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IJCRR - Vol 13 Issue 13, July, 2021

Pages: 08-12

Date of Publication: 05-Jul-2021


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Adhesive Capsulitis in Diabetes Mellitus - An Observational Study

Author: Neha Mukkamala, Jitendra Lakhani, Lata Parmar

Category: Healthcare

Abstract:Background: Shoulder problems are the most disabling manifestation of musculoskeletal disorders in diabetes. Patients with diabetes are five times more likely to develop capsulitis compared to non-diabetic controls. Aim: The present study aimed to see the prevalence of adhesive capsulitis in patients with diabetes. Methodology: This was a cross-sectional study approved by the Institution Ethics Committee. Patients diagnosed with type I and type II diabetes, aged 18 years and above, having a complaint of shoulder pain (unilateral or bilateral) were included in the study. Those patients who had undergone surgeries, fractures around the involved shoulder and any neurological conditions of the upper limb were excluded. Demographic data, duration of diabetes, dominance, type of treatment for diabetes were taken for all the patients. Shoulder ranges and functional activities were assessed in detail. Results: A total of 243 patients with diabetes was enrolled in the study. 116 (47.74%) were females, 127 (52.26%) were males. Out of 243 patients with diabetes, 22 patients had adhesive capsulitis. The prevalence of adhesive capsulitis was 9.1%. A significant correlation (p< 0.05) was seen between adhesive capsulitis and the duration of diabetes. No significant correlation was found between adhesive capsulitis and age, gender, BMI, HbA1c, dominance and type of treatment (oral hypoglycemic, insulin or both). Conclusion: The prevalence of adhesive capsulitis in patients with diabetes was 9.1%. A significant correlation (p< 0.05) was seen between adhesive capsulitis and the duration of diabetes.

Keywords: Adhesive capsulitis, Diabetes mellitus, Frozen shoulder, Periarthritis, Hyperglycemia

Full Text:

INTRODUCTION

India, with 65 million cases of diabetes, stands second only to China worldwide in the number of cases with diabetes.1Musculoskeletal complications in diabetes are not very widely known.2

The hand and shoulder are the most commonly affected areas due to musculoskeletal complications in diabetes.3,4Shoulder problems are described as the most disabling manifestation of musculoskeletal disorders.5,6Several studies have shown the prevalence of adhesive capsulitis (AC)in diabetes to be around 10-30%, and 2-5% in the general population.5,7-13A meta-analysis by Zreik et al (2016) has shown that patients with diabetes are five times more likely to develop capsulitis compared to non-diabetic controls. In the same study, the mean prevalence of diabetes mellitus in patients with AC was found to be 30%.9

Thus the present study aimed to know the prevalence of adhesive capsulitis in diabetes.

METHODOLOGY

This was a cross-sectional study that was approved by the Institutional Ethics Committee (Ethical clearance letter no: SVIEC/ON/205/15008). After taking a written informed consent, consecutive patients diagnosed with type I and type II diabetes, aged 18 years and above, who complained of shoulder pain (unilateral or bilateral) were approached to take part in the study. Patients with a history of surgery around the shoulder, rotator cuff tear, fractures of the upper limb on the involved side in the past one year, patients having radiating pain from the neck, rheumatoid arthritis, arthritis of glenohumeral joint and neurological deficits were excluded. The patients who gave written consent for inclusion in the study were assessed in detail.

Demographic features including age, gender and body mass index (BMI) were taken. Diabetes-related questions like a method of control (diet, oral hypoglycemic drugs or insulin) and duration of diabetes were taken. The dominance of the hand was noted. Adhesive capsulitis was confirmed as shoulder pain along with loss of active and passive range of the shoulder in the absence of a known shoulder disorder. Shoulder ranges were assessed with a goniometer and functional activities like combing the hair, taking the hand behind the back, wearing clothes were assessed.

Statistical analysis

Baseline characteristics are presented as means with standard deviation (SD), medians with range. Normality of the data was seen using the Shapiro Wilk test. As the data was non-parametric, Spearman’s correlation coefficient and Mann Whitney U test were performed. Statistical significance was kept at p < 0.05.

RESULTS

A total of 243 patients with diabetes was enrolled in the study.116 (47.74%) were females, 127(52.26%) were males.

Out of 243 patients with diabetes, 22 patients had adhesive capsulitis. The prevalence of adhesive capsulitis was 9.1%. Tables 1 and 2 show the demographic characteristics of patients without and with adhesive capsulitis respectively. Table 3 compares the different variables in patients with diabetes mellitus, with and without Adhesive capsulitis. Figure 1 shows the correlation of adhesive capsulitis with the duration of diabetes.

The duration of capsulitis varied from 01 months to 03 years in the present study. The most affected ranges were external rotation (average range-150) and abduction (average range-1000). All patients complained of more pain during overhead activities like combing with the affected side which involves a combination of flexion, abduction and external rotation at the shoulder and wearing clothes with the uninvolved side first. Women complained of more pain in bringing the saree from behind which involves a combination of extension, adduction and internal rotation of the shoulder and men had more pain in removing the wallet from the back pocket which also involves the combination of extension, adduction and internal rotation.

