International journal of scientific research最新文献

{"title":"OBSTETRIC MORBIDITY ASSOCIATED WITH CESAREAN NICHE: A CASE REPORT","authors":"Nahla Hatam Hamodi","doi":"10.36106/ijsr/4720649","DOIUrl":"https://doi.org/10.36106/ijsr/4720649","url":null,"abstract":"We presented the case of a 32-year-old woman with a history of two early pregnancy losses and previous cesarean delivery 2012. had a laparoscopic\u0000repair of the cesarean niche in 2018, she experienced an intrauterine fetal demise at 27 weeks in her subsequent pregnancy, leading to medical\u0000management with Misoprostol. In 2023 with new pregnancy at 39 weeks and 6 days gestation, she presented with lower abdominal pain,\u0000necessitating emergency management with cesarean section due to a scar dehiscence-like pouch. A baby girl was delivered with favorable\u0000outcomes. This case underscores the importance of early diagnosis and appropriate management of cesarean niche pregnancy to prevent maternal\u0000complications. Early recognition and prompt intervention are crucial for optimizing outcomes in cesarean niche pregnancies.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":" 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131918","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":"CLINICOPATHOLOGICAL FACTORS AND THEIR PROGNOSTIC IMPORTANCE IN EWING SARCOMA: AN INSTITUTIONAL STUDY","authors":"S. Vissa, Sivakumar Vulava, R. Nandyala, Burla Rama Mounika, Visweswara Rao Guthi","doi":"10.36106/ijsr/7307226","DOIUrl":"https://doi.org/10.36106/ijsr/7307226","url":null,"abstract":"Background: Ewing sarcoma family of tumors are aggressive tumors with small round cell morphology constituting 6% to 8% of primary bone\u0000tumors occuring in children and young adults. Aims: Study aims to identify the differences in the clinicopathological features and their prognostic\u0000importance in patients with skeletal and extraskeletal Ewing sarcoma Methodology: A retrospective hospital based study was carried out in the\u0000department of pathology from January 2015 to June 2023 after getting approval from institutional committee. Clinic pathological data of Ewing\u0000sarcoma cases were collected from hospital records and analyzed. Results: our study included 37 cases of Ewings sarcoma. Out of which\u0000maximum were skeletal and showed male predominance. Skeletal Ewings were seen more in at bones and extraskeletal in thigh. Maximum\u0000number of tumors were seen in the age group below 20years and were of size more than 5cms. Metastasis was seen in maximum number of\u0000extraskeletal ewings, with tumor size larger than 5cms and in patients with age group less than 20 years. Conclusion: Extra skeletal Ewing\u0000sarcoma, male sex, age less than 20 years, size more than 5cms were associated with worse prognosis.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"103 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134506","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":"UNDERSTANDING INTERSTITIAL LUNG DISEASE IN POST COVID-19 PATIENTS AS A NEW FIBROINFLAMMATORY DISEASE","authors":"Apoorva Tripathi, Rajeev Mudkavi, Sumit Anand","doi":"10.36106/ijsr/6808741","DOIUrl":"https://doi.org/10.36106/ijsr/6808741","url":null,"abstract":"Introduction: The COVID-19 pandemic has revealed a spectrum of pulmonary complications, ranging from acute respiratory distress syndrome\u0000(ARDS) to long-term sequelae such as interstitial lung disease (ILD). Post-COVID ILD presents a novel challenge, characterized by a\u0000broinammatory process that differs from traditional ILDs. This article aims to provide a comprehensive understanding of post-COVID ILD,\u0000exploring its pathogenesis, clinical manifestations, diagnostic approaches, and therapeutic considerations. We delve into the interplay between\u0000viral infection, dysregulated immune responses, and brotic pathways, shedding light on the mechanisms underlying disease progression. Clinical\u0000phenotypes and radiological patterns of post-COVID ILD are elucidated, emphasizing the importance of multidisciplinary collaboration for\u0000accurate diagnosis and management. By synthesizing current evidence and clinical insights, this article aims to enhance clinicians' understanding\u0000of post-COVID ILD, facilitating optimized care for affected individuals in the post-pandemic era. The Material and Methods: study was a\u0000retrospective, observational cross-sectional study conducted in JNUIMSRC, Jaipur, Rajasthan. A total of 15 patient cases who presented to the\u0000Outpatient Department of JNUIMSRC, Jaipur from August 2022 to March 2023, with symptoms of cough, shortness of