iosr-JDMS   Volume-20 ~ Issue-8 ~ Aug. 2021

Abstract: Background: Reported corona virus disease 2019 (COVID-19) case counts likely underestimate the true prevalence because mild or asymptomatic cases often go untested. Here, we use a sero-survey to estimate the seroprevalence of IgG antibodies in children below 18 years. Methods: We did a household serosurvey among individuals aged 1to 18 years old in the 4 urban wards and 4 rural areas within Gwalior districts. Individuals aged older than 18 years and households that did not respond at the time of survey were excluded. Participants were interviewed to collect information on socio-demographics, symptoms suggestive of COVID-19, exposure history to laboratory confirmed COVID-19 cases, and history of COVID-19 illness. 3ml of venous blood was collected from each participant and blood samples were tested using the Abbott SARS-CoV-2 IgG assay. Seroprevalence was estimated after applying the sampling weights and adjusting for clustering and assay characteristics. We randomly.......

Keywords: COVID-19, IgG Antibody, Seroprevalence, Children. Serosurvey

[1]. World Health Organization. Corona virus disease (COVID-19) situation report – 207 [cited 2020 Aug 15. https://www.who.int/docs/default-source/coronaviruse/ situation-reports/20200814-covid-19-sitrep-207.pdf
[2]. State Control Room, Directorate of Public Health and Preventive Medicine Health and Family Welfare Department, Government of Tamil Nadu. Media bulletin 15.18.2020: daily report on public health measures taken for COVID-19 [cited 2020 Aug 15]. https://stopcorona. tn.gov.in/wp-content/uploads/2020/03/Media-Bulletin15-08-20-COVID-19-6-PM.pdf.
[3]. Greater Chennai Corporation. About Greater Chennai Corporation. [cited 2020 Sept 7]. https://www.chennaicorporation.gov.in/about-chennai-corporation/ aboutCOC.htm
[4]. Koopmans M, Haagmans B. Assessing the extent of SARS-CoV-2 circulation through serological studies. Nat Med. 2020;26:1171–2. https://doi.org/10.1038/ s41591-020-1018-x
[5]. WHO. A coordinated global research roadmap: 2019 novel coronavirus; March 2020. Geneva: World Health Organization,2020]..

Abstract: Introduction: Breast cancer and cervical cancer are the most common cancer in women in Indonesia. Adjuvant chemotherapy is an adjunctive therapy that is often used after primary treatments, such as surgery. Tamoxifen acts as an antiestrogen on breast tissue but it has an estrogenic effect on the female genital system. The incidence of endometrial thickening in postmenopausal female patients receiving tamoxifen therapy is increasing. This study aims to measure the effectiveness of tamoxifen by measuring estrogen levels and endometrial thickness......

Keyword: Breast Cancer, Endometrial, Estradiol, Tamoxifen

[1]. Kemenkes RI. Riset Kesehatan Dasar; RISKESDAS. Jakarta: Balitbang Kemenkes RI. 2008
[2]. Suyatno P. Bedah onkologi diagnosis dan terapi edisi ke 2. 2nd ed. Jakarta; 2021. 2014.
[3]. Berliere M, Duhoux F, Dalenc F, Baurain J, Dellevigne L, Galant C et al. Tamoxifen and Ovarian Function. PLoS ONE. 2013;8(6):e66616.
[4]. Ali S, Mondal N, Choudhry H, Rasool M, Pushparaj P, Khan M et al. Current Management Strategies in Breast Cancer by Targeting Key Altered Molecular Players. Frontiers in Oncology. 2016;6.
[5]. Lum S, Woltering E, Fletcher W, Pommier R. Changes in serum estrogen levels in women during tamoxifen therapy. The American Journal of Surgery. 1997;173(5):399-402..

