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First Indian Study on the use on the use of Indirect Calorimetry versus usual care in a tertiary care institute in India 印度第一项关于在印度三级保健机构使用间接量热法与常规护理的研究
Innovative Journal of Medical and Health Science Pub Date : 2020-12-30 DOI: 10.15520/IJMHS.V10I12.3182
S. Saseedharan, Roopa Karanam, Vaijayanti Kadam, Annapurna Chiluka
{"title":"First Indian Study on the use on the use of Indirect Calorimetry versus usual care in a tertiary care institute in India","authors":"S. Saseedharan, Roopa Karanam, Vaijayanti Kadam, Annapurna Chiluka","doi":"10.15520/IJMHS.V10I12.3182","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3182","url":null,"abstract":"Objective: To study the effect of Indirect calorimetry on the length of stay. \u0000The study comprises of the comparison between the use of indirect calorimetry versus usual care in critically ill mechanically ventilated patients with respect to the length of stay in the intensive care unit, and duration of time on ventilator. Patients were divided on basis of their nutrition risk to study the effect of Indirect calorimetry on the length of stay. \u0000Methods: This was a retrospective cohort study of 166 mechanical ventilated patients in S .L Raheja Hospital. Data was collected from 83 patients who were mechanically ventilated between January 2019 and November 2019 on whom indirect calorimetry was used to measure energy requirements. This cohort was compared to 83 patients between January 2018 and November 2918 where the energy requirements were calculated with the use of predictive equations. Both groups were matched for age, sex, comorbidities, Apache score and use of vasopressors. \u0000Results: Significant difference in the sicker group of patients was seen in the Length of stay in the intensive care unit. (9.23 +/- 8.14 vs 11.52 +/- 5.65, p value- 0.0034) \u0000Patients at risk for malnutrition demonstrated reduced length of time on ventilation as compared to those not at risk. (10.2 =/- 11.01 vs 13 +/-5.87,p value-0.0042) \u0000Conclusion: The use of indirect calorimetry may be associated with a lower length of icu stay among ventilated patients in a reasonably sick group of mixed surgical patients. \u0000KEY WORDS: indirect calorimetry; length of stay, mechanical ventilation","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87445315","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}
引用次数: 0
Evaluation of results of percutaneous vertebroplasty at a tertiary centre among north Indian population 北印度人口三级中心经皮椎体成形术的结果评价
Innovative Journal of Medical and Health Science Pub Date : 2020-12-26 DOI: 10.15520/IJMHS.V10I12.3178
A. Rawat, Chandrasekhar Verma, M. Khanna, K. Yadav
{"title":"Evaluation of results of percutaneous vertebroplasty at a tertiary centre among north Indian population","authors":"A. Rawat, Chandrasekhar Verma, M. Khanna, K. Yadav","doi":"10.15520/IJMHS.V10I12.3178","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3178","url":null,"abstract":"Objective: To evaluate the results of percutaneous vertebroplasty at a tertiary centre among north Indian population. \u0000Methods: The study was a prospective observational study conducted in the Department of Orthopaedic Surgery, Prasad Institute of Medical Sciences, Lucknow.  Patients with painful vertebral compressions involving Dorsal and Lumbar vertebrae due to osteoporosis, metastatic secondary of spine, multiple myeloma, benign conditions like hemangioma, specific traumatic spinal injuries who were admitted and treated by percutaneous vertebroplasty in the Department. \u0000The pain was assessed by Visual Analogue Score. \u0000Results: A total of 32 (12 male and 20 females) patients were included in the study. Osteoporotic cause was in more than half of patients (65.6%). Females were more affected (66.7%) than males (33.3.3%). Post traumatic cause was in 34.4% patients. Females