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Background: In positive psychology, increased recognition of the phenomenon of hope among people suffering from cancer, along with alleviating their negative mental states like anxiety, depression, and fear of death is evident and promising. The aim of the study was to explore the lived experience of hope in cancer patients. Materials: Qualitative phenomenological research approach was used. A semi-structured in-depth interview with open-ended questions was administered to explore the patient抯 hope related experiences during the journey of cancer. A purposive sampling technique was used to select a total of 10 participants for the study. The size of the sample was decided on the basis of literature for the interpretive phenomenological study. Results: Results revealed five major common themes related to hope during illness: (1) survival expectation; (2) will to live; (3) prognostic clarification; (4) positivity of health providers; and (5) recovery of other patients: A source of hopefulness. Conclusion: The lived experiences of cancer patients shows that hope is the positive expectation of survival, which is a source of motivation during their journey of illness. It also denotes goal setting behaviour. Thus, hope is the 搘ill to live� which is related to social support, positive communication with healthcare providers, and recovery of fellow patients.
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Abstract This study was aimed to explore the chemical composition and biological activities of essential oil from aerial part of Mosla dianthera along with its major isolated compound, carvone. The hydro-distilled essential oil was analysed by GC-MS and biological activities were investigated in terms of antioxidant, anti-inflammatory, herbicidal, antibacterial, anti-fungal and anti-feedant properties. GC-MS analysis led to the identification of forty-nine components contributing 96.2% of essential oil with carvone (41.9%) as the most abundant constituent. The oil and carvone showed good to moderate antioxidant potentials determined by radical scavenging, reducing power and metal chelating activities. Carvone showed good anti-inflammatory activity (78.0%) compared to essential oil (74.2%). Both essential oil and carvone exhibited excellent herbicidal activity against Raphanus raphanistrum subsp. sativus seeds. The essential oil and carvone showed significant anti-bacterial efficacy against Bacillus cereus and Escherichia coli. It was observed that essential oil showed strong antifungal property than carvone against Alternaria alternata and Curvularia lunata. Both the samples exhibited anti-feedant activity in a dose dependent manner against third instar larvae of Spilosoma obliqua. Results obtained revealed the possible applications of essential oil and carvone as a bioactive source of natural antioxidants, excellent herbicide and an effective substance for antifungal and antifeedant activities.
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Background: Acute respiratory tract infections (ARI) are the leading cause of death in children in the world (11.9 million per year) with the greatest number of deaths occurring in developing countries like India. We compared respiratory severity scoring system RSS (Respiratory Severity Score) with Modified TAL, so that we can find out which of the above scores are better and whether they can be implemented to assess pediatric ARI patients.Methods: This prospective observational study was conducted in Pediatrics wards, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra and data were collected from 290 children below 12 years of age by purposive sampling. All the children presenting with respiratory symptoms were subjected to these scoring system (RSS AND MODIFIED TAL) at the time of admission and were classified based on the scores obtained in respective scoring system. Data was analysed using frequencies, percentages and contingency tables and comparison was made between the above scoring systems to find which one is better applicable in pediatric ARI patient.Results: Incidence of pediatric patients presenting with only respiratory tract infections who are admitted in ward was 25.15 %, with more incidence being reported in children below 12 months (49.31%), males more affected. For both the ARI scoring systems (RSS and MOD TAL) as the severity increased so is the number of patients requiring oxygen and duration of hospitalization increased significantly (p<0.05), with RSS having stronger association.Conclusions: Both the scoring systems predicted that on admission if the score is more than chances of requirement of oxygen is more and also duration of hospitalization is more, with RSS being better predictor.
