL
This study presents a new mathematical model for Drug Therapy in Patients with Diabetes
Mellitus which includes external rate at which blood glucose, insulin and epinephrine is being
increased in the form, ( , , ) ( )
.
Y f g h e r t i i . The system has been analyzed and solved to provide
the systems natural frequency, ω0, which is the basic descriptor of saturation level of the drug.
We establish that the resonance period for the final model, that is, T0=3.76912 hrs, agrees well
with the data for the existing insulin therapy, showing that the peak, which is the time period for
insulin to be most effective in lowering blood sugar, is in the acceptable therapeutic range.
Mathematics Subject Classification: Primary 93A30; Secondary 91B74, 93C15, 92C50, 92C42
Anemia in pregnancy &role of parenteral iron therapysusanta12
Iron deficiency anemia is most common anemia during pregnancy whic needs careful evaluation and treatment by Dr Susanta Kumar Behera,Department of Obstetrics & Gynecology, MKCG Medical College, Brahmapur,ODISHA,INDIA
In India, Reproductive Tract Infection (RTI) including Sexually transmitted Diseases (STDs) produce a huge disease burden. Nursing staff plays a major role in prevention of STI/RTIs. So this study was conducted aimed to know the knowledge about STIs/RTIs of nursing personnel of a tertiary care hospital of Rajasthan. 100 nursing professionals were supervised for practice and interrogated for attitude and knowledge as per a semi- structured schedule. It was found that overall mean score of nurses was 56% and only 52% had scores passing marks (>50%). Although this knowledge about STI/RTI was not found to be associated religion, caste, type of family and socio-economic status but it was found to be associated with sex, marital status and education of nurses. It was also found in this study that gap of training decreases the knowledge and number of training increases the knowledge. It was found to be associated with department where the nurses were working. So all the nurses irrespective of place of posting should be given refresher trainings at regular intervals.
—Melasma is a third most commonly cited skin disorders was pigmentary problem diagnosed most often, other two are post-inflammatory hyperpigmentation and vitiligo. So this study was conducted on 500 cases of Melasma attending at skin OPD of Charak Bhawan, a hospital attached to SMS Medical College, Jaipur (Rajasthan) with the aim to study its clinical pattern. Severity of Melasma was assessed by MASI. It was observed from this study that centro-facial distribution was found most prevelent (52.2%) pattern of Melasma followed by Malar pattern. Although mean MASI scores was found 12.47±5.093 but majority (53.2%) of cases were of sever grade followed by moderate and mild grade of Melasma. Malar area was most affected area (99.8%) followed by forehead area and chin area. Variation of area affected with Melasma was found significant (p<0.001). It was also observed that darkness as well as homogenecity was significantly more at malar region than that of forehead and chin. So it was also be concluded from this study that Melasma cases who are attending at Skin OPD are having melasma lesion on malar region and of sever grade. Reasons for this observation is o be explored with further research.
Abstract— Dental diseases are health problem of developing countries mainly because of the fact that in developing countries these diseases are given less importance. People also not much bothered about children's personal hygiene and dental diseases until it leads to toothache and disability. And at this time it may lead to complication and expensive treatment. So a community based study was conducted in rural area of Jaipur district to find out the association between dental diseases and personal hygiene. From schools of Amer tahsil of Jaipur district 1600 students were examined for dental diseases and interrogated and observed for personal hygiene. Association of personal hygiene with dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and Periodontitis was found out with chi-square test. It was revealed that Dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and peridontitis all are associated with personal hygiene. Dental carries increases as the personal hygiene worsen and likewise same was observed with Malocclusion but Dental Fluorosis was observed in inverse direction mean as the personal hygiene improves the chances to have Dental Fluorosis increases. Periodontal it was found significantly more when personal hygiene of child is either poor or good, when it is fair chances of having Periodontal diseases were significantly less.
Abstract— Occupational exposure to formaldehyde (FA) has been related to adverse outcomes. However, a short period of exposure has never been assessed in terms of evaluating DNA. This study conducted on 39 medical students exposed to FA in a university laboratory of human anatomy and aimed to analyze the relationship between FA exposure and DNA damage. The buccal micronucleus cytome assay (BMCyt) was used to evaluate the students at four time points: before FA exposure, after four months of FA exposure, after eight months of FA exposure and after three months without FA exposure (remission period). Pyknotic cells, karyolitic cells, karyorrhetic cells, condensed chromatin, binucleated cells, basal cells differentiated cells, micronucleated cells and nuclear bridges were enumerated. This study shows that FA exposure caused genomic instability in all periods and the remission period was not sufficient to reverse all damage. Thus, prolonged occupational exposure to FA not only causes DNA damage but a shorter exposure period can have the same effect.
