Global journal for research analysis最新文献

{"title":"A WALK THROUGH THE FETUS: A PICTORIAL REVIEW OF CONGENITAL ANOMALIES BY ULTRASONOGRAPHY","authors":"Vinay. M, Sumanth Gowda R, Mallikarjunappa B, Akshay Gupta, Rakshitha C, Darshan H S","doi":"10.36106/gjra/4006353","DOIUrl":"https://doi.org/10.36106/gjra/4006353","url":null,"abstract":"In today's obstetrics, the ultrasound is one of the most often utilized diagnostic tools for identifying fetal\u0000developmental abnormalities. However, it is crucial to understand which defects may be diagnosed with\u0000great certainty during pregnancy and which ones can only be discovered partially or not at all before giving birth. Our study aims\u0000to evaluate the role of ultrasound in detecting congenital fetal anomalies and to nd out the most common system involved / most\u0000common fetal anomaly encountered in our institution. Prenatal diagnostics also requires a great deal of medical professional\u0000responsibility because the effects of an unintentionally incorrect diagnosis can have a negative impact on both the fetus and the\u0000family.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"82 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PREGNANCY IN A CASE OF PURE GONADAL DYSGENESIS: A RARE CASE STUDY","authors":"Suma Varsha Thota, N. Veneela, Kanumuri Sindhu, Pandirla Swathi","doi":"10.36106/gjra/9707375","DOIUrl":"https://doi.org/10.36106/gjra/9707375","url":null,"abstract":"Gonadal dysgenesis is a group of heterogeneous disorders with very rare presentation. The clinical\u0000manifestation of disease includes primary amenorrhoea, failure to develop secondary sexual characters\u0000and also infertility. Here we are reporting a case of 29 year old phenotypic female who presented with primary infertility with 46,\u0000XX karyotype with hypoplastic uterus and streak ovaries (on imaging), with high gonadotropins level and low estradiol. After\u0000evaluation of the couple and proper counseling plan was made to go for cyclic hormone therapy for 3 months followed by donor\u0000oocyte and husband sperm IVF due to hypoplastic uterus with gonadal dysgenesis. 3 Day 3 embryos were transferred after\u0000hormonal therapy of 3 months. She was conceived with twins and later delivered 2 healthy babies at 9 months. We conclude that,\u0000pregnancy can be achieved even in gonadal dysgenesis patients after proper diagnosis of the condition and counseling the\u0000couple regarding the best treatment options available.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RELEVANCE OF NURSE PRACTITIONER MIDWIVES IN INDIAN STATES INCLUDING ASSAM","authors":"Bhuyan H","doi":"10.36106/gjra/7301006","DOIUrl":"https://doi.org/10.36106/gjra/7301006","url":null,"abstract":"Introduction: Midwives can meet nearly 90 % of the need for essential sexual,reproductive, maternal, new\u0000born and adolescent health interventions, Quality midwifery care provided by skilled and competent\u0000midwives of international standard can reduce maternal and neonatal mortality and stillbirth rate by 83% and with 56 maternal\u0000andnewbornhealthoutcome.MaterialsAndMethods: Thispaperisbasedonreviewof contemporary literaturedevelopedby the\u0000UNFPA,WHO,ICM, Indian NursingCouncilandthe Government ofIndia,focussingon the importance ofimplementation of Nurse\u0000Practitioner Midwives of the global standards. Findings And Discussions: Amidst a signicant shortage in the provision of\u0000effectiveprimary care, jeopardizing millions ofIndians'access tobasichealthcare services, especially thepoorest, it is very evident\u0000that nurse practitioners are the need of the hour in India. Their role in advanced practice could allay a signicant portion of the\u0000shortage in the health workforce ratio, thereby, transforming their role as rst contact providers. Taking lessons from wellestablished systems and evidences on the panoramic impacts of nurse practitioners in terms of cost-effectiveness, accessibility,\u0000holistic, and patient-cantered approach; their role is very signicant for a country like India. Capitalizing on nurses in advanced\u0000practice to increasingpatient'saccess to healthcare services willbeappealingandbenecial. Health systemsare currently hugely\u0000burdenedandwillrequiretheinvolvementofnursepractitionersas therstpoint-of-caredeliverypersonnel.Conclusion:Basedon\u0000the identied contextual factors prevailing in India and other similar global initiatives and context designing and implementing\u0000Midwifery Led Care Unit (MLCU) along with a legal framework to enable midwives to provide full scope of practice in tune with the\u0000global standards tocareforwomenduringlabouris theneedofhour.