Indian journal of applied research最新文献

{"title":"PREOPERATIVE SERUM ALBUMIN LEVEL AS A PREDICTOR OF ABDOMINAL WOUND-RELATED COMPLICATIONS AFTER EMERGENCY EXPLORATORY LAPAROTOMY","authors":"Apoorva Vardhan, Narra Sandeep Kumar, Vinayaka S, Deepthi. R","doi":"10.36106/ijar/2503856","DOIUrl":"https://doi.org/10.36106/ijar/2503856","url":null,"abstract":"Introduction: A plethora of factors are involved in the process of wound healing; amongst them nutritional status of the\u0000patient is highly considered for fast recovery in the postoperative period. Literature shows that preoperative serum\u0000albumin levels can determine & impact postoperative complications in patients undergoing emergency laparotomy. Therefore, early detection &\u0000intervention is highly recommended. A retrospective study data consisting of 69 patients collected o Methods: ver 8 months amongst those who\u0000underwent emergency exploratory laparotomy due to perforation and small and large bowel obstruction was collected. Preoperative serum\u0000albumin levels & postoperative complications such as delayed wound healing (>7 days), surgical site infections on 5th day, anastomotic leak,\u0000enterocutaneous stula (>7 days), wound dehiscence and prolonged hospital stay (>5 days) were noted & analysed statistically. (P<0.001)\u0000Results: Majority of the subjects were in the age group of 18-29 years accounting for 30.4% with 63.8% being males. Also, 68.1% patients had\u0000albumin levels >3.5g/dl. The mean duration of hospital stay & duration of surgery was found to be 14.11 days & 175.51 mins respectively. The\u0000most common procedures performed were primary closure (32%) & resection anastomosis (52.2%). Patients with <3.5g/dl reported\u0000complications such as death (4), surgical site infection (21), anastomic leak (2), enterocutaneous stula (2), and increased hospital stay (1).\u0000Conclusion: Preoperative serum albumin levels can be used to determine & reduce complications in the postoperative period while reducing the\u0000morbidity and mortality levels by early intervention","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038141","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":"PRE-OPERATIVE NEUTROPHIL-LYMPHOCYTE RATIO TO PREDICT OUTCOMES IN ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY","authors":"Srikanth K. Aithal, Kadambari Ramani","doi":"10.36106/ijar/9201015","DOIUrl":"https://doi.org/10.36106/ijar/9201015","url":null,"abstract":"Background: Many scoring systems exist to predict operative difculty and outcomes of laparoscopic cholecystectomy\u0000in acute cholecystitis. In elective laparoscopy where ambulatory/ outpatient surgery is considered, few studies are\u0000available. Neutrophil-lymphocyte ratio (NLR) can be used as an effective pre-operative predictive marker in elective laparoscopic\u0000cholecystectomy. A single center prospective observational study was done over a period of one year Materials and Methods: in 72 patients\u0000undergoing elective laparoscopic cholecystectomy. Only those patients with predicted easy/ moderate laparoscopic cholecystectomy were\u0000included. NLR ≥ 3 was considered high. Intraoperative and postoperative outcomes were studied in normal and high NLR patients. Results:\u0000Normal neutrophil-lymphocyte ratio (NLR) was noted in 46 patients (63.9%) and high NLR (≥ 3) in 26 patients (36.1%). Rates of previous\u0000cholecystitis/ cholangitis and ERCP with stenting were similar in both groups. Mean G10 intra-operative score was 1.98 (easy group) in normal\u0000NLR group vs 3 (moderate group) in high NLR group (p <0.05). None of the patients who participated in the study needed conversion to open\u0000procedure or had adverse intra-operative outcomes. Post-operatively, patients with normal NLR had signicantly low pain score at day 1\u0000compared to high NLR group (1.91 vs 4.5; p <0.001). Patients with high NLR also had signicantly increased length of hospital stay (1.19 days in\u0000normal NLR vs 2.77 days in high NLR, p <0.001). Positive predictive value (PPV) of high NLR in estimating hospitalization post-surgery of\u0000more than 1 day is 92.3%. Pre-operative NLR can be used as a cost-effective and useful tool in pred Conclusion: icting outcomes in elective\u0000laparoscopic cholecystectomy, even in carefully selected group of patients. In settings of outpatient cholecystectomy, this will help in decision\u0000making and patient selection.