New Frontiers in Medicine and Medical Research Vol. 2最新文献

{"title":"Study of Clinical Implications of Variable Patterns of Major Arteries of Neck with Their Ontological Basis","authors":"P. Sonje, Neelesh Kanasker, P. Vatsalaswamy","doi":"10.9734/bpi/nfmmr/v2/3357f","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/3357f","url":null,"abstract":"Objective: As arterial variations are very commonly seen in different arteries of body, study of External carotid artery was carried out to know the variability in it. The main artery supplying the structures of the neck and face is the external carotid artery. From the standpoint of surgeries performed in that location, variations in the branching pattern of the external carotid artery are essential surgically and radiologically. The goal of this research was to look into the branching pattern of the external carotid artery. \u0000Methods: The external carotid artery was studied by dissecting the carotid triangle of the neck and the infra temporal fossa. \u0000Results: The common carotid artery usually splits near the upper boundary of the thyroid cartilage lamina. \u0000The level of bifurcation of the common carotid artery can vary; it might develop at a lower or higher level than its normal origin, as seen in this study. \u0000The superior thyroid artery, the facial artery, and the lingual artery are some of the branches of the external carotid artery that have different origins. These include the superior thyroid artery's origin from the common carotid artery, a common trunk for the facial and lingual arteries, and a variety of other variations. These were found in this study. \u0000Conclusion: The different sources of the branches of the external carotid artery are significant in thyroid, parotid gland, and tongue surgeries, as well as in head, neck, and face diagnostic procedures.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"140 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79192866","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":"Diabetes Mellitus and Myocardial Infarction: Correlation Among Based on a Study in a Tertiary Care Centre, India","authors":"Debananda Sahoo, L. Mohanty","doi":"10.9734/bpi/nfmmr/v2/2923f","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/2923f","url":null,"abstract":"Background: Diabetics have a higher mortality rate during the acute phase of a myocardial infarction (MI) and a higher morbidity rate during the post-infarction period. The purpose of this study was to determine the prevalence of diabetes as a risk factor for acute myocardial infarction. \u0000Methods: For each patient, detailed demographic information such as age, gender, weight, BMI, blood pressure, smoking and alcohol history, and previous clinical and medical history were recorded. Blood was drawn from the patients to determine random blood glucose levels and HbA1c levels. Fasting blood glucose levels were measured on the second and fifth days of admission. \u0000Results: The average age of the patients was roughly 66 years, and 63.5 percent were males and just 36.5 percent were females. The majority of MI patients admitted to hospitals were obese or overweight, with high cholesterol and triglyceride levels. 59 (56.7%) of the 104 patients did not have diabetes, while 29 (27.9%) were diabetics. During their hospitalisation, 11 (10.6 percent) of them were diagnosed as diabetic. \u0000Conclusions: Chronic and acute hyperglycemia associated with acute coronary syndromes, most notably acute myocardial infarction, is an independent and determinant factor in outcome for patients with and without diabetes mellitus.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73193303","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 on Prevalence and Severity of Vitamin D Deficiency in Type 2 Diabetic Patients","authors":"H. Pandya, D. Patel","doi":"10.9734/bpi/nfmmr/v2/3028f","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/3028f","url":null,"abstract":"Background: The current worldwide epidemic of diabetes mellitus is a serious health problem because of the high toll of vascular complications. Vitamin D deficiency as emerging epidemic have effect on pathophysiology of diabetes mellitus by various mechanisms. \u0000Aims: The objectives were to assess the prevalence and severity of vitamin D deficiency in type 2 DM as well as to record the effect of hyperglycaemia on serum vitamin D level. \u0000Methods: In this case-control study 70 type 2 diabetic patients were taken as cases and 70 healthy individuals as controls. All participants included in this study were subjected to complete history taking and clinical examination and routine laboratory Investigations were done for all participants. The data was analyse using appropriate statistical tests. \u0000Results: The prevalence of low vitamin D level (inclusive of insufficiency and deficiency) was 18.57% in healthy controls, while 84.29% in diabetic group. Mean level of vitamin D in cases was 25.73±7.27 while 34.55±5.17 in healthy population (p value <0.05). Vitamin D deficiency is more seen in uncontrolled diabetes patients. Inverse correlation was recorded between HbA1C and serum vitamin D level (r = - 0.281, p value = <0.001). \u0000Conclusions: Vitamin D deficiency is highly prevalent in diabetic patients as compare to normal healthy population. All patients of type 2 Diabetes patients must have screened for serum vitamin D level and if found deficient than it should be treated promptly with vitamin D supplements for better control of hyperglycaemia.