International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - Vol 07 Issue 10, May, 2015

Pages: 66-70

Date of Publication: 30-Nov--0001


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PREVALENCE OF DIFFERENT MENSTRUAL IRREGULARITIES IN WOMEN WITH ABNORMAL UTERINE BLEEDING(AUB)- AN OBSERVATIONAL STUDY

Author: Tabassum Kotagasti

Category: General Sciences

Abstract:Introduction: Abnormal Uterine Bleeding (AUB) is a term which refers to menstrual bleeding of abnormal frequency, duration or quantity. It is a common gynecological complaint accounting one third of outpatient visits to gynecologist. Abnormal Uterine Bleeding includes Oligomenorrhoea, Polymenorrhoea, Hypomenorrhoea, Menorrhagia, Metrorrhagia and Dysfunctional Uterine Bleeding. This paper elicits the prevalence of different menstrual disorders among women with Abnormal Uterine Bleeding. Objective: To observe the prevalence of different menstrual irregularities in patients with Abnormal Uterine Bleeding. Methodology: The study was carried out in the Gynaec out Patient Department of National Institute Unani Medicine Hospital during the years of 2014\?2015.Total 1362 patients of Abnormal Uterine Bleeding were included in the study on basis of clinical sign and symptoms and history. Results: Among 7471 Gynaec patients 1362 (18.23%) patients were found with Abnormal Uterine Bleeding (AUB) and out of 1362 patients of Abnormal Uterine Bleeding highest were with menorrhagia i.e. 450 (33%) and least were with hypomenorrhoea i.e. 162 (11.89%). Prevalence of menorrhagia was highest between the ages of 25-34 years. Conclusion: It is concluded that the prevalence of menorrhagia is high among all Abnormal Uterine Bleeding and it affects woman health status, quality of life and social integration. It is suggested that menstrual complaints should be thoroughly evaluated
and treated on a top priority.

Keywords: Abnormal uterine bleeding, Menstrual irregularities, Different age group, Prevalence

Full Text:

INTRODUCTION

Menstrual disorders are common gynecological problem for medical visits among women of reproductive age.(1) Heavy menstrual bleeding affects up to 30% of women in their reproductive period.(2)Abnormal Uterine Bleeding may be defined as any variation from the normal menstrual cycle such as changes in regularity and frequency, duration of flow or amount of flow and it accounts for one third of patients to visits gynecologists. (3) It occurs in 9-14% of women between menarche to menopause, significantly impacting quality of life and imposing financial burden.(4-6) Abnormal Uterine Bleeding by definitions may be subdivided into subcategories based on volume of menstruation, regularity, frequency, duration, chronicity and reproductive status. International Federation of Gynecology and Obstetrics revised terminology system, for Abnormal Uterine Bleeding in reproductive age women was introduced in 2011.(7)Previously terms such as Menorrhagia, Menometrorrhagia, Oligomenorrhoea, Polymenorrhoea, Hypomenorrhoea and Dysfunctional Uterine Bleeding were used. Now it is referenced as Polyp, Adenomyosis, Leiomyoma, Malignancy and Hyperplasia- Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic and Not yet classified. Abnormal Uterine Bleeding may be due to some pelvic pathology. (8) In different menstrual disorders menorrhagia is a common gynecological condition which adversely affects quality of life of many women. Heavy menstrual bleeding or menorrhagia is the most common complaint among Abnormal Uterine Bleeding. It has been defined as excessive menstrual blood loss more than 80ml and it significantly interferes with the woman’s physical, social and emotional status. It can occur alone or in combination with other symptoms.(9, 10)Over 5% of women ages between 30-49 years consult gynecologist each year with this complaint.(11) There are a number of etiological factors responsible for Abnormal Uterine Bleeding and gynecological evaluation is essential. History and physical examination will help to establish the causes to adapt management to the individual patient to prevent unnecessary invasive procedures which may have their limitations. In this paper the prevalence of different menstrual disorder, especially of menorrhagia was worked out among patients with Abnormal Uterine Bleeding.