were more affected (54.5%) than males (45.5%). However, there was no significant (p>0.05) difference in causes between male and females. Pre-op VAS was 5.94±0.92 which decreased to 0.87±1.35 at 6 months. The decrease in VAS from pre-op to 6 month was statistically significant (p=0.0001). \u0000Conclusion: Percutaneous Vertebroplasty is a simple, effective, reliable, easy to perform and minimally invasive procedure in patients with vertebral compressions, who have excessive pain and/or surgery has great risks. \u0000Key words: Vertebral compressions, percutaneous vertebroplasty, Visual Analogue Score","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"162 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78554987","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}
引用次数: 0
THE UTILITY OF POLYSOMNOGRAPHY(PSG) MACHINE AS A RELIABLE LIE DETECTOR IN AN EXPERIMENTALLY INDUCED MOCK THEFT SITUATION 多导睡眠描记仪(psg)在模拟盗窃实验中作为可靠测谎仪的应用
Innovative Journal of Medical and Health Science Pub Date : 2020-12-18 DOI: 10.15520/IJMHS.V10I12.3174
Ajagallay Rajesh Kumar, Janghel Gaukaran, Bhagat Vimal Chandra
{"title":"THE UTILITY OF POLYSOMNOGRAPHY(PSG) MACHINE AS A RELIABLE LIE DETECTOR IN AN EXPERIMENTALLY INDUCED MOCK THEFT SITUATION","authors":"Ajagallay Rajesh Kumar, Janghel Gaukaran, Bhagat Vimal Chandra","doi":"10.15520/IJMHS.V10I12.3174","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3174","url":null,"abstract":"Objective- To compare the various parameters in polysomnographic recordings of individuals who had indulged in experimentally induced theft situation with subjects who had not indulged in an experimentally induced theft situation. \u0000Material and methods-The present study was conducted in the department of psychiatry, Sarojini Naidu Medical College (S.N.M.C.) Agra, between the periods, March 2010 and September 2011. The sample consisted of 102 medical students who had volunteered to participate in the study.  These volunteers were selected on the following criteria's. \u0000Result- The present study finding shows statistically  significant difference on EEG amplitude, there are C3-A2 lead EEG amplitude were significant in group A and group C (control versus stolen, at baseline p-value = 0.0001; after 10th minute p-value = 0.0007; and after 20th minute p-value = 0.0129); EEG amplitude in O1-A2 lead were significant in control and stolen group ( at baseline p-value = 0.0019 and after 10th minute p-value = 0.0505); EEG amplitude in O2-A1 lead were found significant in control versus stolen group ( at baseline p-value = 0.0002, after 10th minute p-value = 0.0347, and 20th minute p-value = 0.0262). \u0000Conclusion- The changes observed in the amplitude of C3-A2 and O2-A1 leads along with C4-A1 (mv), O1-A2 (mv) leads could better identify the subjects who had stolen money, due to higher apprehension created for being caught during their PSG recordings while other leads which did not show significant changes in the PSG recordings could be considered as being not affected during deception. \u0000Keyword-    Polysomnography, Amplitude, Lie Detection","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"241 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77477858","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}
引用次数: 0
INCIDENCE AND PREVALENCE RATE OF DENGUE IN MIDDLE- INDIA, RAIGARH, CHHATTISGARH 印度中部,雷加尔,恰蒂斯加尔邦登革热的发病率和流行率
Innovative Journal of Medical and Health Science Pub Date : 2020-12-14 DOI: 10.15520/IJMHS.V10I12.3170
J. Naik, P. Agrawal, Yashmin Khan
