Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 249
Filtrar
1.
Artículo | IMSEAR | ID: sea-228008

RESUMEN

Background: The present study explored the relationship between emotional intelligence (EI) and academic behavior (AB) among undergraduate students in Northern Indian colleges. Understanding these factors is fundamental for enhancing student success and well-being. Methods: Using a cross-sectional methodology, self-report questionnaires were used to gather data from 1000 undergraduate students who were selected through purposive sampling. Data was collected using tools that included the Emotional Intelligence Self-Assessment Questionnaire and the Academic Behavior Assessment Questionnaire. Results: The study's findings indicate that, while emotional intelligence and academic behavior are not substantially associated, students exhibit exceptional academic behavior and high emotional intelligence scores Statistical analyses examined the correlations and impacts of various demographic factors on EI and academic behavior. Participants exhibited high levels of academic behavior (mean=87.26, SD=13.55) and average levels of EI (mean = 48.76, SD = 13.99). A statistically significant positive correlation was found between EI and academic behavior (r = 0.097, p = 0.002). Course of study, presence of physical illness, and socio-economic status significantly influenced academic behavior, while place of residence, religion, and socio-economic status affected EI scores. Conclusions: Despite the positive correlation between EI and academic behavior, the association was not substantial. The study highlights the complex interplay of multiple factors affecting student achievement. Further research is encouraged to investigate additional variables impacting EI and academic behavior among Northern Indian undergraduates. These insights can inform targeted interventions to support student development and academic success.

2.
Artículo | IMSEAR | ID: sea-232602

RESUMEN

Background: The aim of the study was to compare the efficacy and safety of novel once-daily extended-release (ER) dydrogesterone 20 mg versus conventional twice-daily dydrogesterone 10 mg in Indian patients with endometriosis.Methods: A phase III prospective, randomized, double-blind, single-dummy, two-arm, active-controlled, parallel, multicenter study was performed in six gynecology centers across India. The patients of 18 to 45 years of age with a confirmed diagnosis of endometriosis on ultrasonography (USG) and having endometriosis-associated pelvic pain score (EAPP) of at least 30 mm on a 100 mm visual analog scale (VAS) were randomly assigned to a 1:1 ratio to either once-daily dydrogesterone ER 20 mg or twice-daily dydrogesterone 10 mg arms for a treatment period of 90 days. The primary outcome was a change from baseline in EAPP score at the end of the treatment.Results: A total of 228 patients with a mean age of 31.8±6.9 years were enrolled in the study. At day 90, both the treatment arms showed a significant reduction (p<0.05) in EAPP score from baseline (i.e. -34.2±15.3 mm and -33.1±14.8 mm in once daily dydrogesterone ER and twice daily dydrogesterone 10 mg, respectively), with no significant difference between the two arms (p=0.53). With both formulations, patients experienced a significant reduction in the size of endometrioma, serum vascular endothelial growth factors (VEGF) levels, use of rescue analgesics, and significant improvement in the health-related quality-of-life parameters. A favorable safety profile of dydrogesterone was confirmed, and no significant safety concerns were reported during the study.Conclusions: Once daily dydrogesterone ER 20 mg and twice daily dydrogesterone 10 mg demonstrated a significant and similar reduction in EAPP and all other secondary parameters along with marked improvements in parameters related to quality of life.

3.
Artículo | IMSEAR | ID: sea-231606

RESUMEN

Chronic rheumatoid arthritis (RA) can cause irreversible joint deterioration over time. Solvent-based lipid nanoparticles (SLNs) are widely used as an efficient method to increase the oral bioavailability of poorly soluble medicines like Sulfasalazine. The present study aimed to formulate and evaluation of anti-rheumatic potential of the solid lipid nano-particles (SLNs) of Sulfasalazine. Drug loaded SLNs were formulated and coated with chitosan (CS) for sustained delivery and characterized for particle size, poly dispersity index and in vitro drug release. safety and efficacy profile of optimized batch was analyzed in animal model. Particle size of the optimized formulation was 269±2.45 nm with the PDI of 0.217±0.008 and entrapment efficiency of about 79.9±2.21. The zeta potential of particles was 35.7 mV. Particles had spherical shape with size ranging 100 nm which was determined by TEM analysis. Created formulation showed that the medication was released from the lipid matrix under regulated conditions, with 83.2±1.5% of the drug released in 24 h. Cmax for drug was higher (337±24) when administered as SLNs drug, similarly Tmax was longer when administered as lipid nanoparticles (6Hr), indicating a sustained drug release from SLNs. complete Freund's adjuvant (CFA) activity in rats administered with CS-SSZ-SLN (300mg/kg) equivalent to doses of 300mg/kg SSZ showed reduction in paw edema by day 9 (53.1 ± 1.75% (p<0.005), day 18 (68.68 ± 2.08%) (p<0.001) and 78.24 ± 2.36 % ( p<0.001) on day 21 respectively. Significant increase in the Tmax and the T1/2 values for the nanoparticles, indicates sustained release of the drugs by the SLNs. Sulfasalazine functions by decreasing inflammation, which is likely responsible for lessening the signs and symptoms of inflammatory diseases such rheumatoid arthritis and inflammatory bowel disease.

