Indian Journal Of Applied Research

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STUDY OF SUPRACONDYLAR FEMUR FRACTURE MANAGED SURGICALLY USING LOCKING COMPRESSION PLATE.
(Indian Society For Health And Advanced Research, 2023-05) Kurle, Dr. Sandesh Sitaram; Singh, Dr. Rohit Ravindra; Yemnurwar, Dr. Akshay Murlidhar; Purane, Dr. Sandeep
Background- Fractures of distal femur are one of the most prevalent fractures encountered in high-velocity trauma which are associated with high morbidity and mortality if not managed well. The isolated fracture can itself lead to complications such as Acute Respiratory Distress and pulmonary embolism. This neccesitaties early stabilisation of the fractures. Open reduction and internal fixation (ORIF) with locking compression plate is the treatment of choice for closed fractures of the distal femur. Distal femur anatomic contoured locking compression plate (LCP) has shown to give one of the best results regarding recovery, fracture union, return to work and the functional outcome. We present our experience of management of distal femur fracture at our centre. Study Material and Methodsdone on 36 patients, (NEER'S Classification) age range of 18 to 70 years (irrespective of their sex), were subjected to fixation by locking compression plate after obtaining thorough written informed consent. The observational study was carried at our institute between June 2021 to June 2022 Patients of both gender who were skeletally mature are taken into the study. In 61.5% of patients up to 50 years old and in Results40% of patients older than 50 years, the functional evaluation of LCP using Neers criteria was excellent. There was no statistically significant (p>0.05) difference in patients' functional status according to their age group who had distal femur fractures, which were stabilise by LCP. For supracondylar femur fractures, locking compression plates is a safe technique that has a good functional outcome, early clinical and radiographic union, and few complications.
ACADEMIC PROCRASTINATION AMONG UNIVERSITY STUDENTS: A SIGNIFICANT ISSUE FOR CONSIDERATION
(Indian Society For Health And Advanced Research, 2023-07) Hooda, Dr. Madhuri; Ladwal, Kavita
In our daily lives, we have to perform multiple tasks in different areas. This leads people to two paths: carrying out the task as soon as possible or postponing it; the latter being part of the tendency to delay the start or completion of a task. This act also known as procrastination. procrastination is the characteristic or behavioural propensity to put off or delay completing a task or making decisions. Procrastination behavior is very common and a serious problem in the era we live in. Academic procrastination appears to be common in academic environments as students frequently put off their obligations without good reason and submit their work right up until the deadline. All levels of kids are impacted, and it may lead to major problems including declining grades and decreased wellbeing. The notion of academic procrastination, reasons why it occurs, negative effects of academic procrastination and several methods for dealing with it are all discussed in this article. It is suggested that some programs should be devised and executed to teach task-oriented coping strategies to students. For this one should reflect on the reasons why you procrastinate, your habits and thoughts that lead to procrastinating
ROLE OF HUMAN RESOURCE DEVELOPMENT CENTRE (ASC) ON PROFESSIONAL GROWTH OF TEACHERS-A STUDY
(Indian Society For Health And Advanced Research, 2023-07) Kulkarni, Pramod. K.; Kulkarni, Dr. D. D.
The present study was conducted to see the impact of Human Resource Development Centre programmes on professional growth of Assistant Professors. The sample comprised of 58 teachers who have attended the orientation programme in 2010. Being a qualitative data, only percentage (%) from the collected data, based on 5-point scale developed by the investigator himself, was calculated. The findings clearly indicated a high level of satisfaction towards the performance of Human Resource Development Centre in imparting knowledge. There was a positive response from the participants regarding brushing up of their teaching skills and inclination towards learning. Undoubtedly the programme was found to be helpful in promoting professional growth of teachers, yet some suggestions were made to make the courses more meaningful.