{"title":"INCIDENCE AND PREVALENCE RATE OF DENGUE IN MIDDLE- INDIA, RAIGARH, CHHATTISGARH","authors":"J. Naik, P. Agrawal, Yashmin Khan","doi":"10.15520/IJMHS.V10I12.3170","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3170","url":null,"abstract":"The main objective of the present study to compare the incidence and   prevalence rate of the dengue disease in Raigarh Chhattisgarh. The patients were assay Elisa and Rapid test, for both gender in confirmation of dengue. The assessment techniques of dengue, positive cases were involved in present study. Findings of the present study had shown that the cases of dengue are higher number of male patients in year 2017, 2018 and 2019 than the female patients, total male patients were 173(66.53%) and female patient were 87(33.47), the incidence and prevalence rate is high in year   2019(6.00%), comparison of the year, 2017(4.59%), and year 2018(4.24%). Finding of the present study concluded that the cases of dengue in year 2019 are higher than the comparison of the year 2017 and year 2018. \u0000  Keyword-  Dengue fever, Incidence, Prevalence","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87433258","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}
引用次数: 0
PREVALENCE OF ASYMPTOMATIC BACTERIURIA AMONG WOMEN WITH DIABETES MELLITUS - A PROSPECTIVE CROSS-SECTIONAL STUDY 无症状细菌尿在女性糖尿病患者中的患病率-一项前瞻性横断面研究
Innovative Journal of Medical and Health Science Pub Date : 2020-12-11 DOI: 10.15520/IJMHS.V10I12.3169
R. Priti, R. Mohandhas
{"title":"PREVALENCE OF ASYMPTOMATIC BACTERIURIA AMONG WOMEN WITH DIABETES MELLITUS - A PROSPECTIVE CROSS-SECTIONAL STUDY","authors":"R. Priti, R. Mohandhas","doi":"10.15520/IJMHS.V10I12.3169","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3169","url":null,"abstract":"Background: There are many studies demonstrating the risk factors of asymptomatic bacteriuria (ASBU) in diabetic women. ASBU is a well-established risk factor for frequent urinary tract infections (UTIs) in women, and the risk factors that predispose diabetic women to ASBU has to be further evaluated. \u0000Aim: To estimate the prevalence of asymptomatic bacteriuria among women with diabetes mellitus .To verify if there is a correlation between bacteriuria and the duration of diabetes and also the correlation between bacteriuria with the metabolic control of diabetes.  \u0000Materials  And  Methods:  Patients  who were  admitted  in Sree Mookambika Institute of Medical Sciences, Kulasekharam  from  February 2019  to  November,  2020 were  included in our study. Two hundred women with diabetes mellitus were enrolled in the study. A control group of 75 healthy women were randomly selected without diabetes was also evaluated in the same period.All relevant clinical information, data was collected. Patients were categorised into variables and mean, SD, Levene’s test of homogeneity of variance, linear regression was calculated.   \u0000Results: 200 diabetic women were included in our study and 75 healthy women were selected as control. 150 patients were included in the study out of which 95 were males and 55 were females  40%  had  unstable  Angina,  7% had  NSTEMI  and  53% had  STEMI.  prevalence of  anaemia  was  50%  of  the  study  population.  Anaemia varied according to gender and was more in women 70.9% when compared to men 27.3%. Anaemia was also found to be higher in higher age groups and was more in patients with associated co morbidities such as chronic kidney disease,hypothyroidism and  diabetes  . Anaemia patients were also found to have more incidence of unstable angina when compared to other forms of ACS. The most common anaemia found was Microcytic hypochromic iron deficiency anaemia 32%. Out of   those with iron deficiency, upper GI bleed was the most common cause in our patients. Triple Vessel Disease (TVD) patients were also found to have more incidence of anaemia than those with DVD and SVD. \u0000Conclusion: Urinary tract infection is one of the   major disease burden for many patients having diabetes mellitus. Asymptomatic bacteriuria (ASB) is several-fold more common among diabetic women than healthy women. The risk of asymptomatic bacteriuria increases with increasing age. The duration of diabetes mellitus has significant correlation with development of asymptomatic bacteriuria among diabetic women. A significant impairment of metabolic control of diabetes shows an overall increase in the risk of developing asymptomatic bacteriuria. \u0000Keywords: Asymptomatic Bacteriuria, Diabetic Women, UTI","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"83 1","pages":"1436-1440"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79453697","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}
