Showing papers in "INDIAN JOURNAL OF APPLIED RESEARCH in 2023"

A novel osseous densification approach in implant osteotomy preparation to increase biomechanical primary stability

Abstract: Prosthetic rehabilitation of missing teeth (partial/complete) using dental implant has been an established procedure for a long time. Conventionally it involves the use of twisted drills to prepare the implant site. However, the use of modied drills such as Densah burs is relatively new. It works in densifying mode by compacting the bone into a prepared osteotomy site which leads to an increase in primary stability due to an increase in boneimplant contact. This method is based on the principle of bone conservation and it can be used as an essential treatment alternative. The case report presented here describes the utilization of the novel technique for the implant site preparation when there is alveolar ridge deciency and the successful osseointegration of dental implant without the need for any additional surgical procedure to carry out any bone augmentation. The results of this study concluded that, adequate implant stability with preservation of alveolar ridge integrity was achieved, resulting in a shorter duration of restoration for the patient.

Formulation and evaluation of anti-aging cream using grape powder

Abstract: Skin ageing is a natural human "ageing mosaic" that manifests over time and takes different trajectories. The biological process of skin ageing is intricate and is impacted by both endogenous (intrinsic) and exogenous (extrinsic) elements. Several anti-aging formulas have been created in recent years due to the fact that skin health and attractiveness are thought to be among the primary aspects indicating general "well-being" and the sense of "health" in humans. The intention of this work is to formulate and evaluate antiaging cream using grape powder. Loaded with antioxidants for healthy, glowing skin, grapes have also found their way into the cosmetic industry. Grape extract inhibits the action of enzymes such as hyaluronidase, collagenase and elastase which are responsible for premature aging of the skin and also provides UV protection. The cream was formulated with aloe vera gel, neem oil, grape powder, olive oil of different concentrations. The evaluation of the formulations was done on different parameters like pH, spreadability, stability, irritancy, viscosity, total antioxidants capacity, etc. According to this research, the extracts and cream base's composition is stable and safe, and it could even have a synergistic effect. It can be concluded that herbal creams with antioxidant properties can be used as a barrier to preserve the skin and delay the ageing process. These creams have no adverse effects.

Outcomes of laparoscopic versus open ventral hernia repair

Abstract: The study is a prospective cohort study conducted in the department of surgery at Lisie Hospital and was performed in a restricted period of time (one year) comprising 25 patients with laparoscopic repair and 25 patients with open mesh repair, selected randomly. Laparoscopic ventral hernia mesh repair was done for the LVHR group and onlay mesh repair was done for the OVHR group. The study was divided into two groups (LVHR and OVHR).The patient distribution in the LVHR group consisted of 72% Umbilical hernias(UH), 20% Incisional hernia(IH), 4% Epigastric hernia(EH), 4% Infra Umbilical Hernia(IUH) while the OVHR group included 64% Umbilical Hernia(UH),16% Incisional hernia(IH), 12% Para Umbilical hernia(PUH), 4% Epigastric hernia(EH), 4% Supra Umbilical hernia(SUH). There was no mortality in either group. Recurrence rate of 0% was seen for both the groups due to less period of follow up. The Complication rate was 4% for the LVHR group and 24% for the OVHR group. The only complication in the laparoscopic group was seroma. The recovery period is faster for a laparoscopic hernia repair with a mean postoperative hospital stay of 2.160days as compared to 4.84 days for open mesh repair. The postoperative pain for laparoscopic hernia repair was of a lower score when compared to open mesh repair by visual analog scale measurement. Laparoscopic hernia repair is associated with a faster return to normal activities (avg 13.76 days) when compared to open mesh repair(avg 21 days).

The role of nutritional counseling for improving the intake of food groups, nutrient intake and dietary knowledge in subjects with type ii diabetes

Abstract: A study on 300 adults diagnosed with T2DM selected by purposive random sampling was conducted at the diabetic clinic run at every weekend at the Health Center of Jiwaji University Gwalior. The study assessed the effect of nutritional counseling on food consumption, nutrient intake and dietary knowledge. The subjects were divided into two groups. Control group (Group-I 148 diabetic subjects) and the intervention group (Group-II 151 diabetic subjects). Food consumed and nutrient intake was recorded using the 24-hour recall method and dietary knowledge was assessed through a questionnaire. Slight change in food consumption and signicant increase in (p<0.01) protein and ber intake was noticed in the intervention group. Findings of the study indicated that nutritional counseling being provided helped the diabetic subjects to modify their nutrient intake and dietary knowledge to a considerable extent. This Study suggests that the duration of nutritional counseling should be longer with post-study follow-up.