4.
Artículo | IMSEAR | ID: sea-232563

RESUMEN

Background: Assessment of postmenopausal women with red flag signs like postmenopausal bleeding/ endometrial thickness ?5 mm is needed for early detection of any pathology. Early-stage endometrial cancer detection through office hysteroscopy is one of crucial modality for effective management. Objective was to assess the outcome of office hysteroscopy in postmenopausal women with red flag sign and correlated with histopathology findings. Methods: A prospective observational study at a single facility in Northern Ireland involving 122 post-menopausal women aged ?45 years subjected to AUB/increased endometrial thickness. Advance diagnostic examination by office hysteroscopy followed by histopathology to detect and rule out endometrial cancer and related ailments.Results: The mean age of the study population was 63.07±10.317 SD years and 91.8% were over-weight. 71.3% women had endometrial thickness <5 mm. Hysteroscopic reported for 8.2% (10 cases) endometrial cancers having diagnostic accuracy of 98.36%. The histological and hysteroscopic diagnoses were having significantly similar outcomes. Office hysteroscopy has 100% specificity and positive predictive value in detecting normal endometrium whereas 98.25% specificity and 100% negative predictive value in case for cancer detection.Conclusions: In Irish women, office hysteroscopy proved helpful in determining the pathologies that cause postmenopausal bleeding. Correlating hysteroscopic and histological findings with red flag indications should be the focus of future explorations.

5.
Artículo | IMSEAR | ID: sea-232484

RESUMEN

Background: An effective labour analgesia improves maternal and perinatal outcome and improves the course of labour.Methods: This was a prospective, randomised study done to compare effectiveness and safety of intravenous infusion of paracetamol with tramadol when used for labour analgesia. Group A (25 parturients) received paracetamol 1000 mg and group B (25 parturients) received tramadol 1mg/Kg at 4 to 6 cm cervical dilatation. Visual analogue score for pain was assessed at the baseline, 1 hour and 3 hours of drug administration and was compared between the two groups along with various maternal and fetal outcomes.Results: The difference in mean Visual Analogue Score (VAS) just before the drug administration was not statistically significant. However, at 1 hour of drug administration, mean VAS was significantly lower in the Group A (4.60) in comparison to Group B (5.82). The mean VAS at 3 hours was slightly lower in group A (6.35) in comparison to group B (6.65), though statistically there was no significant difference. Nausea, vomiting and sedation were found to be more in the tramadol group as compared to paracetamol group. The mean 1 and 5 minute apgar scores were found to be comparable in both the groups.Conclusions: So, it can be concluded from our study that intravenous paracetamol may be preferred over intravenous tramadol as it is associated with better analgesic efficacy and less maternal side effects. Although both the drugs were found to have good neonatal outcome.

