iosr-JDMS   Volume-22 ~ Issue-10 ~ October 2023

Abstract: Background: While DOMS is not a disease or disorder, it can be painful and is a concern for athletes because it can limit further exercise in the days following an initial training. So the aim of the study is to compare the effectiveness of submaximal eccentric training and moderate intensity aerobic exercise to reduce DOMS. Materials and Methods: In this prospective comparative study, 30 subjects with children with DOMS were randomly divided into 2 groups i.e. group A and group B with......

[1]. Vanshika Sethi Et.Al, Literature Review Of Management Of Delayed Onset Muscle Soreness (DOMS) Int J Biol Med Res. 2012; 3(1): 1469-1475.
[2]. Karoline Cheung Et.Al, Delayed Onset Muscle Soreness Treatment Strategies And Performance Factors Sports Med 2003; 33 (2): 145-164 0112-1642/03/0002-0145.
[3]. Sohan P. Selkar Effect Of Eccentric Muscle Training To Reduce Severity Of Delayed Onset Muscle Soreness In Athletic Subjects. Eur J Gen Med 2009; 6(4): 213-217.
[4]. James J. Tufano Et.Al, Effect Of Aerobic Recovery Intensity On Delayed Onset Muscle Soreness And Strength Journal Of Strength And Conditioning Research 26(10)/2777- 2782.
[5]. John F. T. Fernandes Et.Al, Exercise-Induced Muscle Damage And Recovery In Young And Middle-Aged Males With Different Resistance Training Experience Sports 2019, 7, 132; Doi:10.3390/Sports7060132.

Abstract: Background: Anterior knee pain has been a primary cause for many musculoskeletal problems as well as other orthopaedic conditions.Due to over strain and stretch of muscles; overuse of lower limb in case of athelets and sportsperson the threat of pain is more common..Professional Dancers are one such group following the symptoms and signs of pain which may deteriorate in later stages. Studies have shown that there is a higher prevalence of Kneepain and injuries among atheletes, Football players, ballet dancers and non-professional dancers.This study........

Keywords: Anterior Knee pain,Western and Folk Dancers,NPRS(Numerical pain rating scale),Kujala Anterior Knee pain Scoring(AKPS).

[1]. David M. Jenkinson, D.O., And Delmas J. Bolin, Ph.D.,M.D. Knee Overuse Injuries In Dance, Journal Of Medicine And Science,Volume 5, 2001.
[2]. Reid DC. Prevention Of Hip And Knee Injuries In Ballet Dancers, Sports Medicine, 1988 Nov;6(5):295-307.
[3]. Rovere GD, Et Al: Musculoskeletal Injuries In Theatrical Dance Students. Am J Sports Med 11:195-199,1983.
[4]. Bronner S, Brownstein B. Profiles Of Dance Injuries In A Broadway Show: A Discussion Of Issues In Dance Medicine Epidemiology.JOSPT 26(2):87-94,1997.
[5]. Steinberg N, Siev-Ner I, Peleg S, Dar G, Masharawi Y, Zeev A, Hershkovitz I. Injuries In Female Dancers Aged 8 To 16 Years.Journal Of Athletic Training. 2013;48(1):118-23

Abstract: Introduction: External Ventricular drains are used for monitoring the intracranial pressure as well as therapeutically for diverting the cerebrospinal fluid from obstructed ventricular system. However, it is associated with many complications and the most common complication is EVD infection.
Aims and Objective:To analyse the risk factors and the outcome in patients with external ventricular drain related infections......

