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1.
Article | IMSEAR | ID: sea-239712

ABSTRACT

Background, Aims, and Objectives: Patients admitted to intensive care units are at a higher risk of experiencing medical errors and have an increased likelihood of developing septicemia. Due to the high mortality associated with sepsis, doctors are more frequently sued for negligence. Patients alleging medical negligence in India can seek compensation through the National Consumer Dispute Redressal Commission (NCDRC). This study aims to analyze NCDRC cases where patients suffering from septicemia filed for negligence. In medical negligence cases filed by patients suffering from Septicemia, the objective is to find out the court’s outcome/verdict, the pattern of monetary compensation involved in the case, the legal standard of accepted care in the management of septicemia, and ways in which doctors can protect themselves from negligence claims, etc. Materials and Methods: This is a record review study in which judgments were obtained from www. scconline.com. The final analysis included cases where patients were diagnosed with sepsis based on medical records or postmortem reports. Qualitative data is presented as percentages, while quantitative data is expressed as a median with an interquartile range. Fisher’s exact test was used to compare qualitative variables. Results: A total of 34 judgments met the inclusion criteria, with the court ruling in favor of doctors in only eight cases. Surgical intervention (11 cases, 32.3%) was the most common cause of sepsis, followed by abdominal infection (14.7%). The outcome of the cases was not influenced by whether the doctor or patient initiated the lawsuit (Fisher exact probability = 0.49). Conclusion: The NCDRC found doctors negligent in most cases where patients with septicemia sued. Eventful surgery was identified as the most common cause of sepsis. The study suggests that doctors can protect themselves by promptly diagnosing post-surgical injuries to intra-abdominal organs and preventing the spread of local infections.

2.
J Ayurveda Integr Med ; 2024 Jul; 15(4): 1-9
Article | IMSEAR | ID: sea-236978

ABSTRACT

Background: Peptic ulcer is a condition characterized by open sores resulting from excessive acid production in the stomach or digestive tract, causing damage to the mucosal lining. Tamarix gallica (TG), is traditionally known for its anti-inflammatory, antioxidant, antibacterial activity, etc. Objective: The scientific evidences based on its efficacy specifically for anti-ulcers activity are limited, hence, the study aimed to evaluate protective effect of TG against aspirin-induced peptic ulcers. Materials and Methods: Phytochemical screening was performed fol- lowed by assessment of protective effect of TG against aspirin induced toxicity in rats. Network biology and polypharmacology studies were performed to determine the possible molecular targets involved in pathophys- iology of ulcers. Results: The study revealed that the TG extract at high dose (500 mg/kg b.w.) significantly exhibits protective effect against aspirin induced ulcers via regulation of free acidity pepsin production, overall acidity via regulating antioxidant status (SOD, GSH, CAT, etc). Morphological studies revealed less damage with less disruption of the gastric mucosa layer having normal mucosal structure, no swelling or oedema was found in drug treated groups. Conclusion: Moreover, network biology and polypharmacology outcomes revealed that SOD2, CAT, EPO, IL10, EGF, TGFB1 etc. play a significant role in functional gastrointestinal-associated disease or peptic ulcer. Hence, the study concludes that TG polyphenols including phenols and flavonoids play an important role in alleviation of peptic ulcer or associated complication and thus demonstrating TG as a natural therapeutic regimen against ulcers in glance of nature.

3.
Article | IMSEAR | ID: sea-238591

ABSTRACT

One of the most frequent causes of visits to the emergency room is abdominal pain and approximately 10-12% of cases occur globally.[1] From generalized mild pain to major life-threatening disorders, there are a number of considerations to be identified. The causes of pain with signs of biliary obstruction range from most common diagnosis of choledocholithiasis to complex worrisome diagnosis of carcinoma.[2] Up to 27% of individuals undergoing upper gastrointestinal tract assessment have duodenal diverticula, with periampullary diverticula (PAD) being the most prevalent kind. Periampullary diverticula (PAD) are extraluminal duodenal mucosal outpouchings that often form in the medial side of the second and third parts of the duodenum within a radius of 2 to 3 cm from the ampulla of vater.[3,4] Periampullary duodenal diverticulum (PAD) in the absence of choledocholithiasis or neoplasm causing biliary obstruction is diagnosed as Lemmel syndome.[5]