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75749703","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 on Leiomyoma in the Space of Retzius","authors":"Shweta, S. Anjum, Zehra Mohsin, A. Anees","doi":"10.9734/bpi/nfmmr/v2/3221f","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/3221f","url":null,"abstract":"Leiomyoma although are the most common benign tumour of reproductive age group females, their clinical diagnosis poses a huge problem to the clinician especially extrauterine leiomyomas. Space of retzius is one such location where they usually remain asymptomatic. These may sometimes present with minor complaints like pain lower abdomen, urinary complaints, pelvic mass and rarely infertility. Till now in the literature so far, only few cases of extrauterine leiomyoma have been reported making their management difficult.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75154805","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":"Determination of Occupational Burnout among Private Dental Practioners in Bengaluru, India","authors":"Mayur Mishra","doi":"10.9734/bpi/nfmmr/v2/3120f","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/3120f","url":null,"abstract":"Introduction: Dentistry is highly rewarding profession, but it’s very demanding job with high degree of concentration and precision in work. Dentists seem to be prone to professional burnout, anxiety disorders and clinical depression because of the variety of sources of stress encountered throughout the professional career.\u0000Objectives: To determine the burnout level and physical exhaustion among private dental practitioners.\u0000Materials and Methods: A cross sectional study was carried out on private dental practitioners in Bengaluru city. A questionnaire containing 22 items Maslach Burnout Inventory and demographic detail, was administered. The response rates were obtained using a likert scale ranging from 0-6. Analysis for p value, cronbach’s (alpha) for each questions (>0.700 = high consistency), correlation- coefficient, frequency and comparison of variables, were done.\u0000Results: The study found high level of burnout in 11.3% of participants. It also showed age group of <=25 and 25-35, females were highly influenced. More amount of burnout level found in general practitioners than specialists. Study also indicates that backache 48% and headache 44.7% were main reasons for physical exhaustion followed by neck-ache 34% and hand and wrist disorders 23.7%.\u0000Conclusion: As health care provider the dentists are subjected to interpersonal stress due to the demanding nature of the occupation and close proximity to the patient. Moderate to high level of burnout were detected in the study sample, it’s recommended that attention for burnout risk should be given priority by dental professionals.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85390162","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":"An Analysis of Perioperative Risk Factors for Long Term Survival after Surgery for Acute Type A Dissection Focusing on Gender-specific Differences","authors":"F. Harig, A. Engel, J. Rösch, M. Weyand","doi":"10.9734/bpi/nfmmr/v2/3404f","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/3404f","url":null,"abstract":"We focused on gender specific perioperative risk factors for the survival of an acute Stanford type A aortic dissection. \u0000A cohort of 147 patients undergoing surgery since 2004 was studied in a 9 year follow-up. Analysis was performed using Cox-proportional hazard model focusing on 36 variables. \u0000Survival after 1y (5, 10y) was 98% (88%, 50%). Early mortality was 25%, 27% female, with a higher age (+10y, mean, 64±10y) than men. In the 7th decade, percentage of women was as twofold higher and threefold higher in the 8th decade. Survival probability (Log rank test) for the first postoperative year was 0.82/0.77 (female/male) for 5 years 0.70/0.71, and 0.46/ 0.50 for 10 years. Risk factor analysis showed women having a high hazard ratio for death in case of resternotomy (16.543), bleeding (8.1), and renal insufficiency (3.4). \u0000Only EURO-Score (1.103, p=0.038) and length of hospital stay (0.849, p=0.015) were significant risk factors for death. \u0000The survival curve declines between 5 and 10 years (88% to 50%). In male patients, age and resternotomy had a significant influence on survival. Women had a higher incidence for aortic type a dissection in the 7th and 8th decades. Gender did not influence survival.