breath, chest pain and\u0000dyspnea with symptom history of more than 3 months were evaluated using High resolution computed tomography. We assessed the clinical\u0000symptoms and radiological patterns of the cases to determine the trajectory of the disease. This study included patients of all ages and genders who\u0000presented with symptoms of dyspnea, cough and chest pain with symptom duration > 3 months with a clinic-radiological diagnosis of COVID-19\u0000infection who consented to be a part of this study. The proposition that post-COVID-19 syndrome contr Results- ibutes to Interstitial Lung Disease\u0000suggests that tissue damage occurs directly, potentially inciting autoimmunity, and is compounded by exposure to neoantigens, as well as the\u0000generation of antibodies whose identities remain elusive. This phenomenon arises from a complex interplay involving immunological responses,\u0000genetic predispositions, tissue damage resulting from COVID-19 infection, the impact of acute respiratory distress syndrome, and the inltration\u0000of macrophages during the acute phase of the disease. These factors collectively instigate a broproliferative cascade, culminating in the\u0000recruitment of broblasts and myobroblasts, alongside excessive extracellular matrix deposition within the pulmonary interstitium. This process\u0000ultimately leads to brosis and architectural damage within the lung tissue. Conclusion- After experiencing SARS-CoV-2 pneumonitis, a subset of\u0000patients develop interstitial lung disease, resulting in enduring functional impairment of the lungs. Even a minor proportion of individuals affected\u0000by this condition is poised to impos","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140473","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":"SUBCUTANEOUS FAT SUTURE IN CESAREAN SECTIONS AND WOUND DISRUPTION","authors":"Nahla Hatam Hamodi","doi":"10.36106/ijsr/0520762","DOIUrl":"https://doi.org/10.36106/ijsr/0520762","url":null,"abstract":"Background: Cesarean sections, which are performed either elective or as an emergency, have become a common procedure in obstetrics.\u0000Although there are many advantages of this procedure for the baby as well as for the mother in apt situations, there are many risks associated with it.\u0000Wound infection, or disruption is a common complication following caesarean section. The factors inuencing the risk of these complications are\u0000many but maternal obesity, an increase in the subcutaneous fat, and its closure after the procedure are the main risk factors. Since there are no basic\u0000recommendations regarding suturing, the type of suture materials to be used, etc., the procedure varies among the practitioners, and hence the\u0000complications after the procedure. Thus, in this article, the effects of suturing the subcutaneous fat in cesarean sections on wound disruption are\u0000reviewed and the current status of the choice of suture materials to be used is also considered. Conclusion:There are no strong shreds of evidence to\u0000prove the inuence of suturing the subcutaneous fat or the type of suture material used on wound disruption during cesarean section. Most of the\u0000authors agree with the fact that closure of the subcutaneous fat reduces the risk of wound disruption for subcutaneous tissue larger than 2 cm","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141145553","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":"LAPAROSCOPIC CHOLECYSTECTOMY AFTER PERCUTANEOUS CHOLECYSTOSTOMY : ASSESSING FEASIBILITY AND SAFETY.","authors":"Priya Gupta, Vishakha Kalikar, Avinash Supe, Roy Patankar","doi":"10.36106/ijsr/4307980","DOIUrl":"https://doi.org/10.36106/ijsr/4307980","url":null,"abstract":"Acute calculous cholecystitis is one of the most common surgical entities seen in practice and laparoscopic cholecystectomy is the gold standard\u0000surgical procedure for its treatment. According to the Tokyo guidelines , Grade 3 cases present with organ dysfunction and hence Percutaneous\u0000cholecystostomy (PCT) has been recommended as a bridge to surgery to control sepsis when a patient is unt for surgery or has a high ASA grading\u0000and the ones who do not respond to antibiotics. Successful laparoscopic cholecystectomy after percutaneous cholecystostomy can be safely carried\u0000out without the need for conversion to open surgery with a thorough knowledge of the biliary anatomy, surgical modications such as subtotal\u0000cholecystectomy and access to advanced imaging system and procedures such as intravenous indocyanine green and intra-operative ERCP.