Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareThe Impact of COVID-19 on Residents of Skilled Care Facilities Throughout the United States English11William A. MonacoEnglishEnglish COVID-19, US Nursing home, WHO, infection protection control (IPC), comorbiditieshttp://ijcrr.com/abstract.php?article_id=2820http://ijcrr.com/article_html.php?did=2820

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareMonoplex Nested and Semi-nested Reverse Transcription Polymerase Chain Reaction for G and P Genotyping of Human Rotavirus Group A in Clinical Specimens and Environmental Samples English0208Waled M. El-SenousyEnglish Amel S. M. Abu SennaEnglish Nabil A. MohsenEnglish Seham F. HasanEnglish Marwa A. KamelEnglish Nagwa M. SidkeyEnglishIntroduction: Human rotavirus group A genotyping is important to monitor changes in rotavirus genotypes distribution. Although multiplex reverse transcription polymerase chain reaction (RT-PCR) assays are widely used for genotyping of rotavirus strains, they may be less sensitive than monoplex RT-PCR assays Objective: To use monoplex nested and semi-nested RT-PCR for re-examination of human rotavirus group A common G and P genotypes respectively in two hundred and fifty stool specimens and twenty-four raw sewage samples which were examined in a previous study for human rotavirus group A common G and P genotypes using multiplex nested and semi-nested RT-PCR respectively. Results: Increasing the number of typeable G and P specimens were observed in this study in comparison to the previous study. Rotavirus common G genotypes were detected in 57.60% (144/250) of the positive clinical specimens. The most frequent G genotype was G1 (29.60%), followed by G3 (23.20%). Both of them were with a significantly higher prevalence than there prevalence in the previous study. Genotypes G2 and G4 which were absent in the previous study had appeared in this study. Genotype G2 had been detected in 2.80% of the specimens, while genotype G4 had been detected in 2.00% of the specimens. In the raw sewage samples, genotype G1 was detected in a higher percentage (37.50%) than the previous study. Genotypes G2 and G4 were detected in 4.17% for each of them, while they were absent in the previous study. Rotavirus common P genotypes were detected in 92.80% (232/250) of the positive clinical specimen. The most frequent P genotype was P[4] (41.60%) followed by P[8] (24.00%), P[6] (20.40%). All of them were with significantly higher prevalence than their prevalence in the previous study. In the raw sewage samples, genotype P[4] was detected in higher percentage (41.67%) than the previous study. Conclusion: This study has shown that nested and semi-nested monoplex RT-PCR is more sensitive than nested and seminested multiplex RT-PCR in genotyping of human rotaviruses. English Egyptian infants, Human Rotavirus Group A, Genotyping, Monoplex, RT-PCR, Raw sewagehttp://ijcrr.com/abstract.php?article_id=2821http://ijcrr.com/article_html.php?did=2821

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareA Comparison of Overlapping Effects of Therapeutic Interventions to Improve Upper Limb Spasticity and Function in Stroke Patients English0917Jung-Ho LeeEnglishIntroduction: Stroke is a cerebrovascular disease that involves cerebral haemorrhage caused by the rupture of blood vessels and cerebral infarction due to blood clots and emboli, which result in neurological symptoms and disorders. Even though cerebrovascular diseases do not end up in death, they leave serious severe aftereffects in most cases, thus inflicting considerable social and economic losses. Aim and Objective: The present study aimed to investigate the overlapping effects of low-extracorporeal shock wave therapy and proprioceptive neuromuscular facilitation treatment on stroke patients. In this study, 24 stroke patients who were randomly divided into an experimental group (n=12), who would receive extracorporeal shock wave therapy before proprioceptive neuromuscular facilitation treatment, and a control group (n=12), who would not receive extracorporeal shock wave therapy before proprioceptive neuromuscular facilitation treatment. Result: This study used the modified Ashworth scale to assess stroke patients’ spasticity. Korean version of the Fugl-Meyer assessment, the Korean version of the Modified Barthel index, and action research arm test are an evaluation item for measuring the function. In a comparison of the therapeutic effects on the two groups following the modified Ashworth scale and the Korean version of the Fugl-Meyer assessment, no statistically significant differences were found between the two groups. However, the Korean version of the Modified Barthel index and the action research arm test showed significant differences between groups. Conclusion: In conclusion, the overlapping effect of proprioceptive neuromuscular facilitation treatment and extracorporeal shock wave therapy improved the upper limb function of stroke patients. English Overlapping effect, Stroke, Function, Rehabilitationhttp://ijcrr.com/abstract.php?article_id=2822http://ijcrr.com/article_html.php?did=2822