Abstract—Periodontal disease is a destructive inflammatory disease inducing profound changes in the plasma concentrations of cytokines leading to a catabolic state characterized by altered lipid metabolism and hypertriglyceridemia. This study was conducted with the aim find out association of chronic periodontitis with serum lipid parameters. Study group consist of 30 cases of chronic periodontitis (case group) and control group consist of 30 healthy individuals. Age range was kept 25-60 years to avoid extreme ages. Periodontal parameters including Plaque Index, Gingival Index, Probing Depth and Clinical Attachment Level were recorded. Lipid profile comprising of total cholesterol, Triglycerides, HDL- Cholesterol and LDL was assessed and co related with periodontal parameters. This study confirms significantly higher levels of mean cholesterol, triglycerides and LDL in periodontitis group as compared to healthy group. Also, there is significant negative co relation of HDL with probing depth and clinical attachment loss. Association of hyperlipidemia and chronic periodontitis is evident in developed state of disease. With this study, this relation is confirmed based on Factor and Outcome.
Abstract—Submental intubation is a method for airway without trachiotomy. This study was conducted with the aim to evaluate the frequency, indications, and outcomes of airway management by submental intubation in maxillofacial trauma patients and comparison with tracheostomy regarding its advantages and disadvantages.40 patients with maxillofacial injuries were selected for submental intubation who required tracheostomy/ retromolar intubation in a 2 year period (2013–2015). Submental intubation permitted reduction and fixation of all the fractures without the interference of the tube during surgical procedure in all of the patients. It avoids retromolar intubation/ tracheostomy and its disadvantages.Thus,Submental intubation is a simple, safe, with low morbidity technique for operative airway management in maxillofacial trauma patients when there are fractures involving the nasal region and concomitant dental occlusion disturbances who required retromolar intubation/ tracheostomy for airway management during surgery.
Abstract—Adolescents are the future resources for any country to progress and prosper. According to Census 2001, in India, adolescent constitute one-fifth of the total population. Adolescent AGs are one of the important segments of the population for they are the future mother whose nutritional status affects that of the newborn baby. Anemia being a major public health problem among adolescent girls, a study was conducted with the objective to determine the socio-demographic correlates of anemia among girls. Methodology: A cross-sectional study was conducted among 467 adolescent AGs in Ahmadabad city during May 2011 to august 2012 in Adolescent Friendly Health Services clinics. Results: Prevalence of anemia among adolescent girls was 85.9%. Highest prevalence was observed during mid-adolescence phase. As the age of girls increases, Hemoglobin tends to get on the lower side. A statistically significant association was observed between anemia and nutritional status. No association was observed between anemia and religion, birth order, type of -family, education of parents and occupation of parents. Conclusion: Association between anemia and under-nutrition has been reported earlier in numerous studies; however present study highlights the fact that it is not common to have anemia among girls who are over nourished or obese. Hence, special efforts should be made to address this issue among girls by doing dietary modifications.
Effect of Age on Response of 61-Point Relaxation Technique on Cardiovascular variables in Females-Stress affects mainly on autonomic nervous system of individuals and relaxation techniques has the opposite of the stress response. 61-point relaxation technique is one of the relaxation techniques but there are some factors on which its grading of response is dependent. So this study is aimed to find out the effect of age on response of 61-point relaxation technique on cardio-vascular variables. Study was conducted on 30 healthy females of equals to or less than 30 years and 30 healthy females of more than 30 years. Before and after relaxation technique data regarding systolic blood pressure (SBP), diastolic blood pressure (DBP), Heart rate (HR) and respiratory rate (RR) were recorded. Significance of difference in means of baseline and end line data SBP, DBP, HR and RR of both the groups were inferred by unpaired‘t’ test. It was found that there was significant reduction of SBP, DBP, HR and RR in both the groups but significant difference in reduction was observed only in SBP and RR not in DBP and HR. Reduction in SBP was significantly more in more than 30 years than the other group whereas reduction in RR was just reverse.
Abstract—Myiasis is a rare disease by developing larvae (Maggots) of a variety of fly species within the arthropod order Diptera. Recognition and Management of Myiasis are demanding. Herein we present a 7-months-old Saudi girl presented with multiple skin lesions over her body, clinical diagnosis of skin abscess was made initially. Incision revealed multiple maggots coming from the incision wounds, the larva was extracted and the clean dressing was done. Patient showing complete recovered skin infection. Cutaneous Myiasis is a devastating presentation of a variety of fly species that should be considered in the appropriate clinical setting and recent traveling to the suspicious area.
