iosr-JDMS   Volume-20 ~ Issue-6 ~ June 2021

Abstract: Safe pregnancy is beautiful voyage ending with birth of two lives. But, some co morbidities can affect this target like hypertensive disease of pregnancy. Hypertensive disorder remains the most significant and intriguing unsolved problems in obstetrics. These disorders complicate 5 to 10 percent of all pregnancies; together they are one of the Deadly triad- along with the haemorrhage and infection that contribute greatly to maternal morbidity and mortality rates (1). Hypertension is diagnosed empirically when appropriately taken blood pressure exceeds 140 mm of Hg of systolic or 90 mm of Hg diastolic pressure (2). Hypertensive disorders during

[1]. Samanta, Kallol. Study of Maternal and Perinatal Morbidity and Mortality in Hypertensive Disorders Complicating Pregnancy. Diss. RGUHS, 2006.
[2]. Carretero, Oscar A., and Suzanne Oparil. "Essential hypertension: part I: definition and etiology." Circulation 101.3 (2000): 329-335.
[3]. Brown, Mark A., et al. "Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice." Hypertension 72.1 (2018): 24-43.
[4]. Chesley, Leon C. "THE ORIGIN OF THE WORD "ECLAMPSIA": A Vindication of de Sauvages." (1972): 802-804.
[5]. Imperato A, Honore T, Jensen LH. Dopamine release in the nucleus caudatus and in the nucleus accumbens is under glutamatergic control through nonNMDA receptors: a study in freely-moving rats. Brain research. 1990 Oct 22;530(2):223-8.

Abstract: Background: Osteoarthritis, the most prevalent form of arthritis is a chronic disorder of synovial joints in which there is progressive softening and disintegration of articular cartilage accompanied by new growth of cartilage and bone at the joint margins (osteophytes), cyst formation and sclerosis in the subchondral bone, mild synovitis and capsular fibrosis. It is associated with increased risk of mobility disability for those with affected knees being greater than that due to any other medical condition in people aged 65 years. Analgesics and anti-inflammatory drugs are the most common agents used in the management of knee osteoarthritis but these only act as symptomatic treatment and do not provide a cure and are associated with serious adverse events on gastrointestinal, renal and cardiovascular systems. The ideal treatment should modify the natural history of osteoarthritis and alter the articular cartilage......

Keywords: Osteoarthritis knee; Rosehip extract; Boswellia serrata extract; Devil's claw extract; Diacerein; WOMAC; T2 mapping.

[1]. Louis Solomon. 'osteoarthritis', in Solomon, Warwick, Nayagam (ed.) apley's system of orthopaedics and fractures.London: hodder
Arnold. 2010;87-88. [2]. Martin JA, Buckwalter JA. Roles of articular cartilage aging and chondrocyte senescence in the pathogenesis of osteoarthritis. Iowa Orthop J 2002;1-7. [3]. Peach CA, Carr AJ, Loughlin J. Recent advances in the genetic investigation of osteoarthritis. Trends Mol Med. 2005;11:186-91.[4]. Solomon L, Beighton P, Valkenburg HA. Rheumatic disorder in the South African Negro. Part I. Rheumatoid arthritis and ankylosing spondylitis. S Afr Med J. 1975;49(32):1292-6.
[5]. Davis MA, Ettinger WH, Neuhaus JM, et al. Sex differences in osteoarthritis of the knee. The role of obesity. Am J Epidemiol.
1988;127:1019-30.

Abstract: Analyzes the specific case of the Professional School of Library and Science of the Information of the Faculty of Letters and Human Sciences UNMSM, it is appreciated that the students present, constraints and anguishes that can break the relationships in the group, conflicts between them sometimes occur inside and outside the classrooms, there are also differences, animosities, inadequate communication, and lack of cooperation among students who do not contribute to the educational quality. Research problems arise. How is the climate of the university classroom related and educational quality in the students of the Professional School of Librarianship and Information Sciences of the Faculty of Humanities and Humanities of the UNMSM......

KEY WORDS: EDUCATIONAL QUALITY; UNIVERSITY CLASSROOM; LIBRARY SCIENCE; UNMSM; PERU.

[1]. Alarcón Mujica, Silvia Zarela (2013). Gestión educativa y calidad de la educación en instituciones privadas en Lima Metropolitana. Tesis de Maestría. Universidad de San Martín de Porres.
[2]. Alvarez García, Isaías (2016). Cultura de la evaluación y desafíos para el desarrollo de las instituciones educativas. Limusa.
[3]. Andión Gamboa, Mauricio (2007). Sobre la calidad en la educación superior: una visión cualitativa. Reencuentro, núm. 50, diciembre, 2007, pp. 83-92. Universidad Autónoma Metropolitana Unidad Xochimilco.
[4]. Barreda Gómez, María Soledad (2012). El docente como gestor del clima del aula. Factores a tener en cuenta. Universidad de Cantabria.

Abstract: Describes the design and preparation of the tutorial plan for general studies at UNMSM, during 2019, highlighting a series of activities for the benefit of students. Likewise, during the pandemic that began in March 2020, the universal tutoring experience was carried out based on national accreditation in the Faculty of Letters and Human Sciences. The results obtained to continue motivating students in university life are highlighted

Keywords: Tutoring; General studies; Library science; UNMSM; Peru.

[1]. Bitio, Cecilia (1997). Contenidos Procedimentales. Homo sapiens.
[2]. Coronado, M. (2019). Módulo Bienestar y desarrollo emocional del docente. PUCP. Facultad de educación.
[3]. Mejía, M. (2019). Módulo Desarrollo emocional del niño, adolescente y adulto. PUCP. Facultad de educación.
[4]. Pérsico, A. (2019). Planificación de la tutoría y la convivencia en la escuela. PÜCP. Facultad de educación.
[5]. UGEL 5 (2019). Plan de tutoría, orientación educativa 2019. Lima: s.e.