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareThe War of United States of America with COVID-19 English1828Kannamani RamasamyEnglishAim: The objective of this research is to explore the current state of COVID-19 pandemic at the United States of America and understand how the COVID-19 spread across various states in the county and the possible influencers to the highest number of positive cases and mortality rates. The secondary aim of the research is to predict the confirmed cases and death rates for the forthcoming days for the USA. Sample, Technique and Methods: For this research, we have used the data from 20 January 2020 to 17 July 2020. For forecasting the number of COVID-19 cases for the United States America, we have used FORECAST.ETS function in Microsoft Excel. The prediction calculated till 31 August 2020. Results: From the forecasting analysis for the United States of America, by the end of August, as on 31 August 2020, the number of cumulative confirmed cases may reach up to 6419049 (64.2 lakhs). If the situation is good, it can be controlled at 5888853(58.8 lakhs), and it may go up to 6949245(69.4 lakhs) if the scenario goes bad. By 31 August 2020, the number of cumulative death cases may go up to 166945 in the typical scenario, and however, it may reach up to 202566 if the COVID-19 situation goes wrong due to various reasons. Conclusion: There are numerous combined initiatives from the government authorities to control, treat and prevent COVID-19 at the United States of America. But still, the number of confirmed and death rates are increasing in an uncontrolled manner since it is identified in the USA. Various countries have managed the COVID-19 situation better. The USA needs to interact and learn the best practices from the nations who were able to control better. Forecasting is a powerful tool in the pandemic management which needs to be formulated strategically English COVID-19, Coronavirus, Positive cases, Forecasting, Moratality rate.http://ijcrr.com/abstract.php?article_id=2823http://ijcrr.com/article_html.php?did=2823

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareImprovement of Laboratory Services When using Sample Preparation in Microwave System English2933Maksim RebezovEnglish Anna ChuprakovaEnglish Lyudmila TretyakEnglish Anton NesterenkoEnglish Tatiana ZaitsevaEnglish Inna TrofimovaEnglish Ekaterina RedinaEnglish Maria BabaevaEnglish Olga OrlovtsevaEnglishIntroduction: In the laboratory activity, the quality of testing analysis for determination of the toxic and heavy metals is considered as its ability to ensure the test validity. Improvement of measurement methods, sample preparation for analysis, the introduction of new equipment to improve the quality indicators of services are the most relevant tasks in the activities of testing laboratories. Materials and Methods: With the purpose of comparison of results received by operation on atomic-absorption spectrometer "Quantum-2AT" with use of microwave laboratory system PLP(Pech Laboratory Probopodgotovka)-01M and at sample preparation according to Government Standards(GOST)-26929, four different groups of products were chosen as working samples. These products are fish, bread, milk, meat. Results: The analysis of results of research of samples on the content of lead and cadmium by their determination on atomic absorption spectrometer "Quantum-2AT" with use of microwave laboratory system PLP(Pech Laboratory Probopodgotovka)-01M and sample preparation according to Government Standards(GOST)-26929 is presented. The analysis of the performed studies allowed estimating the time spent on one study taking into account the implementation of different types of sample preparation for analysis. It is established that higher accuracy indicators are achieved in case of microwave decomposition using microwave laboratory system PLP-01M. It is necessary to note a higher level of automation of the sample preparation process in case of application of microwave laboratory system PLP-01M in comparison with the traditional algorithm of sample preparation for analysis according to GOST 26929. Conclusion: It is shown that the validity of the results is determined by several factors: the methods used, the equipment and reagents used, the competence of the personnel, the procedure of internal laboratory control. Using microwave laboratory system PLP-01M for the decomposition of samples before atomic absorption analysis has improved quantitative indicators of quality of the analysis. English Safety; Quality; Control; Microwave decomposition, Xenobiotics, Lead, Cadmium; Indicators of accuracyhttp://ijcrr.com/abstract.php?article_id=2824http://ijcrr.com/article_html.php?did=2824