A study to find out psychiatric morbidity in covid intensive care unit patients post discharge

Abstract: The COVID-19 was rst observed in patients in Wuhan, China, in 2019 and it widely infected people across the world thereafter. In March 2020, World Health Organization declared it as a global pandemic. Patients admitted to intensive care units are prone to developing mental illnesses; in addition, patients in the COVID Intensive care unit were at a disadvantage as they had to be kept separated from family members due to the contagious nature of their illness. Moreover, communication with medical staff was difcult due to protective equipment worn by the health care workers as well as oxygen masks and tubes assisting the patients. In this study done in year 2020 to 2022, we tried to nd out the impact that intensive care unit admission in the COVID intensive care unit had on the mental health of the patients. In our study, we found that a signicant number of patients developed psychiatric morbidity after discharge from the COVID intensive care unit.

Prevalence of polycystic ovarian syndrome among medical students in south karnataka

Abstract: PCOS is the most common endocrine disorder of reproductive age group and the pathophysiology is heterogeneous in nature which includes metabolic dysfunction, genetic and environmental factors. To de Aim: termine the prevalence and demographic characters of PCOS among medical students in South Karnataka and to assess the symptomatology of Polycystic Ovarian Syndrome among the diagnosed PCOS. This is an observational cross-sectional study Materials and Methods: conducted among 184 MBBS students from different medical colleges in South Karnataka from 01/07/2022 to 14/08/2022.Data were collected using close-ended questionnaire made in Google forms which analysed multiple parameters including Socio demographic prole and symptomatology among the participants. The data were analysed using IBM SPSS 28.The analysis included frequencies of discrete variables. The results showed Results: that the prevalence of PCOS among the participants is 15.13%. Among the participants more than half of the participants 62.7% belong to the age group 21-23years.More than half of the participants 68.64% had ideal BMI of 18.5 to 24.9 kg/m2. Most common symptom experienced among diagnosed PCOS in our study was excessive hairfall (44.86%) and the least common symptom experienced among them was hirsuitism (29.18%) This study revealed that the prevalence of PCOS among medical students in Conclusion: South Karnataka is 15.13%. The prevalence of PCOS was found to be little higher compared to the other studies done in a similar setting among young female.Among the diagnosed PCOS, almost 44.86% of students had excessive hairfall followed by irregular menstrual cycle (39.45%) and weight gain. Hence awareness should be created among young females about the symptomatology of PCOS for early identication of the disease and prevent its progression.

Morbidity pattern among school children in a tribal district of maharashtra: a descriptive study based on secondary data.

Abstract: Background: India harbours one of the largest tribal populations in the world. Ashram schools are established in tribal districts, which are meant to uplift the education of tribal children. Rashtriya Bal Swasthya Karyakram (RBSK) was launched in 2013 to provide targeted and comprehensive health care to children aged 0 –18 years. This study targets to nd morbidity patterns among them with the help of data collected by RBSK and to give suitable recommendations based on the ndings This secondary Methodology: data-based observational descriptive study was carried out in two blocks of the Palghar district of Maharashtra State. After obtaining ethical approval and necessary permissions, health-related data of all Ashram School children collected by the RBSK team from November 2021 to October 2022 was retrieved and stored in electronic format. The proportion of different health problems was calculated. Rashtriya Bal Results: Swasthya Karyakram (RBSK) team screened 21,818 school children (49.4% boys and 50.6% girls) of the age group of 10-18 years from different Ashram schools for one year (November 2021 to October 2022). The team referred a total of 2016 students to higher medical facilities. Amongst the total screened 26.56% with 24 diseases as per the RBSK report. Additionally, 87% of students had 'Disease or Disorder', 5.8% had 'Deciencies', 4.5% had any kind of 'Defect' and 2.7% had any kind of 'Developmental delay'. The majority of the students were affected by respiratory airway diseases (44.5%), menstrual problems (16.1%) and skin conditions (11.1%). Study Conclusion: ing morbidity patterns under 4Ds approach enables intervention at an early stage of diseases. Capacity building of RBSK program and digitalised standard reporting system and integration of school health with other National Health Programmes may contribute to improving children's health.

Profiling of cases brought for assessing impotency and the medicolegal issues thereof: an indian perspective.