引用次数: 0
PREVALENCE OF MASKED HYPERTENSION AMONG PATIENTS WITH METABOLIC SYNDROME IN A TERITIARY CARE CENTRE 隐匿性高血压在三级保健中心代谢综合征患者中的患病率
Innovative Journal of Medical and Health Science Pub Date : 2020-12-11 DOI: 10.15520/IJMHS.V10I12.3168
S. Devisree, K. Kutty
{"title":"PREVALENCE OF MASKED HYPERTENSION AMONG PATIENTS WITH METABOLIC SYNDROME IN A TERITIARY CARE CENTRE","authors":"S. Devisree, K. Kutty","doi":"10.15520/IJMHS.V10I12.3168","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3168","url":null,"abstract":"Background: There is strong correlation between masked hypertension and metabolic syndrome. Presence of masked hypertension increases the risk of end organ damage, cardiovascular and cerebrovascular events and hence prevalence of masked hypertension among metabolic syndrome patients and its association with various components of metabolic syndrome needs to be defined. \u0000Aim: The aim of our study is to estimate the prevalence of masked hypertension among patients with metabolic syndrome. \u0000To assess the correlation between masked hypertension and various components of metabolic syndrome. \u0000Materials and Methods: 120 patients of age group 18-65 years, who were admitted in Sree Mookambika Institute of Medical Sciences from January 2020 to October 2020, who had metabolic syndrome were included. Inclusion Criteria included patients with waist line circumference > 102 cm in men and >88 cm in females. Triglyceride level > 150mg/dl, HDL , 40 mg/dl in men and 100mg/dl and pre hypertensive range of BP, systolic 130-139 mmHg and diastolic 85-89mmHg.d Chronic hypertensive patients with evidence of end organ damage and patients with severe uncontrolled hypertension were excluded. Relevant data were obtained, Ambulatory BP recordings were taken to identify masked Hypertension. Descriptive and Analytical statistics was performed by SPSS version 20.0. \u0000Results: Out of the 120 patients included in our study, 75 percent had masked hypertension. Our study proved positive correlation between masked hypertension and waist line circumference, elevated FBS, triglyceride, HDL \u0000Conclusion: Our study shows significant prevalence of masked hypertension among patients with metabolic syndrome. Thus early detection of masked hypertension helps in early diagnosis of metabolic syndrome and its better management. \u0000Key words: Masked hypertension, metabolic syndrome.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87738910","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}
引用次数: 0
Body Mass Index Vs Fracture Risk Value Primary Osteoporosis (A Case Study on Women Ages 40-45 Years at Sub-Urban Area) 体重指数与原发性骨质疏松症骨折风险值(以城郊地区40-45岁女性为例)
Innovative Journal of Medical and Health Science Pub Date : 2020-12-07 DOI: 10.15520/IJMHS.V10I12.3175
Wendra, B. P. Suryosubianto, Tezza Adriansyah Anwar, Maharani Andiny Putri
{"title":"Body Mass Index Vs Fracture Risk Value Primary Osteoporosis (A Case Study on Women Ages 40-45 Years at Sub-Urban Area)","authors":"Wendra, B. P. Suryosubianto, Tezza Adriansyah Anwar, Maharani Andiny Putri","doi":"10.15520/IJMHS.V10I12.3175","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3175","url":null,"abstract":"This study aims to determine the relationship between BMI and fracture risk value primary osteoporosis in women aged 40-45 years in sub-urban areas. And how to optimize social activities in the environment as an effort to reduce the risk of osteoporosis. Body mass