International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - 7(15), August, 2015

Pages: 08-11

Date of Publication: 11-Aug-2015


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STUDY OF CLINICAL PROFILE OF CD4 COUNT AND OUTCOME IN CHILDREN WITH HIV/ AIDS BELOW 12 YEARS

Author: A.M. Lingayat, Prathamesh Kamble

Category: Healthcare

Abstract:Study: To study clinical profile CD4 count and outcome in children with HIV/AIDS below 12 years of age. Aims and Objective: To study, in children with HIV/AIDS Clinical profile, CD4 count and Out-come. Material and Methods: The study was carried out in ART OPD and pediatric ward over one year duration. All children who were HIV reactive below 12 years were enrolled. Detail history examination and investigation done clinical profile, symtomatology, staging CD4 count and outcome studied in these cases. Result: Males (79%) are affected more than females, while common age of presentation was 8.2yrs. Majority of patients were in WHO staging of Stage III (33.6%) and Stage IV (29.6%), most common symptom was weight loss in 50 cases and commonest sign was generalized lymphadenopathy in 57 cases. Tuberculosis was the most common opportunistic infection in 18.4%. Baseline CD4 count was < 15 % in 52% cases. Out of 125 cases, 75 improved, 15 deteriorated, 30 lost follow up and 5 expired.
Conclusion:
In these studied patients of HIV infection males are affected more and common age of presentation was 8.2 years. Most common symptom was weight loss and tuberculosis was the most common opportunistic infection. Majority patients were in stage III and stage IV. ART has improved these patients and is the prime central management for these cases.

Keywords: HIV, Childrens < 12 years, CD4 Count, Outcome

Full Text:

INTRODUCTION

The UNAIDS report on the global AIDS epidemic estimated that approximately 4,20,000 (3,50,000-5,40,000) new HIV infections occurred in children below 15 years of age in year 2007.90% of them through me other to child transmission. The global impact of HIV epidemic has been 50 dramatic and devastating that it has been described as the “epidemic of current century”1 . The first case of HIV infection in India was diagnosed among sex workers in Chennai, Tamil Nadu in 19862 . The clinical manifestation of HIV infection in children is different from those in adults. The immune system of young children who are infected perinatally is immature and hence dissemination throughout the various organs may occur very early3 . Antiretroviral therapy (ART) has been scaled up in Africa over the past year (UNAIDS and WHO 2003, 2007). At the end of 2007, 30% of the estimated 7 million people in need of treatment were receiving it (WHO, 2009)4 . We have studied clinical manifestations staging and outcome of these HIV infected cases.

AIMS AND OBJECTIVE

To study in children with HIV/AIDS clinical profile, CD4 count and out come

MATERIAL AND METHODS SETTING: The study was carried out in ART centre and pediatric ward at Govt. Medical College, Aurangabad. STUDY

PERIOD: January 2009 to Dec 2009.

STUDY DESIGN: Prospective observational study

SAMPLE SIZE: All children who were HIV reactive attending ART OPD and IPD below age of 12 years

 INCLUSION CRIETERIA: All children who were HIV reactive attending ART OPD and IPD below age of 12 years.

EXCLUSION CRITERIA: Children above 12 years.

METHOD

Written and informed consent of all parents and caretakers was taken before performing the tests and examination. All children who were thus confirmed seropositive using three rapid tests (Tridot, coombed and immunochromatography) were included in the study. A detailed history including family history, birth history and immunization history noted. A detailed physical was examination done. Investigations like hemoglobin, total WBC count, platelets count, CD4 Cell count by standard flow cytometric method using FACS count, done. Other tests like tuberculin test, LFT, KFT, CSF exam. Blood culture was done as per the indication. All patients were treated with ART as per NACO 2006 guidelines. All cases were followed up to 6 months and outcome was studied.

RESULT

Total 125 cases of HIV/AIDS attending ART OPD or admitted in ward during study period were studied. Out of total 125, 79 (63.2%) cases were of males and 46 (36.8%) were of females. Mean age of presentation was 8.2 years. Most common symptom was weight loss (50 cases) and most common sign detected in this case was generalized lymphadenopathy (in 57 cases) as shown in fig. 1 and Fig. 2 According to WHO staging 33.6% were in stage III and tuberculosis was the most common opportunities infection (18.4%). Baseline CD4 count was<15 % in 52% cases; 66.4% of children were in stavudine based regime, while 22.4% on Efavirenz regimen and 18.4% were on AKT as shown in table 4; 527 children with ARI improved and 4 expired.

There was significant difference in CD4 count at baseline in group 52% has CD4 count < 15% in ART group.

DISCUSSION

The present study is carried out in ART centre and in dept. of pediatrics to study clinical profile. CD4 count, and out-come of HIV patients below 12 years In present study mean age of mean age of presentation was 8.2 year which was similar to other various studies5,6,7. The commonest mode of transmission to children was vertical transmission similar to other studies5,8 vertical transmission was the commonest and breast feeding is the least common mode9 . The most common symptom was weight loss due to anorexia, diarrhoea, malabsorption and repeated infection8,10. In other studies, most common presenting symptom were URIT, Fever, cough and skin rash11,12,13 lymphadenopathy and hepatosplenomegaly and pallor are common signs as a pan of diffuse infiltrative process5,8,14. Majority of patients were in WHO clinical staging of III and IV similar to other studies5,15. Tubercuolsis was found to be commonest opportunistic infection similar to other studies2,6,11,16,17 HIV associated tuberculosis is important not only because of its frequency but because of its dissemination and multidrug resistant strains. Early diagnosis and treatment of tuberculosis also show control of HIV infection16. CD4 T lymphocyte is the immune system cells that HIV infects and destroys and CD4 count roughly reflects the state of immune system. CD4 percentage declined with progression in WHO clinical stages. There was statistically significant difference at Baseline and 6 months CD4 counts in ART patients showing improvements in immune status18. But we could not do follow up of all these cases as 35 cases lost their follow up. Mortality was noted in 5 cases. However studies4,15 found high mortality rate may be due to patients in Pre ART group . 75 cases improved in out study on ART. Thus by improving coverage, care, proper investigation and treatment of these case we can improve the survival and reduces mortality