METHODOLOGY

The present study was undertaken in Gynae Out Patient Department, National Institute of Unani Medicine Hospital, Bangalore during the year of 2014-2015 to find out prevalence of menstrual disorders in reproductive age women with Abnormal Uterine Bleeding. In this study out of 7471 patient of different gynaec complaints 1362 (18.23%) patients both unmarried and married were found with various menstrual disorders. A detailed history regarding the age, menstrual irregularities like frequency of cycle, duration of flow and amount of flow were enquired and were recorded. The data presented in the study are based on clinical examination and on history.

RESULTS

In the present study it was observed that the prevalence of menorrhagia was high as compared to other Abnormal Uterine Bleeding, followed by oligomenorrhoea, polymenorrhoea, Dysfunctional Uterine Bleeding and hypomenorrhoea. The observed data are as: Out of 7471gynecological patients1362 were found with Abnormal Uterine Bleeding. (Figure.1). Out of 1362 patients of Abnormal Uterine Bleeding, 450 (33%) patients had menorrhagia followed by 272 (19.97%) had oligomenorrhoea, 250 (18.35%) had polymenorrhoea, 228 (16.74%) patients had dysfunctional uterine bleeding and least i.e. 162 (11.89%) patients had hypomenorrhoea. (Figure.2) Out of 450 patients of menorrhagia maximum patients were found in the age group of 25-34 years i.e. 177 (39.33%) followed by 120 i.e. 26.66% in the age group of 35- 44 years, 101 patients i.e. 22.44% were in the age group of 15-24 years and least were in the age group of 45-54 years i.e. 52 (11.55%). (Figure.3)

DISCUSSION

In the present study out of 1362 patients with Abnormal Uterine Bleeding the highest prevalence of patients were with menorrhagia i.e. 450(33%) followed by 272 (19.97%) patients with oligomenorrhoea, 250 (18.35%) patients with polymenorrhoea,228(16.74%) patients with dysfunctional uterine bleeding and least i.e. 162 (11.89%) patients were with hypomenorrhoea found. According to studies conducted in India by Bang RA, Bhatia JC, Jayaseelam et al. among women of reproductive age group the prevalence of oligomenorrhoea or cycles longer than 35 days ranged from 8-22%. (12-17) Reports of irregular bleeding in the past three months in the WHO multicentric study ranged from 8-83%. In their study Hernandez I, Cervera-Aguilar R et al they reported the frequency of irregular cycles as 9-16 %.( 18) However, the highest prevalence of irregular cycles was reported 30% in a selected population of Vietnamese factory workers. (19) In Lebanon 15% of women reported menstrual irregularity at their last gynecological visit. (20) In the adolescent study the frequency of oligomenorrhoea was reported to be 1.1% in Chile, 4.5% in Nigeria(21) 8% in Turkey (22) and 42% in Thailand. (23) Menorrhagia accounts for 12% of gynecological referrals for surgical intervention. A study by Coulter A, Bradlow J, Agass M, et al. revealed that 60% of women underwent a hysterectomy within five years of referral.(24) In the present study among other Abnormal Uterine Bleeding the highest prevalence of menorrhagia was seen between the ages of 25-34 years, but Coulter A, Kelland J, Peto V et al. reported in their study that the prevalence of heavy bleeding was 15% in the age group of 30-40 years. (25) The prevalence of Abnormal Uterine Bleeding is estimated to be 11-13% and it increases 24% with age in those aged 36-40 years. (8)A survey was done in woman age between 18-50 years the rate was 53 per 1000 women. (26)Abnormal Uterine Bleeding and menorrhagia directly affects women’s quality of life (27-30) and ultimately has a significant impact on health. (31) In developing countries prevalence Abnormal Uterine Bleeding appears to affect about 5-15% of women of reproductive age and probably a higher percentage of women in older age groups. Data on prevalence of Abnormal Uterine Bleeding is limited, but it is a major cause of gynecological morbidity, affecting up to 1 in 5 women at some point during their reproductive lifespan. (32) Nine to fourteen percent of reproductive age women have blood loss that exceeds 80 ml(33)and Abnormal Uterine Bleeding is a leading indication or hysterectomy, the most common major gynecological operation in women. (34, 35) Abnormal Uterine Bleeding is of more concern, because excessive or prolonged bleeding may cause undue disruption of women’s daily activities. Prolonged and excessive bleeding may provoke serious medical consequences or exacerbate anaemia and in a certain percentage of cases may eventually be life threatening if left untreated.