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Background: The incidence of type 2 diabetes is increasing at an alarming rate, particularly among young women. GDM is a unique prediabetes state that shares common risk factors with type 2 diabetes, and similar alterations in carbohydrate metabolism. Objectives of this study the elevation of C-reactive protein in the first trimester of pregnancy as a predictor of gestational diabetes.Methods: This hospital-based study comprised of patients (Primigravida) visiting the obstetric OPD or admitted in Obstetric wards. Detailed history and clinical examination of the patient was recorded on a Proforma. Blood samples of patients were taken for: (i) C-reactive protein in first trimester of pregnancy; and (ii) Blood sugar (fasting & post-prandial) during their first antenatal visit and patients were followed up in subsequent visits in second and third trimester for development of gestational diabetes.Results: There were seven women who developed gestational diabetes and had elevated first trimester C- reactive protein levels as compared to other group in which only two women developed gestational diabetes mellitus but did not have elevated C-reactive protein in their first trimester. However, there were two women, who had elevated C-reactive protein, but did not subsequently develop gestational diabetes mellitus and women with C-reactive protein in normal range who did not develop gestational diabetes mellitus were 56.Conclusion: An association between first trimester inflammation marked by increased CRP levels, and subsequent risk of development of GDM has been identified.
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Background: Depression can be viewed as a modifiable independent risk factor for the development of T2DM and for progression of complications from either type 1 or type 2 diabetes. The recognition and addressal of this association can have profound implications for prevention and treatment of these disorders. Objectives of this study the prevalence of depression among patients with diabetes mellitus type 2.Methods: A semi-structured questionnaire was used to collect the sociodemographic profile and the details of the diabetes and its treatment and history of other chronic diseases. Beck depression inventory (BDS-II) was used for evaluation of depression and 8 item Morisky medication adherence scale (MMAS-8) was used for measurement of patient’s adherence to medication.Results: Majority of the potential cases of depression (33%) were in the age group of 51-60 years. 62% of the patients were male. Majority of the patients (40%) were in the age group of 51-60 years. 73.4% of the married patients were potential cases of depression. 78% of the patients were having family history of type 2 diabetes mellitus. Majority of the patients (72%) were overweight or obese (BMI> 25kg/m2).Conclusion: Duration of diabetes and duration of treatment was 5-10 years in majority of the patients and were significantly associated with prevalence of depression. Prevalence of depression was associated with sex, religion, and family history but was not statistically significant.
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context: Cerebral venous sinus thrombosis (CVST) previously believed to be an uncommon cerebrovascular event, accounting for0.5–1% of cases of stroke, affecting 1.32/100,000 person/year. CVST is a disease of young adults (<50 years old) predominantlyand is diagnosed based on clinical suspicion with confirmatory neuroimaging.Aims: This study aims to prospectively evaluate the Hounsfield unit (H.U) value of cerebral venous sinus on non-contrastcomputerized tomography (NCCT) scan and to assess its predictive value in diagnosing cerebral venous thrombosis and toevaluate whether standardizing venous sinus H.U value measurements to those of the corresponding internal cerebral arterywould improve diagnostic accuracy.Materials and Methods: In our study, a total of 80 clinically suspected case of CVST were included and NCCT head scan was donethen confirmed by M.R. venography (gold standard). Of 80 cases, a total of 38 cases were diagnosed as CVST on M.R. venographywhich was considered as Group B and rest 42 cases were normal on M.R. venography which was considered as Group A.Statistical Analysis: Average HU and H:H ratio were compared using two-tailed t-test, and linear regression analysis wasused to assess correlation between hematocrit (HCT) and HU.Results: Linear regression analysis showed positive correlation between HCT with computed tomography attenuation (HU)among both the groups (P < 0.005). H:H ratio (HU/HCT) for cutoff point of 1.645 had sensitivity of 71.1%, 97.6% specificity,and 96.4% PPV. A cutoff value of 1.335 for standardized measurement with internal carotid arteries (ICA) had 71.1% sensitivity,81% specificity, and 77.1% PPV.Conclusion: We conclude that average HU, H:H ratio, and standardized with ICA were the best predictor for sinus thrombosis.
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Introduction: Adolescence is a period when individual starts coming up with their choices and develops personal lifestyle. This lifestyle includes unhealthy diet and physical inactivity which are the major risk factors of various non-communicable diseases of great public health importance like cardiovascular diseases, diabetes, obesity etc. Objective: To assess the pattern of dietary practices and physical activity among school going adolescents in Haldwani block of Nainital district. Material and Method: School based cross sectional study was done among 900 adolescents of 8th to 12th standard. Sample collected from 30 clusters/schools using simple random sampling. Results: Out of 900 students, majority were non-vegetarian. Daily intake of fruits and vegetable was observed among 31.9% and 73.3% of adolescents. Practice of eating junk food and meals outside home were seen more in urban adolescents. 55.6% of participants were found to be physically active, sedentary behavior was more common in urban area and adolescents studying in private schools.