Abstract—The aim of the study was to observe the prevalence of various microorganisms from throat swab specimens in patients attending a tertiary care hospital at Chinakakani, Guntur. Throat swab specimens were collected aseptically from 100 patients and cultured on appropriate bacteriological media. Isolates were identified by biochemical tests & antimicrobial susceptibility performed by standard methods. Out of 100 Samples, culture was positive in 25 samples. So Bacterial infection was found in 25% of Pharyngitis. Streptococcus pyogenes was the commonest isolate, followed by Staphylococcus aureus and Candida albicans. Majority of bacteria were Streptococcus pyogenes, Staphylococcus aureus and Candida albicans. In 60% it was mixed infection. The susceptibility patterns varied depending on the drugs, but most of the organisms were susceptible to penicillin, erythromycin and vancomycin. Improved personal hygiene and health education of the masses on how to care for ear, nose and throat will greatly reduce these microbial infections. This study will be useful for control strategies and for predicting pathogen prevalence in throat swabs.
Abstract— Alcohol is a psychoactive substance that their consumption can cause some damage to the body, mainly in the central nervous system, also it is possible observed changes in the social behavior of the individual when ingested in large amounts.
In addition, a placebo effect is based on the total of similar beneficial effects to health regarding physiological - psychological active substance. With regard to this issue, have been conducted to observe the behavior of volunteers where it is used a psychoactive substance such as coffe, marijuana or drugs in some volunteer groups compared to a group that ingested a placebo (inert substance).
In this study, it was observed the behavior of two groups of young volunteers aged college to which were given drinks alcoholics beverages and drinks with placebo (group A and B, respectively), where alcoholics beverages and placebo were smell similar and taste.
Previously it determined that these volunteers had no alcohol dependence. Also before giving the drinks, their levels of anxiety and depression were assessed by means of psychological testing; volunteers also underwent neurocognitive testing, neuromotor before and it then give them drinks with alcohol or placebo.
We observed in this study that the placebo effect was can be as strong as if it had ingested the psychoactive substance, In like manner, we perceived that mood at the studie moment have a significantly influence, because the psychoactive substance effect or stimulating feeling are improved even when they to believe has been drinking alcohol
Abstract— Cerebral palsy (CP) is the most common physical disability of childhood. Children with CP frequently grow slowly and are more prone to fractures. So this study was aimed to explore relationship of bone mineral density (BMD) with cerebral palsy by case-control study. This study was conducted at Department of Physical Medicine and Rehabilitation of Sawai Man Singh Medical College, Jaipur. Hip bone and spine bone was used to assess BMD. Bone mineral density was measured by DEXA in both groups i.e. study group and control group after ensuring the comparability of both groups. Difference in means of BMD in both the groups was inferred by unpaired student's’ test of significance. It was found in this study that bone mineral density of hip well as spine was significantly lowered in cerebral palsy cases.
Prevalence of Anamiea and Its Predictors in Pregnant Women Attending Antenata...iosrjce
Background: Anemia impairs cognitive development, reduces physical work capacity and in severe cases
increases risk of mortality particularly during prenatal period. In India, 16% of maternal deaths are attributed
to anemia. However, high prevalence of anemia among pregnant women persists in India despite the
availability of effective, low-cost interventions for prevention and treatment. Aknowledge of them
sociodemographic factors associated with anemia will help to formulate multipronged strategies to attack this
important public health problem in pregnancy.
Objective: To assess the prevalence of anaemia and its predicting factors among pregnant women attending
antenatal clinic at Tertiary care center.
Study Design: Descriptive cross-sectional study
Methods: A hospital based cross-sectional study design was conducted from January 2014 – September 2014
among 5788 pregnant womens who had been attending antenatal clinic. Red blood cell morphology and Hgb
level determination were assessed following the standard procedures. Socio-demographic data was collected by
using a structured questionnaire. The data entered and analyzed by using the SPSS version 16.0 statistical
software. P<0.05 was considered as statistically significant.
Result: Overall prevalence of anemia among the pregnant women was found to be 86.37%. Factors such as
diet, level of education of women and their husbands and socioeconomic status were found to be significantly
associated with the prevalence of anemia in pregnancy.
Conclusion: The present study showed high prevalence of anemia and the majority of them were of the
moderate type (hemoglobin: 10-10.9 g/dl). Low socioeconomic class, illiteracy, Multiparous were significantly
associated with high prevalence of anemia during pregnancy in Indian women.
— This study was conducted to find out if AFI ≤ 5 cms has any clinical significance in identifying the subsequent fetal distress & associated maternal & perinatal outcomes, in pregnancies beyond 37 weeks. Methodology: This is a prospective case control study done from July 2010 to July 2012 (24 months) at Dr Vasantrao Pawar Medical College, Hospital and Research Center. Adgaon, Nashik. It study the pregnancy outcome comparison of 58 Anenatal Cases(ANCs)as Study Group with diangosis of oligohydramnios (AFI ≤ 5 cms) by ultrasound after 37 completed weeks of gestation w e r e compared with 58 ANCs (Control Group) with no oligohydramnios (AFI > 5 cms). These two groups were matched for other variables like age, parity, gestational age and any pregnancy complication. Results: There was significant difference between two groups. Hypertension and Preeclampsia were found significantly more in ANCs with oligohydramnios. FHR deceleration was also significantly higher in women with oligohydramnios. Women require LSCS were also significantly more in women with oligohydramnios. Newborn borned by women with oligohydramnios had significantly more chances to admit in NICU than in newborn born by women without oligohydramnios. Conclusion: It can be concluded from this study that women with oligohydramnios poor pregancy outcomes. Determination of AFI can be used as an adjunct to other fetal surveillance methods. Determination of AFI can be used as valuable screening test for predicting fetal distress in labour, requiring caesarean section.