6.
Artículo | IMSEAR | ID: sea-230850

RESUMEN

Climate change poses a significant challenge to global agriculture, with profound implications for plant disease dynamics and plant protection strategies. This review aims to synthesize current research on the impact of climate change on plant diseases, particularly focusing on how these changes affect pathogen life cycles, host resistance, and disease distribution. Emphasizing the Indian context, this paper explores the adaptation of plant protection strategies in response to these challenges, including the integration of traditional methods and advanced scientific approaches. It provides a comprehensive overview of the key aspects of climate change relevant to agriculture, including changes in temperature, precipitation patterns, and atmospheric CO2 levels. It delves into the direct and indirect impacts of these climatic changes on plant diseases, highlighting how altered environmental conditions influence pathogen virulence and the susceptibility of host plants. This section also discusses the shifted patterns in pest and disease distribution due to climate change, with a focus on the Indian agricultural scenario. Then it examines the current challenges in plant protection, assessing the limitations of traditional methods like chemical, biological, and cultural control in the context of a changing climate. It identifies critical areas such as increased disease incidence, pathogen resistance development, and the necessity for sustainable and adaptable plant protection strategies. Further it explores various adaptive strategies, including Integrated Disease Management (IDM), advances in breeding for disease resistance, biotechnological approaches, and climate-smart agricultural practices. It outlines how IDM principles and practices are being adapted to new climate scenarios, the role of genetic engineering and traditional breeding in developing disease-resistant varieties, the development of biopesticides and biocontrol agents, and the application of climate forecasts in disease management. Case studies and practical applications from different regions of India provide real-world examples of effective adaptation strategies, drawing lessons and best practices. The review concludes by identifying research gaps, advocating for multidisciplinary collaborations between plant pathology, climatology, and agronomy, and emphasizing the critical role of policy in supporting adaptive strategies. This comprehensive synthesis and analysis aim to contribute to the broader understanding of plant protection in the era of climate change and guide future research and policy-making in this vital field.

7.
Artículo | IMSEAR | ID: sea-234642

RESUMEN

Background: Maternal perception of decreased fetal movements is a cause of concern and common reason for visits to the antenatal clinic or delivery room. Several studies have shown that a reduction or cessation of fetal movements may result in poor pregnancy outcome and magnified increased risks of serious perinatal morbidity and mortality. Aim and objectives were to determine the correlation between decreased daily fetal movement counts, NST, USG and Colour Doppler with maternal and fetal outcome.Methods: This study was a prospective observational study, conducted in department of obstetrics and gynecology at Surat municipal institute medical education and research medical college from January 2020 to June 2021.Results: The study group consisted of 83 patients between 34 to 40 weeks of gestation with Decreased fetal movements. 60.24% patients belonged to age group between 21-25 years. 60.22% patients were multigravida.87.95% patients were full term, 59.09% patients presented between 12-24 hours of duration with complain of decreased fetal movements. In view of NST results, 72.29% patients had reactive-NST. In ultrasonography, 27.10% had AFI <5 cm and 72.90% had AFI >5 cm & all patients had normal color Doppler study. 60 patients had induced labor. 68.67% patients delivered vaginally. 42.10% of vaginal deliveries, 80% of Instrumental vaginal deliveries and 75% of LSCS had Meconium-stained liquor. 81.92% babies had APGAR score of >7 at birth. 84.33% had birth weight more than 2.5 kg 68.18% babies were admitted in NICU due to Meconium aspiration syndrome, followed by respiratory distress syndrome in 18.18% and birth asphyxia in 13.63% babies.Conclusions: Decreased fetal movement is a frequently occurring antenatal presentation, associated with poor perinatal outcomes. Daily fetal movement counts are very effective, cheap and reliable method to diagnose fetal compromise early. Methods like NST, USG and Colour Doppler study are helpful in the identification of causes and timely management of the patient with decreased fetal movements and helpful to diagnose the fetus at risk and their timely delivery.

8.
Artículo | IMSEAR | ID: sea-230222

RESUMEN

The experiment was conducted during the Rabi season 2022-23 at Crop Research Farm (CRF), Department of Agronomy, Naini Agricultural Institute, SHUATS, Prayagraj, (U.P.). The experiment was conducted in a Randomized Block Design consisting of 10 treatment combinations and 3 replications. The treatments consist of 3 levels of Nitrogen (60, 80 and 100 kg/ha) and 3 levels of Gibberellic acid (25, 50 and 75 ppm). The treatment combinations are as follows, T1 – [Nitrogen (60 kg/ha) + Gibberellic acid (25ppm)], T2 – [Nitrogen (60 kg/ha) + Gibberellic acid (50ppm)], T3 – [Nitrogen (60 kg/ha) + Gibberellic acid (75ppm)], T4 – [Nitrogen (80 kg/ha) + Gibberellic acid (25ppm)], T5 – [Nitrogen (80 kg/ha) + Gibberellic acid (50ppm)], T6 – [Nitrogen (80 kg/ha) + Gibberellic acid (75ppm)], T7 – [Nitrogen (100 kg/ha) + Gibberellic acid (25ppm)], T8 – [Nitrogen (100 kg/ha) + Gibberellic acid 50ppm)], T9 – [Nitrogen 100 kg/ha) + Gibberellic acid (75ppm)] and T10 – [Control]. The results showed that treatment 9 [Nitrogen (100 kg/ha) + Gibberellic acid (75ppm)] recorded significantly higher plant height (188.83 cm), maximum number of leaves/plant (15.00), higher plant dry weight (71.29 g), maximum stem thickness (2.40 cm), higher green forage yield (43.55 t/ha) and maximum moisture content (83.45 %) compare to all other treatments. The maximum gross return (108875.00 INR/ha), net return (71914.35 INR/ha) and highest B:C ratio (1.94) was recorded in treatment 9 application of [Nitrogen (100 kg/ha) + Gibberellic acid (75ppm)] as compared to all other treatments.