CONCLUSION

The present study revealed the prevalence of menorrhagia is high in patients with Abnormal Uterine Bleeding. The highest prevalence of menorrhagia was seen between the ages of 25-34 years. Patients presenting with menstrual irregularities must be screened properly as incidence of menorrhagia is high in reproductive age group. Frequency of menstrual disorders and their impact on women’s health status, quality of life and social integration suggest that proper evaluation and treatment should be given a higher priority. Prophylactic treatment should focus on reducing the quantity of blood loss in addition iron supplement prevents or reduces the risk of bleeding complications in haemostatic challenges such as surgery.

ACKNOWLEDGMENT

The author acknowledged all the editors and authors of the journal for choosing their articles for reference

Conflict of interest: The author has no conflict of interest

Source of funding: For this study funding is not required. It is based on observation of the collected data.

References:

1. Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US women: findings from the national health interview survey, 1984 to 1992. Am. J Public Health, 1996; 86:195–9.

2. Market Opinion and Research International (MORI). Women’s health in 1990.Research study conducted on behalf of Parke-Davis Laboratories]. London: MORI; 1990.

3. Barnard K, Frayne SM, Skinner KM, Sullivan LM. Health status among women with menstrual symptoms. J Women’s Health (Larchmt), 2003; 12:911-9.

4. Cote I, Jacobs P, Cumming D. Work loss associated with increased menstrual loss in the United States. Obstet Gynecol, 2002; 100:683–7

. 5. Mahmoud Aseel Ghazi Rifat, Endometrial Histo-pathological Changes in Women with Abnormal Uterine Bleeding in Kirkuk City, a Clinico-pathological Study, Medical Journal of Babylon, Vol. 10, No. 3, 2013, 1023

6. Mary Gayle Sweet, MD, Tarin A. Schmidt-Dalton, MD, Patrice M. et al, Evaluation and Management of Abnormal Uterine Bleeding in Premenopausal Women, Am Fam Physician, 1;85(1), 2012, 35-43.

7. Millar W. Hysterectomy, 1981/82 to 1996/97. Health Rep, 2001; 12:9–22.

8. Frick KD, Clark MA, Steinwachs DM, Langenberg P, Stovall D, Munro MG et al. Financial and quality-of-life burden of dysfunctional uterine bleeding among women agreeing to obtain surgical treatment. Women’s Health Issues, 2009; 19:70–8.

9. Committee on Practice Bulletins—Gynecology. Practice bulletin no. 128: diagnosis of Abnormal Uterine Bleeding in reproductive-aged women. Obstet Gynecol, 2012; 120:197.

10. National Collaborating Centre for Women’s and Children’s Health; National Institute for Health and Care Excellence. NICE guideline CG44: heavy menstrual bleeding. London: Royal College of Obstetricians and Gynecologists, 2007.

11. Effective health care. The management of menorrhagia, Effective Health Care Bulletin 2013, 9:1-14.

12. Matteson KA, Boardman LA, Munro MG, Clark MA. Abnormal Uterine Bleeding: a review of patient-based outcome measures. Fertil Steril, 2009; 92:205.

13. Bang RA, Bang AT, Baitule M, Choudhary Y, Sarmukaddam S, Tale O.High prevalence of gynecological diseases in rural Indian women. Lancet, 1989; 1:85-88.

14. Jeyaseelan L, Rao PS. Effect of occupation on menstrual cycle length: causal model. Hum Biol, 1995; 67:283– 290.

15. Bhatia JC, Cleland J, Bhagavan L, Rao NSN. Levels and determinants of gynecological morbidity in a district in south India. Stud Fam Plann, 1997; 28:95– 103.