ETIOLOGY AND OUTCOME OF SICKLE CELL CRISIS IN POST COVID PERIOD: A CASE SERIES
(Indian Society For Health And Advanced Research, 2023-05) Mokashi, Dr Shreya; Kulkarni, Dr Abhishek; Potdar, Dr Chandrachud; Karnik, Dr Niteen; Padwal, Dr Namita
Sickle cell anemia patients can develop various crises due to various triggers, infections being one of them. In our tertiary care centre, we have observed that post covid, there has been a rise in the number of infections leading to crisis in sickle cell patients, presenting experience of managing such cases. Aims and objectives were to study the pattern of infections in sickle cell crisis admitted from June 2020 to October 2022, compare the data to pre-cand to study etiology, complications and outcome in these patients. The increase found in the number of sickle cell crises post covid and the worsening outcome of these patients is suspected to be related to increased susceptibility to other infections of the community post changes made in the immune machinery of the human body by the CORONA Virus itself.
RANKING THE ACCEPTABILITY OF READY TO USE FOOD (RTU): A STUDY OF INDIAN BRANDED QSR OUTLETS
(Indian Society For Health And Advanced Research, 2023-07) Dr. Rajiv; Gupta, Dr. Megha
Consumers of Indian fast food chains today's care not only about the quality and flavor of their meals, but also about how quickly they can get their orders at table. Managers at these Indian-branded quick-service outlets have been training their staffs and improving other aspects of operations in order to keep up with the rising demand. The purpose of this study is to make an effort to analyse the acceptance of convenience food among managers and chefs working in Indian branded quick service restaurants (QSR) and to rank the perceptions that affect these individuals to employ convenience food in day-to-day operations. The present study was conducted in various Indian branded QSR outlets in North India. The results reveal that Majority Indian Branded QSR Outlets operators warmly accept the usage of RTU food in their respective outlets. Convenience food plays an important role in overall performance of these outlets especially in context to quality and service time.
TO DETERMINE EFFECTIVENESS OF SURGICAL RELEASE IN MANAGEMENT OF DE QUERVAIN'S TENOSYNOVITIS
(Indian Society For Health And Advanced Research, 2023-05) Kayal, Dr Atanu; Mondal, Dr Sudip Chandra; Misra, Dr Suman
Introduction: De Quervain tenosynovitis is first described by Fritz de Quervain, in 1895. It involves tendon entrapment of the first dorsal compartment of the wrist and thickening of the tendon sheaths of first dorsal compartment the abductor pollicis longus and extensor pollicis brevis, where the tendons pass through the fibro-osseous tunnel located along the radial styloid at the distal wrist. Pain is exacerbated by thumb movement and radial or ulnar deviation of the wrist. The prevalence of de Quervain tenosynovitis is about 0.5% in men and 1.3% in women with peak prevalence in their fourth and fifth decades of life respectively. The present Materials and Methods: study was a prospective study. This Study was conducted from December 2021 to December 2022 at Department of Rampurhat Government Medical College and Hospital, West Bengal, India. In the total of 20 patients Result: were included, out of which 16 patients are female and 4 patients are male. Surgical release has excellent outcome; splinti Conclusion: ng and local steroid injection can be an alternative treatment option for DQ disease especially in patients with low grade disease.
HAEMODIALYSIS: A KING OR A CLOWN FOR COVID POSITIVE PATIENTS WITH PRE-EXISTING PULMONARY DISEASES!
(Indian Society For Health And Advanced Research, 2023-05) Shukla, Dr. Eesha; Narain, Dr. Upma; Gupta, Prof. Arvind
Background: COVID-19 infection in patients with pre-existing respiratory diseases, manifesting as ARDS, while simultaneously affecting multiple organs severely worsened the outcome, raising the need to explore various treatment modalities. To study the impact of haemodialysis on outcomes of COVID-19 pati Objective: ents with pre-existing pulmonary diseases. Methods: Data of patients with known pulmonary comorbities admitted to COVID wards, undergoing haemodialysis for AKI at tertiary care centre, was collected from July 2020 to January 2022. The demographics, baseline parameters and outcomes were recorded. Total 61 Results: patients were included in this retrospective observational study. The percentage of different pre-existing pulmonary pathologies (COPD, Asthma, ILD, and Pulmonary Tuberculosis) were equally distributed among survivors(n=47) and non-survivors(n=14). The non-survivors were older(p=0.003), and had a higher percentage of males (p=0.02), higher percentage of smokers (p=0.02) and alcohol consumers(p=0.011), a lower mean systolic blood pressure, higher pulse rate, higher respiratory rate and lower SpO2. The non-survivors had a lower mean hemoglobin, platelet count, and a higher mean TLC, NLR, and D-dimer levels. On admission, the non-survivors had a higher mean blood urea level and serum creatinine level (p<0.001). The number of hemodialysis done was significantly higher(p=0.041) in the survivors as compared to non-survivors. Conclusion: Our study strongly suggests that haemodialysis can be used as a life saving treatment modality for AKI in COVID positive patients with pre-existing pulmonary disease. Also protocols need to be rede?ned for early initiation and increased frequency of haemodialysis in patients with acute on chronic multisystem insult.