4.
J Biosci ; 2024 Jan; 49: 1-10
Article | IMSEAR | ID: sea-237941

ABSTRACT

Rare diseases form the bulk of the financial expenditure of any developing or developed economy. Among the various rare diseases, paediatric neuromuscular disorders form a major portion, with a worldwide survey estimating a prevalence of 1 in 3500 individuals. In a lower middle-income country (LMIC) like India, malnutrition still accounts for most of the under-5 mortality. However, the economic burden of rare paediatric neuromuscular disorders cannot be underestimated. The treating physician should have a basic understanding of how to approach a child presenting with weakness and how to utilise the available tests which are affordable in an LMIC setting. History and examination still form the core, and with new diagnostic methods like next-generation sequencing, more and more rare disorders are getting diagnosed. It is important for the treating physician to know about basic supportive care, recent advancements, and available treatment options for these conditions. With exciting new treatment options being available for these disorders, the perception of these diseases as being not treatable is gradually changing. This review aims to be of guidance to clinicians from an LMIC setting like India and to empower them to manage such rare paediatric neuromuscular disorders.

5.
Article | IMSEAR | ID: sea-230749

ABSTRACT

At present due to continuous use of phosphatic and potassic fertilizers, a deposits of these nutrients have increased in the soil of studied area, and Bacillus megaterium and Bacillus mucilaginosus solubilize/mobilize P and K in the soil, thus, for increasing yield and quality of soybean, an experiment was planned with the aim to investigate the response of Bacillus megaterium and Bacillus mucilaginosus strains on yield and quality of soybean [Glycine max (L.) Merrill.] at All India Coordinated Research Project (AICRP) on Integrated Farming System Research at College of Agriculture, Indore, Madhya Pradesh, India during kharif, 2019 & 20. The research was conducted in randomized block design (RBD) with 8 treatments, viz. Control with 75% RDF (T1), Control with 100% RDF (T2), 75% RDF with Bacillus megaterium and Bacillus mucilaginosus strains as seed treatment (T3), 100% RDF with Bacillus megaterium and Bacillus mucilaginosus strains as seed treatment (T4), 75% RDF with Bacillus megaterium and Bacillus mucilaginosus strains as foliar application at 30 and 45 DAS (T5), 100% RDF with Bacillus megaterium and Bacillus mucilaginosus strains as foliar application at 30 and 45 DAS (T6), 75% RDF with Bacillus megaterium and Bacillus mucilaginosus strains as seed treatment + foliar application of Bacillus megaterium and Bacillus mucilaginosus strains at 30 and 45 DAS (T7) and 100% RDF with Bacillus megaterium and Bacillus mucilaginosus strains as seed treatment + foliar application of Bacillus megaterium and Bacillus mucilaginosus strains at 30 and 45 DAS (T8). The seed yield (1139 kg ha-1) of soybean increased to the tune of 14.26 and 19.72 per cent with application of 100% RDF with Bacillus megaterium and Bacillus mucilaginosus strains as seed treatment + foliar application of Bacillus megaterium and Bacillus mucilaginosus strains (T8) at 30 and 45 DAS compared to control (786 kg ha-1). Among all the treatments, yield attributes such as pods count plant-1 (29.66), seeds count pod-1 (3.36) and seed yield plant-1 (13.17) were observed highest with T8 at 30 and 45 DAS.

