International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - Vol 13 Issue 07, April, 2021

Pages: 16-19

Date of Publication: 12-Apr-2021


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To Evaluate the Sleep Pattern in Children with and without Developmental Co-Ordination Disorder

Author: Sujatha Baskaran, Jagatheesan Alagesan, Pooja K, Thirumal S

Category: Healthcare

Abstract:Background: The sleep pattern about developmental coordination disorder has been studied less. Objective: To evaluate the Sleep Pattern in Children With and Without Developmental Coordination Disorder. Methods: The Study designed as an Observational Study, Study setting done at Schools in the Chennai district and the sampling method is the Conventional sampling method. The sample size is 14 School going children. Boys and girls between 9-14 years, Children without musculoskeletal disorders and Children who scored 15-57 in the DCD 07 questionnaire were included. Subject with a history of respiratory illness, Subjects with existing cardiovascular disease, Subjects who are already in the treatment program, Subjects with neurological and sensory impairment and Subjects with any congenital deficit were excluded. The material required is DCD07 Questionnaire, BOT-02 and the Children sleep habit questionnaire. Results: On comparing sleep habit in DCD children with non-DCD children, the results of the current study shows the significant p-value < 0.0001 and t- value 27.46. Conclusion: The incidence and prevalence of DCD to be higher in boys than in girls, this child exhibits poor sleep habits when compared to children without DCD. This study suggests that parents of DCD children must be made aware of the condition and this should be treated earlier and other psychosocial problems should be addressed at the earliest.

Keywords: Sleep pattern, DCD, School children, Questionnaire, DSMV

Full Text:

INTRODUCTION

          In general, many clinical conditions may Impact motor skills such as epileptic syndromes, autism spectrum disorders, Attention Deficit Hyperactivity Disorder (ADHD), primary headache, learning disorders, and obesity. Whereas, when motor coordination is primarily impaired, Developmental Coordination Disorder (DCD) may be identified.1

          Developmental coordination disorder is characterized by significant difficulty in the development of motor skill in the absence of obvious sensory or neurological impairment. Children with DCD struggle to perform everyday movement tasks requiring fine manipulation, eye-hand coordination and balance and agility.2 Sleep disturbance is common in groups of children with other neurodevelopmental disorders and psychiatric disturbances, such as anxiety and depression.2,3

           Previous studies have estimated that the prevalence of sleep disturbance in typically developing children is in the range of 20-40% conversely, the prevalence of sleep disturbance in children with developmental disorders, such as Pervasive developmental disorder (PDD) and Attention deficit hyperactivity disorder (ADHD), has been reported to the two to three-fold higher.1

            Many children with DCD perform poorly at school despite average intellectual ability and may fail to achieve their academic potential. A range of socio-economical problems has also been reported, including low self-esteem, high anxiety and poor peer relations. Emotional and behavioural problems are seen in populations of children with a range of other developmental disorder, which suggests that the link impaired motor function may not be direct.2

           The current study has compared the sleep pattern of typically developing children with developmental coordination disorder, evaluated rate of sleep disturbance are continuously reported in children with the range of medical and psychiatric conditions and developmental disorder.2 The children sleep habit questionnaire (CSHQ) has been used in several countries to assess children sleep patterns and sleep problems as reported by parents.1

          Thus many of the adverse effects may be rectified by addressing sleep disturbances, to enhance the overall functioning of the child and family. The children sleep habit questionnaire has high validity and reliability, specifically designed for school-aged (9 years to 14 years) children, the design of children sleep habit questionnaire is based on common clinical symptom presentations of the most prevalent pediatric international classification of sleep disorders diagnoses.5

          The BOT-02 tool of motor proficiency is a standardized, norm-referenced measure used by the physical therapist in the clinic and school practice settings. The BOT-02 tool is an individually administered measure of fine and gross motor skills of children 9 through 14 years of age. It is intended for use by practitioners and researchers as a discriminative and evaluative measure to characterize motor performance, specifically in the areas of fine motor control, manual coordination, body coordination, strength and agility.6 The aim is to evaluate the sleep pattern in children with and without developmental coordination disorder.6,7

MATERIALS AND METHOD

          The Study designed as an Observational Study, Study setting done at Schools in the Chennai district and the sampling method is the Conventional sampling method. The sample size is 14 School going children. Boys and girls between 9-14 years, Children without musculoskeletal disorders and Children who scored 15-57 in the Developmental coordination disorder 2007 DCD 07 questionnaire were included. Subject with a history of respiratory illness, Subjects with existing cardiovascular disease, Subjects who are already in the treatment program, Subjects with neurological and sensory impairment and Subjects with any congenital deficit were excluded. Materials required are developmental coordination disorder 07 questionnaires, BOT-02 and children sleep habit questionnaire.