EVALUATION OF FUNCTIONAL OUTCOME OF DUAL MOBILITY CUPS IN TOTAL HIP ARTHROPLASTY IN ARTHRITIS HIP AND FEMORAL NECK FRACTURES
(Indian Society For Health And Advanced Research, 2023-07) Srivastava, Dr. D. C.; Chauhan, Dr. Anunaya Pratap Singh; Agarwal, Dr. Sadhak; Pasricha, Dr. Anmol; Yadav, Dr. Rohit
Background- Osteoarthritis hip and femoral neck fractures in old age can be treated by total hip arthroplasty using dual mobility cup designs. The posterior approach (Kocher-Langenbeck) was used earlier however, lateral (Harding) and anterior approach (Smith-Petersen) are more often used. Evaluation of functional outcomes of total h Aim- ip arthroplasty using dual mobility cups in patients with osteoarthritis hip and femur neck fractures in terms of time of surgery, re-operation rate and mortality in 1 year, length of hospital stay and post-operative complications, using Harris Hip Score (HHS). Study Design- Hospital based prospective cohort study. Material and Methods- 40 cases were include in the study of which, 20 cases are of osteoarthritis hip and 20 cases are of femur neck fracture managed by dual mobility total hip arthroplasty. Clinical and functional outcome was graded using HHS. Anatomical reduction was assessed at 8 weeks, 3months, 6 months and 9 months. The mean HHS at 8 weeks, 3months, 6 months and 9 mont Result- hs in osteoarthritis hip was 56.40, 69.80, 80.90 and 91.50 and in femur neck fractures was 51.10, 63.50, 74.60 and 84.50, achieved. Better result was found in osteoarthritis hip. Conclusion- We concluded that using dual mobility total hip arthroplasty in osteoarthritis hip is far better than femur neck fractures due to better clinical and functional outcome, better anatomical reduction.
TENSE MARKERS IN 6-8 YEARS OLD TYPICAL CHILDREN SPEAKING HINDI
(Indian Society For Health And Advanced Research, 2023-07) Bansal, Himani; Kumaraswamy, Dr. Satish
Language acquisition entails the acquisition of several crucial linguistic components like phonology, morphology, syntax and semantics. Individual elements merge seamlessly with each other giving birth to insightful communication whenever needed. Among these varied but fundamental aspects necessary for any competent communicator, is adding on the vital aspect of tense marking appropriately into conversations or text rendering accurately when an event occurred or will occur. We must appreciate this pivotal role played by acquiring fiuency in using verb tenses by young children seeking effective communication alongside understanding its importance a bit more in the language development process. The study attempts to investigate the acquisition of tense markers in typical children speaking Hindi with the goal of assessing data from children in the age range of 6-8 years. Results suggested that tense markers increased with age. Almost half of the tense markers were not fully acquired by the age of 8 years. The research also analysed various studies that uphold the findings.
PERCEIVED DAILY HASSLES, PROACTIVE VS REACTIVE COPING, AND PSYCHOLOGICAL CAPITAL OF MARRIED AND UNMARRIED NURSES IN PRIVATE HOSPITALS AT KOLKATA.