6.
Article | IMSEAR | ID: sea-230656

ABSTRACT

The current study, named "effect of micronutrients and biofertilizer on yield parameters of coriander Coriandrum sativum (L.) cv. RCR-41," is planned to be carried out in the Research Field, Department of Horticulture, College of Agriculture, Gwalior, M.P., during Rabi 2020-21 and 2021-22. The experiment was designed in a Completely Randomized Block Design (CRBD) with two factors concepts i.e., Micronutrients (ZnSO4 (0.5%), FeSo4 (0.5%), CuSo4 (0.5%), Biofertilizers (Phosphorus Solubilizing Bacteria (PSB), Azotobacter, Potassium Solubilizing Bacteria (KSB) and replicated three times and included three replications. At the time of coriander seeding, treatments combinations including RDF doses of fertilisers and biofertilizers were used. The results showed that treatment M1 (ZnSO4 @ 0.5%) was the optimum micronutrient level treatment for coriander production. Treatment B2 (Azotobacter) was shown to be the optimal biofertilizer level for coriander production. The treatment combination M1B2 (ZnSO4 @ 0.5% x Azotobacter) was shown to be considerably better among all treatment combinations, yielding the highest coriander yield characteristics.

7.
Article | IMSEAR | ID: sea-230459

ABSTRACT

Mapping of soil properties is an important operation as it plays an important role in the knowledge about soil properties and how it can be used sustainably. Knowledge of soil variability of any region is crucial for development of site-specific management practices for that region as this will enhance the crop productivity and maintain the good soil health. With this background, present study was conducted to quantify the spatial variability of different soil physical properties and soil available micronutrients in Ujjain tehsil (Ujjain) district of Madhya Pradesh state, India. A total one hundred fifty geo-coded surface (0-15 cm depth) soil samples, were collected across the study area. These samples were analyzed using standard method for different some soil properties viz: soil texture (sand, silt and clay) and soil available micronutrients, viz. extractable zinc (Zn), copper (Cu), manganese (Mn) and iron (Fe) in laboratory. The range of sand, silt, clay, Zn, Cu, Fe and Mn in the study region were varied from 9.15 to 24.06 %, 24.00 to 41.55 %, 40.20 to 58.60 %, 0.12 to 1.66 mg kg-1, 2.06 to 6.22 mg kg-1, 3.70 to 10.40 mg kg-1, and 2.41 to 14.64 mg kg-1, respectively. The data were analyzed using standard statistical methods and geostatistics, which included creating semi-variograms and mapping by standard kriging procedures. Semi-variograms were produced for soil properties and their regional distributions were plotted. The observed soil parameters were best represented by four models: Exponential, Circular, Gaussian, and Hole effect. The modelled variables showed strong and moderate spatial dependencies, as demonstrated by the Nugget/Sill (Co/Co+C) ratio. The distribution maps of soil features may serve as a reference for implementing site-specific crop management in soils with comparable characteristics. Further, this research indicates the relevance of GIS- application in soil variability investigations.

8.
Article | IMSEAR | ID: sea-230325

ABSTRACT

The present experiment was conducted at All India Coordinated Research Project on safflower, College of Agriculture, Indore, (M.P.) during rabi season 2015-16 to study the effect of date of sowing and cultivars on number of capitula plant-1, total seed weight, 100 seed weight, seed yield, biological yield, straw yield, harvest index, oil content and oil yield. The experiment was performed in split plot design using three sowing dates and three cultivars. The maximum capitula (31.26 plant-1) and total seed weight (25.11 g plant-1) were recorded with 1st November sown crop. The cultivar A-1 registered the highest 100 seed weight (5.42 g) which was significantly superior over cultivar NARI-6 and NARI-57. The highest seed yield (1565.42 kg ha-1), straw yield (7771 kg ha-1) and biological yield (9336.42 kg ha-1) were obtained under 1st November of sowing. The maximum oil content (35.36 %) was received with NARI-57 followed by NARI-6 and A-1. The highest oil yield (509.35 kg ha-1) was observed with 1st November sown crop. Based on the findings it is concluded that for obtaining maximum yield of safflower, use of A-1 cultivar and sowing done at 1st November is recommended.