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028664","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":"STUDY OF ORGAN SYSTEM INVOLVEMENT IN SEVERE DENGUE FEVER CASES ADMITTED TO A TERTIARY HEALTH CARE CENTRE","authors":"Rahul Siwach, Aditi Arora, Karan Beniwal","doi":"10.36106/ijar/2604163","DOIUrl":"https://doi.org/10.36106/ijar/2604163","url":null,"abstract":"Objective:1. To study the clinical prole & laboratory diagnostic ndings in severe Dengue fever cases.\u00002. To compare the pattern of organ involvement with severe Dengue Fever (DF) cases admitted in 2023-2024.\u0000Materials and Methods: This Descriptive Longitudinal Study, conducted at a tertiary care center in India, focused on severe dengue cases\u0000admitted between January 2023 and May 2024. Group A comprised 54 patients, where detailed history-taking and clinical examinations were\u0000performed to evaluate severity and complications. Data analysis encompassed the period from January 2023 to May 2024 for Group A.\u0000Comparison was made with Group B, consisting of 53 severe dengue cases from 2021-2022, to assess the pattern of organ involvement using\u0000identical inclusion and exclusion criteria. Informed consent was obtained from patients or relatives, with data collection conducted via\u0000structured clinical Performa. Routine and special investigations were carried out, including NS1Ag and IgM Dengue detection using\u0000government-supplied kits. Both Group A and Group B showed a male predominance (61% and 68% respectiv Results: ely) and were primarily\u0000aged 18 to 30 years (70% and 60% respectively). While presenting symptoms were similar, Group A exhibited higher prevalence of cough,\u0000difculty breathing, convulsions, and petechiae. Hemorrhagic manifestations were more frequent in Group A (40%). Thrombocytopenia was\u0000universal, with 72% of Group A and 78% of Group B cases having platelet counts below 50,000 /cu mm. Elevated SGOT and SGPT levels were\u0000seen in 13% and 6% of Group A cases respectively. Pleural effusion and acute respiratory distress syndrome (ARDS) were more common in\u0000Group A on chest X-ray. Dengue hemorrhagic fever (DHF) I was more prevalent in Group B (72%), while DHF II-IV were more common in\u0000Group A. Complications such as coagulopathy, acute renal failure, ARDS, and hepatitis were more frequent in Group A. The mortality rate was\u0000higher in Group A (9%) compared to Group B (6%). In summary, our study underscores the wide range of Conclusions: symptoms and\u0000complications seen in severe dengue cases, from mild fever to life-threatening organ failure. We noted a higher occurrence among young adult\u0000males aged 18-30. Between 2023-2024, there was a rise in severe complications such as serositis, thrombocytopenia, and hepatic, respiratory,\u0000renal, and neurological issues. Dengue shock syndrome and hemorrhagic fever had notably higher mortality rates during this period,\u0000emphasizing the importance of vigilant management to address severe dengue infections effectively","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044234","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":"PREDICTION OF RELIGIOSITY ON DEPRESSION AND SUICIDAL IDEATION AMONG SCHOOL STUDENTS","authors":"Margaret Lalruatfeli Fanai, Lalhriatpuii Lalhriatpuii, Zokaitluangi Zokaitluangi","doi":"10.36106/ijar/0109251","DOIUrl":"https://doi.org/10.36106/ijar/0109251","url":null,"abstract":"Religiosity is a formal institutional, and has been considered as\u0000facilitating personality development. Research evinced a positive role\u0000that religion plays in mental health relating to depression (Pearce,\u0000Little, & Perez, 2003), preventing suicide and helping recovery from\u0000suicidal thoughts (Morriss et al., 2005) with lower suicide rates (Stack\u00001983) among adolescents. Researchers have brought evidence for the\u0000positive and negative role that religion plays in health relating to mood\u0000disorders, personality disorders, and psychiatric disorders. Religious\u0000beliefs