Abstract—This study was aimed to find out the maternal factors and fetal outcomes associated with anemia in 3rd Trimester pregnancy. A hospital based cross sectional descriptive type of observational study was carried out in 15 to 49 years who had undergone delivery at SP Medical College Bikaner. Information about the demographic profile, ANC factors and foetal outcome data were collected. To find out associating factors appropriate test of significances were used. The magnitude of anemia 91.3% (995/1090) was found high in third trimester of pregnancy. Caste, dietary – habit, Education, Occupation, Socio-economic status, ANC Visit, Iron and folic acid supplementation were associated (P<0.05)>0.05) with anemia. Although IUGR, premature births and still births were observed respectively 2.56 times (95% CI: 0.615 to 10.697 ), 1.3 times (95% CI: 0.723 to 2.351 ) and 0.651 times (95% CI: 0.286 to 1.481 ) in anemic mothers but it was not found significant with anemia status. But significantly more (35.5%) low-birth weight babies were born to anemic mothers as compared to ( 14.7% )among non- anemic mothers i.e. 3.181 times (Odds ratio) higher LBW babies in anemic mothers. Anemia in pregnancy may be reduce by proper Iron and folic acid supplementation which can be improved through IEC and providing proper ANC services.
A COMPARATIVE ANALYSIS OF HEMATOLOGICAL INDICES IN PREGNANT WOMEN AND NON PR...FidelityP
Red blood cell (RBC) indices are individual components of a routine blood test called the complete blood count (CBC). The CBC is used to measure the quantity and physical characteristics of different types of cells found in your blood. Blood consists of RBCs, white blood cells (WBCs), and platelets that are suspended in your plasma. Platelets are cells that enable clot formation. RBCs contain hemoglobin, which carries oxygen throughout your body to all of your tissues and organs. An RBC is pale red and gets its color from hemoglobin. It’s shaped like a doughnut, but it has a thinner area in the middle instead of a hole. Your RBCs are normally all the same color, size, and shape. However, certain conditions can cause variations that impair their ability to function properly. The RBC indices measure the size, shape, and physical characteristics of the RBCs. Your doctor can use RBC indices to help diagnose the cause of anemia. Anemia is a common blood disorder in which you have too few, misshapen, or poorly functional RBCs123
A Comparative Study of Anthropometric Characteristics and Blood Pressure betw...ijtsrd
Background Hypertension is a frequently encountered multifactorial disorder and its prevalence is reported to increase in postmenopausal females. Cardiovascular disease is the leading cause of death in women. Furthermore, there is evidence that hormonal changes also leads to anthropometric changes associated with hypertension.Aim - To compare the anthropometric measures and blood pressure of pre and post menopausal women and find the association between anthropometric measures and hypertension.Methodology - A comparative study was conducted on 50 pre and 50 post menopausal women. The sampling method was purposive sampling and conducted in Goyala Vihar of Delhi. The door to door survey was conducted and data was collected using kobo tool. The measurements of BP, weight, height, hip and waist circumference was done following the protocols. The data was analysed using SPSS software.Result and conclusion - The result was significant for all variables Age, Wt, BMI, HC, WC, WHR and BAI except Ht. Independent T test was used to compare. Correlation and regression depicted that age is the predictor for diastolic blood pressure in pre menopausal women and for post menopausal women age, Ht, Wt, BMI, WC and HC are predictor of diastolic blood pressure. Women in post menopausal stage were at high risk of HTN compared to pre menopausal women. Jyoti Yadav "A Comparative Study of Anthropometric Characteristics and Blood Pressure between Pre and Post - Menopausal Women in Poor Urban Area, Goyala Vihar, Delhi" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-4, August 2023, URL: https://www.ijtsrd.com/papers/ijtsrd59641.pdf Paper Url:https://www.ijtsrd.com/other-scientific-research-area/other/59641/a-comparative-study-of-anthropometric-characteristics-and-blood-pressure-between-pre-and-post---menopausal-women-in-poor-urban-area-goyala-vihar-delhi/jyoti-yadav
Study of Incidence and Etiology of Prolapse at Rural Based Teaching Hospitaltheijes
In our country as large number of woman deliver at home, usually conducted by untrained dias, incidence of prolapse is higher. The etiology of prolapse was discussed by ARETAEUS, a Greek physician who believed procedentiato be result of weakness of ligaments of the uterus. There are multiple etiological factors in the developed of prolapse. Diagnosis of prolapse at the earliest will help to reduce the complications of prolapse as well as continue child bearing function of the young woman.