9.
Artículo | IMSEAR | ID: sea-230169

RESUMEN

Aim: This research focused on rice, especially in Asia, and examined how plant growth regulators, including hormones and synthetic compounds, affect crucial plant processes. The findings strongly support the use of foliar Indole-3-Acetic Acid (IAA) application to enhance hybrid rice growth, grain yield, and harvest index, promising advancements in agriculture.Study Design: Randomised Block Design with 11 treatments.Place and Duration of Study: The study, conducted at the Student Instructional Farm of C. S. Azad University of Agriculture & Technology in Kanpur, aimed to investigate the impact of foliar application of plant growth regulators on rice growth and yield during 2021 and 2022.Methodology: The experiment employed a rigorous randomized block design, testing various treatments involving the foliar application of IAA (25 & 50 ppm), IBA (25 & 50 ppm), NAA (25 & 50 ppm), Ascorbic Acid (50 & 100 ppm), and Kinetin (5 & 10 ppm). The profound effects of these different regulator concentrations were observed at key developmental stages, including tillering, anthesis, dough, and maturity.Results: Significant improvements in growth parameters, such as leaf and stem dry weights per plant, along with total leaf area per plant, were evident with the application of IAA at 50 ppm. Moreover, a notable increase in grain yield per plant and harvest index was observed at maturity, primarily with the foliar spray of IAA at 50 ppm, followed closely by IAA at 25 ppm. This consistent trend was also observed in yield-related attributes.Conclusion: The use of Indole-3-acetic acid (IAA) significantly impacted plant growth and yield, including leaf and stem dry weights, leaf area, grain yield, and harvest index, showing promise for enhancing hybrid rice production.

10.
Artículo | IMSEAR | ID: sea-230075

RESUMEN

A field experiment was conducted at the Crop Research Farm, Department of Agronomy, Sam Higginbottom University of Agriculture, Technology and Sciences, Prayagraj during Rabi season 2022-23 on chickpea crop. The experiment was laid out in randomized block design with ten treatments and three replication. The treatments consist of 3 levels of Phosphorus (30, 40 and 50 kg/ha) and 3 levels of Zinc (10, 15 and 20 kg/ha). The treatment combinations are as follows, T1 – 30 kg/ha Phosphorus + 10 kg/ha Zinc, T2 – 30 kg/ha Phosphorus and 15 kg/ha Zinc, T3 – 30 kg/ha Phosphorus and 20 kg/h Zinc, T4 – 40 kg/ha Phosphorus + 10 kg/ha Zinc, T5 – 40 kg/ha Phosphorus + 15 kg/ha Zinc, T6 – 40 kg/ha Phosphorus + 20 kg/ha Zinc, T7 – 50 kg/ha Phosphorus + 10 kg/ha Zinc, T8 – 50 kg/ha Phosphorus + 15 kg/ha Zinc, T9 – 50 kg/ha Phosphorus + 20 kg/ha Zinc and T10 – (control). The nutrient sources were Urea, Single Super Phosphate (SSP) and Muriate of Potash (MOP), applied as per the recommended dose of 20-40-20 kg NPK/ha. As per the treatment, application of phosphorus and zinc were done as basal application. The treatment consisted of soil application of Phosphorus (30 kg/ha, 40 kg/ha and 50 kg/ha), Zinc (10 kg/ha, 15 kg/ha and 20 kg/ha) and zinc and a control (20-40-20 kg NPK/ha). The results of the experiment showed that, plant height (48.81 cm), dry weight (14.88 g) number of nodules/plant (14.67), number of pods/plant (30.07), number of seeds/pod (1.37), seed index (21.36 g), seed yield (2.66 t/ha) and stover yield (4.26 t/ha), harvest index (38.31) were recorded significantly highest with the application Phosphorus 50 kg/ha + Zinc 20 kg/ha. Maximum gross returns (152516.67 INR/ha), net returns (102367.23 INR/ha), and B-C ratio (2.04) were also obtained with the same treatment.