Abstract: Background: Mood disorders are best considered as syndromes consisting of cluster of sign and symptoms that represent a marked departure from a person's habitual functioning and tend to recur, often in periodic or cyclical fashion. Manic and mixed episodes represent the hallmark of what was once termed 'Manic-depressive psychosis' and is currently termed Bipolar I Disorder. Psychotic features are especially prevalent phenotype in Bipolar Disorder and it generally represents a more severe form of illness. Depending upon their appropriateness to the mood, can be mood-congruent or mood-incongruent and can be present in both manic and depressive phase. Impact of psychotic features on the natural history of Bipolar Disorder is determined by multiple factors like age at onset, life events, familiality, etc and can also affect the outcome.......

Keywords: Bipolar Disorder, Mood-congruent psychotic features, Mood-incongruent psychotic features, Age at onset, Family history.

[1]. Merikangas KR, Akiskal HS, Angst J et al. Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Arch. Gen. Psychiatry 2007; 64: 543–552.
[2]. Dunayevich E, Keck PE. Prevalence and description of psychotic features in bipolar mania. Curr Psychiatry Rep. 2000; 2:286‐290.
[3]. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: American Psychiatric Association; 1994.
[4]. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Washington, DC: American Psychiatric Association; 2013.
[5]. Abrams, R., Taylor, M.A., Gaztanaga, P. Manic-depressive illness and paranoid schizophrenia. A phenomenologic, family history, and treatment-response study. Arch. Gen. Psychiatry. 1974; 31:640–642.

Abstract: Background: Recalcitrant macular edema is a chronic complivation of retinal vascular occlusive diseases. Various topical and injectable medications have been developed to control and treat the macular edema, including AntiVegf agents and steroids. While the itravitreal injection has the benefit of delivering the drug close into the vitreous cavity, it carrier with it the risk of endophthalmitis. Topical medications are safer and can easily be withdrawn in case of side effects. In this case report we describe our experience in managing a patient with chronic macular edema secondary to retinal branch vein occlusion. The patient was treated with topical Difluprednate 0.05% eye drops with good functional and anatomical response. However, rise in intraocular pressure necessitated withdrawal of this drug and a switch back to intravitreal AntVegf........

Keywords: BRVO, CME, Difluprednate, Anti VEGF, Bevacizumab, Steroid.

[1]. Jaulim A, Ahmed B, Khanam T, Chatziralli IP. Branch retinal vein occlusion: epidemiology, pathogenesis, risk factors, clinical features, diagnosis, and complications. An update of the literature. Retina. 2013 May;33(5):901-10. doi: 10.1097/IAE.0b013e3182870c15. PMID: 23609064.
[2]. Li J, Paulus YM, Shuai Y, Fang W, Liu Q, Yuan S. New Developments in the Classification, Pathogenesis, Risk Factors, Natural History, and Treatment of Branch Retinal Vein Occlusion. J Ophthalmol. 2017;2017:4936924. doi: 10.1155/2017/4936924. Epub 2017 Mar 12. PMID: 28386476; PMCID: PMC5366235.
[3]. KhalafAllah, M. T., Basiony, A., & Salama, A. (2019). Difluprednate versus Prednisolone Acetate after Cataract Surgery: a Systematic Review and Meta-Analysis. BMJ open, 9(11), e026752. https://doi.org/10.1136/bmjopen-2018-026752.
[4]. Sorkin, N., Yang, Y., Mednick, Z., Einan-Lifshitz, A., Trinh, T., Santaella, G., Telli, A., Chan, C. C., Slomovic, A. R., & Rootman, D. S. (2020). Outcomes of difluprednate treatment for corneal graft rejection. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 55(1), 82–86.
[5]. Said OM, Saleh MGA, Omar AF, Abdou AA, Riad Mostafa AN. Topical Difluprednate for Early Corneal Graft Rejection After Penetrating Keratoplasty. Clin Ophthalmol. 2020 Oct 27;14:3495-3498. doi: 10.2147/OPTH.S267888. PMID: 33149542; PMCID: PMC7602884.

Abstract: AIM - To study the role of serum ferritin as a marker for predicting the severity of dengue in children. METHODS - A hospital based prospective observational study conducted from February 2020 to January 2021 in a tertiary care center . 52 children aged between 5years and 16years who were infected with dengue either having NS1 antigen positive or Dengue IgM positive were taken . Serum ferritin was measured on alternative days and other laboratory parameters were taken into account for severity parameters alongwith clinical condition. RESULTS - Out of all the total 52 subjects , only 9 (17.3%) subjects had clinical severe dengue, of which 6 were males and three female........

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Abstract: Background : Immediate implant placement in freshly extracted socket gaining popularity because of several advantages. PRF membrane is an autologous fibrin matrix which contain various growth factor which has been used widely for periodontal intrabony pocket, socket preservation . Case summary : The patient was 50 year old female with metal ceramic crown on canine which was mobile. She underwent extraction of canine and immediate implant placement and the gap created between buccal wall of socket and implant was filled with PRF membrane combined with osseous bone graft. Four month postoperatively, the regeneration of bone and soft tissue was visible. Subsequently, the definitive restoration was placed. The patient was satisfied with esthetic outcome.

Keywords: PRF, immediate implant placement , autogenous graft

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[5]. Jankovic S, Aleksic Z, Klokkevold P, Lekovic V, Dimitrijevic B, Kenney EB, Camargo P. Use of platelet-rich fibrin membrane following treatment of gingival recession: a randomized clinical trial. Int J Periodontics Restorative Dent 2012 Apr; 32(2):e41-50.