are increasingly being considered in psychotherapy to improve\u0000service and the effectiveness of treatment. Psychotherapists utilize\u0000religious practices and principles in therapy, such as prayer,\u0000forgiveness, and grace. Brown suggests that \"our biases can only be\u0000suspended to the extent to which they are no longer our biases\"\u0000(Brown, 2017). Women are more religious than men (Walter & Davie\u00001998; Trzebiatowska & Bruce 2012). Understanding the function of\u0000religiosity is much needed for clinical practice in relieving suffering\u0000and helping people to live more fullling lives (Moreira-Almeida et\u0000al., 2006).","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030124","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":"OVARIAN HYDATID CYST- A RARE ENTITY: A CASE REPORT","authors":"Samia Mohammed, Idrees Akhtar Afroze","doi":"10.36106/ijar/7202728","DOIUrl":"https://doi.org/10.36106/ijar/7202728","url":null,"abstract":"Hydatid disease is a zoonosis caused by the transmission of the larval stage of Echinococcus granulosus (dog tapeworm)\u0000either by consuming contaminated food and water or due to hand to mouth transmission from infested animals or partially\u0000cooked meat. Humans are the accidental host. Hydatid cyst of ovary is an extremely rare presentation accounting for 0.2-1% of all cases. A 47-\u0000year-old woman presented to the surgery department of Owaisi Group of Hospitals (PEH) with a chief complaint of abdominal pain for 1 week.\u0000USG examination revealed bilateral simple ovarian cysts and CT scan ndings showed bilateral complex ovarian cysts. Routine investigations\u0000were normal. Surgery was performed for suspected ovarian cyst. The cysts were extracted and sent for HPE which conrmed the diagnosis of\u0000hydatid ovarian cyst. The incidence of hydatid cyst in the female reproductive system is less than 0.5% of all cases. The clinician must have a high\u0000index of suspicion whenever cystic lesions of pelvis are found as any spillage while operating may lead to anaphylactic shock and recurrence.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041861","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":"BEYOND THE BLADDER: UNEXPECTED DISCOVERY OF INTESTINAL MALROTATION DURING RADICAL CYSTECTOMY WITH ILEAL CONDUIT – A UROLOGIST'S PREDICAMENT","authors":"Rohit Sanjay Deshpande, Ravimohan Mavuduru, Aditya Prakash Sharma","doi":"10.36106/ijar/8201269","DOIUrl":"https://doi.org/10.36106/ijar/8201269","url":null,"abstract":"The unanticipated and incidental discovery of intestinal malrotation during radical cystectomy can generate few queries\u0000regarding the anatomic construction of the urinary diversion and can be a dilemma for the operating urologist. We describe\u0000such a case in which we navigated this anatomic surprise with simplicity and avoided unnecessary additional surgical manoeuvres, thus proving\u0000the feasibility of conventional anatomic approach to conduit creation in such an unforeseen situation.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049859","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 REVIEW ARTICLE ON DRAVA SWEDANA AND ITS CLINICAL APPLICATION","authors":"Ruchi Juyal, Ketan Mahajan, A. Agrawal, Sneha Joshi","doi":"10.36106/ijar/2802632","DOIUrl":"https://doi.org/10.36106/ijar/2802632","url":null,"abstract":"Drava Sweda is a sudation procedure carried out with hot liquid. In this procedure, medicated water should be lled into a\u0000pot, jug with spout, or a tube and poured comfortably over the painful parts covered with cloth. It is considered as\u0000Bahirparimarjan Chikitsa and it comes under Shadaupakrama (Six treatment modalities), Swedana Karma is not just providing heat to the body,\u0000but the amount of heat is mentioned in the management of various diseases caused by Vata-Kapha Doshas. Parisheka Sweda is a type of Drava\u0000Sweda. Acharya Charak mentioned it in Sagni Sweda, which can be applied as Ekanga (over a body part) or Sarvanga (whole body). Avabahuka\u00001\u0000(Frozen shoulder) due to vitiated Vata, Swedana helps to relieve the pain and stiffness. Avagaha Sweda is one such important Swedana practice\u00002 which is mentioned in Sagni Sweda by Acharya Charak. The word 'Avagaha' means dipping, immerse. Swedana means -sudation, steaming,\u0000sweating, of body parts in warm medicated Kwath or Tail, Ghrita, Sneha, etc kept in a large tub is called as 'Avagaha Sweda. It is more benecial in\u0000the condition like complication of Basti , Haemorrhoids, ssure in Ano etc.