Demographic Profile, anemia status and fetal outcome of the pregnant women at...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Background: One of the commonest complications of poorly controlled Type 2 diabetes mellitus (T2DM) is Diabetic nephropathy (DN), which occurs in 30-40% of DM cases. It is important to identify the high-risk group who are likely to develop DN with the modifiable and non-modifiable risk factors. This study had the objectives to estimate and correlate the levels of the urine albumin creatinine ratio (UACR) with age, anthropometric measures, glycaemic control markers, lipids, and renal function. To estimate each variable as independent and multivariate risk factors.
Materials and Methods: It was an observational and cross-sectional study conducted in a tertiary care center in Eastern India. Totally, 221 consecutive ambulatory T2DM subjects were recruited after obtaining their written consent.
Results: The diabetics were classified as having diabetic nephropathy by the urine albumin creatinine ratio (ACR) of >30 mg/gm. 53.4% of our study group had DN. There was a significant risk associated with PPBS with p=0.043 (<0.05), serum creatinine with p=0.032 (<0.05), and urine albumin with p=0.0001 (<0.001). In the multivariate regression analysis of all these variables, there was a highly significant likelihood ratio for predicting DN with p=0.0001 (<0.001) with a predictive value of 74.5% in females and 75% in males.
Conclusion: The additive factors contributed by the risk factors in the prediction of DN will benefit the DM in the prevention of DN.
Keywords: diabetic nephropathy, risk factors, diabetic kidney disease, Asian Indian
Comparative Studies of Diabetes in Adult Nigerians Lipid Profile and Antioxid...YogeshIJTSRD
The study sought to determine the extent to which the usage of social media in the marketing of agricultural products in South West Nigeria can enhance farmers turnover. It employed the survey research design to collect data with the help of a structured questionnaire to elicit information from respondents selected from six 6 south western states. Research data were analysed using structural equation modelling. The results showed that the use of social media WhatsApp and Facebook in marketing of agricultural products significantly enhances farmers turnover. The managerial implication is that use of Whatsapp and Facebook in the marketing of agricultural products for the enhancement of farmers’ turnover was found to have significant influence on the enhancement in farmers’ turnover from agricultural products. Policy makers in government should provide the enabling environment for the telecommunication companies to enhance their reach by installing their facilities across the length and breadth of the country so that the network coverage will be strong at all times so that the benefits of social media usage will not be constrained. Egejuru, Leonard O | Akubugwo, Emmanuel I | Ugorji, Beatrice N "Comparative Studies of Diabetes in Adult Nigerians: Lipid Profile and Antioxidants Vitamins (A and C)" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-5 , August 2021, URL: https://www.ijtsrd.com/papers/ijtsrd45021.pdf Paper URL: https://www.ijtsrd.com/biological-science/biochemistry/45021/comparative-studies-of-diabetes-in-adult-nigerians-lipid-profile-and-antioxidants-vitamins-a-and-c/egejuru-leonard-o
ABSTRACT- Background: Malnutrition constitutes a major public health concern worldwide and serves as an indicator
of hospitalized patient’s prognosis. Nutritional support is an essential aspect of the clinical management of children
admitted to hospital. Malnutrition has been long associated with poor quality, poor diet and inadequate access to health
care, and it remains a key global health issue that both stems from and contributes to weakness, with 50% of childhood
deaths due to principal under nutrition.
Methods: The present hospital based cross sectional study was conducted in April to Dec 2015 among 300 rural
adolescents of 9-18 years age (146 boys and 154 girls) attending the outpatient department at Patna Medical College and
Hospital, Bihar, India, belonging to the all caste communities. The nutritional status was assessed in terms of under
nutrition (weight-for-age below 3rd percentile), stunting (Height-for-age below 3rd percentile) and thinness (BMI-for-age
below 5th percentile). Diseases were accepted as such as diagnosed by pediatrician, skin specialist and medical officer.
Results: The prevalence of underweight, stunting and thinness were found to be 31%, 22.3% and 30.7% respectively. The
maximum prevalence of malnutrition was observed among early adolescents (23% - 54%) and the most common
morbidities were diarrhoea (16.7%), carbuncle / furuncle (16.7%) and scabies (12%).
Conclusion: Malnutrition among hospitalized under five children and around suffers moderately high rates of
malnutrition. Present nutrition programs attention on education for at risk children and referral to regional hospitals for
malnourished children. Screening tools to classify children at risk of developing malnutrition might be helpful.