Abstract: Aims: The aim of this study was to compare pain perception of needle insertion and nerve block during delivery of local anesthesia with c clad system and conventional syringe in periodontal surgeries. Settings and Design: clinical study Methods and Material: Thirty patients between the ages of 20 and 45 years requiring local anesthesia for periodontal surgeries were randomly allocated to receive local anesthesia with the CCLAD system (Comfort Control Syringe) and the Conventional syringe (Aspirating Syringe). Lidocaine 2 % with adrenaline (1:80,000) was given as an nerve block. The.......

Keywords: CCS, Conventional syringe, Pain perception, Visual analogue score, wong-baker faces pain rating scale.

[1]. Rosenberg.e.s,Computer-Controlled Anesthetic Deliverv Svstein in a Periodontal Practice: Patient Satisfaction and Acceptance, J Esthet Restor Dent 13:39-46, 2002.
[2]. Langthasa M, Yeluri R, Jain AA, Munshi AK, Comparison of the pain perception in children using comfort control syringe and a conventional injection technique during pediatric dental procedures, journal of indian society of pedodontics and preventive dentistry | Oct - Dec 2012 | Issue 4 | Vol 30.
[3]. Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The Faces Pain Scale for the self‑assessment of the severity of pain experienced by children: Development, initial validation, and preliminary investigation for ratio scale properties. Pain 1990;41:139‑50.
[4]. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc 1973; 86: 842-8.
[5]. Sharma.S, Kochhar.R,Manju Kumari.M. Clinical Comparative Evaluation of Pain Perception during Infiltration with the CCLAD or Conventional Syringe, International Journal of Scientific and Research Publications, Volume 9, Issue 4, April 2019..

Abstract: Aims: This study evaluated the emergence of multidrug resistant non-fermenting bacteria causing nosocomial infections in intensive care units. Methods and Results: A prospective study was carried out in patients who were admitted to ICU and underwent ventilation, catheterization, had a central-line insertion, or developed wound infection and then started showing features of invasive sepsis 48 hours after their admission, were included. Endotracheal aspirate/Bronchoalveolar lavage, urine, central-line catheters and pus samples were collected for culture and antibiotic
sensitivity. 126 out of 224 samples showed growth on culture media. VAP accounted for 42% of all nosocomial infections. Acinetobacter baumannii from respiratory

Keywords: Acinetobacter baumannii; multi-drug resistant; nosocomial infections; Polymyxin B; Pseudomonas aeruginosa

[1]. Boev C, Kiss E. Hospital Acquired Infections: Current Trends and Prevention. Crit Care Nurs Clin North Am. 2017 Mar;29(1):51-
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microbiological profile and impact on ICU stay and mortality. J Assoc Physicians India. 2014;62(10):18–21.
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Health Sci Res. 2014;4(5):738–741. doi: 10.4103/2141-9248.141540.
[4]. Singh C, Chaturvedi R, Garg B, Datta R, Kumar A. Incidence of healthcare associated infection in the surgical ICU of a tertiary
care hospital. Medical Journal Armed Forces India 69 2013; 124-129
[5]. Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD. International study of the prevalence and outcomes of infection in
intensive care units. JAMA 2009 Dec;302(21):2323-9..

Abstract: Resume Le neurofibrome rétropéritonéale solitaire est une tumeur bénigne rare survenant à tout âge. La symptomatologie clinique est tardive et non spécifique, l'imagerie ne permettant pas de poser le diagnostic, seul l'analyse histologique et immuno-histochimique permet de confirmer le diagnostic. Le traitement est chirurgical et consiste en la résection complète de la tumeur avec une marge de tissu sain. L'évolution est incertaine, vu le risque de transformation maligne d'où la nécessité d'une surveillance étroite de ces patients. Une revue de la littérature à la lumière d'une observation d'un patient âgé de 29 ans, sans antécédents pathologiques particuliers, qui présente une masse.......