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareA Model for Mammogram Image Segmentation based on Hybrid Enhancement English3439Kamal Nain SharmaEnglish Amit KamraEnglishIntroduction: Detection of breast cancer at early stages is very important and it helps in saving the life of the patient. The mammography is one of the techniques which is used worldwide by radiologists to detect breast cancer. It is very important to detect breast cancer correctly as human life is associated with correct detection. So, nowadays computer-aided diagnose (CAD) systems are used to detect breast cancer from a mammography image. In this work, a transfer learning-based method is used to train the system for the detection of breast cancer. The proposed model is based on a hybrid technique of image enhancement and segmentation for the pre-processing. The pre-processing is done to improve the peak signal to noise ratio (PSNR) value of originally acquired images. The Mammography Image Analysis Society (MIAS) dataset is used in this work along with other clinical images which result in the creation of around 928 images in the dataset. Aim: This work aims to segment the affected area image from the original image. Then enhanced the segmented image by using PSNR so that better result is helpful to identify the affected area. The correct detection is associated with a life decision. Result: Mammogram image has been segmented from the affected area. Various type of noises may be induced in the black and white image. The image represents the original, enhanced and segmented image. The PSNR value for an image varies from 33 to 36. The segmented image is representing the affected regions to limit the image and to eliminate useless details. Conclusion: This paper put forward the methodology which will segment the affected area from the image. The image has been enhanced based on LCM and CLAHE. Morphology technique has been used along with the Otsu threshold for accurate segmentation. The proposed network is promising as it is trained for mammogram dataset for higher accuracy EnglishBreast cancer, Micro-calcification, Mammogram image, Computer-aided diagnosehttp://ijcrr.com/abstract.php?article_id=2825http://ijcrr.com/article_html.php?did=2825

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareEffects of Alternate Training for Motor Skills on Neurotrophic Factors and Gait in Striatum StrokeInduced Rats English4046Dae-hwan LeeEnglish Jung-ho LeeEnglish Youn-bum SungEnglishIntroduction: In the brain, haemorrhage causes damage to the patient's brain, and the impairment of neurotrophic factors and cognitive and motor disorders result in restrictions on daily and functional activities. Aim and Objective: In this study, we conducted abutment and familiar exercise in striatal hemorrhagic SD rat to compare neurotrophic factors and functional activities. Result: The manifestation of Brain-derived neurotrophic factor (BDNF) in the brain of the white rat was 108.34 ± 4.22 in the group that conducted the alternate exercise and 104.56 ± 3.95 in the group that performed the familiar exercise, and was statistically significant. The manifestation of Nerve growth factor (NGF) expression in the brain of the white rat was 106.65 ± 2.52 in the group that conducted the alternate exercise and 102.22 ± 1.89 in the group that performed the familiar exercise and was statistically significant. The Beam walking test scores were 4.53 ± 0.51 points for the group that conducted the alternate exercise and 4.80 ± 0.41 points for the group that performed the familiar exercise, and statistically significant. The skilled ladder rung test scores were 65.55 ± 8.23 % for the group that conducted the alternate exercise and 80.13 ± 9.54 % for the group that performed the familiar exercise, and statistically significant. Conclusion: It has been shown that alternating exercise can have a more positive effect on nerve recovery and motor function on striatal stroke. EnglishStroke, Neurotrophic factors, Beam walking test, Treadmill, Swimminghttp://ijcrr.com/abstract.php?article_id=2826http://ijcrr.com/article_html.php?did=2826

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareDental Image Analysis Approach Integrates Dental Image Diagnosis English4752Mohd Abdul Khader KhanEnglish M V Aditya NagEnglish Tahir ul Gani MirEnglish Sapna DhimanEnglishIntroduction: Dentistry is now a big human issue for a day and causes enormous teeth pain. Dental caries is also known as caries and tooth decay, and acids produced by bacteria can cause the loss of teeth. Cavities can be seen from yellow to black in various colours. Symptoms include discomfort without apparent cause, trouble feeding and clear trousers or holes in the teeth. Method: Dental X-ray is useful for dentists, for example, root canal treatment, caries identification and many other abnormalities. The procedure is performed with the awareness of the tooth if it is affected by tooth decay. We will better handle the length of the infected tooth-root canal. Dentists had difficulties in previous years in identifying the teeth and the CNN(Computer Neural Network) technology helps us to accurately distinguish the extreme dental tooth and the root channel length from x-rays. Result: The pictures are pre-processed, segmented and then tooth parameters are removed. Deep learning is widely used as a teacher's tool where a neural network will learn features automatically. For picture analysis, evolutionary networks are widely used. This refers to areas like segmentation, identification of anomalies and diagnosis of diseases. Conclusion: In addition to high heterogeneity, database with several images implemented. Due to this heterogeneity in the database with the number of images, the powerful methodology is required to increase the compatibility and robustness between the studies, neural networks architecture and its results. The proposed Neural network approach detected Dental problems with higher accuracy. EnglishDeep Learning, Medical Image Processing, Dental application, Detectionhttp://ijcrr.com/abstract.php?article_id=2827http://ijcrr.com/article_html.php?did=2827