9.
Article | IMSEAR | ID: sea-230271

ABSTRACT

The present experiment was carried out at All India Coordinated Research Project on safflower, College of Agriculture, Indore, (M.P.) during rabi season 2015-16 with the objective to test the effect of different sowing dates and cultivars on growth and yield attributes of safflower. The results showed that the cultivar A-1 accumulated maximum dry matter at 30 DAS, 60 DAS, 90 DAS and at harvest as well as took minimum number of days (86.58) for flower initiation, for 50% flowering (93.17) and for 100% flowering (99.67) as compared to other cultivars. While maximum plant height (125.54 cm), number of primary branches (10.33 plant-1) were recorded in safflower cultivar NARI-6 followed by NARI-57 at harvest. It was observed that majority of secondary branches (18.84) emerged under 1st November sowing followed by 15th November sowing. The maximum CGR and RGR received by A-1 which was significantly superior to other cultivars at up to 30 DAS, 30-60 DAS 60-90 DAS and 90 DAS-at harvest compared to other cultivar. It is concluded that cultivar A-1 and NARI-6, and 1st November sowing performed better in terms of above parameters and recommended for cultivation.

10.
Article | IMSEAR | ID: sea-230152

ABSTRACT

Soilless culture, a modern greenhouse cultivation technology, has rapidly developed in the past 30-40 years and offers a closed-loop system with several benefits, including the recycling of 85-90 percent of irrigation water. As the world population continues to grow at a rate of over 1%, the reduction in land availability per capita for soil-based agriculture has become a major problem, particularly in countries like India with a high population density. Soilless farming offers a viable alternative for growing high-quality vegetables, fruits, and flowers year-round on a variety of substrates, requiring limited space. This approach also aims to eradicate greenhouse soil-related problems such as soil-borne infections, poor soil fertility, and salinity. With several advantages over traditional soil crops, including shorter growth times, year-round production, and fewer diseases and pests, soilless farming comprises various methods such as hydroponics, aeroponics, and aquaponics. The technique has the potential to improve people's lives and boost economic growth by encouraging innovative businesses to engage in agriculture. Therefore, soilless farming has gained traction as an innovative solution to address land scarcity issues while producing high-quality crops sustainably.

11.
Article | IMSEAR | ID: sea-234753

ABSTRACT

Background Background: Acute myocardial infarction (AMI) has been reported more frequently in young individuals. The disease results in high mortality if not adequately diagnosed or treated. The current study aimed to evaluate the clinical & angiographic pro?le of patients with Acute coronary syndrome(ACS) in patients aged less than 40 years of age in the post covid era. Methods: A prospective cross-sectional study was conducted on a total of 800 patients out of which 169 patients had an Acute coronary syndrome(ACS) i.e unstable angina(UA), Non-ST-elevation myocardial infarction(NSTEMI) (or) ST-elevation myocardial infarction(STEMI)at an age less thanor equal to 40 years in the Cardiology Department of a tertiary care hospital in South India for a period of one year(jan2022-jan2023). Patients underwent angiographic tests for the assessment of angiographic pro?es and mortality was assessed during hospital stay. Results: A total of 800 ACS patients were analysed over a time period of one year i.e from jan 2022 to jan 2023 out of which there were 169 patients (21%) presented with young MI i.e less than 40 years who presented with UA/NSTEMI/STEMI.Out of the 169 patients with young MI,10 patients (5.9%) were less than 30 years. Majority of patients with young MI(101 patients,59.8%) were more than 36 years with patients with a male predominance (74%). Family history of coronary artery disease was reported in 61.5% of individuals, whereas 38.5% did not have a family history. Dyslipidemia was the most commong co-morbidity which was present in 34.3% of patients out of which only 1 patient had a familial hypercholesterolemia.diabetes was the second most common co-morbidity that was present in 30.8% patients with the young MI followed by hypertension which was present in 21.9% patients.Most common presentation of disease was STEMI which was present in79.9% (135 patients)patients with Anterior wall MI (AWMI) being the most common ECG presentation with Left anterior decending artery(LAD) being the most commonly involved artery on angiography(56.8%).Severe Ejection fraction(EF) impairment was reported in 8% of patients, while 40% of young ACS patients presented with normal EF.The most common angiographic presentation was single vessel disease(SVD) which was prevalent in 66.9% of cases . Factors such as EF, Killip class, involvement of multiple vessels on angiography were signi?cantly associated with death (p < 0.05). Mortality was observed in 6 patients (3.6%) with a signi?cant correlation to severity of myocardial disease at presentation in the form of EF & Kilip class. Conclusion: These ?ndings suggest that left ventricular function, the extent of coronary artery disease, the involvement of speci?c coronary arteries, and vascular recanalization on angiography all play signi?cant roles in predicting patients death.A larger cohort study with a long-term follow is warranted to analyze the detailed ACS progression status in young individuals in india