DISCUSSION

The present study was undertaken to know the prevalence of adhesive capsulitis in patients with diabetes. The prevalence of adhesive capsulitis was found to be 9.1% in the present study, which is slightly lower than the prevalence in other Indian states: Mathew et al. -16.45%, 14Bhat et al.-13.1%, 15Gupta et al.-29.61%, 16Kumar et al.-45.31%. 17The prevalence of capsulitis in other countries was:Yian et al.- 0.65 %, 18Ramchurn et al.-25%, 19Majjad et al.-12.5%, 20Kidwai et al.-10.9%, 21Hassan et al.-13%, 22Attar S-6.7%. 23Fasika et al. found a 16.6% cumulative prevalence of hand and shoulder disorders, 24and Shah et al. found a 63% prevalence of shoulder pain and/or disability. 25Lower prevalence in our study could be because most of the population (70% in the present study) that comes to our hospital comes from the villages in and around Vadodara as well as rural areas of the neighbouring state of Madhya Pradesh. The prevalence of diabetes is lesser in rural areas compared to urban areas. 6,26

The prevalence of capsulitis in diabetes can be attributed to the high glucose levels in patients with diabetes which leads to 1) abnormal collagen deposition in the connective tissues and 2) an increase in advanced glycation end products (AGEs), which causes stiffness of connective tissue. 3,4,27

All 22 patients with AC had type 2 diabetes. Capsulitis was present in 08 patients on the left side, 10 patients on the right side and bilaterally in 04 patients. 12,27Sixty four per cent had it on the dominant side and 36% had on the non-dominant side. This shows more involvement on the dominant side which is similar to Gupta et al’s study16and contrary to Le et al’s study. 10 Also 81.8% had unilateral involvement which is consistent with other studies.6,27

A significant correlation was found between AC and duration of diabetes showing that patients with AC had a longer duration of diabetes. The prevalence of AC was 7.4%, 17.1%, 20% and 0% in patients with duration of diabetes of 10 years, 20 years, 30 years and 40 years. This is in agreement with several studies.12,18,22According to Yian et al. (2012) patients whose treatment for diabetes lasted longer than 10 years had an odds ratio of 1.85 to develop AC vs an odds ratio of 1.40 for those with 5-10 years of treatment.18Inayat et al. did not find a correlation with the duration of diabetes. 6 However the number of patients with diabetes and with or without capsulitis in all the groups was not similar.

There was no significant correlation seen between AC and age and BMI.6,12Arkkila et al. showed a significant correlation between age and AC but not between BMI and AC. 28

Also, no significant correlation was seen between AC and gender, both genders were equally affected. 12According to some studies, females are,1.27 to 2.66 times, more commonly affected than males.6,9,18

None of the three patients with type 1 diabetes had capsulitis. This could probably be because all three of them were young (<37 years) and their duration of diabetes ranged from 1.5 months to 4 years which was very less. Doria et al (2017) and Arkkila et al. (1996) have shown an association of age and duration of diabetes with AC in type 1 diabetes.12,28

There was no significant relationship between glycated haemoglobin (HbA1c) and the prevalence of AC. Previous studies have also shown no correlation between AC and HbA1c.11,12,18,28According to Chan et al. singular HbA1cis only a measure of short-term blood sugar control, reflecting an average of only 3 months’ disease which might not portray total diabetic disease burden.11

In the present study, out of 22 patients with AC, 05 patients were on insulin, 14 were on oral hypoglycemic drugs and 03 were on a combination of drugs and insulin. There was no significant correlation seen between the type of treatment for diabetes (medications, insulin or both) and AC which is in agreement with several studies.9These findings are in contrast to Yian et al’s (2012) findings that patients on insulin along with or without oral hypoglycemics were 1.93 times more likely than those not on insulin to have AC. 18Those on oral hypoglycemic drugs were1.5 times more likely to develop AC than those who did not take oral hypoglycemic drugs or use insulin.6,18

One of the limitations of the present study was that HbA1c was not taken for all the patients. But studies say that HbA1c is not a true marker for diabetes as it gives only average values of the past three months. Also, it is an expensive test. It is not possible to test all patients with diabetes with this.

CONCLUSION

Screening for adhesive capsulitis in patients with diabetes should be done by physicians/diabetologists. Awareness and education about AC should be created in all patients with diabetes so that an earlier diagnosis and treatment may prevent progression to chronic, treatment-resistant AC and improve the quality of life. Screening, prevention, and rehabilitation strategies for shoulder dysfunction should be included in diabetic care programs.

ACKNOWLEDGEMENTS: The authors are grateful to the patients who participated in the study as well as Sumandeep Vidyapeeth trust.

CONFLICT OF INTEREST: The authors declare no conflict of interest.

FUNDING: This was a self-funded project.

AUTHORS’ CONTRIBUTION

Neha Mukkamala- 1) conception and design, analysis and interpretation of data; 2) drafting the article, revising it critically for important intellectual content; and 3) final approval of the version to be published.