Key-words- Malnutrition, Hospitalized children, Morbidities, Prevalence, Stunting
Magnitude of Vascular Symptoms among Pregnant Women with Pregnancy Induced Hy...ijtsrd
Pregnancy is considered as a normal physiological event and is typically, a time of joy and anticipation. Identifying the symptoms will help to screen the high risk cases at booking. It will help the health professionals to plan the suitable surveillance routine to detect preeclampsia for the rest of the pregnancy Methodology Descriptive research design was used to assess the presence of vascular symptoms among pregnant women with Pregnancy Induced Hypertension PIH . Pregnant women who diagnosed with pregnancy induced hypertension, belongs to hilly area, primigravida, gestational age between 26 - 30 weeks and experiencing at least three vascular symptoms, were included in the study. One hundred and six 106 women with pregnancy induced hypertension were selected for study by using purposive sampling technique. The tools used to collect the data were 1. Demographic questionnaire, 2. Scale to assess the Vascular Symptoms. To assess the magnitude of edema 4 point edema scale was used. To assess the head ache and epigastric pain numerical pain scale was used. Informed written consent was taken from each participant. Results Half of the women 50 had moderate BP, highest percentage 58.50 of women had moderate proteinuria, almost half of the participants 56.60 had moderate edema, more than one third of the participants 69.81 had normal weight gain. Head ache depicts that highest percentage 40.57 of women had mild head ache, one third 38.68 of women had mild pain, two third 68.87 of women had normal fetal growth or no IUGR, and 65.09 of women verbalized that they are experiencing Insomnia and 20.75 of the women verbalized that they are experiencing depression. Conclusion The symptoms underlying evidence base can be used to assess risk at booking especially in hilly area. High quality antenatal care can be provided for those cases in order to minimize the complications in both mother and the fetus. B. Gomathi | Anuchitra R | Ruchira Nautiyal ""Magnitude of Vascular Symptoms among Pregnant Women with Pregnancy Induced Hypertension (PIH) in Hilly Areas of Uttarakhand"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-2 , February 2020,
URL: https://www.ijtsrd.com/papers/ijtsrd30064.pdf
Paper Url : https://www.ijtsrd.com/medicine/nursing/30064/magnitude-of-vascular-symptoms-among-pregnant-women-with-pregnancy-induced-hypertension-pih-in-hilly-areas-of-uttarakhand/b-gomathi
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Cardiac conduction defects can occur due to various causes.
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Couples presenting to the infertility clinic- Do they really have infertility...
Determinants of Anemia in Antenatal Cases: A Cross-sectional Analysis
1. International Multispecialty Journal of Health (IMJH) ISSN: [2395-6291] [Vol-3, Issue-2, February- 2017]
Page | 45
Determinants of Anemia in Antenatal Cases: A Cross-sectional
Analysis
Dr. Kusum Lata Sharma1
, Dr. Isha Sharma2
, Dr. Harsh Sharma3
, Dr. Puja Dixit4
,
Dr. Chhaya Tiwari 5§
1
Senior Gynecologist, Dr. Kusum Lata Sharma Hospital Bharatpur (Rajasthan) India
2
Dentist, Dr. Kusum Lata Sharma Hospital Bharatpur (Rajasthan) India
3
Dentist, Dr. Kusum Lata Sharma Hospital Bharatpur (Rajasthan) India
4
Medical Officers, State Government of Rajasthan India
5
Gynecologist, Department of Gynecology and Obstetrics, Kailash Hospital, New Delhi, India
Abstract— Anemia in pregnancy is a major health problem in developing country like India. So this
present study was carried out at Dr. Kusum Sharma Hospital Bharatpur (Rajasthan) India, with the aim
to find out the determinents of anemia in Antenatal cases attended for delivery. period on pregnancy
outcomes. For this study, 100 Antenatal Cases (ANCs) attended for delivery at Dr. Kusum Sharma
Hospital Bharatpur (Rajasthan) India were included in this study. These ANCs were interrogated and
investigated for hemoglobin estimation. It was found in this study that 63% of proportion of ANCs were
having Anemia. Anemia was found to associate with age, residence, education, occupation and parity of
ANCs but not with BMI and bad obstetric history of ANCs. Anemia was found significantly more in
younger age, less educated and housewives than their counterparts. Likewise ANCs of rural area had
more chances of Anemia than those residing in urban areas. And ANCs having either zero parity or
parity more than two had more probability to have anemia than their counterparts.
Keywords: Antenatal Cases (ANCs), Anemia in pregnancy, Determinants of ANCs
I. INTRODUCTION
Of the 600,000 deaths from pregnancy related complications world over, anemia is responsible for 40-
60% of them.1
Anemia causes direct as well as indirect maternal deaths from cardiac failure,
hemorrhage, infection and pre-eclampcia. Among anemia, iron deficiency anemia is the most common.