(Indian Society For Health And Advanced Research, 2023-07) Hazra, Madhurima; Chatterjee, Dr. Ishita
The present investigation was conducted with a view to assessing differences among married and unmarried nurses on Perceived Daily hassles, Proactive vs. Reactive coping and Psychological Capital in Private hospitals at kolkata and to see the interrelationships among these variables. Data was collected from 60 married and 60 unmarried nurses of private hospitals at Kolkata. Questionnaire and Scale on Daily Hassles, Proactive and Reactive coping and Psychological Capital were administered seperately. For both unmarried and married nurses the correlation between PSYCAP and Daily Hassles found to be highly significant. Correlation between PSYCAP and Proactive coping also found to be highly significant for both married and unmarried nurses. PSYCAP and Reactive coping found to be highly significant only for unmarried nurses. This study may give us an idea about stress and coping strategies of nurses of private hospitals.Objective of the study is to identify if PSYCAP's can be assessed and developed more(which can be done at literature indicates) and if the outlook of this patriarchal society can be changed somehow perhaps together these two will mean a lot of positive things for (un)married women to control and master stressful situations in daily life to their advantage.
VARIED PRESENTATIONS OF PRIMARY IMMUNODEFICIENCY DISORDER IN TERTIARY CARE SET-UP.
(Indian Society For Health And Advanced Research, 2023-05) Potdar, Dr. Chandrachud Neelkanth; Kulkarni, Dr. Abhishek; Karnik, Dr. Niteen; Padwal, Dr. Namita
IDENTIFICATION AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF ENTEROBACTER SPECIES BY VITEK-2 SYSTEM ISOLATED FROM VARIOUS CLINICAL SPECIMEN IN GOVT MEDICAL COLLEGE KOTA (RAJASTHAN)
(Indian Society For Health And Advanced Research, 2023-07) Malav, Dr. Seema Kumari; Verma, Dr. Dinesh; Verma, Dr. Harsha Rani
Background: Enterobacter were proposed as a genus in 1960 by Hormaeche and Edwards based on the division of the former genus Aerobacter into motile, ornithine decarboxylase (ODC)–positive strains (Enterobacter) and nonmotile ODC-negative strains (Klebsiella). The Vitek-2 system is the second generation of Vitek and offers a more sophisticated model of data analysis as well as a fully automated process for card identification, organism suspension dilution and card filling. To study Aim and Objectives: identification and antimicrobial susceptibility pattern of Enterobacter species by Vitek-2 system isolated from various clinical samples. Material and Methods: A total of 100 Enterobacter species obtained from various clinical samples like urine, pus, sputum, endotracheal aspirate and body fiuids (pleural, ascitic, peritoneal and CSF) etc. of patients received at Department of Microbiology, Government Medical College & Associated Group of Hospitals, Kota during a period of approximately 1 year from May 2021 to May 2022 were taken for the identification and Antibiotic sensitivity testing by Vitek-2 system. Out of 100 Enterobacter isolates, 69% w Result: ere E.cloacae and 31% were E.aerogenes. Antimicrobial susceptibility results of Enterobacter species revealed the susceptibility of 56.41% for Nitrofurantoin, 69% for Piperacillin/ Tazobactam and 72% for Cefoperazone/ salbactam. Enterobacter seems to be emerged with increasi Conclusion: ng resistance to multiple antibiotics.
ASSESSMENT OF DEPRESSION AND ANXIETY AMONG CAREGIVERS OF PSYCHIATRIC PATIENTS.