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"623 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TO STUDY THE ROLE OF MANNHEIM PERITONITIS INDEX SCORING SYSTEM IN PREDICTING THE MORTALITY AND MORBIDITY IN PERITONITIS DUE TO HOLLOW VISCOUS PERFORATION","authors":"Nulakani Seetaramayya","doi":"10.36106/gjra/7907492","DOIUrl":"https://doi.org/10.36106/gjra/7907492","url":null,"abstract":"Background: Hollow Viscus Perforation is characterized by loss of gastrointestinal wall integrity with\u0000leakage of enteric contents. To Study the Role of Mannheim Peritonitis Index (MPI) scoring system i Aim: n\u0000predicting the Mortality and Morbidity in peritonitis due to Hollow Viscus Perforation. This is a hospital Materials and Methods:\u0000based cross sectional study which was carried out at Department of General Surgery from November 2017 to October 2019 at\u0000Katuri Medical College and Hospital, Chinakondrupadu, Guntur, Andhra Pradesh. Mannheim Peritonitis Index score was used.\u0000Results: Mean age group of the patients was 52.35 ± 11.09. Majority of the patients i.e. 19(31.7%) were seen in 51 – 60 years age\u0000group. Among the 39(65%) male patients, majority were identied to be in 51-60 years. Among the 21(35%) Female patients,\u0000majority i.e. 8 patients were identied to be in 61-70 years. The present st Conclusion: udy suggests that Multiple attempts at\u0000developing a scoring system to predict the risk of mortality and morbidity in patients with peritonitis due to hollow viscus\u0000perforation undergoing emergency laparotomy. Most of the scoring systems cannot assess individual patient risk. MANNHEIM\u0000PERITONITIS INDEX scoring system is an easy and very useful tool for predicting the risk of morbidity and mortality in patients\u0000with peritonitis due to hollow viscus perforation.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"370 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SONOGRAPHIC ASSESMENT OF GESTATIONAL AGE BY THE FETAL KIDNEY LENGTH AND VOLUME AFTER 18 WEEKS OF GESTATION IN LOCAL POPULATION IN NORTH- WESTERN AHMEDABAD.","authors":"Janki Jaradi, Harshkumar T. Patel, Keval Makwana","doi":"10.36106/gjra/3500798","DOIUrl":"https://doi.org/10.36106/gjra/3500798","url":null,"abstract":"Introduction: Ultrasonography is widely used indetermination of GA From 2nd trimester onwards apart\u0000from Routine parameters used for GA estimation like BPD, HC, and AC and FL, FKL is emerging as useful\u0000parameter in estimation of GA more reliably. to dene how precisely FKL measurement by USG can det Objective: ermine GA\u0000From 18 weeks onwards. to create baseline reference values of FKL in local population in north- western Ahmedabad from 18\u0000weeks onwards to see population specic variations. A Cross-Sectional - observational Study was Material and Methods:\u0000conducted on 200 antenatal women in the second and third trimester with normal singleton pregnancies using SAMSUNG HS50\u0000ultrasound machine. The result suggests a positive linear relationship of GA with fetal kidney Results: length. However, no\u0000correlation of GA with volume was noted. FKL measurement can be used as a reliable ultrasonographic Conclusion: parameter\u0000for estimating the GA in the 2nd and 3rd trimester and correlation increases when used with other parameters. Population\u0000specic baseline reference values for north- west ahmedabad of FKLs for the estimation of GA should be adopted rather than\u0000relying on the Caucasians values as universal patterns","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"202 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MANAGEMENT OF LUMBOSACRAL PAIN WITH RADICULOPATHY BY EPIDURAL STEROID INJECTION IN TERTIARY CARE HOSPITAL IN DAR ES SALAAM, TANZANIA","authors":"Kaustubh M Chauhan","doi":"10.36106/gjra/1501286","DOIUrl":"https://doi.org/10.36106/gjra/1501286","url":null,"abstract":"Introduction:- The aim of this retrospective observational study was to compare the potential efcacy of\u0000epidural steroid injection along with other conservative measures for relieving pain and improving\u0000function in patients with lumbosacral pain with radiculopathy caused by lumbar disc herniation. The route of administration\u0000(transforaminal, caudal or translaminar) were chosen on basis of pattern of radiculopathy and mri ndings of disc herniation.