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043580","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":"MILK CONSUMPTION PATTERNS AMONG ADULTS FROM MUMBAI METROPOLITAN REGION","authors":"Aditi Goyal, Varsha Thakker, Neha Palhade, S. Desai, Shobha A Udipi, Rama Vaidya, Ashok Vaidya","doi":"10.36106/ijar/9408981","DOIUrl":"https://doi.org/10.36106/ijar/9408981","url":null,"abstract":"This study aims to understand the consumption patterns of milk and selected milk products in the Mumbai Metropolitan\u0000region. 1060 participants were interviewed about their milk consumption patterns including type of milk, frequency of\u0000consumption, amount consumed per day, attitudes towards milk products, and awareness and opinions regarding A1/A2 milk. 94.2% of\u0000participants were milk consumers, their average daily intake being 220±91ml. Only 5.8% of participants did not consume milk, primarily due to\u0000personal dislike. Among consumers, 57.3% consumed cow milk and 27.1% consumed buffalo milk. 88.7% of participants opined that milk is\u0000healthy. However, some consumers expressed concerns about milk adulteration. Of all, only 21.8% knew about A1/A2 milk but most could not\u0000provide details. These ndings indicate an overall positive attitude of consumers towards milk and its continued inclusion in diets. Further studies\u0000and denitive steps are needed to resolve consumers' concerns about A1/A2 milk and milk adulteration.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030861","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":"FUNGAL DIVERSITY IN CHEMICALLY FERTILIZED PADDY CROP FIELDS OF BASAJHAL VILLAGE KOTA REGION OF BILASPUR DISTRICT","authors":"Vijay Shankar Patre, S. Pahare","doi":"10.36106/ijar/0709521","DOIUrl":"https://doi.org/10.36106/ijar/0709521","url":null,"abstract":"The Chhattisgarh state is considered as the “Rice Bowl of India” and the crop rice is a part of an ancient plant of agronomic\u0000importance globally. Around one-third of the global population relies on rice. The soil of the paddy eld is an inhabitant of\u0000several microbial biomes due to the richness of organic matter and minerals. The nutritional enrichment of the soil system is directly correlated\u0000with microbial growth, especially mycoora. The present study revealed that the dominant fungal species were Neosartorya fischeri, Aspergillus\u0000niger, Aspergillus fumigatus, Aspergillus oryzae, and Penicillium notatum were observed in the rice crop elds of Basajhal, Kota, Bilaspur,\u0000Chhattisgarh. This research could further be extended to explore the importance of each fungal strain in nutrient recycling in the soil system.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037315","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":"CASE REPORT : A RARE CASE OF BILATERAL PERITONSILLAR ABSCESS","authors":"D. J. Datta, Deepak Kumar S, P. Abhishek","doi":"10.36106/ijar/3501820","DOIUrl":"https://doi.org/10.36106/ijar/3501820","url":null,"abstract":"Peritonsillar Abscess occurs due to accumulution of pus in Peritonsillar space, between the pharyngeal tonsil and the\u0000Superior Constrictor muscle. Although it is known to occur unilaterally, a bilateral presentation may occur. Patient may\u0000present with a mufed voice, medial displacement of uvula, Trismus, Odynophagia or Upper airway obstruction. Although it is diagnosed\u0000clinically, a Contrast Enhanced CT scan of neck remains a gold standard imaging modality for an accurate diagnosis. The disease is managed by\u0000Incision and Drainage of the abscess along with administration of Systemic Antibiotics. In recurrent cases, the patient may need Interval\u0000Tonsillectomy after conservative management of 6 weeks.","PeriodicalId":13502,"journal":{"name":"Indian journal of applied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039637","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}