12.
Article | IMSEAR | ID: sea-228849

ABSTRACT

As we know that fruit plays important role in the daily human diet for healthy living and is also a commercial commodity in trade and processing industries. The primary factor that customers use to determine whether or not a fruit is acceptable is its quality like appearance, shape, size, colour and taste, etc. Success in a breeding program depends upon the overall acceptability of fruit quality because most of the developed varieties having desired traits like resistance to biotic and abiotic stresses could not be commercialized and are not in commercial cultivation owing to their poor-quality traits. Therefore, the development of cultivars with desirable quality attributes in fruit crops is challenging. Quality improvement in fruit crops is restricted by several factors such as long juvenility, tall stature, environmental stress and high heterozygosity. Quality traits in fruit crops are polygenic and governed by many genes which makesit difficult to improve particular desirable traits. Many attempts have been made to enhance the qualitative characteristics of annual crops, although perennial fruit crops neatly overlook this issue. Accordingly, the use of both combined conventional and modern breeding techniques could in overcoming these problems. Biotechnological and molecular approaches like marker-assisted selection, transgenics, genomic editing, genomics cis-genics and candidate gene offer precision and reliability to reduce the breeding cycle and are also advantageous when dealing with tedious fruit crops. The challenges with fruit breeding and the state of various breeding techniques for enhancing fruit quality in fruit trees will be the main topics of this review.

13.
Indian Pediatr ; 2023 Mar; 60(3): 207-211
Article | IMSEAR | ID: sea-225396

ABSTRACT

Background: Coronary artery lesions (CAL) are a specific feature of Kawasaki disease (KD), and develop during the second week of illness. This study was conducted to determine whether Neutrophil: Lymphocyte Ratio (NLR), assessed between the fourth and sixth day of fever onset in children with KD, can predict coronary artery lesion (CAL) development. Methods: In this review of hospital records, data of patients with KD admitted at our center between January, 2016 and January, 2020 was retrieved. The patients were divided into two groups based on the presence of CAL, and clinical characteristics of patients were compared between the two groups. Results: Out of the 79 patients enrolled, CAL was found in 40 (50.6%) patients and intravenous immunoglobulin (IVIg) resistance was seen in 13 (16.5%) patients. Multivariate logistic regression revealed NLR as an independent predictor of CAL [OR (95% CI) 2.0 (1.2-3.1); P<0.001], and erythrocyte sedimentation rate (ESR) [OR (95% CI) 1.03 (1.001-1.1) P=0.04], as an independent predictor of IVIg resistance. NLR ?2.08 was 82% sensitive and 80% specific in predicting CAL. ESR ?88 mm/h was 85% sensitive and 64% specific in predicting IVIg resistance. Conclusions: NLR is an independent predictor of CAL in KD. NLR ?2.08 done between the fourth and sixth day of fever onset may identify children with KD at risk of CAL.

14.
Korean Circulation Journal ; : 829-839, 2023.
Article in English | WPRIM | ID: wpr-1041500

ABSTRACT

Background and Objectives@#There is limited data on the impact of type 2 myocardial infarction (T2MI) during the coronavirus disease 2019 (COVID-19) pandemic. @*Methods@#The National Inpatient Sample (NIS) database from January 2019 to December 2020 was queried to identify T2MI hospitalizations based on the appropriate International Classification of Disease, Tenth Revision-Clinical Modification codes. Monthly trends of COVID-19 and T2MI hospitalizations were evaluated using Joinpoint regression analysis. In addition, the multivariate logistic and linear regression analysis was used to compare inhospital mortality, coronary angiography use, and resource utilization between 2019 and 2020. @*Results@#A total of 743,535 patients hospitalized with a diagnosis of T2MI were identified in the years 2019 (n=331,180) and 2020 (n=412,355). There was an increasing trend in T2MI hospitalizations throughout the study period corresponding to the increase in COVID-19 hospitalizations in 2020. The adjusted odds of in-hospital mortality associated with T2MI hospitalizations were significantly higher in 2020 compared with 2019 (11.1% vs. 8.1%:adjusted odds ratio, 1.19 [1.13–1.26]; p<0.01). In addition, T2MI hospitalizations were associated with lower odds of coronary angiography and higher total hospitalization charges,with no difference in the length of stay in 2020 compared with 2019. @*Conclusions@#We found a significant increase in T2MI hospitalizations with higher inhospital mortality, total hospitalization costs, and lower coronary angiography use during the early COVID-19 pandemic corresponding to the trends in the rise of COVID-19 hospitalizations. Further research into the factors associated with increased mortality can increase our preparedness for future pandemics.