11.
Artículo | IMSEAR | ID: sea-230031

RESUMEN

The field experiment was conducted at Crop Research Farm, Naini Agriculture Institute, Department of Agronomy, Sam Higginbottom University of Agriculture, Technology and Sciences, Prayagraj during Zaid 2022 on sandy loamy soil. The experiment was laid out in Randomized Block Design. The experiment consists of treatments i.e., VAM (20g/kg seed) + Phosphorus 30kg ha-1, PSB (20g/kg seed) + Phosphorus 30kg ha-1, VAM + PSB (40g/kg seed) + Phosphorus 30kg/ha, VAM (20g/kg seed) + Phosphorus 40kg ha-1, PSB (20g/kg seed) + Phosphorus 40kg ha-1, VAM + PSB (40g/kg seed) + Phosphorus 40kg/ha, VAM (20g/kg seed) + Phosphorus 50kg ha-1, PSB (20g/kg seed) + Phosphorus 50kg ha-1, VAM + PSB (40g/kg seed) + Phosphorus 50kg/ha, including control i.e., application of 20-40-20 kg NPK ha-1 (Farmer practice), which are replicated thrice. The variety PDM-139 SAMRAT green gram was sown in February 2023. The results of the experiment revealed that the application of VAM + PSB @ (40g/kg seed) along with 50 kg ha-1 of phosphorus significantly increased the growth parameters viz., plant height (32.94 cm), plant dry weight (42.73 g plant-1), crop growth rate (72.1 g m-2 day-1), relative growth rate (2.16 g m-1 day-1), branches per plant (6.53), nodules per plant (16.4) and yield parameters viz, pods per plant (19.20), seeds per pod (11.87), test weight (40.0g), seed yield (1,620 kg ha-1), haulm yield (1,022.22 kg ha-1), harvest index (49.30%) over control. This treatment also showed its positive effect on economics viz., gross returns (Rs. 1,45,770 ha-1), net return (Rs. 1,04,120.40 ha-1) and benefit cost ratio (2.50).

12.
Artículo | IMSEAR | ID: sea-232398

RESUMEN

Background: Postpartum hemorrhage (PPH) contributes to 25% maternal mortality worldwide (WHO, 2007). In poor resource settings where facility of refrigeration is not available uterotonics may not prove to be useful in prevention of PPH. The aim of this study is to find out the efficacy and acceptability of Amr’s cervical traction maneuver in prevention of PPH in such set up.Methods: This interventional observational study was conducted among 220 patients coming in labour eligible for vaginal delivery in Department of Obstetrics and Gynaecology, S. N. Medical College, Agra between December 2020 to May 2022. Patients were divided into two groups: study group (110 patients) where Amr’s maneuver along with AMTSL is done and control group: where AMTSL is done alone.Results: The mean age of participants in study group was 23.76 years and control group was 23.75 years. In both groups, 59.5% were primigravidae. Mean BMI in both group was 25.02 kg/m2. Almost 61% had spontaneous labour. Nearly 92% delivered normally without instruments. In study group 66% patients had blood loss less than 400ml. Average blood loss was 255.23 ml in study group and 300.25 ml in control group. The difference is clinically significant. The mean blood loss in PPH patients in study group was 603.75 ml, and in control group it is 753.25 ml, which is clinically significant.Conclusions: Amr’s maneuver is a simple maneuver when done in combination with AMTSL results in reducing the incidence of PPH and amount of blood loss post-delivery to a great extent.

13.
Artículo | IMSEAR | ID: sea-232287

RESUMEN

Background: Postpartum hemorrhage (PPH) contributes to 25% maternal mortality worldwide (WHO, 2007). In poor resource settings where facility of refrigeration is not available uterotonics may not prove to be useful in prevention of PPH. The aim of this study is to find out the efficacy and acceptability of Amr’s cervical traction maneuver in prevention of PPH in such set up.Methods: This interventional observational study was conducted among 220 patients coming in labour eligible for vaginal delivery in Department of Obstetrics and Gynaecology, S. N. Medical College, Agra between December 2020 to May 2022. Patients were divided into two groups: study group (110 patients) where Amr’s maneuver along with AMTSL is done and control group: where AMTSL is done alone.Results: The mean age of participants in study group was 23.76 years and control group was 23.75 years. In both groups, 59.5% were primigravidae. Mean BMI in both group was 25.02 kg/m2. Almost 61% had spontaneous labour. Nearly 92% delivered normally without instruments. In study group 66% patients had blood loss less than 400ml. Average blood loss was 255.23 ml in study group and 300.25 ml in control group. The difference is clinically significant. The mean blood loss in PPH patients in study group was 603.75 ml, and in control group it is 753.25 ml, which is clinically significant.Conclusions: Amr’s maneuver is a simple maneuver when done in combination with AMTSL results in reducing the incidence of PPH and amount of blood loss post-delivery to a great extent.