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"359 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138363","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 STUDY TO ASSESS THE KNOWLEDGE AND ATTITUDE REGARDING HUMAN MILK BANKING AMONG FINAL YEAR NURSING STUDENTS OF SELECTED NURSING COLLEGE, MANGALORE","authors":"Divya V, Bibi Augustin","doi":"10.36106/ijsr/1701449","DOIUrl":"https://doi.org/10.36106/ijsr/1701449","url":null,"abstract":"Human milk banking has been serving the golden purpose of reaching out to the sick or needed babies by supplying the breast milk. This study was\u0000conducted aiming at student nurses understanding and attitude towards human milk banking. A cross sectional descriptive study design was\u0000adopted to assess the knowledge of 126 nal year GNM and BSc nursing students selected by convenient sampling and the the information required\u0000were collected using socio-demographic sheet; knowledge ascertained by self- structured questionnaire and attitude by Likert scale. Study ndings\u0000revealed that majority of nursing students 61.10% had average, 36.50% poor and only 2.40% good knowledge regarding human milk banking\u0000whereas 55.6% had satisfactory and 44.4% good attitude towards the human milk banking. There was a signicant correlation found between the\u0000nursing students' knowledge and attitude towards human milk banking (p1.68008e-10). There's need for further improvement in knowledge of\u0000nursing students by training and hands on experience in the functioning of human milk banking.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"95 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032272","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":"THE LASTING IMPACT OF COVID-19 ONLINE EDUCATION ON COLLEGE STUDENT FRUSTRATION, IMPATIENCE, AND ENROLLMENT TRENDS","authors":"William E. Johnson, Eric Vogel","doi":"10.36106/ijsr/1220182","DOIUrl":"https://doi.org/10.36106/ijsr/1220182","url":null,"abstract":"The COVID-19 pandemic precipitated an abrupt transition to online education, disrupting the traditional collegiate experience and presenting\u0000multifaceted challenges for students, faculty, and administrators. This article examines the impact of the pandemic-induced shift to online learning\u0000on college students, focusing on their well-being, academic performance, and future educational plans. A comprehensive review of existing\u0000literature reveals heightened frustration and impatience among students due to technical difculties, reduced interaction, increased workload,\u0000inadequate support, and challenging home learning environments. These factors have contributed to a decline in student satisfaction and\u0000engagement, as well as exacerbated mental health issues, such as anxiety and depression. Furthermore, enrollment trends indicate an increase in\u0000student decisions to stop out, inuenced by nancial concerns, mental health struggles, and the desire for a more conventional college experience.\u0000The article concludes with a discussion on the implications for the future of higher education, emphasizing the need for institutions to adapt by\u0000investing in robust online infrastructure, expanding mental health resources, and fostering community. Strategies for improving student\u0000engagement and success in post-pandemic education include the implementation of hybrid learning models, enhanced faculty training, and\u0000comprehensive student support services. The ndings suggest that by embracing a student-centered approach and learning from this experience,\u0000higher education can better prepare students for future disruptions and ensure a more resilient academic environment.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"16 S3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141146","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":"EXTRAPANCREATIC PSEUDOPAPILLARY NEOPLASM ARISING FROM THE MESENTERY, MASQUERADING AS A MESENTERIC CYST – A CASE REPORT","authors":"Praharsha G S, B. V. C. Jagadeesh, N. D. T","doi":"10.36106/ijsr/0609116","DOIUrl":"https://doi.org/10.36106/ijsr/0609116","url":null,"abstract":"Background: Methods: Solid Pseudopapillary Neoplasms of the Pancreas are rare entities, and extrapancreatic origin of SPN are even rarer. (2)\u0000We present a case of a 30-year-old female with a slow growing abdominal mass, who underwent exploratory laparotomy owing to the clinical\u0000suspicion of a mesenteric cyst. Intraoperatively, there was a nodular growth arising from the mesentery, which on histopathologic exam showed\u0000sheets of small round cells arranged in patterns of papillae and pseudopapillae, and on IHC, these cells were positive for β-Catenin, conrming the\u0000diagnosis of Solid Pseudopapillary Neoplasms of the Pancreas. (3) There are 50 reported cases of Ext Conclusion: rapancreatic SPN, with only one\u0000other documented case arising from the mesentery, in the English literature. Although Pancreatic SPNs have low malignant potential,\u0000Extrapancreatic SPNs have been observed to have higher metastatic potential and recurrence rates, hence excision is recommended.