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareEvaluation of Cognizance, Attitude, and Practice of Needlestick and Sharps Injuries among Dental Health Care Professionals at Nellore, India – A Cross-Sectional Study English5359Dhigvijay ArepoguEnglish Nirmala SVSGEnglish Saranya JeepalyamEnglish Sivakumar NuvvulaEnglish Akhila KethireddyEnglishAim: This study aimed to evaluate the cognizance, attitude, practice, prevalence of Needlestick, and sharps injuries among dental professionals at Nellore, India. Materials and Methods: Cross-sectional study of 276 dental professionals were given a questionnaire and were informed about the purpose of the study and the study design by using a Convenience sampling technique. Third-year and final year UG students, dental house surgeons, postgraduate students, and dental practitioners were included in the survey as dental professionals. Pretested and predesigned questionnaire forms gave to dental professionals. Statistical analysis was performed by employing the statistical package, SPSS version 13. A comparison of these variables between the dental health care professionals made using Pearson's Chi-square test. Results: 96% of dental professions considered Needle Stick Injury (NSI) Needle Stick Injury transmit diseases and 59% of dental professionals knew about the Universal Precaution Guidelines (P < 0.05). In case of an accidental NSI, 64.4% of the dental professionals reported that they would have first contacted a medical emergency room, 85.96 % did not report because the injury was due to sterile needle. 80.70% had an occurrence of NSI during device use. 72% followed one-handed needle recapping technique or scoop technique, and 36.95% used needle burner and syringe destroyer to dispose of a needle. Conclusion: Dental practitioners and postgraduates were with adequate knowledge regarding NSIs. Third-year, Final year undergraduate students and Dental house surgeons had poor knowledge regarding NSIs. English Dental professionals, Needlestick, Sharp injuries, PEP (Post-exposure prophylaxis), Universal Precaution Guidelineshttp://ijcrr.com/abstract.php?article_id=2828http://ijcrr.com/article_html.php?did=2828

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareA Study on the Development of Analysis Model using Artificial Intelligence Algorithms for PTSD (Post-Traumatic Stress Disorder) Data English6065Jeong Beom KimEnglishA typical mental effect that occurs over a long period of time after experiencing a physical and traumatic event is known as PTSD(post-traumatic stress disorder). Post-traumatic stress disorder is a complex psychological trauma that can endanger selfharm and suicidal impulses, even in serious cases leading to suicide. The root causes of this phenomenon can be found everywhere, but repeated trauma exposure and inadequate medical support related to the professional specificity of firefighters can be cited as the main reasons. As such, firefighters' post-traumatic stress disorder needs to be treated as a mental health issue in the public domain beyond the mental health level of the individual. For the sake of stability, social problems should be covered in a broad sense by advanced research on high-risk analysis tools and preemptive forecasting methods along with a shift in perception of actual risk factors in modern society. Based on AI algorithm and big data, this study aims to develop the analysis model about prevalence of post-traumatic stress disorder caused by mental health damage factors for firefighters exposed to various trauma such as accidents, disasters and stress. EnglishPredictive Model, PTSD (post-traumatic stress disorder), Cluster analysis, Machine Learning, AI algorithmhttp://ijcrr.com/abstract.php?article_id=2829http://ijcrr.com/article_html.php?did=2829