14.
Rev. Bras. Ortop. (Online) ; 58(5): 698-705, Sept.-Oct. 2023. tab
Artículo en Inglés | LILACS | ID: biblio-1529936

RESUMEN

Abstract Objective To determine the correlation between posttreatment trunk range of motion (ROM) and isometric strength (TIS) and pain and disability in patients who underwent multimodal rehabilitation for low back pain (LBP). Methods In this prospective cohort study, 122 patients undergoing multimodal rehabilitation for LBP were analyzed. The pre- and posttreatment numerical pain rating scale (NPRS) and the Oswestry disability index (ODI) scores, as well as trunk ROM and TIS were compared. The Pearson correlation was used to determine correlation between posttreatment clinical outcomes and ROM and TIS. Results At the end of treatment, the mean NPRS (p< 0.0001) and ODI (p< 0.0001) scores, mean trunk extension (p< 0.0001), and flexion (p< 0.0001) ROMs improved significantly. Similarly, posttreatment, the mean extension (p< 0.0001) and flexion (p< 0.0001) TISs improved significantly. There was a weak correlation between the NPRS score and ROM extension (r = -0.24, p= 0.006) and flexion strength (r = -0.28, p= 0.001), as well as between the ODI score and TIS extension (r = -0.30, p= 0.0007) and flexion (r = -0.28, p= 0.001). Conclusion Despite significant improvement in pain, disability, trunk ROM, and TIS with multimodal treatment, there was a weak correlation between posttreatment pain and function and trunk ROM and TIS. Improvement in pain and function with physical rehabilitation treatment for LBP is a complex phenomenon and needs further investigation.


Resumo Objetivo Determinar a correlação entre a amplitude de movimento (ADM) do tronco pós-tratamento e a força isométrica do tronco (FIT) e a dor e a incapacidade em pacientes submetidos à reabilitação multimodal para dor lombar (DL). Métodos Neste estudo de coorte prospectiva, 122 pacientes submetidos à reabilitação multimodal para DL foram analisados. Foram comparados os escores de escala numérica de dor pré- e pós-tratamento (END) e do índice de incapacidade Oswestry (Oswestry disability index - ODI), a ADM do tronco e a FIT. A correlação de Pearson foi utilizada para determinar a correlação entre desfechos clínicos e a ADM e a FIT pós-tratamento. Resultados Ao final do tratamento, as médias de ADM (p< 0,0001) e ODI (p< 0,0001), as ADMs médias de extensão (p< 0,0001) e a flexão (p< 0,0001) do tronco melhoraram significativamente. Da mesma forma, a FIT pós-tratamento, as FITs médias de extensão (p< 0,0001) e flexão (p< 0,0001) melhoraram significativamente. Houve uma correlação fraca entre o escore do END e a ADM de extensão (r = -0,24, p= 0,006) e força de flexão (r = -0,28, p= 0,001) pós-tratamento, assim como entre o escore de ODI e FIT de extensão (r = -0,30, p= 0,0007) e flexão (r = -0,28, p= 0,001) pós-tratamento. Conclusão Apesar da melhora significativa da dor, capacidade, ADM do tronco e FIT com tratamento multimodal, houve uma fraca correlação entre dor pós-tratamento e função e ADM e FIT de tronco. A melhora da dor e da função com o tratamento de reabilitação física para DL é um fenômeno complexo e precisa de uma investigação mais aprofundada.