Abstract: Introduction: Impotence is dened as the inability to perform sexual intercourse. Police routinely bring in rape accused to determine their ability to perform sexual intercourse. Potency is presumed as an inherent ability, and impotency must be proved with certainty to be helpful as defense in rape cases. This is a retrospective study based on m Methods: edical records already available in the Department of Forensic Medicine, in a tertiary hospital of State of Punjab, India. The study included medical records of patients accused of rape or sodomy between 1st January 2020 and 31st December 2022. These patients were brought in by police for determining their ability to perform sexual intercourse and medicolegally examined. A total of Results: 43 cases were included in this study. Ages ranged from 11 to 55 years with a mean of 21.3 + 7.6 years. Three patients were found pre-diabetic. Four patients had a deranged lipid prole. One patient had slightly abnormal liver function tests. Serum testosterone levels were elevated in two patients and low in one individual. On psychological testing, no gross cognitive impairment or active psychopathology was found. IQ ranged from 89 to 103. On assessment of knowledge and attitude, 41 patients had sexual knowledge appropriate to their age. Medical professionals preparing medicol Discussion: egal reports in such cases rely on physical examination and opine in a routine manner. Such examinations may establish impotency at the time of examination, but not at the time the crime allegedly transpired. Also, impotency may vary from total inability, inconsistent ability, or tendency to sustain brief erections. Impotence is dif Conclusion: cult to establish conclusively. It is an opinion by inference. Medico legal practitioners must make a concerted effort to conduct a detailed examination of the accused

Study of supracondylar femur fracture managed surgically using locking compression plate.

Abstract: Background- Fractures of distal femur are one of the most prevalent fractures encountered in high-velocity trauma which are associated with high morbidity and mortality if not managed well. The isolated fracture can itself lead to complications such as Acute Respiratory Distress and pulmonary embolism. This neccesitaties early stabilisation of the fractures. Open reduction and internal xation (ORIF) with locking compression plate is the treatment of choice for closed fractures of the distal femur. Distal femur anatomic contoured locking compression plate (LCP) has shown to give one of the best results regarding recovery, fracture union, return to work and the functional outcome. We present our experience of management of distal femur fracture at our centre. Study Material and Methodsdone on 36 patients, (NEER'S Classication) age range of 18 to 70 years (irrespective of their sex), were subjected to xation by locking compression plate after obtaining thorough written informed consent. The observational study was carried at our institute between June 2021 to June 2022 Patients of both gender who were skeletally mature are taken into the study. In 61.5% of patients up to 50 years old and in Results40% of patients older than 50 years, the functional evaluation of LCP using Neers criteria was excellent. There was no statistically signicant (p>0.05) difference in patients' functional status according to their age group who had distal femur fractures, which were stabilise by LCP. For supracondylar femur fractures, locking compression plates is a safe technique that has a good functional outcome, early clinical and radiographic union, and few complications

Basal cell adenoma of parotid gland: a rare case report and review of literature

Abstract: Salivary gland tumors are uncommon and constitute about 2.0 to 6.5 % of all head and neck tumors. Basal cell adenoma (BCA), which is classied in benign salivary gland tumors by WHO in 1991, is a rare neoplasm. Incidence rate of BCA is 1.0 %–3.7 % of all salivary gland tumors with most frequent location is the parotid gland(>80% cases of BCA) and other sites such as the upper lip, buccal mucosa, lower lip, palate and nasal septum rarely affected. It usually presents as a rm and mobile slow-growing mass. Histologically, it consists of a monomorphic population of basaloid epithelial cells that are arranged in the solid, trabecular, tubular and membranous patterns. It is important to differentiate BCA from benign tumor like pleomorphic adenoma showing absence of chondromyxoid stroma in former and malignant tumor like basal cell adenocarcinoma, adenoid cystic carcinoma and basaloid squamous cell carcinoma. We report a case of BCA of the parotid gland in 59 year male. We also review the literature and discuss the diagnosis and management of this rare entity.

Study of ocular trauma - foreign body impaction and lid laceration, repaired through tenzel semicircular flap

Abstract: background- Ocular trauma is a worldwide cause of visual morbidity , which occurs in RTA and includes a spectrum of simple ocular surface or intraocular foreign bodies, abrasions to devastating lid and ocular injuries.method- prospective interventional study of an individual with 60% tissue loss in lower lid and intraocular fb embedded in deep palpebral conjunctiva.result- early intervention ,identication and removal of foreign body involved early visual recovery and immediate lid laceration repair with relaxing incision and ap reconstruction in better cosmesis and complication prevention.