[1]. GATCOMBE H.G., ASSIKIS V. ,KOOBY D., JOHNSTONE P. Primary Retroperitoneal teratomas: a review of the literature. J. Surg. Oncol.2004 ;86 : 107-113
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[4]. AMEUR A, LEZREK M, JIRA H, EL ALAMI M, BEDDOUCH A, ABBARM. Neurofibrome retropéritonéale solitaire géant ProgUrol.2002 juin; 12 :465-8
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Abstract: Introduction: Preterm premature rupture of membranes (PPROM) i.e. rupture of membranes before 37 weeks of gestation occurs in 3% of pregnancies. The management generally include bed rest in cases of PPR0M, though the guidelines do not mention about the antepartum bed rest, however the general practice is to put the patients on bed rest. As there was no prospective study with role of bed rest in cases of PPROM at that time, our study was planned to evaluate the role of bed rest on outcome in pregnancies complicated by PPROM. Methods: The present study was randomized controlled trial. Study subjects were pregnant women with 26-34 weeks of gestation with PPROM. In addition to routine investigations, complete blood count, urine for culture/sensitivity and high vaginal swabs were taken. All the patients were managed as per hospital protocol and admitted till delivery. Patients were randomized into two groups i.e. bed rest and activity group by computer generated random numbers......

Keywords: Preterm premature rupture of membrane, Bed rest,Perinatal morbidity, Preterm births, Maternal morbidity.

[1]. Medina TM, Hill A. Preterm premature rupture of membrane diagnosis and management. Am Fam Physician 2006, 73 (4) 659-664.
[2]. caughey AB, Robinson JN, Norwitz E.R.et al Contemparary diagnosis and management of preterm premature rupture of membrane. Rev Obstet Gynacol 2008: 1 (1); 11-22.
[3]. Waters TP, Mercer BM. The management of preterm premature rupture of membrane near the limit of fetal viability. AMJ Obstet Gynacoll 2009; 201(3):230-40.
[4]. ACOG Guidelines on Premature Rupture of Membranes. Am Fam Physician 2008;77(2):245-246.
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Abstract: Background: Thyroid dysfunction encounter in day to day practice in medicine. There are various ECG change happen in thyroid dysfunction. Electrocardiography is a cheap easily available tool to assess cardiac status of patients with thyroid dysfunction.
Material and Methods: The present study included 60 cases hyperthyroidism patients presenting with signs and symptoms of hyperthyroidism were randomly selected for the study from department of Medicine, conducted in Government Medical College And New Civil Hospital, Surat. Serum free T3, T4, and thyroid-stimulating hormone were done. Twelve lead ECG was done in each patient. Results: Result shows that 78% of patient had abnormal ECG while 22% had normal ECG. There was sinus tachycardia was found in 78.33% cases. Left ventricular hypertrophy in 21.67% cases. Atrial fibrillation in 8.33% cases.ST-T changes in 11.66% cases and Right atrial enlargement in 3.33% of cases.....

Keywords: Hyperthyroidism, electrocardiogram

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[5]. SANDLER G. The effect of thyrotoxicosis on the electrocardiogram. Br Heart J. 1959 Jan;21(1):111-6..

Abstract: Background: The postpartum period after birth has largely been divided into three sections of puerperium. The first 24 hours after parturition is recognized as immediate puerperium, the first week after postpartum is known as early puerperium, and remote puerperium, which is usually approximately 6 weeks. After a caesarean section, there is a higher chance of early puerperal complications, with symptoms like fever, infections, etc. The present study was conducted to help determine the common complications of early puerperium, in hopes to decrease the chances of future complications....

Keywords: Puerperium, Caesarean Section, Complications, Endomyometritis

[1]. DeCherney AH, Nathan L, Novy MJ, Lipscomb K. The normal puerperium. In: Current obstetric & gynecologic diagnosis & treatment. 9th ed. Lange Medical Books/McGraw-Hill; 2003. p. 234–58.
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[3]. Chowdhury S, Rahamn F, Islam F Rahman HQ, Kabir A, Shahabuddin AKM. Report on import of social mobilization on maternity management & lactation performed in a rural commubity of Bangladesh. Bangladesh breast feeding foundation & institute of child and mother health, Dhaka December, 1999.
[4]. Dutta DC, Konar H. Operative Obstetric . In: DC Dutta's textbook of obstetrics: including perinatology and contraception. New Delhi: Jaypee Brothers Medical Publishers; 2019. p. 588–98.
[5]. Akhter T, Ghani T, Paul SK, Begum A, Rahman T, Sarkar M. Early Puerperal Complications-A Prospective Clinical Study on Caesarean Deliveries. Journal of Dhaka Medical College. 2018 Nov 21;27(1):68-71

Abstract: INTRODUCTION: Dexamethasone was selected as an adjuvant to local anesthetics in brachial plexus block in our study because it has been reported to prolong duration of action of local anesthetics and respiratory depression is less common. AIMS AND OBJECTIVES: To evaluate the efficacy of inj dexamethasone 8mg (2ml) added to 0.5% ropivacaine 150mg (30 ml) compared to 0.5% ropivacaine 150mg (30ml) with 2ml normal saline in supraclavicular brachial plexus block in patients undergoing upper limb surgeries with respect to Onset of sensory blockade and motor blockade ,Duration of motor blockade,Duration of analgesia. MATERIALS AND METHODS: Group I -30ml of 0.5% ropivacaine plus 2ml of dexamethasone. Group II -30ml of 0.5% ropivacaine plus 2ml of normal saline.......

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[4]. Dr R. G. Pathak Dr Anand P. Satkar, Dr Rajendra N. Khade66-Supraclavicular brachial plexus block with and without Dexamethasone ;a comparative Study.; International Journal of Scientific and Research Publications, Volume 2, Issue 12,December 2012.
[5]. Movafegh A. Razazian M. Hajimaohamadi F. Meysamie A. Dexamethasone added to lidocaine prolongs axillary brachial plexus blockade. Anesthesia & Analgesia 2006. 102(1):263-7.

Abstract: Amoebic liver abscess is a common problem in India. It represents the most common non-enteric complication of amoebic infection. Early diagnosis and prompt treatment of an amoebic liver abscess results in low morbidity and mortality, whereas late diagnosis is associated with higher incidence of complications and a relatively high fatality rate.' The use of ultrasound for diagnosis and guiding the aspiration needle has reduced the incidence of patients requiring laparotomy. Recently the role of percutaneous aspiration in the management of amoebic liver abscess has been doubted.2 Only a few controlled trials of needle aspiration have been carried out.'-4 The present study was undertaken......

[1]. Thompson, J.E., Forlenza, S. & Verma, R. Amebic liver abscess: a therapeutic approach. Rev Infect Dis 1985, 7: 171- 179.
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[3]. Widjaya, P., Bilie, A., Babic, Z,. Ljubicic, N., Bakula, B. & Pilas, V. Amoebic liver abscess: ultrasonographic characteristics and results of different therapeutic approaches. Acta Med
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Abstract: Aims & objective- To evaluate rhino-orbito-maxillary (ROM) mucormycosis (MM) in post covid patients and grading them in 3 phases based on patient's complaints and clinical-radiographical findings. Methods- The study included 203 patients of ROM MM diagnosed clinically and radiographically. Demographic profile, vaccination status, covid history and other risk factors responsible for covid 19 infection and MM were analyzed in detail. Patients complaints, clinical and radiographical findings were studied in detail and graded in 3 phases. Results- Statistical analysis showed complaints and clinical findings related to oral cavity has significant role to categorized them into three phases. Radiographic findings related to oral cavity and all paranasal sinuses has valuable role for grading of ROM MM. Conclusion- Grading of ROM MM through clinical and radiographic findings helps in early detection & prevention of ROM MM.

Keywords: ROM, MM, Post COVID, clinical & radiographical.

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