Asunto(s)
Humanos , Enfermedades de la Columna Vertebral/terapia , Resultado del Tratamiento , Dolor de la Región Lumbar/rehabilitación , Dolor de la Región Lumbar/terapia , Terapia Combinada , Fuerza Muscular
15.
Artículo | IMSEAR | ID: sea-229246

RESUMEN

An evaluation of physico-chemical properties of 27 soil samples from 3 different blocks ie., Sahibganj, Borio and Taljhari of Sahibganj district (Jharkhand) in different depths (0–15, 15–30 and 30–45 cm) was carried out during of 2022-2023. The present investigation was objectified as determination of soil Physico-chemical properties to analyse the soil fertility status with finding out the deficiency and toxicity of different soil nutrients. Soil samples were analyzed using standard laboratory techniques and statistical analysis. The treatments in them study were arranged in a Completely Randomized Design. The bulk density of the soils varied from 1.13 to 1.53 Mg m-3, while the particle density ranged from 2.24 to 2.69 Mg m-3. The percentage of pore space was between 36.88 and 49.55% and water holding capacity was between 31.11 and 44.71%. Soil pH varied from 6.28 to 7.90 which was neutral to slightly saline with soil EC ranged 0.02-0.64 dS m-1 that would significantly affect crop production. In the case of the organic carbon, nitrogen and phosphorus content of research area was found to be low to medium while the range of Potassium was sufficient ranging from 176.34 to 271.77 kg ha1. In these areas recommended fertilizer doses should be applied as per soil test crop response to prevent yield losses due to deficiency of nutrients.

16.
Artículo | IMSEAR | ID: sea-229203

RESUMEN

High salt concentrations and high pH occur simultaneously in nature, however, presently most of the studies have mainly focused on only salinity, the research on salt-alkali combined stress are comparatively very limited. Hydrogen peroxide is an important signaling molecule. However, the role of exogenously applied hydrogen peroxide (H2O2) under saline–alkaline stress is not known. The main objectives of present study was to assess role of exogenously applied H2O2 as seed priming in mitigating the harmful effect of saline–alkaline stress on differentially tolerant mungbean genotypes (TMB-37 and MH-1314). Saline-alkaline stress significantly decreased the chlorophyll content, leaf relative water content (RWC) and yield while enhanced malondialdehyde (MDA), proline and antioxidant enzyme activity in root and leaf samples of both mungbean cultivars. Seeds priming were done with 0.01% H2O2 and distilled water. Seed priming with 0.01% H2O2 significantly improved the yield and yield attributes along with increment in leaf chlorophyll content, RWC as well as accumulation of osmolytes. The activities of antioxidant enzymes, viz., SOD, CAT and POX were also significantly increased in both mungbean genotypes and especially the CAT activity both in root and leaf tissue. However, relatively higher improvement was observed in genotype TMB-37. In conclusion, exogenously applied 0.01% H2O2 improved the saline–alkaline tolerance, which was reflected in terms of enhanced photosynthetic pigments, RWC, proline accumulation, and antioxidant enzyme activity of root as well shoot tissues and yield.

17.
Artículo | IMSEAR | ID: sea-220789

RESUMEN

Background: Fetal echocardiography plays a pivotal role in detecting congenital cardiac structural anomalies. Though foetal echocardiography is mostly reserved for high risk pregnant women, its role as a routine prenatal screening tool needs to be dened. To evaluate the role of fetal echocardiography as a routine Objectives: antenatal screening tool for detection of congenital cardiac structural anomalies.To compare the prevalence of congenital cardiac structural anomalies by fetal echocardiography in antenatal women with low risk and high risk factors for cardiac structural anomalies. The study was carried out in the department of radiodiagnosis, SNMC, Agra. Materials and methods: 500 fetal hearts between 18-26 weeks gestation were evaluated through fetal echocardiography.They were categorised into two groups -low risk (Group I) and high risk (Group II) and scanned through four chamber , LVOT , RVOT and three vessel view. Result: The prevalence of fetal congenital cardiac structural anomalies in this study is 14/1000.Fetal echocardiography had a sensitivity of 85% & specicity of 99%. PPV is 85% and NPV is 99%. The incidence of congenital cardiac structural anomalies in high risk and low risk group was 12 % & 14.8 % per 1,000 respectively. based on these ndings it is highly Conclusion: suggestive that every pregnant woman should be subjected to a detailed fetal echocardiography. Fetal echocardiography should be included as a part of routine antenatal screening irrespective of risk factors for congenital cardiac structural anomalies.