15.
Article | IMSEAR | ID: sea-221286

ABSTRACT

Cricket is one of the most popular games which is played all over the world and its popularity has ever been increasing in the last decade. Fielding is an important dimension of the game as is batting and bowling. With the game being so fast with the introduction of 20 overs game fielding has had an increased demand in the sport. Throwing is considered one of the major and main activities of fielding. Throwing motions involve moving objects spatially using body segments, in particular, hand and arm segments, which can be classified into overarm throws, sidearm throws and underarm throws and divided into throwing objects quickly, accurately and far away. Aim of this study was to find The Correlation of Core Strength and Thoracic Rotation with Speed of Throwing in Cricketers. 31 Cricketers were assessed for their core strength with side rotational medicine ball throws and distance measured, Thoracic rotation in lumbar locked sitting position and measuring with universal goniometer and speed of throws with a BUSHNELL Speed gun. Results of this study showed that Core Strength and Speed of Throws showed a positive, strong and significant correlation whereas Thoracic Rotation and Speed of Throws also showed a positive and significant correlation. Core Strength showed greater clinical and statistical correlation with Speed of Throws than Thoracic Rotation. This study will not only help in preventing throwing injuries but also will help to train and enhance throwing abilities and overall performance

16.
Indian J Ophthalmol ; 2022 Jul; 70(7): 2765
Article | IMSEAR | ID: sea-224399
17.
Article | IMSEAR | ID: sea-216117

ABSTRACT

Background: The possibility of recurrence in COVID-19 is very rare and hence mostly underdiagnosed. In the face of pandemic, this can lead to circulation of the virus like a hidden iceberg. Better understanding about this topic can improve our knowledge of the COVID-19 pathogenesis and ways to control the transmission. Case presentation: A 41 year old male with no known comorbidities was admitted five times during a period of 7 months each time after being detected RTPCR positive for SARS-CoV-2 and more symptomatic than previously. He had no contact with other COVID-19 patients and was asymptomatic in between admissions. Despite this, he did not develop antibodies against SARS- CoV-2. Later on, he was diagnosed with thymoma on biopsy of the anterior mediastinal mass. Patient’s condition deteriorated on last hospitalization and he died, despite the treatment. Here we present an interesting report on multiple times recurrent COVID-19 infection, probably a case of reactivation and different plausible explanations on the role of thymoma. Conclusion: Acknowledging the potential of SARS-CoV-2 to cause recurrence is very important during the pandemic as a part of the long term transmission mitigation. The case report shows that previous infection does not guarantee complete immunity from COVID-19, especially in immuno-compromised patients. Hence, despite the status of prior infection, vulnerable individuals who recovered from COVID-19 should be under surveillance.

18.
Rev. colomb. psicol ; 30(2): 27-39, July-Dec. 2021. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1388950

ABSTRACT

Abstract The current study has as its objective to analyze the relationship between students' attitude towards learning English and the procrastinating behavior at the academic level. Attitudes strengthen people's motivation to learn a foreign language (Delfín, 2007), and procrastination, which involves unjustified delaying of activities, causes negative consequences in completing academic tasks postponement of responsibilities (Rodríguez & Clariana, 2017). The design was correlational, and the sample consisted of 55 students learning English. The instruments were the Attitudes towards English language learning questionnaire and the academic procrastination questionnaire. According to the results, evidence shows that there is a positive median relationship between the variables, leading us to conclude that despite having positive attitudes towards learning English, procrastinating behavior does not diminish. The results of this study could be utilized in bilingual programs, or those could also be utilized to implement curricula in language programs at schools or universities. The idea is that higher education institutions include, as mandatory, the instruction of English as a global language.