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"344 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144129","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":"CLINICAL OUTCOMES OF ANTERIOR CERVICAL DISCECTOMY AND FUSION WITHOUT PLATING FOR TREATMENT OF CERVICAL DISC HERNIATION","authors":"V. N. M. Krishna, N Vishnu Vardhan","doi":"10.36106/ijsr/9001622","DOIUrl":"https://doi.org/10.36106/ijsr/9001622","url":null,"abstract":"In a comprehensive prospective study involving 50 participants, the efcacy of Anterior Cervical Discectomy and Fusion (ACDF) without the use\u0000of anterior plating was evaluated for the treatment of cervical disc herniation. The study's ndings, observed over a 1-year follow-up period,\u0000revealed that a substantial majority, 96%, experienced complete relief from radicular pain, and 91% reported signicant functional improvements.\u0000The data further highlighted a notable enhancement in patients' quality of life, as evidenced by a marked improvement in Neck Disability Index\u0000(NDI) scores from 11% at the 3-month mark to 7% at the conclusion of the study. Additionally, EQ-5D scores, indicative of overall health status,\u0000reached an optimal level of 5.0. The incidence of surgical complications and the need for subsequent procedures due to adjacent segment disease\u0000were found to be minimal. These promising outcomes underscore the potential of ACDF without plating as a viable, minimally invasive therapeutic\u0000option for individuals suffering from cervical disc herniation, emphasizing the necessity for extended research to further validate these preliminary\u0000ndings. This prospective study is aimed to evaluate the clinical outcomes of anterior cervical discectomy and fusion (ACDF) without plating in\u0000patients with cervical disc prolapse. The study was conducted over a period of one year, encompassing 50 cases that underwent ACDF without\u0000anterior plating. The primary objective was to assess the effectiveness of this less invasive surgical approach in terms of pain relief, functional\u0000recovery, fusion rates, and overall patient satisfaction.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"7 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141023926","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":"FACTORS ASSOCIATED WITH POOR GLYCEMIC CONTROL IN COLOMBIAN TYPE 2 DIABETIC PATIENTS","authors":"R. Buendia, Mónica Zambrano, A. Buendia","doi":"10.36106/ijsr/4120819","DOIUrl":"https://doi.org/10.36106/ijsr/4120819","url":null,"abstract":"Background And Aims: Type 2 diabetes is considered an epidemic disease, and its control is important for preventing macro- and microvascular\u0000complications. This study aimed to determine the factors associated with poor glycemic control, dened as an HbA1c level >7%, in type 2 diabetic\u0000patients in the cardiovascular risk program of the Hospital Central Policia Nacional de Colombia. Methods:This was a descriptive cross-sectional\u0000study in which univariate and multivariate analyses were performed on factors associated with poor glycemic control in type 2 diabetes patients.\u0000Results: A total of 1058 type 2 diabetic patients were included in this study. The independent factors for poor glycemic control were LDL\u0000cholesterol>100 mg/dl, OR=1.47 (95% CI 1.12 to 1.94, p=0.006); HDL<40 mg/dl in men and <50 mg/dl in women, OR=1.44 (95% CI 1.043 to\u00001.990, p=0.027); duration of diabetes, OR=1.066 (95% CI 1.049 to 1.084, p=0.001); albuminuria>30 mg/g creatinuria, OR=1.484 (95% CI 1.110\u0000to 1.978, p=0.007); and IDF criteria for metabolic syndrome, OR=2.30 (95% CI 1.470 to 3.590, p=0.001), adjusted for age, smoking status, body\u0000mass index, and triglycerides. Conclusion: Metabolic syndrome is an independent factor for poor glycemic control in type 2 diabetic patients,\u0000which highlights the importance of therapeutic lifestyle changes and suggests that metabolic syndrome should be included in cardiovascular risk\u0000prevention and control programs","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"358 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138638","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}