Dr Jitendra Lakhani- 1) conception and design 2) revising the article critically for important intellectual content; and 3) final approval of the version to be published.

Dr Lata Parmar- 1) drafting the article, revising it critically for important intellectual content; and 2) final approval of the version to be published.

References:

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2. Merashli M, Chowdhury TA, Jawad AS. Musculoskeletal manifestations of diabetes mellitus. Quant J Med. 2015; 108 (11): 853–857.

3. Smith L, Burnet S, McNeil J. Musculoskeletal manifestations of diabetes mellitus. Br J Sports Med 2003; 37:30–35.

4. Kaka B, Maharaja S, Fatoye F. Prevalence of musculoskeletal disorders in patients with diabetes mellitus: A systematic review and meta-analysis. J Back Musculosk Rehab. 2018; 1:1-13.

5. Tighe C, Oakley W. The Prevalence of a Diabetic Condition and Adhesive Capsulitis of the Shoulder. Sout Med J. 2008; 101 (6): 591-595.

6. Inayat F, Ali N, Shahid H, Younus F. Prevalence and Determinants of Frozen Shoulder in Patients with Diabetes: A Single Center Experience from Pakistan. Cureus. 2019; 9(8): e1544. 

7. Hsu J, Anakwenze O, Warrenderb W, Abboud J. Current review of adhesive capsulitis. J Shoul Elbow Surg. 2011; 20: 502-514.

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9. Zreik N, Malik R, Charalambous C. Adhesive capsulitis of the shoulder and diabetes: a meta-analysis of prevalence. Muscles, Lig Tend J. 2016;6 (1):26-34.

10. Le H, Lee S, Nazarian A, Rodriguez E. Adhesive capsulitis of the shoulder: a review of pathophysiology and current clinical treatments.Shoul Elbow. 2017; 9(2): 75–84.

11. Chan J, Ho B, Alvi H, Saltzman M, Marra G. The relationship between the incidence of adhesive capsulitis and haemoglobin A1c. J Shou Elbow Surg. 2017; 26 (10):1834-1837.

12. Doria C, Mosele G, Badessi F, Puddu L, Caggiari G. Shoulder Adhesive Capsulitis in Type 1 Diabetes Mellitus: A Cross-Sectional Study on 943 Cases in Sardinian People. Joints 2017;5:143–146.

13. Austin D, Gans I, Park M,  Carey J, Kelly J. The association of metabolic syndrome markers with adhesive capsulitis. J Shoulder Elbow Surg 2014; 23(7):1043-1051.

14. Mathew A, Nair J, Pillai S. Rheumatic-musculoskeletal manifestations in type 2 diabetes mellitus patients in south India. Int J Rheum Dis. 2011; 14: 55–60.

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16. Gupta S, Raja K, Manikandan N. Impact of adhesive capsulitis on quality of life in elderly subjects with diabetes: A cross sectional study.Int J Diabetes Dev Ctries. 2008; 28(4): 125–129.

17. Kumar T, Das A. Rheumatological Manifestations in Diabetes Mellitus: Distribution And Associated Factors (2016).http://iosrjournals.org/iosr-jdms/papers/Vol15-Issue%206/Version-9/K1506095154.pdf. 10.9790/0853-1506095154

18. Yian E, Contreras R, Sodl J. Effects of Glycemic Control on Prevalence of Diabetic Frozen Shoulder.J Bone Joint Surg Am. 2012;94:919-23..

19. Ramchurn N, Mashamba C, Leitch E, Arutchelvam V, Narayanan K, Weaver J, Hamilton J, Heycock C, Saravanan V, Kelly C. Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes. Eur J Int Med. 2009;20: 718–721.

20. Majjad A, Errahali Y, Toufik H, Djossou J, Ghassem M, Kasouati J, Maghraoui A. Musculoskeletal Disorders in Patients with Diabetes Mellitus: A Cross-Sectional Study. Int J Rheum. 2018;23(19): 1-6.

21. Kidwai S, Wahid L, Siddiqi S, Khan R, Ghauri I, Sheikh I. Upper limb musculoskeletal abnormalities in type 2 diabetic patients in low socioeconomic strata in Pakistan. BMC Res Notes 2013; 6:16.

22. Hassan R, Alourfi Z. Shoulder adhesive capsulitis prevalence among patients with type 2 diabetes mellitus in Damascus, Syrian Arab Republic: a case-control study. East Mediterr Health J. 2014;19(3): S19-24.

23. Attar S. Musculoskeletal manifestations in diabetic patients at a tertiary centre. Libyan J Med. 2012; 7 (1): 19162.

24. Fasika S, Abebe S, Kebede A. The prevalence of shoulder and hand complications and associated factors among diabetic patients at University of Gondar Teaching Referral Hospital in Northwest Ethiopia. J Diab Res Clin Metab.2013; 41(6):2-8.

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27. Moin Uddin M, Khan A, Haig A, Kafil Uddin M. Presentation of frozen shoulder among diabetic and non-diabetic patients. J Clin Orthopaed Traum. 2014; 5(4): 193-198.

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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 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
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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
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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
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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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Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.



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International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

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