Covid associated mucormycosis — a multidisciplinary approach

Abstract: Mucormycosis is an aggressive, angioinvasive fungal infection, acquired via inhalation of environmental spores or by inoculation affecting severely immunocompromised hosts caused by fungal species belonging to order Mucorales. Invasive Mucormycosis (IM) has been increasingly documented in patients with coronavirus disease 2019 (COVID-19). Predisposing factors include diabetes, steroid use, neutropenia, malignancies, and immunocompromised individuals. COVID-19 associated rhino-orbital-cerebral mucormycosis (ROCM) has reached epidemic proportion during India's second wave of COVID-19 pandemic caused due to δ-variant, with several risk factors being implicated in its pathogenesis. This study is a case series of thirty cases of Covid Associated Mucormycosis (CAM) aimed to determine the patient demographics, risk factors including co-morbidities, and medications used to treat COVID-19, presenting symptoms and signs, and the outcome of management.

Ponseti versus kite's method of treatment for idiopathic clubfoot.

Abstract: Introduction : Idiopatic congenital talipes equinovarus deformities in infants are difcult to treat due to its complicated pathoanatomy of the growing foot. As clubfoot deformities are pliable in the early weeks of life, treatment preserved is always conservative. Both manipulation and casting methods of Kite and Ponseti are commonly used with good outcomes 1. Though most orthopaedicians prioritize using Ponseti method, advantages and disadvantages of both treatment should be taken into consideration when selecting the treatment. So, we have decide to carry out a comparative study between Kite's and Ponseti method in the treatment of idiopathic clubfoot. 33 patients (48 feets) having idiopathic CTEV were randomized and divided into Materials and methods : two groups. 18 infants (26 feet) were selected and treated by Ponseti method and 15 infants (22 feet) were treated by Kite's method. The results of both group were compared based on Pirani score, time and number of casts required for correction, relapse and percentage of feet corrected. Ponseti Results : method had higher satisfactory correction rate (91.67% versus 80.95%), required less number of casts ( 7.57 versus 11.76), less duration of cast ( 53 days versus 82.35 days) and lesser percentage of relapse ( 8.33 % versus 9.52%). The relapse were corrected by remanipulation in both the groups. In case of bilateral idiopathic CTEV mean Pirani score decreased faster in the Ponseti group compared to Kite's group. The difference was statistically signicant 3rd week onwards in left sided CTEV and 4th week onwards in right sided CTEV. In case of unilateral idiopathic CTEV, the mean Pirani score in Ponseti group decreased faster in Ponseti group compared to Kite's group and the difference was statistically signicant 3rd week onwards. Both Ponseti and Kite's method of casting are effe Conclusion : ctive in correcting idiopathic CTEV deformities. Though correction rate was almost similar in both methods, Ponseti method proved slightly better than Kite's in correcting deformities faster with relatively lesser number and duration of casts. The Kite's method had an advantage of not needing any minor surgical procedure for the correction of deformity.

Functional outcome of bilateral cementless total hip arthroplasty in degenerative arthritis

Abstract: Introduction : Bilateral hip degenerative arthritis is a frequent nding in 42% population with osteoarthritis. Unbearable pain restrict daily activities of living to a great extent. Bilateral total hip arthroplasty is an well established reconstructive procedure for advanced arthritis. The objective of this study was to evaluate functional outcome of bilateral cementless total hip arthroplasty using Harris Hip Score. A prospective study conducted in 20 patients with 40 hips w Materials And Methods : ere analyzed for clinical and functional outcome. Age, sex , operative indication and preoperative Harris Hip Score were documented. Operative time and complications were noted. Patients were evaluated immediate post operative period ,3 month and at 6 months . Harris Hip Score , Visual Analogue score , range of movement evaluation was done and documented. Mean preoperative Harris hip score w Results : as 38.6 on left side and 39.3 on right side . This score improved to 88.04 on left and 86.03 on right side immediate post operative period and 94 on left and 93 on right side on 6 month followup. A signicant improvement in Visual analogue score (VAS ) and range of movements were observed in post operative follow up. The outcome after bilateral total hip replacement was excellent in 95% and good in 5% of cases. Current generation of prosthesis used in cement less Conclusion : bilateral total hip arthroplasty for degenerative arthritis of hip, provides satisfactory functional and radiological outcomes . It is an effective and safe procedure and improves the quality of life by relieving pain and improving functional disability

A clinico-epidemiological study of psoriasis in tertiary care centre: a retrospective analysis

Abstract: Background: Psoriasis is an immune-mediated chronic proliferative skin disorder, predominantly involves skin, nails, and joints This research was conducted to study the clinical presentation, and management of psoriasis among patients in tertiary care hospital in South India The medical records of 257 psoriasis pati Methods: ents over the past one year (from January 2022 till December 2022) were examined by the investigators. Data were collected using a semi-structured form. Total 257 patients were Results: included in this study. Majority of patients were belonging to 50 and above age group. Male predominance (63%). Most common clinical variant was chronic plaque psoriasis (65.7%) followed by palmoplantar psoriasis (15.9%). Relapse of psoriasis was seen more among patients with a history of disease exacerbation in winter and in rainy season. Co-morbidities like diabetes mellitus and complications like PsA were associated with greater disease durations among the patients. In the current study, the proporti Conclusion: on of patients with chronic plaque psoriasis was high, most likely due to delayed diagnosis, followed by palmoplantar psoriasis and scalp psoriasis. Topical steroids for psoriasis in limited areas, oral methotrexate, and phototherapy for extensive psoriasis.

A study to assess the attitude towards difficulties faced during antenatal visits in pandemic situation among antenatal mothers at smvmch, puducherry.

Abstract: The COVID-19 pandemic is posing considerable challenges for countries to maintain the provision of high quality, essential maternal and newborn health services. Pregnant women and mothers with newborns may experience difculties accessing services due to transport disruptions and lockdown measures or be reluctant to come to health facilities due to fear of infection. Thus, a modest decline of 10% in coverage of pregnancy related and newborn health-care services were reported due to pandemics. This would result in 28,000 maternal deaths Anxiety and stress are prevalent psychiatric disorders that can result in negative health outcomes in the long run. The risk factors of anxiety and stress are numerous among which personal factors and genetic susceptibility are the main important ones; furthermore, the inappropriate coping with the changing environment has been identied as an important source of stress that causes anxiety as well. Pregnancy is one of the life periods with a high frequency of stress and anxiety disorders, supposed to be triggered by hormonal and physical changes, the fear of the neonate's health, giving birth, and other pregnancy-related factors. Majority of the antenatal mothers 45 (90%) had moderately favourable level of attitude, 4(8%) had unfavourable level of attitude and 1(2%) had favourable level of attitude s and the mean and standard deviation of level of attitude towards difculties faced during antenatal visits in pandemic situation among antenatal mothers is (36.92+6.074) respectively. Therefore the study should be conducted to test the level of attitude about the difculties faced by the antenatal mothers during the pandemic situation in SMVMCH

A study on subclinical hypothyroidism in females over fifty years of age

Abstract: Subclinical hypothyroidism is dened as patient with normal free T4 but elevated serum TSH level.(1) Various studies have reported the incidence of subclinical hypothyroidism to be 3-15% depending on the population studied.(2,3). Statistical research shows a higher incidence of subclinical hypothyroidism in women and elderly individuals The prevalence of this disorder has increased due to the increased availability of thyroid function testing.

Diffusion and perfusion weighted mr imaging in evaluation and characterization of brain tumours

Abstract: DWI and PWI give sufcient non-invasive functional and structural information at the cellular level, emphasising features of the underlying brain pathophysiology. Radiological evaluation of brain tumours done with DWI and PWI parameters using ADC and rCBV values in intra tumoral and peri tumoral region of different brain tumours. Histopathological data was collected and taken as a standard reference for correlation with the diffusion and perfusion parameters of brain tumours. 73 lesions are primary and 17 lesions are secondary out of 90 cases which were diagnosed histo-pathologically. Majority of the high-grade tumours show high relative cerebral blood volume value compared to lower grade tumours and lower ADC values in high grade tumours which is in strong correlation with the HPE analysis. So with DWI and PWI parameters we can conclude on the fact that these imaging techniques are strong and efcient imaging tools to evaluate and characterize brain tumours.

Ophthalmologist as gatekeepers for stroke prevention – a case study

Abstract: Stroke is a major global public health problem and the prevalence ranged from 44.29 to 559/100,000 persons in different parts of India1. Ophthalmologists come across many patients with retinal artery occlusion who are unaware of harbouring a signicant stenosis in the carotid arteries. In our case report, a 78-year old male having multiple associated systemic diseases presented to the outpatient department with the complaint of vision loss in one eye and was diagnosed with Branch Retinal Artery Occlusion (BRAO). We advised him to go immediately for carotid doppler study and systemic evaluation. Stenosis of carotid arteries were noted which was more on the same side of occlusion in the eye, we urgently referred him to a higher centre and he underwent angioplasty for the stenosis. As per our knowledge, despite the guidelines for referral there is no evident literature on the percentage of such cases being referred by Ophthalmologists to higher centres in India. This case study aims to promote research in this area and attract attention of Ophthalmologists in their critical role in dealing with patients with high risk of Stroke.