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89412846","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 Manual Liquid Based Cytology in Diagnosis of Gynecologic Pathology","authors":"N. Manoli, Nandish S. Manoli, L. Kakoti, A. Kamath, S. Kulkarni","doi":"10.9734/bpi/nfmmr/v2/3205f","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/3205f","url":null,"abstract":"Abnormal uterine bleeding (AUB) is a commonly encountered complaint in gynecology department. Endometrial cancer is the fourth most common malignancy in women and the most frequent gynecological cancer in developed countries. With 5,28, 000 new cases every year, cervical cancer is the fourth most common cancer affecting women worldwide, after breast, colorectal, and lung cancers. Though the cytological examination has been the mainstay for early detection of cervical cancer, and found to be useful in detection of endometrial cancer, its widespread use has not been possible in the developing countries due to paucity of resources, man power and other facilities Its sensitivity reduces to less than 50% when there is presence of obscuring blood, inflammation or thick areas of overlapping epithelial cells. Manual Liquid Based Cytology (MLBC) is a cost effective technique that enables cells to be suspended in a monolayer and thus improve detection of precursor lesions and specimen adequacy. The residual sample can be used for other tests like Cell block and immunocytochemistry. \u0000Objectives: 1. Toimprove the diagnosis of gynecological cancers by a method called as Manual Liquid Based Cytology (MLBC). 2. To study a cost effective method of studying both endometrial and cervical cancer with help of ancillary techniques like cellblock, immunocytochemistry 3To compare the findings between conventional pap smear (CPS) and MLBC in detection of gynecological conditions of endometrium and cervix. \u0000Methodology: Samples were collected using Ayres spatula by split sample technique from transformation zone of cervix which included outpatients of gynecology dept. The women were aged between 20-60 years, 82 cases with bleeding history were taken to study endometrial pathology, while 100 cases of white discharge per vagina were selected to study the cervix. 60 cases were later subjected to ancillary studies like cellblock with Immunocytochemistry. Histopathological correlation was done for cases wherever possible. \u0000Results: The study on endometruim showed MLBC is more sensitive and specific than CPS in diagnosis of malignant lesions. The contingency coefficient for LBC/Histopathology V/s CPS/Histopathology was 0.572 V/s 0.556. It was observed for cervical lesion that increased detection rate was 150% for low grade intraepithelial lesion. The Positive predictive value for diagnosing neoplastic lesions on cell blocks was 75%, while Concordance Rate of CB/Histopathology Vs CPS/Histopathology was 74% vs. 54%. \u0000Conclusion: MLBC is a cost effective method for detections of cancerous lesions of endometruim andcervix. It has been found to be useful in both Endometrial and cervical cytology in increasing the detection of infection and neoplastic conditions of female genital tract.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83262306","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 Mind Genomics Cartography of Insurance for Home Project Contracts: Selling to the ‘Mind’ of the Insurance Prospect","authors":"H. Moskowitz, A. Gere","doi":"10.9734/bpi/nfmmr/v2/8904d","DOIUrl":"https://doi.org/10.9734/bpi/nfmmr/v2/8904d","url":null,"abstract":"The paper introduces the science and process of Mind Genomics as a process by which to reveal the mind of prospects regarding the factors surrounding insurance, specifically insurance that the home contractor will complete the project satisfactorily. There are a lot of insurance companies in the world, and, in turn, a great deal of advertising, advertising testing, and an entire world of professional consumer researchers supporting the effort to sell the advertising. The objective is to uncover the existence and nature of groups of people sharing the same point of view about what they want in such insurance. The Mind Genomics process works through experimental design, presenting respondents with vignettes, combinations of messages about insurance, totally different combinations for each respondent. The subsequent analysis by regression reveals which messages make the respondent feel comfortable with the project and the insurance versus which messages make the respondent feel insecure and ready to drop the project. The data suggest three mind-sets of people: project-focused, contractor-focused, and legal/finance-focused, respectively, corresponding to different aspects of the contracting relationship. We introduce the PVI, personal viewpoint identifier, to assign a new person to one of these three mind-sets, to aid sales and client service.","PeriodicalId":19158,"journal":{"name":"New Frontiers in Medicine and Medical Research Vol. 2","volume":"12 Suppl 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76561325","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}