Nutritional deficiency is the commonest cause for iron deficiency anemia, especially in developing
countries like ours.2
Anemia in pregnancy is defined by WHO as a hemoglobin concentration below 11g/dl.3
Although only
15% of pregnant women are anemic in developed countries,4
the prevalence of anemia in developing
countries is relatively high (33% to 75%).3-5
According to NFHS-III (2005-2006) prevalence of anemia
among pregnant women in India is 58%.6
In India, prevalence ranges from 33% to 89%. ICMR district nutrition survey 1999-2000 also reported
prevalence of anemia as 84.2% with 13.1% with severe anemia in pregnancy.7
Anemia is associated
with 22% maternal deaths around the world.7
India contributes to about 80% of maternal deaths due to
anemia in south Asia.8
In India anemia is second most common cause of maternal death, accounting for
20% of the total maternal death.9
Iron deficiency is principal cause of anemia.10
Only 22.3% pregnant women consumed Iron and folic
acid tablets for 100 days. (NFHS 2005-06). National Nutrition Monitoring Bureau (NNMB-2003) and
RCH surveys have shown that coverage under IFA supplementation was low and even among those who
received the tablets, only one-third of them were regularly taking.11
2. International Multispecialty Journal of Health (IMJH) ISSN: [2395-6291] [Vol-3, Issue-2, February- 2017]
Page | 46
This present study was conducted with the aim to determine the factors associated with anemia in ANCs
attended at a private hospital of western Rajasthan.
II. METHODOLOGY
This hospital based cross-sectional observational study was carried out on 100 ANCs attending at Dr.
Kusum Sharma Hospital Bharatpur (Rajasthan) India.
Sample size was calculated 100 subjects at 95% confidence limit and 20% relative allowable error
assuming 50% prevalence of anemia in pregnant women.
Consecutive ANCs attending at this hospital were included in the study till the sample size i.e. 100
ANCs were achieved. These ANCs were interrogated and data regarding their age, residence, weight
and height was noted. Body Mass Index (BMI) of each ANC was calculated as below
BMI=Weight/Height2
Information regarding gravidity, parity, and obstetric history was also taken.
Data thus collected were entered in MS Excel 2010 worksheet in the form of master chart. Determinants
of anemia was found with Chi-square Test and unpaired 't' test/ANOVA test of significance.
III. RESULTS
In the present study out of 100 ANCs, 63 (i.e. 63%) ANCs were having anemia while only 47 (i.e. 47%)
ANCs were not having anemia.(Figure 1)
Figure 1
Regarding bio-social factors, present study also observed that anemia was found to be associated with
age and residence but not with BMI. It was revealed that anemia was found more in younger age, <10th
standard and house wives than their counterpart groups. Likewise anemia was found more in ANCs
from rural areas. (Table 1)
Anemia
63%
Without Anemia
47%
Distribution of ANCs as per status of Anemia
3. International Multispecialty Journal of Health (IMJH) ISSN: [2395-6291] [Vol-3, Issue-2, February- 2017]
Page | 47
Table 1
Comparison of Bio-social variables of ANCs pregnancy with and without Anemia (N=100)
Bio-social Variables
With Anemia Group
(N=63)
Without Anemia
(N=47)
P Value LS
Age (in years)
<20 Years 16 1
0.007* S
20-24 Years 24 19
25-29 Years 21 23
>30 years 2 4
Residence
Urban 47 25
0.033* S
Rural 16 22
Education
Illiterate 19 21
0.006* S<10th Standard 35 12
>10th Standard 9 14
Occupation
Housewives 52 28
0.014* S
Working 11 19
BMI Mean ± SD 20.3±4.2 21.4±5.1 0.218** NS
*P value with Chi-square **P value with Unpaired 't' Test
Regarding obstetrical history, anemia was found to be associated with parity but not with bad obstetric
history. Anemia was found significantly more in nullipara and ANCs with more than 2 parity than that
of parity one or two. (Table 2)
Table 2
Comparison of Variables related to Obstetrical history of ANCs pregnancy with and without
Anemia (N=100)
Bio-social Variables
With Anemia Group
(N=63)
Without Anemia
(N=47)
P Value LS
Parity Nullipara 18 7
0.015* SUpto 2 24 31
>2 21 9
Bad OH Yes 12 9
0.817* NS
No 51 38
*P value with Chi-square
IV. DISCUSSION
In the present study anemia was found in 63% ANCs attented at Dr. Kusum Sharma Hospital Bharatpur.
NFHS-III (2005-2006) reported prevalence of anemia among pregnant women in India is 58%.6
Another
study reports Anemia in 43.38% in ANCs attending at a private hospital of Bareilly district during the
month of Jan.2010 to May2010.12
However higher prevalence of anemia (57.23, 96.5 and 84.9%
respectively) had been reported by various other studies.13,14,15
This difference is perhaps the present
study was limited to the hospital and that to in urban area.