Keywords: External Ventricular Drain, Infection, Risk factors, Outcome

[1]. Van De Beek D, Drake JM, Tunkel AR. Nosocomial Bacterial Meningitis. N Engl J Med. 2010;362(2):146–54.
[2]. Lele AV, Hoefnagel AL, Schloemerkemper N, Wyler DA, Chaikittisilpa N, Vavilala MS, Naik BI, Williams JH, Venkat Raghavan L, Koerner IP., Representing SNACC Task Force For Developing Guidelines For Perioperative Management Of External Ventricular And Lumbar Drains. Perioperative Management Of Adult Patients With External Ventricular And Lumbar Drains: Guidelines From The Society For Neuroscience In Anesthesiology And Critical Care. J Neurosurg Anesthesiol. 2017 Jul;29(3):191-210.
[3]. Lozier AP, Sciacca RR, Romagnoli MF, Connolly ES Jr. Ventriculostomy-Related Infections: A Critical Review Of The Literature. Neurosurgery. 2002 Jul;51(1):170-81.
[4]. Sorinola A, Buki A, Sandor J, Czeiter E. Risk Factors Of External Ventricular Drain Infection: Proposing A Model For Future Studies. Front Neurol. 2019;10:226.
[5]. Jiménez-Mejías ME, Márquez-Rivas FJ. CNS Infections In Patients With Temporary CSF Shunts: Diagnostic, Preventive And Therapeutic Approach. Enferm Infecc Microbiol Clin (Engl Ed). 2020 Feb;38(2):49-53

Abstract: Introduction: One of the most important objectives of quality assurance is the reduction of the incidence of 'adverse events" associated with the process of care. The most fraudulent undesirable iatrogenic events seemed to be linked to medical drug therapies1-7Registered healthcare professionals must ensure that their knowledge and skills are up to date and are based on current evidence, to reduce the risk of complications occurring with the use of these devices. Health care professionals identify and report any suspected ADR to their national pharmacovigilance center. Registered healthcare........

Keywords: Adverse effects, Medical errors, Medical students, ADR reporting

[1]. Patrice Francois, MD. PhD. Evaluation of prescription writing quality in a French University Hospital. Clinical Performance and Quality Health care: July 1997. https://www.researchgate.net/publication/13129298.
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[3]. Fleming ST. Complications, adverse events, and iatrogenesis: Classification and quality of care measurement issues. Clinical Performance and Quality Health Care 1996;4:137-147.
[4]. Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Tntern Med. 1988; 190: 582-589.
[5]. Smith R, The epidemiology of malpractice. BMJ 1990; 301:621-622
[6]. Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse events; Implications for prevention. JAMA 1995;274:29-34.

Abstract: Background: In many nations, cerebral ischemic stroke remains to be the predominant factor in death and disability. MRI is crucial for stroke patients, especially those with acute ischemic stroke.MR techniques, however, have been shown to be much more sensitive than conventional CT for determining the presence of early infarction
Materials and Methods: MRI scans on a 1.5 T Philips Multiva were performed on all patients referred to the Department of Radio-Diagnosis at SGT Medical College, Gurugram for a period of 6 months with clinically suspected stroke. Sequences used are T2WI axial and coronal, flair axial, gradient echo axial, T1WI axial, DWI axial and ADC maps. All collected data were evaluated using standard statistical methods and analyzed by SPSS software........

Key Words: Stroke, Haemorrhage, Stroke mimics, and MRI

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[4]. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, de Ferranti SD, Floyd J, Fornage M, Gillespie C, Isasi CR, Jiménez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Mackey RH, Matsushita K, Mozaffarian D, Mussolino ME, Nasir K, Neumar RW, Palaniappan L, Pandey DK, Thiagarajan RR, Reeves MJ, Ritchey M, Rodriguez CJ, Roth GA, Rosamond WD, Sasson C, Towfighi A, Tsao CW, Turner MB, Virani SS, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P., American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation. 2017 Mar 07;135(10):e146-e603. [PMC free article] [PubMed].
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Abstract: Atherosclerosis is commonly seen in patients suffering from dyslipidaemia.The elevations in Total cholesterol levels, Triglycerides,Low Density Lipoprotein and decreased High Density Lipoprotein indicate the risk of CVD.The present study deals with the comparison of the lipid proliferation and elevated blood glucose levels.Biometric tests analysis indicated the diabetic patients suffer from abnormal cholesterol parameters and are prone to cardiovascular diseases.......