index is one of the important risk factors for osteoporosis fractures because the protective effects of subcutaneous fat tissue on bone in elderly women are calculated using FRAX®tool. The WHO in collaboration with the Sheffield's University central of metabolic bone disease has created a calculating device, the WHO risk assessment fracture tool (FRAX®tool). FRAX®tool is an online-based device used to calculate the risk of osteoporosis fractures in major bones, namely proximal humerus, wrist, vertebrae, and femur bone in the next ten years. This research is an analytical study using a cross sectional design, the number of samples is 70 female respondents aged 40–45 years in Kelurahan Melong Asih, Cimahi. The relationship between body mass index and the risk of primary osteoporosis fracture, used the rank spearman correlation test. The results of this study indicate a strong negative correlation between body mass index and the risk value of osteoporosis major, while the relationship between body mass index and risk value for osteoporosis femur fracture was found to be a moderate negative correlation. From the results of the risk of major osteoporosis fracture the lower a person's body mass index, the greater the risk of major primary osteoporosis fracture, whereas the results of the risk of femur fracture are only in obese grade II that is low, while other criteria have the same value, so it cannot be concluded if the lower a person's body mass index, the greater the risk value of the femur fracture. \u0000Keywords : Body Mass Index; Fracture Risk Value; Osteoporosis.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84998206","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}
引用次数: 0
Evaluation of Hypertensive crisis presenting to Emergency Room at a Tertiary Care Teaching Hospital focus on initial management 某三级教学医院急诊高血压危象的初步处理评价
Innovative Journal of Medical and Health Science Pub Date : 2020-12-07 DOI: 10.15520/IJMHS.V10I12.3162
Sapna Gupta, Jasvin Vala, J. Gohil, B. Jarwani, S. Malhotra, Pratik Patel
{"title":"Evaluation of Hypertensive crisis presenting to Emergency Room at a Tertiary Care Teaching Hospital focus on initial management","authors":"Sapna Gupta, Jasvin Vala, J. Gohil, B. Jarwani, S. Malhotra, Pratik Patel","doi":"10.15520/IJMHS.V10I12.3162","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3162","url":null,"abstract":"Epidemiological data on the impact of hypertensive crises (emergencies and urgencies) on referral to the Emergency Departments (EDs) are lacking, in spite of the evidence that they may be life-threatening conditions. We performed a study to enroll all patients aged 18 years and over who were admitted to Emergency Department during March to May 2019 for hypertensive crises (systolic blood pressure ?220 mmHg and/or diastolic blood pressure ?120 mmHg). We classified patients as affected by either hypertensive emergencies or hypertensive urgencies depending on the presence or the absence of progressive target organ damage, respectively. Out of these 6614 patients admitted from ED during 3 months 462 patients admitted with uncontrolled hypertension, Out of these 114 patients with Hypertensive crisis. Men had higher frequency then women. Most of the patients had one or more Risk factors present. Almost half of patients were presented with Neurological deficit (43.8%), Dyspnoea (28.2%), Chest pain (19.2%), Headache (14.9%), Giddiness (13.1%). Per orally Calcium channel blocker most commonly used while intravenous Labetalol most commonly used.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"189 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76167573","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}
引用次数: 0
SENSITIVITY VALUE OF IgA AND NS1 SEROLOGIC TEST IN EARLY DIAGNOSIS OF DENGUE INFECTION IN FEBRIS PATIENTS 3-5 DAYS, WHICH ONE IS MORE EFFECTIVE? IgA和NS1血清学检测在发热患者3 ~ 5天早期诊断登革感染中的敏感性价值,哪一种更有效?