References:

1. Padmapriyadarsinic, Pooranagangadevi N, Chandrasekaran K, Sudha S, Tiruvalluvan C, Bhani PK et al. Prevalence of underweight, stunting, and wasting among children infected with Human Immunodeficiency Virus in South India, Int J Pead 2009;2009:1-5.

2. Gallo RC, Sahalludin SZ, Papovic M, Shearer G, Mark K, Barton F. Frequent Detection and Isolation of cytopathic Retrovirus from patient with AIDS and risk of AIDS.AIDS 1984;224:500- 03.

3. Ira Shah, Nitin Shah, Mamta Manglan. IAP Speciality Series On Peadiatric HIV: National Guidelines Of Peadiatric HIV. NACO and IAP 2006 Pg.1-114.

4. Megan McGuire1, Tamika Munyenyembe1, Elisabeth Szumillin, Annette H,Mickael LP, Nenette B. Vital status of pre-ART and ART patients defaulting from care in rural Malawi. Trop Med Int Heath 2010;(1):55-62.

5. Agrawal D, Chakrabvarty J, Sunder S, Gupta V, Bhatia BD. Correlation between clinical features and degree of immunosuppression in HIV infected children: Indian Peadiatr2008;45:140-43.

6. Shet A, Mehta S, Rajgopalan N, Dinkar C, Elango R, Samuel NM. HIV –associated anemia in children: A systematic review from a global perspective. Peadistrics 2009;9:37-40.

7. Addy Kekitiinwa, Kathrine J.Lee. Walkar A. Albert M. Katja D. Initial growth, CD4, and viral load responses to HAART in Ugandan compare to UK/Irish HIV –Infected children. J Aqure Immune Deffic syndrome,2007;49:384-94.

8. Lodha R, Thorkild T, Robert D, James KT. Severe Malnutrition with and without HIV-1 infection in hospitalized children in Kampala, Uganda: Differences in clinical features, haematological findings and CD4+ cell counts. Nutr J 2006;5:27-32.

9. Ranbir Singh L, National guidelines of Peadiatric HIV.NACO and IAP 2006 Pg.13-20.

10. Sharma S, Dhungana GP, Pkherel BM,Rajal BP.Clinical features of HIV/AIDS various Oppurtunistic infection in relation to antiretroviral status among HIV seropositive individual from central Nepal: Kathmandu University Med J 2009;7(4):355-9.

11. Mwangelwa Mubiana-Mbewe1, Carolyn Bolton-Moore, Yolan Banda, Namwingo C, Mutinka N. Causes of morbidity among HIV-infected chiidren on retroviral therapy in primary care facilities in Lusaka.Trop Med Int Health 2009;14(10);1190-8.

12. Soumya Swaminathan, Sangeetha M, Arunkumar M, Menon PA, Thomas B, Shibi K et al. Pulmonary tuberculosis in HIV positive individuals: Preliminary report on clinical features and responses to treatment. Indian J Tubercle 2002;49;189-94.

13. Shah SR, Tullu MS, Jaishree K. Clinical profile of Pediatric HIV infection from India. Arch Med Res 2004;36(1):24-36.

14. Hamid MZA, Aziz NA, Syed Z, Morlijah O, Kumar R. Clinical features and risk factors for HIV Encephalopathy in children: South Asian J Trop Med 2008;39:266-71.

15. Carolyn Bolton Moore, Mwangelwa Mubiana- Mbewe, Ronal A, Cantrell clinical outcomes and CD4 cell response in children receiving antiretroviral therapy at primary health care facilities in Zambia : JAMA.2007;298(16):1888-99.

16. Pol RR. Sherpur T. Ratageri V. To study the clinical manifestations and incidence of opportunistic infections in HIV/AIDS, Indian J pediatr 2007;74:1072-74.

17. Kumarasamy N, Vallabhaneni S. clinical profile of HIV in India. Indian J Med Res 2005;121:377-94.

18. Devi PG Padampriydarshini C. Persistence of stunting after highly active antiretroviral therapy in HIV infected children in South India 2009 Pg.1-12.

Announcements

Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

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SCOPUS indexing: 2014, 2019 to 2021


Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A study by Dorothy Ebere Adimora et al. entitled \"Remediation for Effects of Domestic Violence on Psychological well-being, Depression and Suicide among Women During COVID-19 Pandemic: A Cross-cultural Study of Nigeria and Spain\" is awarded Best Article of Vol 14 issue 23
A study by Muhas C. et al. entitled \"Study on Knowledge & Awareness About Pharmacovigilance Among Pharmacists in South India\" is awarded Best article for Vol 14 issue 22
A study by Saurabh Suvidha entitled \"A Case of Mucoid Degeneration of Uterine Fibroid with Hydrosalphinx and Ovarian Cyst\" is awarded Best article of Vol 14 issue 21
A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
A study by Ali Nawaz et al. entitled \"A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) \? A Randomized Controlled Study\" is awarded Best Article for Vol 14 issue 16.
A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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