          A total of 414 school-going children were screened after obtaining permission from the school heads, detailed study procedure was being explained to the parents, teachers and children. Written informed consent was obtained from the parent or guardian. Children were allocated in two groups. Group A consisted of 14 children with developmental coordination disorder, who scored 15-57 in the DCD-07 Questionnaire and Group B consisted of 14 children without Development coordination disorder.

The outcome measure used in the study is, Diagnostic and Statistically Manual of Mental disorder (DSM V) has four criteria to rule out Development coordination disorder and they are,

Criteria-A: The acquisition and execution of coordinated motor skills are substantially below the expected given the individual chronological age and opportunity for skill learning and use. Difficulties are manifested as clumsiness (e.g., dropping or bumping into objects) as well as slowness and inaccuracy of performance of motor skills (e.g., catching an object, using scissors or cutlery, handwriting, riding a bike or participating in sports.)

Criteria-B: The motor skills deficit in criterion A significantly and persistently interferes with activities of daily living appropriate to chronological age (e.g., self-care and self-maintenance) and affects academic/ school productivity, prevocational and vocational activities, leisure and play.

Criteria-C: The onset of symptoms is in the early developmental period.

Criteria-D: The motor skills deficits are not better explained by intellectual disability (intellectual developmental disorder) or visual impairment and are not attributable to a neurologic condition affecting movement (e.g., cerebral palsy, muscular dystrophy, degenerative disorder).

To fulfil the Criteria- A of DSM V, The Bruininks- Oseretsky test of motor performance 2 (BOT 2) tool was also used to assess the motor function of children with DCD. Scores greater than 25 indicates well about average (WAA) motor function, 20 to 24 indicates above average (AA) motor function, 11 to 19 indicates the average motor function, 6 to 10 indicates below average (A) motor function, and less than 5 indicates well below average (WBA) motor function respectively.

To fulfil Criteria-C of DSM V, the parental interview was conducted by the researcher about the onset of developmental symptoms of other children.

To fulfil Criteria- D of DSM V every child with probable DCD was assessed by the physician to rule out any other major illness and neurological disorder. 

RESULTS

The number of subjects screened for this study was 414 out of which 14 (4.8%) subjects were found to be under DCD criteria. In gender distribution among the 14 subjects, 9(64.3%) were boys and 5(35.7%) were girls who have DCD. According to the data collected, the DCD children have an increased sleep pattern compared to the normal children, you have a normal sleep pattern. Based on the children sleep habit questionnaire the mean values of individual subscales were calculated. DCD children showed 28.7% (16.79) at bedtime, 41.1% (24) in sleep behaviour, 5.4% (9.29) in morning waking and 8.9% (5.21) in Day time sleepiness. On comparing sleep habit in DCD children with non-DCD children, the results of the current study show a significant p-value <0.0001 and t- value 27.46 (Table 1).

DISCUSSION

In this current study after the screening process, 20 of the children have been identified as children with DCD. In gender distribution among the entire subjects, 14 were boys (70%) and 6 were girls (30%). The total prevalence of DCD in the present study is 4.8%. Out of 20 subjects, 6 were dropouts and 14 were included in the study. According to the analyses of the children sleep habit questionnaire the sleep habit of DCD children is high compared to the normal children, and they exhibited poorer sleep quality when compared to children without DCD( Figure 1,2).5,6

Based on the children sleep habit questionnaire the individual subscale for DCD children had mean values of 28.7% (16.79) in bedtime, 41.1% (24) in sleep behaviour, 5.4% (9.29) in morning waking and 8.9% (5.21) in Day time sleepiness. As per the result of the children sleep habit questionnaire category, the sleep habit is higher in children with DCD.8,9 The present cross-sectional school-based survey indicates that poor sleep quality in children with developmental disorders may affect academic performance. Physicians need to be aware of age-related differences in the sleep problems exhibited by children with developmental disorders, and further studies are needed to explore, further associations between sleep quality and school behavioural as well as academic, performance. The high rates of reported sleep disturbance seen in the current study, along with what is known about the links between impaired sleep and impaired day time functioning.7,10,11 Raise the possibility that, for the children with DCD, sleep disturbance could be playing some role in the development or maintenance of the socio-economical problems from which they have been described to suffer.12,13