18.
Artículo | IMSEAR | ID: sea-220787

RESUMEN

Background: India has high perinatal mortality and fetal growth restriction (FGR) ,small for gestational age (SGA) babies are major cause for preterm births and low birth weight, and consequently high perinatal mortality in India1. Ultrasound scanning methods are nowadays used to observe fetal growth , analyze fetal biometry and fetal doppler. Colour Doppler helps to identify at risk pregnancies and fetal growth restriction along with stage based protocol for the management of Fetal Growth Restriction.2. To compare the sensitivity and specicity of doppler Objective: indices of MCA , umbilical artery and uterine artery in prediction of adverse perinatal outcome. Study Material And Method: was conducted from October 2020 to September 2022 in the department of Radiodiagnosis of Sarojini Naidu medical college, Agra .The study included 90 clinically suspected antenatal women with period of gestational age between 29-40 weeks who were referred from Antenatal OPD of Obstetrics and Gynecology to Department of Radiodiagnosis in Sarojini Naidu Medical College , Agra . All the cases in the study were followed up from rst visit upto the time of delivery and further. Conclusion: Women with abnormal Doppler ndings had increased adverse perinatal outcomes in terms of morbidity ( low birth weight , NICU admissions , perinatal death ) with umbilical artery Doppler study being most sensitive and MCA being most specic in predicting adverse perinatal outcome .

19.
Artículo | IMSEAR | ID: sea-232104

RESUMEN

Spontaneous splenic rupture during pregnancy can be catastrophic with most of the cases needing splenectomy. We presence an interesting case of conservatively managed spontaneous splenic rupture in pregnancy. A 24-year-old G2P1L1 with 35 weeks gestation with previous LSCS severe preeclampsia and severe anaemia was referred from a peripheral centre. On examination, she was vitally stable with marked pallor and pedal oedema. Abdominal wall oedema and ascites was present, uterus was 28 weeks with FHS localised by Doppler. After 2 hours, patient complained of continuous pain abdomen. It was tense, tender with FHS non-localised, uterine fundus could not be made out. USG revealed a retroplacental hematoma of 3.5×2.2 cm with free fluid in the abdomen. Differential diagnosis of rupture uterus and abruptio placenta were made. Emergency laparotomy was done. Intraoperatively, 800 cc fresh hemoperitoneum was present, previous scar was intact and a live baby delivered by LSCS. Uterus, bilateral tubes and ovaries were normal. After the uterus was closed, fresh intraabdominal bleeding was still present. With the help of general surgeon, exploration was done and two long superficial splenic tears (grade 2 splenic injury) with continuous oozing were identified. Contact pressure was applied by gauze. Bleeding stopped and omental wrapping around spleen was done. Abdomen was closed after putting drain and patient was shifted to ICU for monitoring. After 27 days, patient was discharged in a stable condition. Thus, spontaneous splenic rupture should be considered in the diagnostic differential of hemodynamic instability in a case of severe preeclampsia. Emergency laparotomy before the setting of collapse and DIC are vital steps to save the spleen and improve feto-maternal survival.

20.
Artículo | IMSEAR | ID: sea-228165

RESUMEN

Introduction: Physical activity leads to raised oxygen demand. This causes desaturation in patients with moderate to severe ARDS. Case Report: A 65yr/M was admitted complaining of breathlessness, cough and fever. RT-PCR was positive, inflammatory markers raised and HRCT Thorax consistent with covid findings. The patient was a known hypertensive taking Tab. Telmisartan (40mg). He had received 1st dose of Covishield vaccine. Treatment was initiated according to covid protocol. Oxygen therapy via NRBM mask at 10-15 litres was started and saturation maintained at 90-95%. On 9th day of admission, pt’s. saturation fell to 77%, while defecating. Subsequently, similar episodes were noted. Saturation fell to 55% transiently prompting BiPAP intervention. On Day 12 a severe episode of desaturation was noted but patient improved, without needing intubation. Diagnosis of Defecation Syncope was made. Discussion: Defecation Syncope (DS) is a parasympathetic response to the exerted pressure on the rectum and diaphragm, and closure of the epiglottis during defecation. Initially there is rise in BP and bradycardia, then rapid fall in BP leading to decreased cerebral perfusion causing syncope. Secondly, raised intra-abdominal pressure causes the diaphragm to exert greater pressure on the thoracic cavity. A (V/Q) mismatch causes hypoxia and desaturation in such patients. Constipation predisposes to DS. Conclusion: While these patients perform voiding activity, adequate fluid therapy should be initiated. Oxygen flow should be increased. Laxatives should be used judiciously. Emergency trolley should be kept on standby. Occasionally, such patients may have fatal outcomes. Patients should be under vigilance of healthcare providers.

SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA