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Immune Thrombocytopenic Purpura Association With Epstein-Barr Virus, Amer Aldamouk, Bachr Masri, Ali Khan, Pulkita Uppal

Graduate Medical Education Research Journal

Immune thrombocytopenia (ITP), also referred to as idiopathic thrombocytopenic purpura, is an acquired form of thrombocytopenia caused by antibodies directed against platelet glycoproteins, particularly anti-GpIIb/IIIa antibodies. Epstein-Barr virus (EBV), a herpes virus infecting a large majority of the population before adulthood, has been implicated in various immune-mediated disorders, including ITP. In this report, we present a case of a young adult female with a history of thrombocytopenia who was found to have severe thrombocytopenia attributed to chronic EBV infection. Despite initial treatment with corticosteroids and intravenous immunoglobulin (IVIG), the patient's condition necessitated second-line therapies, including rituximab and thrombopoietin receptor agonists. …

A Rare Delayed Neuropsychiatric Encephalopathy After Hyperbaric Oxygen Treatment For Carbon Monoxide Poisoning: A Couple’S Case Report, Sabrina Kasha, William J. Naber Ii, Michael Reimer

Graduate Medical Education Research Journal

Background: Carbon monoxide (CO) poisoning is caused when carbon monoxide builds up in the blood, most specifically due to its high binding affinity for the heme structure in hemoglobin. This can lead to serious tissue damage and even be fatal. CO poisoning is primarily the result of incomplete combustion of fuels, with common sources domestically and internationally including furnaces, gas heaters, generators, and motor vehicles.2 Symptoms tend to present as neuropsychiatric symptoms, such as dementia, psychosis, parkinsonism, and incontinence. There are few well-researched CO poisoning specific treatments, which suggest supplemental oxygen and hyperbaric oxygen are most effective. We present a …

From Awareness To Action: A Guide To Uphold Human Rights, Erica Jensen, Emma Indart, Emilyn Watkins

Journal of Nonprofit Innovation

No abstract provided.

Human Rights Violation - Full Issue June 2025, Angie Holzer

Journal of Nonprofit Innovation

No abstract provided.

Keynote: Research And Innovation At Logistics 4.0 Lab At Ntnu, Fabio Sgarbossa

International Material Handling Research Colloquium

No abstract provided.

Management Of Cervical Radiculopathy Current Systematic Reviews, Jamir Pitton Rissardo, Ana Leticia Fornari Caprara

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Reading Journals On Phone, Harish Gupta

Indian Journal of Health Sciences and Biomedical Research KLEU

No abstract provided.

Unveiling The Learning Style Puzzle Factors That Shape How Medical Students Learn, Saurabh Rambiharilal Shrivastava, Dhiyaul Athifah M. Jasri

Indian Journal of Health Sciences and Biomedical Research KLEU

The medical curriculum is extremely vast and dynamic, and it is expected that, within the defined time frame, a student must acquire the desired learning outcomes. This draws our attention to the phenomenon of learning style, which refers to the preferred way by which a medical student tries to acquire and process information. Once we understand the learning styles of students, it enables teachers to customize their instructional strategies depending on the unique needs of the student, and this enriches the learning experience and ensures better engagement, which in turn promotes deeper understanding and enhanced knowledge retention. Learning style plays …

Rare Case Presentation Of Parathyroid Adenoma In A Young Female Presenting As Pathological Fracture Of Long Bones A Case Study, P. Ajay Kale, Himanshi Vats

Indian Journal of Health Sciences and Biomedical Research KLEU

Primary hyperparathyroidism (PHPT) is usually seen in females above the age of 50 years, with a prevalence of 21/1000 whereas the incidence in patients aged 12–28 years is <5%. A solitary adenoma is responsible for 80% of cases of PHPT. PHPT is most commonly asymptomatic. The young age of the patient and her presentation with osteoporosis and bone fractures make this an extremely rare presentation of parathyroid adenoma (PTA). Here, we report a case of PTA in a young female presented with pathological fracture of tibia and humerus. The case was diagnosed as PTA based on clinical symptoms and investigations. Surgical intervention, i.e. parathyroidectomy was performed under GA.

Tracheal Foreign Body Misdiagnosed As Acute Bronchial Asthma In A Toddler Child, Bablu Kumar Gaur, Naadia Nazim, Sumanyu Ahuja, Anahita Fatma

Indian Journal of Health Sciences and Biomedical Research KLEU

Foreign body aspiration (FBA) is one of the common causes of significant morbidity and mortality in a toddler child. Airway foreign bodies might be presented as a spectrum, ranging from the acute onset of choking, cyanosis, and respiratory distress to delayed onset of mild respiratory distress, wheezing, persistent cough, and fever. Here, we report a case of peanut aspiration in a toddler child, who was initially being treated as acute bronchial asthma, and the diagnosis was subsequently confirmed on computed tomography (CT) chest as a case of tracheal FBA. A foreign body was successfully retrieved by rigid bronchoscopy under general …

Morphometric Analysis Of Palatal Vault For Sex Determination In Central Indian Population, Saurabh Sharma, Paran Joshi, Raman Grover

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Palate has been a topic of interest regarding sex determination from human skeletal remains in physical anthropology. Palatal index (PI) is an important parameter for the sex determination of deceased individuals with unknown identity.

AIM:

The study aimed to determine and compare PI, clinically and radiographically, and evaluate its role in sexual dimorphism in the Central Indian population.

MATERIALS AND METHODS:

This study was conducted on 392 participants, in the department of anatomy and dentistry of a premium medical college in India. Maxillary casts were used for clinical measurement. Posteroanterior and lateral cephalogram (Ceph) were used for the radiographic …

Development And Validation Of A Self-Assessment Tool To Determine, Rakesh Roushan, Ritesh Singhal, Manjry Anshumala Barla, Manu Bhai Gaur

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Ayurveda, the traditional system of health care that is native to India, has a unique concept of

Prakriti.

It divides the population into seven constitutional types. Every constitution type has some unique features explained by Acharyas.

OBJECTIVE:

The primary objective was to develop a validated

Deha

Prakriti

determination tool that will be easier to administer, less time-consuming, and more sensitive to even small changes.

MATERIALS AND METHODS:

A questionnaire was prepared based on features explained in

Charak Samhita

. The data generated through the cross-sectional study of the questionnaire, from February 22 to March 2022, were used for analysis. …

Comparative Evaluation Of Postoperative Pain After Single Sitting Pulpectomy Using Hand And Rotary Instrumentation In Primary Molars Of Children – A Randomized Control Study, Nivedita Saxena, Shivayogi M. Hugar, Pooja K. Dialani, Neha Kohli, Shweta Kajjari, Niraj S. Gokhale

Indian Journal of Health Sciences and Biomedical Research KLEU

AIM:

The aim of the study is to evaluate and compare postoperative pain after single sitting pulpectomy using hand and rotary instrumentation in the primary molars of children.

MATERIALS AND METHODS:

Sixty children of age 4–8 years were selected using standard sample size formula for the single sitting pulpectomy after fulfilling inclusion and exclusion criteria and all participants were equally divided into two groups. Single sitting pulpectomy procedure was carried out in both groups. In the control group, K files and in the experimental group Pro AF baby gold pediatric rotary files were used, followed by obturation with zinc oxide-eugenol …

Knowledge Regarding Premenstrual Syndrome Among Adolescent School Girls In A View To Develop An Information Booklet, Akshata Pujari, Smeeta Sachin Revankar

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Premenstrual syndrome (PMS) is a combination of physical, psychological, emotional, and mood disturbances that occurs after a women's ovulation. Worldwide, PMS affects 47.8% of the reproductive age group girls. The highest prevalence is found in developed countries.

AIMS AND OBJECTIVES:

The objectives of the study were to assess the level of knowledge regarding PMS among adolescent girls, to determine the association between the level of knowledge with selected demographic variables, and to develop and validate information booklet.

MATERIALS AND METHODS:

Quantitative approach and descriptive research design were used. One hundred and seventy-one adolescent girls were selected using nonprobability convenient …

Robotic Surgery In Otorhinolaryngology And Head-And-Neck Oncology, Santosh Kumar Swain

Indian Journal of Health Sciences and Biomedical Research KLEU

Robotic technology applications in the surgical and medical disciplines have been developed gradually over many years with few contributions from many sources. Over conventional open procedures, these technologies provide a variety of benefits, including enhanced cosmesis, lower morbidity, and higher surgical safety. In < 2 decades, robotic surgery in otorhinolaryngology has advanced fast. It has been utilized in the surgical treatment of several pathological lesions and has become the part of the standard care in the treatment of oropharyngeal malignancies. Robotic surgery provides improved visualization, instrumentation, and ergonomics in comparison to conventional approaches in otorhinolaryngology, although cost remains a concern. Future robotic surgery will use technological innovation to higher visualization, expand surgical access, and even augment surgical decision-making with artificial intelligence. In this review article, we discuss the history of robotic surgery, the use of robotic surgery in otorhinolaryngology and head-and-neck surgery, and advantages and disadvantages of robotic surgery.

Primary Fallopian Tube Carcinoma Preoperative Diagnostic Dilemma, Shalini Bhalla, Shalini Rawat, Sameer Gupta

Indian Journal of Health Sciences and Biomedical Research KLEU

Primary fallopian tube carcinoma is an uncommon female genital tract malignancy that resembles epithelial ovarian neoplasm clinically and radiologically. We present a case of 49-year-old woman with postmenopausal intermittent vaginal bleeding, lower abdominal pain, and pelvic mass for 3 months. On physical examination, lower abdominal tenderness was found. Ultrasound examination revealed bilateral hydrosalpinx with hematometra. Her serum cancer antigen-125 was raised (190.0 U/ml). With the clinical diagnosis of endometrial cancer, patient underwent total abdominal hysterectomy with bilateral salpingo-oopherectomy, infracolic omentectomy and rectal deposit biopsy. Microscopic examination showed features of serous adenocarcinoma of the fallopian tube. Histologically, it is indistinguishable from …

May–Hegglin Anomaly A Rare Hereditary Autoimmune Thrombocytopenia, Vinaya Singh, Mazhar Nasir Khan, Sushma Malik, Poonam Wade, Vrinda Kulkarni

Indian Journal of Health Sciences and Biomedical Research KLEU

Neonatal thrombocytopenia is a common entity encountered in neonatal intensive care unit. Diagnosis often becomes challenging because of broad range of possible clinical diagnoses. Careful evaluation and history taking are the backbone of sound diagnosis. During such diagnostic dilemma, investigation as basic as peripheral smear examination can come to a rescue. Here, we present a rare case of neonatal autoimmune thrombocytopenia. On the basis of detailed history, careful examination, and basic investigations, diagnosis of May–Hegglin anomaly was made which was later confirmed by genetic studies (rare mutation in myosin heavy chain 9 gene).

Metastatic Cystic Melanoma Of Unknown Primary Masquerading As Sarcoma Report Of A Rare Occurrence, Kavita Mardi, Akshita Mehta, Rashpal Thakur

Indian Journal of Health Sciences and Biomedical Research KLEU

Malignant melanoma of unknown primary is rare. Cystic malignant melanoma is again rare. Metastatic malignant melanoma with unknown primary presenting as a cystic mass in the anteromedial compartment of the thigh masquerading as soft tissue sarcoma has not been reported so far. We report one such rare occurrence in a 63-year-old male and review pertinent literature to increase awareness regarding such unusual presentations of malignant melanoma among radiologists and clinicians.

Mustadi Yapana Basti (Medicated Enema) In The Management Of Oligozoospermia: A Case Series, Ankur Kumar Tanwar, Sujata Rajan, Manoj Kumar Shamkuwar

Indian Journal of Health Sciences and Biomedical Research KLEU

Infertility is a global issue of concern in the modern era, affecting 8%–12% of couples globally. Although the etiology of infertility is varied and difficult to determine, a good proportion of cases can be attributed to male. The most common cause of male infertility is oligozoospermia. Oligozoospermia is a decrease in sperm concentration below 15 million sperm/ml in semen ejaculate.

Shukra Kshaya

is a similar clinical condition mentioned in

Ayurveda

in which the

Shukra Dhatu

is diminished both qualitatively and quantitatively.

Ayurveda

has specified many therapeutic interventions and practices, including the

Panchakarma

procedure,

Basti Karma

, for the strengthening of …

Short-Term Effect Of Multifidus Muscle Intramuscular Electrical Stimulation In Chronic Low Back Pain, Manoj Kumar Sharma, Sarika Chaudhary

Indian Journal of Health Sciences and Biomedical Research KLEU

Interventions for mechanical low back pain (LBP) include physical therapy and pharmaceutical management, as well as surgical intervention. Although the paraspinal muscles have been identified as important spinal stabilizers and are targeted during physical therapy, diminished activation of this muscle can lead to biomechanical dysfunction and lead to mechanical LBP. Intramuscular electrical stimulation (IMES) with low-frequency (2 Hz) current facilitates release of endogenous opioids which promotes analgesia and causes activation of multifidus muscle and improves the changes produced by muscular dysfunction. After single session of intervention, the patient reported that her pain levels were 0 and 1 on a numeric …

Assessment Of Nutritional And Mental Health Status Of Institutionalized Geriatric People, K. Remitha Joyce, Sheila John, Sarah Jane Monica

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Health and nutritional assessment of the institutionalized geriatric population is essential in providing better health care.

OBJECTIVE:

To assess the institutionalized geriatric population’s nutritional and mental health status.

METHODOLOGY:

One hundred elderly people aged 60 years and above residing at Little Drops – Old Age Home, Mangadu, Kanchipuram District, Tamil Nadu, were selected for the study. General information was obtained using a structured interview schedule. Nutrient intake was assessed using the three day dietary recall method. Standard methods were used to measure anthropometric, biochemical, and clinical parameters. Mental health was assessed using the Depression, anxiety, and Stress Scale (DASS-42) …

Awareness Of Stroke In A Teaching Hospital In North Karnataka A Cross-Sectional Study, Saraswathi N. Tenagi, Aralikatte Onkarappa Saroja, Karkal Ravishankar Naik

Indian Journal of Health Sciences and Biomedical Research KLEU

CONTEXT:

The 2018 consensus statement of the Indian Stroke Association ranks stroke as the second leading cause of death in India, thus making it a public health challenge. The associated stigma and inadequate knowledge stand as a hurdle in early detection of the disease, which delays treatment leading to disabilities.

AIMS:

To assess the awareness of risk factors, warning symptoms, and treatment of stroke and its consequences.

METHODOLOGY:

This was a hospital-based cross-sectional study conducted between July 2019 and January 2020. Relatives of patients who came to the outpatient and inpatient departments of psychiatry in a tertiary care teaching hospital …

Determinants Of Overweight And Obesity Among Adolescent Students In North Karnataka, Mahaling Mallikarjun Hulagbali, Sangeeta N. Kharde

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Globally, childhood and adolescent obesity prevalence has reached alarming levels with grave public health consequences. It is believed that a sedentary lifestyle and the consumption of calorie-dense and low-nutritional-value foods are two of the most significant etiological factors contributing to the rising prevalence of childhood and adolescent obesity in developing countries.

OBJECTIVE:

The main objective was to study the contributing factors (determinants) of obesity among adolescent students.

MATERIALS AND METHODS:

A cross-sectional study was conducted from January 2019 to October 2019 among 1050 schoolchildren from different schools in Belagavi. The results used for comparison were based on descriptive statistics, …

A Cross-Sectional Study On The Mental Health Of Survivors Of Covid-19 In Tamil Nadu, India, Guruvammal Paramasivam, Vikhram Ramasubramanian, Sugaparaneetharan Ayyanar, S. Mathumathi, P. Bijulakshmi

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

The novel coronavirus COVID 19 has been having an impact on the mental health of people. Studies have shown that a considerable percentage of people who have recovered from the infection suffer from mental health issues. Hence, it is important to follow-up on the persons who have recovered from the illness so that adequate support is provided to aid in reducing morbidity due to the illness.

METHODOLOGY:

The study was conducted among persons who had recovered from COVID-19 in a single hospital. Participants were contacted a month following their discharge from the hospital and they were encouraged to fill …

A Comparison Of Postoperative Analgesic Efficacy Of Opioid-Free Anesthesia Using Intravenous Paracetamol (15 Mg/Kg), Lignocaine (2 Mg/Kg), And Magnesium Sulfate (20 Mg/Kg) Versus Standard Opioid Anesthesia Using Intravenous Tramadol (2 Mg/Kg) For Preemptive Analgesia In Abdominal Surgeries Under General Anesthesia, Neena Jain, Neha Surendran, Meera Kumari, Pradeep Kumar, Veena Patodi, Kavita Jain

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Pain is an unpleasant sensory and emotional experience and is considered the fifth vital sign. Opioid-free anesthesia (OFA) is a technique where no intraoperative systemic, neuraxial, or intracavitary opioids are administered during the anesthesia. The prescription misuse/overuse has generated an opioid crisis which has led to the need for OFA. In this study, we will investigate the 24-h postsurgical analgesia and analgesic consumption with the use of OFA versus opioid anesthesia (tramadol) in patients undergoing abdominal surgery under general anesthesia.