Comparative study of automated cell counter histogram and peripheral blood smear in diagnosis of anaemia at tertiary care hospital

Abstract: Introduction: In recent years, complete blood count, red blood cell histogram and peripheral blood smear have become important diagnostic tools for diagnosing various blood diseases. Anemia is a major public health problem worldwide, with high prevalence in developing countries like India1. Red blood cell count and histograms are essential for the diagnosis and management of anemia2. The most important diagnostic tool for testing in most commercial laboratories is the periodic analysis of blood lms. AIM: the aim of this study was to compare the role of automated cell count histograms and peripheral blood smear results in the diagnosis of anemia.. Material and method:A prospective comparative study of RBC histogram and peripheral blood smear in diagnosis of anemia was done on 900 patients of HB<14gm%, over two month time span(September 2022-October 2022) in the central laboratory lab, Department of pathology, Gajra Raja Medical College, Gwalior, Madhya Pradesh. All cases of anemia who received blood transfusions were excluded from this study. Result:It was observed in our study that on peripheral blood smears, the most common type of anemia was microcytic hypochromic anemia, followed by normochromic normocytic anemias. When we compared with the histogram generated by the automated cell counter, the most common type of anemia was hypochromic microcytic anemia, followed by normochromic normocytic anemia. In our study, the female population was more numerous than the males. The average age is (23 years old). Conclusion:CBC histograms and peripheral blood smears generated by automated cell counters play an important role in the diagnosis and management of red blood cell disorders. Our study observed that the histogram pattern and its conrmation by the peripheral blood smear along with the clinical medical history allow an accurate and conrmed diagnosis of various blood disorders. Accuracy and precision have been greatly improved resulting in reducing the subjective error3 .

A case report of placenta succenturiata

Abstract: Placenta succenturiate is a morphological abnormality of the placenta where one or more of the lobes are present outside the placental body. These can have different sizes and are connected by blood vessels to the main placenta. The accessory lobe develops from the chorionic villi that did not involute from the mild chorion. The estimated incidence worldwide is 1.04%. This entity has been associated with two main risk factors, advanced maternal age and women who have undergone in vitro fertilization. case report: Herein, we report a case of pregnancy with an incidental nding of succenturiate lobe of placenta in a 30-year G2P1L1 at 38 weeks +6 days' gestation presented to our emergency with pain in lower abdomen. she was admitted in the labor room where she delivered a healthy male baby. The placenta was delivered out along with membranes intoto by controlled cord traction. It had a small accessory lobe, a size of two cotyledons in the membranes at a distance from the main placenta. This accessory lobe had vascular connections with the main placenta. Conclusion: the succenturiate placenta is a morphological abnormality, and is generally diagnosed in the postpartum period, but the ultrasonography guided recognition of which in the antenatal period is important. This variety of placenta carries many risks that can compromise the health and life of both the fetus and the mother

A case of systemic sclerosis sine scleroderma

Abstract: Systemic sclerosis is an uncommon connective tissue disorder with multisystem involvement, heterogenous clinical manifestations and have a chronic, progressive course. Autoimmune damage, vasculopathy and extensive brosis are the key etiopathogenic factors. Patients have clinical manifestations ranging from skin thickening limited to distal extremities/face to widespread multiorgan involvement. All typical features of systemic sclerosis without skin thickening is dened as SYSTEMIC SCLEROSIS SINE SCLREODERMA Case presentation: We report a case of A 40 year old female patient presented to us with the chief complaints of ulcers at the tip of right index and middle ngers associated with pain and swelling over a period of 10 days.Past history of amputation of left distal phalanx 1year back for similar complaint. She had a history suggestive of Reynaud's phenomenon. She was diagnosed as hypothyroid 5 years back with irregular treatment and with GERD 2ys back. CT CHEST-bilateral ground glass opacities,Paratracheal lymphadenopathy,Mild thyromegaly ,Mild dilatation of oesophagus,COLOUR DOPPLER-Right upper limb -normal study ,ANA PROFILE -Anti scl -70 –positive ,Anti jo 1- borderline positive Systemic sclerosis sine scleroderma (ssSSc) is an CONCLUSION : infrequent SSc variant characterized by visceral and immunological manifestations of SSc in the absence of clinically detectable skin involvement with good prognosis compared to other variants

Analysis of stress patterns in the periodontium produced by distalizing forces on the mandibular molars – a finite element study

Abstract: Introduction: Treatment of Class III malocclusion is a considerable clinical challenge for the orthodontist and commonly includes growth modication involving a chincup to restrain mandibular growth or a facemask to protract the maxilla, dentoalveolar compensation or camouage involving dental extractions, or orthognathic surgery. The present Materials And Methods: study was a Finite Element study. This Study was conducted from 12 months at Department of Orthodontics and Dentofacial Orthopedics, Guru Nanak Institute of Dental Sciences and Research were procured from the departmental archives. Increasing the occlusal inclination of the Result: loading force decreased the compressive stresses on the alveolar bone, but an insignicant increase was produced in the compressive stresses on increasing the gingival inclination of the loading force. On comparing the compressive stresses, the horizontal and the 15 degree occlusal force showed greatest compression in the distal surface in the cervical third close to the midline. The 15 degree gingival force also showed greatest compression in the distal surface in the cervical third but it was spread more buccally. The 30 degree occlusal force also showed greatest compression in the distal surface in the cervical third but it was spread more lingually. We found that, the 30 degree gingival force Conclusion: shows an increased tendency of the tooth to intrude, as evidenced by the compressive stresses produced around the furcation and either apical regions. Increasing the occlusal inclination of the force shows an increased tendency of the tooth to extrude rather than distalize

Clinical studying of eclampsia it's maternal and perinatal outcome

Abstract: Eclampsia continues to be a major problem in developing countries like India contributing to signicant maternal and perinatal morbidity and mortality. We conducted a study to establish the clinical prole and the associated maternal and perinatal outcomes among eclamptic patients admitted to our center. A prospective study of all women presenting with eclampsia was performed from January 2022 to August 2022. Forty ve primigravida patients presented with eclampsia out of a total 525 deliveries during the study period. Majority of the patients were unbooked (63.4%). Antepartum eclampsia accounted for most of the cases (63.4%). Of those cases, 53.4%presented beyond 36 weeks gestational age. There were a total of 4 maternal deaths and 21 perinatal deaths in the present study. Perinatal deaths were caused by prematurity and birth asphyxia. The high incidence of eclampsia and its complications during this study indicate the need for early identication of risk factors and timely intervention to improve maternal and perinatal outcome

Sclerosing stromal tumor: a rare sex cord stromal ovarian neoplasm

Abstract: Sclerosing stromal tumor (SST) is an extremely rare, benign distinctive ovarian sex cord stromal tumor. The tumor occurs predominately in the second and third decades of life. Due to the presence of both solid and cystic components with rich vascularity,it can be mistaken for malignant ovarian tumors on ultrasonography and other radiological investigations. Distinctive histopathological features and immunohistochemistry(IHC) conrms the diagnosis. Proper diagnosis of SST is important, which prevents extensive surgical intervention done in cases of ovarian malignancy. Herein, we report clinical and histopathological features of SST in a 23year old female who presented with complaints of intermenstrual bleeding associated with abdominal pain and underwent laparoscopic cystectomy. It is imperative to consider sclerosing stromal tumor as one of the differential diagnosis in young females presenting with complex ovarian mass. Frozen section analysis could be done intraoperatively to rule out malignancy, so that conservative surgery can be performed

The clinico-radiological and functional outcome of minimally invasive plate osteosynthesis in proximal tibial fractures.

Abstract: The proximal tibia helps in transmission of body weight and plays an important role in the stability and functioning of the knee joint. The goal of proximal tibial fractures treatment is to obtain early union of fracture in the most acceptable anatomical position with early and maximum functional return of activity. This study aims to determine the clinico-radiological and functional outcome of Minimally Invasive Plate Osteosynthesis in proximal tibia fractures. A total of 30 patients with proximal tibial fractures and fullling the inclusion criteria were included in the study. The fractures were classied according to the Schatzker classication. Patients were evaluated functionally using the Knee Society score and radiologically according to the Modied Rasmussen criteria. According to the Knee Society Score, 23 (76.67%) of the patients had excellent results, 4 (13.33%) patients had good results, 2 (6.67%) patient had fair results and 1 (3.33%) patient performed poorly. According to the Modied Rassmussen criteria, 24 (80.00%) of the patients had excellent results, 5 (16.67%) patients had good results, 1 (3.33%) patient had fair result and none of the patient performed poorly. Supercial surgical site infection was observed in 2 (6.67%) of the patients. 1 (3.33%) patient had delayed union and 1 (3.33%) patient had aseptic exposure of implant. In 26 of the patients there were no complications. There were no cases of deep infection. The present study shows and demonstrates that closed reduction and internal xation using the principles of minimally invasive plate osteosynthesis is a reliable method for the management of proximal tibial fractures.