(Indian Society For Health And Advanced Research, 2023-07) Choudhary, Dr. Isha; Singh, Dr. Harful; Mahajan, Dr. Aditi
Background- Patients with psychiatric illnesses require support from family, peers, and care-givers to overcome the difficulties and manage their health. Caregivers are hence at a risk themselves to develop anxiety and depression, or related symptoms, due to the emotionally challenging and draining experience. Aim – To evaluate and assess anxiety and depression of caregivers to the patients admitted to the Psychiatry department of a tertiary care centre located in Rajasthan. Materials and Methods- Our assessment relied on data collection that followed cross-sectional observational analysis. We performed the study post approval of the ethical clearance by the respective committee at the university and an informed decision was consented to in written by 50 caregivers taking part in the study. These included caregivers to 25 patients with disorders due to substance use (Group A) and 25 patients with other psychiatric diagnosis (Group B). We also filled in socio-demographic details and performed scoring as administered by the HAM-D and HAM-A scales. ResultsGroup A comprised of more females (64%) than males in contrast to Group B participants. HAM-D score analysis showed that depression was present in Group A (52%) as compared to Group B participants (40%). HAM-A analysis of score showed anxiety in 34% of caregivers and was higher among Group A participants and among female caregivers. Conclusions- The results of the study can be used to plan for early interventions, to reduce stress among caregivers of patients with psychiatric illness
CLINICOPATHOLOGICAL STUDY IN TRIPLE NEGATIVE BREAST CANCER
(Indian Society For Health And Advanced Research, 2023-07) Padmavathi, Dr. Buduru
Background and Objectives: - Carcinoma Breast is most common malignancy in females in USA and second among cases deaths in females (after lung cancer). There is considerable geographic , ethnic and racial variability in Breast cancer in evidence with about 5 fold variation throughout the world. Triple negative breast cancer is a heterogonous disease diagnosed by Immune Histo Chemistry (IHC).Triple Negative Breast cancer is characterized by tumor that do not express ER or PR and HER2neu . Proto typical Triple Negative Brest cancer is aggressive in nature and associate with poor prognosis. The Objectives of this study is to analyse the clinical and Pathological features of Triple Negative Breast Cancer and compare the result with similar studies in literature. Fifty Methods:- cases Triple negative Breast Cancer were included in this study. Clinical and pathological features and treatment were noted. Incidence Result:- of Triple Negative Breast Cancer was 35%. The median age of presentation was 45yrs. There were 4% males Triple negative Breast cancer cases out of female patients, most of patients were Pre (or) Perimenopausal(65%). 4% patients had family history of malignantly. Most common stage of presentation was stage III (46%). In Stage IV, Lung and bone metastasis was common. Ten Patients received Neoadjuvant chemo therapy (NACJ) and disease progressed in 4% while on Neoadjuvant chemotherapy, Even though 45 patients had surgery only 34 were eligible to received Adjuvant Radiotherapy. Total of 18% Patients had either progressive disease while on treatment (8%) (or) recurrence 10%. Eighteen percent patients died due to the disease. 33% patients on follow up. There were more Invasive Duct Cell carcinoma (IDCC) cases with medullary differentiations (or) Purse medullary Carcinomas (12%). No deaths Occur in the medullary variants TNBC. Majority of the tumor were high grade margins were negative in most of the cases. Incidence of Tri Inclusion:- ple negative breast cases was higher than western literature but comparable to Indian Studies. The age of Presentation was about 10 years younger than western data. Triple Negative Breast cancer was more common in young, pre (or) perimenopausal women. Small number of patients had family history, majority were state II (or) III. There was high number of progressive disease, recurrence and death while on the study (or) within less than 1 yr of treatment. Triple Negative Breast cancer is very aggressive disease with relatively better prognosis in the medullary variant Triple Negative Breast Cancer.
BARRIERS TO IMPLEMENTING SOLAR ENERGY SYSTEMS IN BUILDINGS: THE COMPANY PERSPECTIVE WITH REFERENCE IN TIRUNELVELI DISTRICT
(Indian Society For Health And Advanced Research, 2023-07) Subha, Mrs. V.; Lakshmi, Dr. C. Thanga; Dr. Subbulakshmi
Fossil fuels, such as coal and natural gas are typically used to generate electricity. Fossil fuels are non-renewable resources and harmful to the environment as they release greenhouse gases when burned. With the increased demand of cleaner sources for electricity generation, renewable sources need to be adopted. In India, Tirunelveli District, solar energy has been used in numerous industrial buildings as a source of electricity generation since the country benefits from high solar radiation throughout the year. However, solar energy is still not used in residential buildings despite a wide interest from the sector. This paper identified and assessed the barriers to implementing solar energy in residential buildings from the perspective of homeowners in India, Tirunelveli District. Based on a literature search followed by a ranking and factor analysis of data from a questionnaire survey, key barriers were identified. Ninety-one responses from residents in India, Tirunelveli District were obtained. The questionnaire results showed that the main barriers to adopting solar systems are financial limitations followed by limited solar suppliers in the region and lack of awareness of government incentives. The results of this study could be used to help suppliers and industrial stakeholders in understanding the major barriers and the government to put forward policies to promote solar systems for electricity generation in residential buildings.