\u0000Methods:- This study included 131 patients who presented with low back pain and radiculopathy due to lumbar disc\u0000herniation(at levels of L4–L5 or L5–S1) diagnosed clinically and conrmed by means of MRI. 4 patients were lost to follow up\u0000remainig 127 patients at nal follow up.(127 patients)All patients were given fair trial of conservative treatment with drugs and\u0000physiotherapy. All patients were assessed at presentation and after starting the treatment at the second week and then third\u0000and sixth month using the visual analogue scale (VAS) for pain and the Oswestry Disability Index (ODI) for function status.\u0000Results:- In the transforaminal group (45 patients), there was a statistically signicant improvement in the ODI scores from\u0000before the injection (ODI mean 62.4) to 2 weeks after the injection (ODI mean 24.4, P < 0.01), and upon follow-up at 3 months.\u0000(ODI mean 20.8, P < 0.01). 21 patients (16.5%) required 1 or 2 repeated injections, 4 (3.1%) patients underwent surgery. In the\u0000interlaminar group (19 patients), there was a statistically signicant improvement in the ODI scores from before the injection\u0000(ODI mean 60.7) to 2 weeks after the injection (ODI mean 30.1, P < 0.01), but not upon follow-up (ODI mean 43.2, P = 0.09).5\u0000(26.3%) patients required 1 or 2 repeated injection, 2 (10.5%) patients underwent surgery and 4(21%) patients developed\u0000transient paraparesis.In caudal group(63 patients) there was statistically signicant improvement in ODI SCROES from before\u0000the injection (ODI mean 39.6) to 2 weeks after the injection (ODI mean 29.6) which deteriorate at 3 months( ODI mean\u000031.8).There was an insignicant difference (P > 0.05) between the transformainal and caudal groups in the VAS, except at the\u0000third month (P < 0.05). Epidural steroid injection could be a preferable choice in chronic lowback and radicular Conclusion:-\u0000pain due to LDH. It has shown good short term outcomes and can be safe, cost effective and minimally invasive treatment and\u0000alternative to surgery.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"165 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SICKLE CELL DISEASE AND COMPLICATIONS: AN IN-DEPTH NARRATIVE EXPLORATION","authors":"Ana Maria Aristizabal Gil","doi":"10.36106/gjra/3606805","DOIUrl":"https://doi.org/10.36106/gjra/3606805","url":null,"abstract":"Sickle cell disease (SCD) is an inherited genetic disorder characterized by the production of abnormal\u0000hemoglobin, known as hemoglobin S. This alteration leads to the formation of sickle-shaped red blood\u0000cells, impeding their passage through blood vessels and causing blockages, ischemia, and pain. Additionally, individuals with\u0000SCD are more susceptible to infections and vascular complications. Acute pain crises are a common manifestation of SCD,\u0000triggered by blood vessel obstruction. These crises may necessitate immediate medical intervention to alleviate pain and\u0000prevent complications. Long-term complications include chronic organ damage, such as kidney failure, lung injuries, and\u0000cardiac disorders. COVID-19 has raised additional concerns, as SCD patients may face an elevated risk of severe\u0000complications. Hydroxyurea and blood transfusions are therapeutic strategies used to reduce pain crises and prevent\u0000complications. Ongoing research seeks more effective therapies and comprehensive management strategies to enhance the\u0000quality of life for those living with this genetic disorder.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"195 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A RARE CASE REPORT ON AN INCIDENTAL MASSIVE RETROPERITONEAL ASCENDING COLON MESENTERIC CYST","authors":"T. Nulukurthi, Ch. Anjini Suvarchala Devi, V. S. R. K. N. Sree Dutta","doi":"10.36106/gjra/3901193","DOIUrl":"https://doi.org/10.36106/gjra/3901193","url":null,"abstract":"Background: The discovery of cystic lesions within the retroperitoneal region is a rare occurrence that\u0000presents clinicians with the problem of a difcult diagnosis and management of the condition. The\u0000present paper details the management of a case wherein a substantial cystic lesion was incidentally identied following an\u0000episode of dengue fever during a routine abdominal scan. Case Presentation: A 24-year-old male presented to the surgical\u0000outpatient department (OPD) with the incidental discovery of an intra-abdominal cystic mass during an ultrasound scan\u0000conducted as part of his evaluation for dengue infection. He underwent surgery and was discharged after a successful recovery.