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Background: As private sector is dominant tuberculosis (TB) care provider in India, to realize the vision of TB free India, it is crucial that public and private sector follow uniform standard of TB care. This can be achieved when private health sector adopts TB management methodology of Revised National Tuberculosis Control Programme (RNTCP) of India. The present study was conducted to estimate whether or not TB management practices of allopathic private practitioners (PPs) conform to RNTCP guidelines by assessment of their knowledge and practice about new pulmonary TB (PTB).Methods: A cross-sectional study conducted using a semi-structured questionnaire among PPs practicing in urban areas of five of the six districts of Kumaon Division of Uttarakhand State of India between October 2013 to November 2014.Results: Of 71 PPs included in the study, almost 66% did not suspect pulmonary TB unless cough was associated with other symptoms. For diagnosis and follow up, sputum AFB microscopy alone was used by only 10% and 8.4% PPs respectively. Of the 71 PPs, 67 PPs who prescribed treatment for new PTB, used 20 diverse anti-TB regimens, and 10.5% of them included levofloxacin in the regimen.Conclusions: Majority PPs didn’t follow the RNTCP’s TB management guidelines for new PTB.
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Introduction: The kidneys are the most common genitourinary organs injured from external trauma, whereas ureteric trauma is rare, accounting for less than 1% all urological trauma. ureteric injury from blunt trauma is extremely rare. Advances in radiographic staging, improvements in hemodynamic monitoring, validated renal and ureteric injury scoring systems, and essential details about the mechanisms of injury allow successful conservative management strategies for renal preservation. The main purpose of this study was to suggest that conservative management will suffice in high grade renal injury also, if the patient is hemodynamically stable, and it will increase the chance renal conservation, avoiding unnecessary nephrectomies. Aims and objectives: The main aim of this study was to evaluate and stage blunt upper urinary tract injury and also assess management outcomes in such patients. Materials and methods: All the patients with blunt upper urinary tract injury diagnosed radiologically from February 2017 to January 2019 were admitted and the injuries were graded by using American association for the surgery of trauma grading. Stable patients had conservative management and operative management for unstable patients. All the patients followed up for a min of 3-18 months with a median of 6 months. Results: In our study, out of total 43 cases, 3 (6.9%) cases required emergency intervention in view of hemodynamic instability. In these 3 cases 2 underwent total nephrectomy (both are grade V injuries) and one case required renorrhaphy (grade IV injury). In remaining 40 cases kept on conservative Ravi Jahagirdar, Ravi Chander, K. Kishore, K. Gopikanth, Rajesh Singh, Vinay Jahagirdar. Our experience with traumatic injuries of the upper urinary tract. IAIM, 2019; 6(11): 99-110. Page 100 management 2 cases required delayed intervention. One case required nephrectomy and the other one required partial nephrectomy. Conclusion: In Renal trauma of all the grades conservative management is a good option in hemodynamically stable patients whereas unstable patients need laparotomy. Conservative management enables us to save as much renal function as possible which should be our aim.
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Widespread incidences of sulphur (S) deficiency in agricultural crops and soils have been reported globally. To meet this gap, various new forms of S fertilizers are available in the market, and they are in the process of testing for their validations in varied type of crop species and soils. A current global trend of using these advanced S formulations for plant production has emerged to overcome the challenges of S nutrition in crops. This paper highlights the potential benefits of improved S fertilizers in agriculture as compared to conventional S fertilizers. However, there is also a need for increasing awareness among the growers to recognize the importance of S (fourth primary plant nutrient) and simultaneously exploring the options for elevating the efficiency of S.