Present study also observed that anemia was found to be associated with age, residence, parity and but
not with BMI and bad OH. It was revealed that anemia was found more in younger age group, ANCs
from rural areas and in either nullipara or parity more than two. However a cross sectional study was
carried out in obstetric and gynecological department OPD of one of the private hospital of Bareilly
district during the month of Jan.2010 to May2010.12
who found more prevalent in women age more than
30 years (80.39%), illiterate (49.53%), working (83.82%). Parity was found to be reported with other
authors also. 14.16
4. International Multispecialty Journal of Health (IMJH) ISSN: [2395-6291] [Vol-3, Issue-2, February- 2017]
Page | 48
V. CONCLUSION
ANCs with anemia were found 63%. Anemia was found to be associated with age, education,
occupation, parity and residence of ANCs but not with BMI and bad obstetric history. Anemia was
found significantly more in younger age, less educated and housewives than their counterparts. Likewise
ANCs of rural area had more chances of Anemia than those residing in urban areas. And ANCs having
either zero parity or parity more than two had more probability to have anemia than their counterparts.
CONFLICT OF INTEREST
None declared till now.
REFERENCES
[1] Sharma JB. Nutritional anemia during pregnancy in non industrialized countries. In stud J (ed). Progress in Obstetric and
gynaecology vol.15. London, Churchill Livingstone 2003; 103-20.
[2] Srivastava Aariti, Tondon pabha, Qureshi Sabuhi, Das Vinita. Anemia in pregnancy- A novel regime of intramuscular
iron therapy. J Obstet Gynaecol India 2005; 55(3): 237-240.
[3] World Health Organization (WHO). The prevalence of Anemia in women: a tabulation of available information.
Geneva, Switzerland: WHO; 1992. (WHO/MCH/MSM/92.2).
[4] World Health Organization (WHO). Prevention and Management of severe anemia in pregnancy. Report of a technical
working group. Geneva, Switzerland WHO; 1993. (Who/FNE/MSM/93.5).
[5] Ogunbode. Anemia in pregnancy. In: okonofua F Odunsik, editors. Contemporary obstetrics and gynaecology For
Developing countries. Benin city, Nigeria: Women’s Health and Action Research Center, 2003. Pp 514-529.
[6] Kishore J. National Health Programe of India, Century Publication, New Deli, India, 8th edition, 2010; p 41.
[7] Stolzfiis,Mullany and Black. Iron Deficiency Anemia.”Comparative quantification of health risks: Global and regional
burden of disease attributable to selected major risk factors,” WHO, Page 163-2 10, 2004.
[8] Ezzati M, Lopus AD, Dogers A, Vander HS, Murray C. Selected major risk factors and global and regional burden of
disease. Lancet . , 2002;Vol.3 60, 1347-60
[9] Iron Deficiency Anaemia: Assessment, Prevention and Control .Geneva, World Health Organization, 2001.
[10]G M Dhaar, I Robbani. Foundations of Community Medicine,2’ ed. Elsevier Publishers;2008
[11]Abel R, Rajaratnam J, Gnanasekaran VJ and Jayraman P. Prevalence of anemia and iron deficiency in three trimesters in
rural Vellore district, South India.Trop.Doct April 2001;31(2):86-9
[12]Kiran Agarwal, Varsha chaudhary, V.K.Agrawal, Ashok Agarwal, Rajeev Kumar, Mahendra Sharma. Prevalence and
Determinants of Anemia in Pregnancy at Private Hospital Of Bareilly District. NJIRM 2011; Vol. 2(4) p29-32
[13]Vanden Broek NR, Rogerson SJ, Mhango CG, Kambala B, White SA, Molyneux ME. Anemia in pregnancy in southern
Malawi: prevalence and risk factors. British Journal of Obstetrics and Gynecology 2000; 107: 445-51.
[14]Gautam Virender P, Bansal Yogesh, Taneja DK, Saha Renuka. Prevalence of Anemia amongst pregnant women and its
socio-demographic associates in a rural area of Delhi. Indian Anemia in pregnancy NJIRM 2011; Vol. 2(4). October-
December eISSN: 0975-9840 pISSN: 2230 - 9969 32 Journa of Community Medicine 2002; 27 (4): 157-60.
[15]Toteja GS, Singh P, Dhillon BS, SAxena BN, Ahmed FU, Singh RP et al. Prevalence of anemia among pregnant women
and adolescent girls in 16 districts in India. Food Nutr Bull 2006; 27 (4): 311-15
[16]Abrehet Abriha, Melkie Edris Yesuf and Molla Messele Wassie. Prevalence and associated factors of anemia among
pregnant women of Mekelle town: A cross sectional study. BMC research note 1014.7;888