\u0000Conclusion: Mesenteric cysts are uncommon benign abdominal lesions with a 3% risk of malignant development. Most cysts\u0000are asymptomatic and are discovered by chance or during the treatment of their problems. The mesentery of the small bowel is\u0000the most common origin, followed by the mesocolon. A case report of a 24-year-old male with a huge abdominal mesenteric\u0000retroperitoneal cyst arising from caecum and ascending colon is presented","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"180 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FLOWCHART OF FREE SOFTWARE METHODOLOGY FOR ANALYSIS OF FACIAL ASYMMETRY AND FORMATION OF HISTOGRAM MAPS AS A SURGICAL GUIDE","authors":"Rodrigo de Faria Valle Dornelles, Nivaldo Alonso","doi":"10.36106/gjra/2106570","DOIUrl":"https://doi.org/10.36106/gjra/2106570","url":null,"abstract":"Surgical treatment of facial asymmetry poses challenges not only in execution but also in evaluation and\u0000planning. Image analysis methods bring advantages and disadvantages compared to subjective forms.\u0000Virtual planning technology using three-dimensional images is an alternative, though underutilized due to the cost of\u0000commercial software licenses. By using free software such as Blender® and CloudCompare®, students and healthcare\u0000professionals, including plastic surgeons, have access to an objective and effective low-cost method for pre-surgical evaluation\u0000and planning. This study established a methodology owchart for analyzing facial asymmetry and constructing a histogram\u0000map as a surgical guide.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"137 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PERCEIVED MENTAL HEALTH AND SOCIAL SUPPORT DURING PREGNANCY AMONG PRIMIGRAVIDA AND MULTIPARA MOTHERS: A COMPARATIVE STUDY","authors":"Mehwish Naz, Harpreet Kaur","doi":"10.36106/gjra/2406413","DOIUrl":"https://doi.org/10.36106/gjra/2406413","url":null,"abstract":"Pregnant mothers with mental health problems are less likely to care adequately for their personal\u0000needs, to seek and receive antenatal or postnatal care, or adhere to prescribed health regimens. Social\u0000support inuences health-related behaviors and can play an important role in adaptation to pregnancy. This study aimed to\u0000assess and compare the perceived mental health and social support during pregnancy among primigravida and multipara\u0000mothers. Materials: This was a ccomparative study. The accessible sample was recruited from pregnant mothers attending\u0000OPD at community health centre in Kurali, Punjab. Total 300 pregnant mothers were selected. Out of these, 150 mothers were\u0000primigravida and 150 were multipara mothers who met the inclusion criteria. Perceived mental health was assessed using the\u0000kessler distress scale (k-10) and perceived social support was assessed by multidimensional scale. Results: Comparing the\u0000perceived mental health and social support scores between pregnant mothers in primigravida and multipara group, it was\u0000found that multiparas had more psychological distress and less social support as compared to primigravidas. There was a\u0000negative statistically signicant correlations observed between perceived mental health and perceived social support of\u0000primigravida and multipara mothers (r = -.454 and p= 0.00* and r =-.526 and 0.00*) respectively. Conclusion: The ndings\u0000from this study suggested that multipara mothers during pregnancy are vulnerable for mental illness and perceiving scarcity of\u0000social support as compared to primigravida mothers. Hence, it was suggested that high social support lowers the risk of mental\u0000illness. Therefore, there is a need to conduct various programs by health professionals related to social support with a view to\u0000helping reduce mental health problems among pregnant mothers.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"151 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}