METHODOLOGY:

Sixty patients of the American Society of Anesthesiologists Grade I-II scheduled for various abdominal surgeries were randomly assigned …

Comparative Evaluation Of Surface Roughness Of Herbal Denture Cleansing Tablet Containing Essential Oils Of Tulsi And Lemongrass, 0.12% Chlorhexidine Digluconate, And Commercially Available Denture Cleansing Tablet On Heat Cure Polymethyl Methacrylate Denture Base Resin An, Harpreet Singh Manaktala, Raghunath Patil

Indian Journal of Health Sciences and Biomedical Research KLEU

CONTEXT:

Poor denture hygiene is a risk factor for oral infections and systemic dissemination. Denture cleanliness is essential to prevent malodor, poor esthetics, and the accumulation of plaque/calculus with its deleterious effect on the mucosa. Denture base resins become colonized by several microbial species in the oral cavity. There are number of tablets, pastes, and powders available for cleaning dentures with a variety of manufacturer’s claims for their relative efficacies. The increase in the use of denture cleaners can lead to more wear of the heat cure polymethyl surface leading to surface roughness. The increase in the surface roughness of …

Prevalence And Predictors Of Stress During Covid Pandemic Among Health-Care Workers In India A Systematic Review, Janmejaya Samal, Bornali Datta, Subbanna Jonnalagada

Indian Journal of Health Sciences and Biomedical Research KLEU

The COVID-19 pandemic is one of its kinds of public health emergencies that the world is grappling with. The health-care workers (HCWs) were at the forefront of the battle against this scourge. As a result of continuous service delivery, they experienced stress and burnout which varied from the type of HCWs, gender, type of service, and the length of service rendered by them. Given the context, this systematic review assessed the prevalence and predictors of stress among different types of HCWs in India. The systematic review was conducted using PubMed search engine and 13 articles were selected for the purpose …

Impact Of Low-Calorie Diet Plans And Structured Strength Training Regimens On Body Recomposition A Four-Month Case Report, Anu Sasidharan, Suja Gopalakrishnan, Sreelakshmi Mohandas

Indian Journal of Health Sciences and Biomedical Research KLEU

A normal body weight can be maintained by balancing skeletal muscle mass (SMM) and body fat mass (BFM). InBody™ 270 is an easy-to-use bioelectrical impedance device when it comes to monitoring body parameters such as SMM and BFM. Such body parameters when kept in balance can reduce lifestyle diseases. This case report is an attempt to elucidate the impact of different diet plans and exercise regimens on changing (recomposition) the body composition parameters (SMM, BFM, etc.). One of the authors performed the experiments and recorded the observations. The blueprint for the diet included strategies such as low-calorie plans and intermittent …

Bilateral Perisylvian Syndrome Management And Drug-Related Problems, Nirupama Kulkarni, Sarwamangala S. Nanjayyanamath, D. S. Usha, Sanatkumar B. Nyamagoud

Indian Journal of Health Sciences and Biomedical Research KLEU

Perisylvian syndrome is a noncurable condition characterized by polymicrogyria in the perisylvian or perirolandic region. Perisylvian means the region or area of the brain that is responsible for language. The bilateral perisylvian syndrome is a congenital neurological condition marked by abnormal neuron distribution in the cortex. We report the case of a 21-year-old female patient with the complaints of recurrent generalized clonic–tonic seizures with intellectual development disorder, loss of consciousness (5–10 min), blurring of vision, poor academic performance, slurring of speech, and history of clubfoot. An intelligence quotient assessment was conducted, and the result showed borderline intelligence. She was diagnosed …

Influence Of Systematic Training On Morphophysiological And Motor Ability Profiles Of Indian Young Male Kayakers, Tamoghni Manna, Snehunsu Adhikari, Alak Kumar Syamal

Indian Journal of Health Sciences and Biomedical Research KLEU

CONTEXT:

Little information is there on the training effect on junior Indian kayakers. Hence, it is of great interest to explore the influence of systematic training on morphophysiological and motor ability profiles of Indian young male kayakers.

AIMS:

The aim of this study was to find out such a training intensity that would be suitable for junior athletes to reach the zenith of their success.

SETTINGS AND DESIGN:

This was carried out in the center of Jagatpur, Sports Authority of India on 11 male kayakers. The training program was divided into eight phases.

MATERIALS AND METHODS:

Body height, body weight, …