Key Words: HbA1c, lipid profile, Atherosclerosis, Dyslipidemia

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[5]. Ebrahim S, Kinra S, Bowen L, Andersen E, Ben-Shlomo Y. The Effect Of The Rural To Urban Migration On Obesity And Diabetes In India: A Cross-Sectional Study. Plos Med 7(4):E1000268.Doi:10.1371/Journal.Pmed.10
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Abstract: Introduction: Supraclavicular block (SCB) has demonstrated remarkable post-operative patient outcomes in upper limb surgeries. Bupivacaine, a long-acting regional anesthetic, exhibits efficacy that can be influenced by the concomitant administration of additives. Objective: The primary objective of this study was to evaluate the effectiveness of supraclavicular block using 0.5% bupivacaine compared to the adjunctive administration of additives, as well as to assess any associated complications.......

Keywords: Brachial plexus block, Nalbuphine, supraclavicular approach, ultrasound guidance, Bupivacaine

[1]. Gupta K, Jain M, Gupta PK, Rastogi B, Zuberi A, Pandey MN. Nalbuphine As An Adjuvant To 0.5% Bupivacaine For Ultrasound-Guided Supraclavicular Brachial Plexus Blockade. Indian J Pain. 2016;30:176-80.
[2]. Jarbo K, Batra YK, Panda NB. Brachial Plexus Block With Midazolam And Bupivacaine Improves Analgesia. Can J Anaesth. 2005;52:822-26.
[3]. Fisher L, Gordon M. Anesthesia For Hand Surgery. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Editors. 6a Ed. Churchill Livingstone/Elsevier; Philadelphia: 2010. Pp. 25-38. (Green's Operative Hand Surgery).
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[5]. Tran QH, Clemente A, Doan J, Finlayson RJ. Brachial Plexus Blocks: A Review Of Approaches And Techniques. Can J Anaesth. 2007;54:662-74.

Abstract: A 45-years old woman mother of 5 children underwent a laparotomy procedure under spinal anesthesia at New Rogmukti Hospital, Narsingdi, on 28 July 2023. The surgical approach employed a Pfannenstiel incision measuring 10cm × 5cm. After opening the peritoneal cavity, a large solid mass measuring 15cm×10cm×10cm was found at the lower end of the uterus. That mass was stuck into the pelvic cavity. The patient presented with lower abdominal pain and heaviness with difficulty in voiding and defection. She was regularly menstruating. During the physical examination, the patient was found mildly anaemic, BMI= 16kg/m2, and abdomen-distended, pelvic examination reveals a larger hand mass in the upper vagina where cervical lips were not felt around the mass. Radiological assessments.......

Key Words: cervical fibroid, laparotomy, spinal anesthesia, gallbladder, urinary bladder, uterus, cervix

[1]. Ribeiro A, Oliveira N, Moreira M, Ramos F. A Giant Cervical Fibroid: Case Report, Clinical Case Reports International - Gynaecology And Obstetrics 2019;3(1107):1- 2
[2]. Gupta A, Gupta P, Manaktala U. Varied Clinical Presentations, The Role Of Magnetic Resonance Imaging In The Diagnosis, And Successful Management Of Cervical Leiomyomas: A Case-Series And Review Of Literature. Cureus 2018;10(5):E2653. Doi:10.7759/Cureus.2653.
[3]. Samal SK, Rathod S, Rajsekaran A, Rani R. An Unusual Presentation Of Central Cervical Fibroid: A Case Report. Int J Res Med Sci. 2014;2(3):1226-8.
[4]. Mendiratta S, Dash S, Mittal R, Dath S, Sharma M, Sahai RN. Cervical Fibroid: An Uncommon Presentation,Int J Reprod Contracept Obstet Gynecol 2017;6:4161-3.
[5]. Sunanda N. Large Cervical Fibroid: A Rare Case Report, Int J Reprod Contracept Obstet Gynecol 2019;8:3414-6.