Innovative Journal of Medical and Health Science Pub Date : 2020-12-07 DOI: 10.15520/IJMHS.V10I12.3164
Rini Sundari Tezza Adriansyah Anwar Yudith Yunia Kusmala, Jovy Yudha Tamba
{"title":"SENSITIVITY VALUE OF IgA AND NS1 SEROLOGIC TEST IN EARLY DIAGNOSIS OF DENGUE INFECTION IN FEBRIS PATIENTS 3-5 DAYS, WHICH ONE IS MORE EFFECTIVE?","authors":"Rini Sundari Tezza Adriansyah Anwar Yudith Yunia Kusmala, Jovy Yudha Tamba","doi":"10.15520/IJMHS.V10I12.3164","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3164","url":null,"abstract":"The aim of this study was to determine the sensitivity level of IgA and NS1 serological tests in early diagnosis of dengue infection in febris patients 3–5 days in Cimahi. Next is to find out which of the two serological tests is the most effective for early diagnosis of dengue infection in febris patients for 3-5 days. The incidence and death rate due to dengue virus infection is still quite high, especially in several areas in Indonesia. The clinical manifestations of dengue virus infection are very diverse and the outcome of dengue infection (prognosis) is difficult to predict. An efficient and accurate diagnosis of dengue is the most important part of the patient care process. Serological examination is a laboratory diagnostic method that is often used to confirm the presence of dengue virus infection. NS1 and IgA anti-dengue are serologic tests that are often used, especially in the acute phase of the disease. This study aims to determine differences in the sensitivity of NS1 and IgA in patients with dengue infection with a fever of 3–5 days. This study was a prospective analytic observational study with a cross-sectional design. The subjects of this study were patients with dengue infection with a duration of 3-5 days. The number of samples that met the inclusion criteria was 69 people. The results of this study showed differences in the sensitivity of NS1 and IgA to antidengue in patients with dengue infection with a fever of 3-5 days. NS1 examination had the highest sensitivity value on the 3rd day of 75.0% and the lowest on the 5th day of 52.4%. Anti-dengue IgA examination had the lowest sensitivity value on the 3rd day of 10.0% and the highest on the 5th day of 42.9%. \u0000  \u0000Keywords : S1, IgA Antidengue, Dengue infection, sensitivity.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"43 1","pages":"1425-1431"},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80129060","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}
引用次数: 0
PREDICTORS OF SUCCESSFUL OUTCOME OF TRANS OBTURATOR VAGINAL TAPE (TOT) SURGERY AND ITS EFFECT ON FEMALE SEXUAL FUNCTION 经闭孔阴道带(tot)手术成功预后的预测因素及其对女性性功能的影响
Innovative Journal of Medical and Health Science Pub Date : 2020-12-07 DOI: 10.15520/IJMHS.V10I12.3161
Dineshan Km
{"title":"PREDICTORS OF SUCCESSFUL OUTCOME OF TRANS OBTURATOR VAGINAL TAPE (TOT) SURGERY AND ITS EFFECT ON FEMALE SEXUAL FUNCTION","authors":"Dineshan Km","doi":"10.15520/IJMHS.V10I12.3161","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I12.3161","url":null,"abstract":"INTRODUCTION \u0000To evaluate  predictors of successful outcome of trans obturator vaginal tape (TOT) \u0000surgery and its effect on female sexual function \u0000  \u0000METHOD:Total  59 patients with Stress Urinary Incontinence underwent TOT repair using both “inside out” and  “outside–in” technique.  All patients were sexually active in the previous 6 months.Patient were compared before surgery and 6 months after surgery using :Patient global impression of improvement , International consultation of incontinence questionnaire ,Urogenital distress inventory ,Female sexual Index Questionnaire , Patient perception of intensity of urgency scale \u0000RESULT AND DISCUSSION \u0000Out of 59 patient, 35 female were pre menopausal and rest 24 were post-menopausal. Mean age was 46.49 yrs of female undergoing surgery. Patients had SUI for 25.42 months before they decided to undergo surgery . Out of 59 patient , 38 patient cured (ICIQ=0 ), 18 improved (ICIQ <12), 3 had no improvement. Female sexual function improved overall and  in all domains , according to FSFI scoring  . In long term three patient had mesh erosion and underwent mesh release or excision. \u0000CONCLUSION \u0000Trans obturator tape insertion for stress urinary incontinent patient  has good success rate and factors like young age, less severity of urgency, milder grade of stress incontinence , decrease time gap between starting of symptoms and  treatment , parity , lack of chronic co morbid condition had favorable effect. Patient had improvement in all domains of sexual function in both pre and post menopausal group.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74420862","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}
引用次数: 0
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