In 2012 Barnett et al. has explored the possible relationship between DCD and sleep, highlighting that subscale scores indicated particular problems with bedtime resistance, parasomnias and daytime sleepiness, and no di?erence between the groups for sleep onset delay, sleep duration, night waking, and sleep-disordered breathing, suggesting that sleep patterns of children with DCD may be of clinical relevance. In general, the close relationship between sleep and motor skills is well known.14,15

CONCLUSION

According to the study, the prevalence of DCD among school children is 4.8%. The incidence and prevalence of DCD to be higher in boys than in girls, this child exhibits poor sleep habits when compared to children without DCD. This study suggests that parents of DCD children must be made aware of the condition and this should be treated earlier and other psychosocial problems should be addressed at the earliest.

Acknowledgement: We thank all the participants, school teachers, parents, our institution and our team for helping us to complete this study.

Funding: Nil

Conflict of interest: No conflict of interest.

References:

1. LeBourgeois MK, Hale L, Chang AM, Akacem LD, Montgomery-Downs HE, Buxton OM. Digital media and sleep in childhood and adolescence, Pediatrics 2017;140(2):S92-6.

2. Gringras P, Green D, Wright B, Rush C, Sparrowhawk M, Pratt K, et al. Weighted blankets and sleep in autistic children - A randomized controlled trial. Pediatrics 2014;134(2):298-306.

3. Cattane N, Richetto J, Cattaneo A. Prenatal exposure to environmental insults and enhanced risk of developing Schizophrenia and Autism Spectrum Disorder: focus on biological pathways and epigenetic mechanisms. Neurosci Biobehav Rev 2018;4:123-126.

4. McLeod KR, Langevin LM, Goodyear BG, Dewey D. Functional connectivity of neural motor networks is disrupted in children with developmental coordination disorder and attention-deficit/hyperactivity disorder. NeuroImage Clin 2014;4:566-575.

5. Schoemaker MM, Niemeijer AS, Reynders K, Smits-Engelsman BC. Effectiveness of neuromotor task training for children with developmental coordination disorder: a pilot study. Neural Plast 2003;10.

6. Missiuna C, Moll S, King S, King G, Law M. A trajectory of troubles: parents impressions of the impact of developmental coordination disorder. Phys Occup Ther Pediatr 2007;27(1):81-101.

7. Polatajko HJ, fox M, Missiuna C. An international consensus on children with developmental coordination disorder. Can J Occup Ther 1995;62:3-6.

8. Henderson SE, Sugden DA, Barnett AL. Movement Assessment Battery for Children, 2nd edn. London: Pearson, 2007.

9. Schoemaker MM, flapper B, Verheij NP, Wilson BN, Reinders-Messelink HA, de Kloet A. Evaluation of the developmental coordination disorder questionnaire (DCDQ) as a screening instrument. Dev Med Child Neurol 2006;48(8):668-673.

10. Magalhães LC, Missiuna C, Wong S. Terminology used in research reports of developmental coordination disorder. Dev Med Child Neurol 2006;48(1):937-941.

11. Mandich AD, Polatajko HJ, Rodger S. Rites of passage: understanding participation of children with developmental coordination disorder. Human Movement Sci 2003;22(4-5):583-595.

12. Magalhães LC, Missiuna C, Wong S. Terminology used in research reports of developmental coordination disorder. Dev Med Child Neurol 2006;48(1):937-941.

13. Wilson BN, Kaplan BJ, Crawford SG, Campbell A, Dewey D. Reliability and validity of a parent questionnaire on childhood motor skills. Am J OccupTher 2000; 54(5):484-493.

14. Terzano M, Parrino L, Smerieri A, Carli F, Nobili L, Donadio S, et al. CAP and arousals are involved in the homeostatic and ultradian sleep processes. J Sleep Res 2005;14:359-368.

15. Biotteau M, Péran P, Vayssière N, Tallet J, Albaret JM. Neural changes associated to procedural learning and automatization process in Developmental Coordination Disorder and/or Developmental Dyslexia. Eur J Paediatr Neurol 2017;21(2):286-299.

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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 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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