Resumen El objetivo del trabajo fue analizar la relación que existe entre la actitud de los estudiantes hacia el aprendizaje del inglés y la conducta de procrastinar. Las actitudes refuerzan la motivación de las personas para aprender un idioma extranjero (Delfín, 2007) y la procrastinación, la cual tiene que ver con el aplazo injustificado de actividades, y provoca repercusiones negativas en las tareas académicas (Rodríguez & Clariana, 2017). El diseño fue correlacional y la muestra fue de 55 estudiantes de inglés. Los instrumentos fueron el cuestionario de Actitudes hacia el aprendizaje del idioma inglés y el cuestionario de procrastinación académica. De acuerdo a los resultados se evidencia que existe relación positiva media entre las variables, con lo cual se concluye que, a pesar de tener actitudes positivas hacia el aprendizaje del inglés, la conducta de procrastinar no disminuye. Los resultados de este estudio podrían ser utilizados en programas bilingües o podrían también ser utilizados para implementar currículos de programas de idiomas en escuelas y universidades. La idea es que las instituciones de educación superior tengan como obligación la implementación del curso de inglés como idioma global.

19.
Article | IMSEAR | ID: sea-204545

ABSTRACT

Background: Cardiovascular Diseases (CVDs) are the major cause of mortality in the world. Reducing the incidence of CVDs has been a challenge due to the multifactorial risk profile of their origin. Among the non-modifiable risk factor for CVDs family history holds a lot of importance. Objective of the study was to study blood pressure, waist hip ratio and body mass index among adolescents and verify the possible the relation with a family history of cardiovascular disease.Methods: This is a cross-sectional study, which was conducted in 286 school children aged 10 to 19 years, of either sex, from Barabanki. After getting consent from school authorities, children and their parents, a detailed history was taken with a pre-designed proforma. Anthropometric and blood pressure measurements were taken.Results: In the presence of any risk factor of CVDs, 33.9% of the adolescents were overweight/obese, 45.8% had abdominal obesity, 26.3% had elevated systolic BP and 35.6% had elevated diastolic BP. The group with family history of CVDs had significantly higher number of adolescents with obesity and/or hypertension.Conclusions: The present studied showed an important association between family history of CVDs and blood pressure, waist hip ratio and body mass index in adolescents.

20.
Article | IMSEAR | ID: sea-194417

ABSTRACT

Background: Atrial Fibrillation is the most common arrhythmia encountered in our clinical practice accounting for 1/3rd of the total hospital admissions for cardiac rhythm disturbances. Recent worldwide epidemiological data have reaffirmed that AF is a global epidemic and has adverse effects on long term morbidity and mortality. This study is aimed to assess the clinical profile and etiology along with Echocardiographic evaluation of patients presenting with Atrial Fibrillation.Methods: Total of 100 patients of Atrial Fibrillation were enrolled for the study, who got admitted in hospital from March 2017 to June 2018. These patients were evaluated clinically, and detailed Cardiovascular, Neurological examination was done to evaluate etiology and for any evidence of thromboembolism. Echocardiography was also done.Results: Mean Age of the patients enrolled was 67.02±12.50 yrs. There was male predominance. The presenting complaints were dyspnea, palpitations, chest pain & pedal edema. On Echocardiography, Hypertensive Heart Disease was found to be the most common etiology. Mean LA size was 46.18±9.49 mm. LA clot was present in 4% patients. Most common complication was congestive cardiac failure followed by stroke. CHA2DS2- VASc score was ?2 in 86% patients.Conclusions: Increasing age and hypertension are associated with occurrence of AF. Hypertensive heart disease was the most common etiology in elderly age group. Presence of LVH or left atrial enlargement in patients with hypertensive heart disease requires early management to improve the outcomes.

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