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Abstract Rheumatoid arthritis (RA) is a well and widely recognized cause of carpal tunnel syndrome (CTS). In the rheumatoid wrist, synovial expansion, joint erosions and ligamentous laxity result in compression of the median nerve due to increased intracarpal pressure. We evaluated the published studies to determine the prevalence of CTS and the characteristics of the median nerve in RA and its association with clinical parameters such as disease activity, disease duration and seropositivity. A total of 13 studies met the eligibility criteria. Pooled data from 8 studies with random selection of RA patients revealed that 86 out of 1561 (5.5%) subjects had CTS. Subclinical CTS, on the other hand, had a pooled prevalence of 14.0% (30/215). The cross sectional area of the median nerve of the RA patients without CTS were similar to the healthy controls. The vast majority of the studies (8/13) disclosed no significant relationship between the median nerve findings and the clinical or laboratory parameters in RA. The link between RA and the median nerve abnormalities has been overemphasized throughout the literature. The prevalence of CTS in RA is similar to the general population without any correlation between the median nerve characteristics and the clinical parameters of RA.
Resumo A artrite reumatoide (AR) é uma causa bem e amplamente reconhecida de síndrome do túnel do carpo (STC). No punho acometido pela artrite reumatoide, a expansão sinovial, as erosões articulares e a frouxidão ligamentar resultam em compressão do nervo mediano decorrente do aumento da pressão intracarpal. Avaliaram-se os estudos publicados para determinar a prevalência de STC e as características do nervo mediano na AR e sua associação com parâmetros clínicos, como a atividade e duração da doença e a soropositividade. Preencheram os critérios de elegibilidade 13 estudos. Os dados agrupados dos oito estudos com seleção aleatória de pacientes com AR revelaram que 86 de 1.561 (5,5%) indivíduos tinham STC. Por outro lado, a STC subclínica teve uma prevalência combinada de 14% (30/215). A área de seção transversa do nervo mediano dos pacientes com AR sem STC foi semelhante à de controles saudáveis. A grande maioria dos estudos (8/13) não apresentou relação significativa entre os achados no nervo mediano e os parâmetros clínicos ou laboratoriais na AR. A ligação entre a AR e as anormalidades do nervo mediano foi excessivamente valorizada em toda a literatura. A prevalência de STC na AR é semelhante à da população em geral, sem qualquer correlação entre as características do nervo mediano e os parâmetros clínicos da AR.
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Humans , Arthritis, Rheumatoid/pathology , Wrist Joint/pathology , Carpal Tunnel Syndrome/pathology , Median Nerve/pathology , Arthritis, Rheumatoid/complications , Carpal Tunnel Syndrome/etiology , Incidence , PrevalenceABSTRACT
Fifty-two soil samples were collected from various location of the Hisar city. These samples were analysed for six polycyclic aromatic hydrocarbons (naphthalene, acenaphthene, phenanthrene, anthracene, fluoranthene, and pyrene). Total mean concentration of six PAHs varied from 51.79 to 148.82 mg kg(-1) dry weight of the soil, PAH concentration was higher in soil samples from local auto market while lower concentration was recorded in agricultural soil. Effect ofpH (5.0 to 9.0), temperature (20 degrees to 40 degrees C), and concentration of PAHs (5 to 20 mg kg(-1)) on biodegradation were optimized. Biodegradation of phenanthrene (3-ring) and pyrene (4-ring) was evaluated using two acclimatized microbial strains Pseudomonas putida and Pseudomonas paucimobilis. Biodegradation was maximum in sterilized artificial spiked soil with phenanthrene (5 mg kg(-1)) and pyrene (5 mg kg(-1)) at pH 7.0 and at 30 degrees C (optimized conditions) than the native unsterilized contaminated soil (without optimized conditions) in 42 days of incubation period with Pseudomonas putida and Pseudomonas paucimobilis. Phenanthrene was completely disappeared after 28 days with P. putida and after 35 days with P. paucimobilis. Whereas, pyrene was disappeared up to 97.40% with P. putida and 95.5% with P. paucimobilis after 42 days incubation period at optimum conditions. Under unoptimized conditions, disappearance of phenanthrene was 65.89% with P. putida and 57.81% with P. paucimobilis after 42 days, whereas the % disappearance of pyrene was 59.80% with P. putida and 52.07% with P. paucimobilis.