Abstract: Bicornuate uterus is one of the main causes of spontaneous miscarriage, malpresentation, preterm deliveries and occasionally difficulty in spontaneous conception. Recurrent pregnancy loss rate has been reported to be 15% to 27%. Bicornuate uterus is one of the types of mullerian duct anomalies like uterine didelphys, septate uterus, arcuate uterus, unicornuate uterus with a prevalence of about 7-8% in the general population. In any case of recurrent pregnancy loss, malpresentation, IUGR and preterm deliveries the above uterine anomalies should be considered as differentials. Here we present a case of bicornuate uterus were twin pregnancy was carried till 35wk 5d and had a successful outcome following caesarean section.

Key Words:Mullerian anomaly, bicornuate uterus, Twin Pregnancy, Caesarean section

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[2]. Borgohain D, Srivastava S. Case Report In Bicornuate Uterus.2018; 7(1):346-8.
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[5]. Mahala P, Choudhary S. Effects Of Tuberculosis In Pregnancy. J Nurse Midwifery Maternal Health.2019; 5:2.
[6]. Vandhana S, Shaila S. Case Report In Successful Pregnancy In A Bicornuate Uterus.2023; 11(5):64-66.
[7]. Souvizi B, Esfehani R. A Case Of Successful Pregnancy In A Complete Bicornuate Uterus. J Midwifery Repro Health.2016; 4(3):720-2.

Abstract: Introduction: Ability to intubate the trachea rapidly and safely is still very important in all clinical situations including emergency anaesthesia where there is possibility of regurgitation and aspiration of gastric contents. For making intubation quick, easy and atraumatic, suxamethonium is still the drug of choice. This short-acting depolarizing NMBA is probably the most popular drug used. Objective: To assess the Priming Technique of Rocuronium in Facilitating Intubation. Methods: This prospective, randomized study was carried.........

Key Words: Priming Technique, Rocuronium, Facilitating Intubation.

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Abstract: Background: The Posterior Cruciate ligament (PCL) is an important dynamic stabilizer of the knee and the number of PCL injuries are increasing now a days due to motorcycle accidents. Surgical reconstruction of PCL is the treatment of choice in patients with symptomatic grade III isolated PCL tear. Objective: The aim of this study is to evaluate the functional outcome of arthroscopic reconstruction of grade III isolated posterior cruciate ligament tear by quadruple hamstring tendon autograft. Methodology: This prospective observational study was conducted in the department of Orthopaedic Surgery, BSMMU, Dhaka from July, 2019 to September, 2021. Within this period total 16 patients after considering the inclusion and exclusion criteria,.......

Keywords: Isolated Grade III PCL tear, Quadruple hamstring tendon autograft, Arthroscopic reconstruction, Motor cycle accident

[1]. Sekiya, J.K., West, R.V., Ong, B.C., Irrgang, J.J., Fu, F.H. and Harner, C.D., 2005. Clinical outcomes after isolated arthroscopic single-bundle posterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 21(9), pp.1042-1050.
[2]. Wang, R., Xu, B., Wu, L. and Xu, H., 2017. Long-term outcomes after arthroscopic single-bundle reconstruction of the posterior cruciate ligament: a 7-year follow-up study. Journal of International Medical Research, 46(2), pp.865-872.
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[4]. Sanders, T.L., Pareek, A., Barrett, I.J., Kremers, H.M., Bryan, A.J., Stuart, M.J., Levy, B.A. and Krych, A.J., 2016. Incidence and long-term follow-up of isolated posterior cruciate ligament tears. Knee Surgery, Sports Traumatology, Arthroscopy, 25(10), pp.3017-3023.
[5]. Bedi, A., Musahl, V. and Cowan, J.B., 2016. Management of posterior cruciate ligament injuries: an evidence-based review. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 24(5), pp.277-289.
[6]. Margheritini, F. and Mariani, P.P., 2002. Diagnostic evaluation of posterior cruciate ligament injuries. Knee Surgery, Sports Traumatology, Arthroscopy, 11(5), pp.282-288.