MARKET ACCESS IN THE DIGITISED AGRICULTURE INDUSTRY OF INDIA
(Indian Society For Health And Advanced Research, 2023-07) Chaudhary, Manoj; Gopalan, Dr. Samir
HOME-BASED PULMONARY REHABILITATION: A NARRATIVE REVIEW
(Indian Society For Health And Advanced Research, 2023-07) Kumar, Kishore; Jayapal, Jenny; Venkatesan, Manigandan; Narasimhan, Meenakshi
Pulmonary rehabilitation is a multidisciplinary, evidence based therapy wherein individually tailored therapies made to improve the physiological and psychological status of chronic respiratory disease patients. We searched 3 databases and term used “home-based pulmonary rehabilitation”. We identified 68 literatures and 8 of them met our inclusion criteria. Our review suggests that home-based pulmonary rehabilitation is effective in chronic respiratory disease patients, further research needed to standardise its quality and benefits.
ASSESS THE KNOWLEDGE AND PRACTICES REGARDING MENSTRUATION AND MENSTRUAL HYGIENE AMONG THE NAVODAYA SCHOOL GIRLS OF TELANGANA STATE.
(Indian Society For Health And Advanced Research, 2023-07) Manjula, K.
The present study was undertaken to assess the knowledge and practices regarding menstruation and menstrual hygiene among the navodaya school girls of Telangana. Using a descriptive analytical survey design and multistage sampling, the knowledge and practices on menstrual hygiene among 10 navodaya school girls 100 were identified. Among the respondents, 35% had poor knowledge, 77% had poor practice. About 49% had menstrual pattern disorders. 33% reported symptoms of urinary tract infection. Back pains (43%) were the predominant physical problems and anger (39%) was the major emotional problems. Statistically significant correlation existed between knowledge and practice. Statistically significant difference was observed in the knowledge scores on menstruation with respect to the educational level of the respondents education of their mother and monthly family income The practice of menstrual hygiene was significantly associated with age of the student and their standard of living index. The study concludes to mandate health education in schools by professional nurses, on menstruation and its hygienic management; community education on the scientific aspects of menstruation; and policy implementation towards the construction of girl friendly toilets in houses, schools and public places so that the nation becomes healthy and productive with empowered wo
DIGITAL GAMING ADDICTION AMONG ADOLESCENTS STUDENTS OF ST. COLUMBA'S COLLEGE, HAZARIBAGH.
(Indian Society For Health And Advanced Research, 2023-07) Sheetal, Dr. Sabita
Digital gaming addiction has become a growing concern among adolescents, with potential gender differences in prevalence, risk factors, and consequences. The aims of the study to provide an outcome of existing tools on digital gaming addiction among adolescents, focusing specifically on gender differences. By examining key tools, the study explores the prevalence of gaming addiction among male and female adolescents, gender-related risk factors, and the differential impact of gaming addiction on various domains of well-being. The findings highlight the importance of considering gender-specific factors in understanding and addressing digital gaming addiction among adolescents.
THE EVOLUTION OF CYBERSECURITY: ASSESSING THE EFFECTIVENESS OF LEGAL FRAMEWORKS IN THE FACE OF EMERGING TECHNOLOGIES AND TRANSNATIONAL CYBER ATTACKS
(Indian Society For Health And Advanced Research, 2023-07) Vasant, Hublikar Kiran
This research article aims to examine the impact of emerging technologies on cybersecurity and evaluate the effectiveness of legal frameworks in addressing transnational cyber-attacks. With the rapid advancement of technology, cyber threats have become more sophisticated and interconnected, requiring robust legal measures to combat them. With the emergence of new technologies, the threat landscape for cyber security has also evolved. The continuous development of new technologies like (A.I) artificial intelligence, (I.O.T) Internet of Things & cloud computing has led to a rapid increase in cyber-attacks and has made it even more challenging for organizations to protect their assets. This study utilizes a mixed-methods approach, incorporating both qualitative and quantitative research methods. The qualitative aspect involves an analysis of existing literature, case studies, and legal frameworks, while the quantitative component includes surveys and interviews with cybersecurity professionals and legal experts. By integrating these methods, this research aims to provide valuable insights into the effectiveness of current legal measures in mitigating transnational cyber-attacks and propose strategies to enhance cybersecurity in the face of emerging technologies.

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