16. Hernandez I, Cervera-Aguilar R, Verdara MD, Ayala AR. Prevalence and etiology of secondary amenorrhea in a selected Mexican population. Ginecol Obstet Mex, 1999; 67:374- 376.

17. Nunez Troconis J, Amesty N, Sandoval J. Trastornos menstruales en estudiantes universitarias. Amenorrhoea, Oligomenorrea. Rev Obstet Ginecol Venez, 1990; 50:138– 141.

18. Deeb M, Ghorayeb F, Kabakian-Khasholian T, Yeretzian J, Aswad N. Measuring gynecological morbidity: evaluating two different data sources from Beirut. Healthc Women Int, 2003; 24:254- 265.

19. Walraven G, Ekpo G, Coleman C, Scherf C, Morison L, Harlow SD. Menstrual disorders in rural Gambia. Stud Fam Plann, 2002; 33:261–268.

20. Intermediate Technology Bangladesh. Investigation into the Sanitary, Protection Needs of Poor Women in Bangladesh. Dhaka: Intermediate Technology Bangladesh, 1992.

21. Matsuda S, Luong NA, Hoai NV et al. A study of complaints of fatigue by workers employed in Vietnamese factories with newly imported technologies. Ind. Health, 1997;35:16- 28

22. Fakeye O, Adegoke A. The characteristics of the menstrual cycle in Nigerian schoolgirls and the implications for school health programmes. Afr J Med Med Sci 1994; 23:13-17.

23. Vicdan K, Kukner S, Dabakoglu T, Ergin T, Keles G, Gokmen O. Demographic and epidemiologic features of female adolescents in Turkey. J Adolesc Health 1996; 8:54-58.

24. Coulter A, Bradlow J, Agass M et al. Outcomes of referrals to gynaecology outpatient clinics for menstrual problems: an audit of general practice records. Br J Obstet. Gynaecol,1998:789–796.

25. Coulter A, Kelland J, Peto V et al. Treating menorrhagia in primary care. An overview of drug trials and a survey of prescribing practice. Int. J Technol Assess Health Care,1995, 11:456–471.

26. Kadir RA, Lukes AS, Kouides PA, Fernandez H, Goudemand J. Management of excessive menstrual bleeding in women with hemostatic disorders. Fertil Steril, 2005; 84: 1352–9.

27. Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992. Am J Public Health, 1996; 86:195.

28. Barnard K, Frayne SM, Skinner KM, Sullivan LM. Health status among women with menstrual symptoms. J Women’s Health (Larchmt), 2003; 12:911–9.

29. Cote I, Jacobs P, Cumming D. Work loss associated with increased menstrual loss in the United States. Obstet Gynecol, 2002; 100:683–7.

30. Millar W. Hysterectomy, 1981/82 to 1996/97. Health Rep, 2001; 12:9–22.

31. Frick KD, Clark MA, Steinwachs DM et al. Financial and quality-of-life burden of dysfunctional uterine bleeding among women agreeing to obtain surgical treatment. Women’s Health Issues, 2009; 19:70–8.

32. Coulter A, Noone A, Goldacre M. General practitioners’ referrals to specialist outpatient clinics. BMJ, 1989; 299:304– 308.

33. Hallberg L, Hogdahl AM, Nilsson L, Rybo G. Menstrual blood loss- a population study. Variation at different ages and attempts to define normality. Acta Obstet Gynecol Scand, 1966; 45:320–351.

34. Bernstein SJ, McGlynn EA, Siu AL. The appropriateness of hysterectomy, a comparison of care in seven health plans. Health Maintenance Organization Quality of Care Consortium. JAMA, 1993; 269: 2398– 2402.

35. Santha Ram NV, Murthy NVA. Abdominal hysterectomies at area hospital, Point Fortin, Trinidad, West Indies. Int J Gynecol Obstet, 1989; 28:137–141.

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Awards, Research and Publication incentive Schemes by IJCRR

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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 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 situs slot and 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 et al. situs slot "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 situs slot 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 situs slot et al 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
Late to bed everyday? You may die early, get depression situs slot
Egg a day tied to lower risk of heart disease situs slot
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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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