Platelet count-splenic diameter ratio as a non-invasive predictor of esophageal varices in cirrhosis

Abstract: BACKGROUND: Oesophageal varices have high mortality (40-70%) and occur 5-15% of cirrhotics per year. Cirrhotics need to be screened for Oesophageal varices with endoscopy once in 2-3years. Non-invasive predictors of varices-Fibroscan,Fibrotest,Platelet count/Splenic diameter(PC/SD) ratio reduce the burden and risk of endoscopy and make it preferrable in selected patients. Of these PC/SD ratio is promising. MATERIALS AND METHODS:50 patients diagnosed as cirrhosis are selected satisfying inclusion and exclusion criteria. All underwent Ultrasonography of abdomen, Upper Gastrointestinal endoscopy to conrm cirrhosis and Oesophageal varices and were divided in to two groups A&B based on with and without varices respectively. PC, splenic length(SL) and PC/SD ratio were compared between the two groups.

Effectiveness of planned teaching programme on the knowledge regarding disaster management, preparedness and mitigation”

Abstract: This research study was undertaken assess the effectiveness of planned teaching programme on the knowledge regarding disaster management, preparedness and mitigation among nursing students at selected school of nursing of Indore, M.P. The target population consist of nursing student, sample size are 60 nursing students, and non-probability convenient sampling technique was used. Demographic variables was used. The overall mean of pre-test knowledge scores on disaster management, preparedness and mitigation was found to be 9.82 and the overall mean of post-test knowledge scores on disaster management, preparedness and mitigation was found to be 22.97 and enhancement in the mean percentage knowledge score was found to be signicant at 5% level for all the aspects under study. There was no signicant association of pre-test knowledge scores & any selected socio-demographic variables.

Banking sector develops rural women through micro finance: an analysis

Abstract: The institutional credit agencies like commercial banks, Regional Rural Banks (RRBS) and Cooperative banks have been playing a pivotal role in the formation, strengthening and development of the Self-Help Groups (SHGs) through micro nance in India. In fact, the banking institutions have become more instrumental in developing micro-enterprises by the women members of Self-Help Groups through providing nancial services. Self-Help Groups linkage programmes is suitable and an effective intervention in economic uplift met and nancial inclusion for the bottom of the pyramid.1 A proven platform initially conceived for increasing the outreach of banking services among the poor has since graduated to a programme for promotion of livelihoods and poverty the banking sector in rural and urban areas.2 An attempt is made her to analyze the different, nancial agencies such as CBs, RRBs and Cooperative banks in providing nancial services to the poor and marginalized sections for the promotion and strengthening of self-help groups in India. Micro-nance is an economic development tool whose objective is to assist the poor to work their way out of poverty. In fact, micro-nance is powerful weapon to remove the poverty in our country. There is a greater involvement of banks in providing the loans to the women members of the Self-Help Groups in the country. The institutional credit agencies have played a crucial role in the development of the poor women members of the SHGs.The Regional Rural Banks have covered more than 45 per cent of the women by way of providing loans and advances whereas the Commercial Banks have given the highest amount of loans to the women members of the SHGs. The Cooperative Banks are in the third position in providing the microcredit to the women members of the SHGs. On the whole, the banking sector has played a dominant role in the provision of the bank loans to the poor women of the SHGs in India.

Comparative analysis between dynamic hip screw and cancellous cannulated screw fixation in fracture of neck of femur

Abstract: Introduction: Fractures of the femoral neck are common injuries. Even though numerous studies have evaluated dynamic hip screw (DHS) vs multiple cannulated cancellous screw (CCS) xation for fractured neck of femur, no consensus has been reached. We sought to compare DHS and CCS xation for femoral neck fractures. Total 60 patients who Methodology: received DHS/CCS xation for a femoral neck fracture at our hospital were enrolled in this prospective study. All patients were randomly and equally divided patients into group A (DHS, n=30) and group B (CCS, n=30) and a conventional NOF protocol was administered. All patients were followed for one year. No signicant differences in clinic-demographic fact Results: ors were observed across groups. Both groups reported a comparable length of union. More complications were observed in group B than in group A. The mean Harris hip score in group A was signicantly greater than in group B (p=0.0124*). Most patients in group A scored excellent, whereas group B scored good (p=0.0298*). Conclusion: In our study, dynamic hip screw (DHS) xation of femoral neck fracture appeared to be better than the multiple cannulated cancellous screw (CCS) xations