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareExperience of Prescription Audit of Drugs Prescribed in Outpatient Attendees of Private Teaching Hospitals in Central India English6672Shadma QuaziEnglish Sushil Kumar VarmaEnglish Sharjeel KhanEnglish B R SinghEnglish Sarju ZilateEnglishBackground: Prescription audit assists us in tracking, reviewing and recommending improvements in management practices required to increase the consistency of approved products. Our mission was to conduct prescription audits of drugs prescribed in outpatient attendees and their effect on improvements in quality in future. Methods: During august 2019-July 2020 the present cross-sectional analysis, was carried out to assess the utilization of drugs and their prescribing pattern. Total of 100 prescriptions was collected, reviewed and analyzed with statistical effect using several advising precise indicators (acclaimed by the World Health Organization). Area of development was identified, the mindful attempt was put in and after two weeks of delay, there was improved care efficiency. The investigation and statistically comparison with the first set was done with a collection of 100 more prescriptions. Results: The prescription audit assessment of the total patients in 200 patients revealed that five parameters, including Generic Drug Name (16/100) dose (84/100), Total medication number required (00/100), patient’s address (00/100), Legibility of Prescription (100/200), are weak in the first set of 100 prescriptions using 18 parameters prescripted in WHO core prescription factors. The results of the above-listed improvement of five parameters as generic drug names (100/100), medication dosage (88/10), Total number of medicines required (100/100), address of patients, legibility of prescription (176/100), and resulted in improved quality of prescriptions. Conclusion: Our study advocated on overall rational utilization of drugs. Through prescription audit process we can improve patient care, essentially imitate and assess the worth of prescribing activities and practice, helping to identify the changes required to get a better prescription for patient centre managing. English Prescription Audit, Drug Utilization, WHO prescribing factors, medication dosage, Generic Drughttp://ijcrr.com/abstract.php?article_id=2830http://ijcrr.com/article_html.php?did=2830

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareImportance of Sanskrit Language in Learning Ayurveda English7375Sonali BhoyarEnglish Sneha ChandankarEnglish Saroj TirpudeEnglish Namrata ChouragadeEnglish Abhishek JoshiEnglishAyurvedic research has been written in Sanskrit. Sanskrit is a language with a grammar and history structured in science. By adding the suffixes and prefixes, it gives varied meaning to single word. Practical and textual knowledge is inventible to learn and practice any scientific subjects. Sanskrit is the key To Ayurveda. The main purpose of this article, the value of Sanskrit language in terms of Ayurvedic knowledge, is that basic Sanskrit knowledge is essential for understanding the essence of Ayurvedic. Ayurveda is a mind-body science with a rich history and this ancient language is a clear way to get there. Sanskrit is also a mental purifier of the mind, which helps a practitioner to represent the peaceful condition from which he or she can best support the health of others. EnglishSanskrit, Language, Ayurveda, Prefixes, Sufficeshttp://ijcrr.com/abstract.php?article_id=2831http://ijcrr.com/article_html.php?did=2831

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareA Rare Case Report on Primary Aneurysmal Bone Cyst of the Patella English7678Suvarn GuptaEnglish Ankush MohabeyEnglish Vasant GawandeEnglish Kunal SaojiEnglish Ashwin ChauhanEnglish Ashutosh ParateEnglish Aakash SharmaEnglishIntroduction: Aneurysmal bone cysts constitute less than 1% of primary bone tumours in humans and are usually present in the region of the metaphysis of the long bones of the leg. Less than 1% of all aneurysmal cysts involves patella. We are reporting a case of primary aneurysmal bone cyst in the right patella in a 27-year-old man treated with excisional curettage and bone grafting with cementing. At the 1 year follow-up, the patient was pain-free with a full range of motion of the knee joint. Aim: Primary aneurysmal bone cyst of the patella. Result: The clinical examination and history did not suggest any recent trauma or signs of inflammation. Tenderness was present in the patella and there was knee swelling as compared to the contralateral side. Conclusion: Local examination revealed tenderness in the patella and irregular, supra-patellar, infra-patellar and para-patellar fullness in the anterior aspect of the knee, with a full range of motion of the join. EnglishAneurysmal Cyst; Patella; Curettage, Aneurysmal cysts, Knee jointhttp://ijcrr.com/abstract.php?article_id=2832http://ijcrr.com/article_html.php?did=2832

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareRuptured Haemorrhagic Corpus Luteal Cyst- A Gynaecologist’s Nightmare - Case Report English7983Priya Pratapan NairEnglish Amruta ChaudharyEnglish Arpita JaiswalEnglishWomen in the reproductive age group presenting in an emergency with acute pelvic pain is a frequent gynaecological condition. Various differential diagnoses including non-gynaecological causes should be kept in mind while assessing the case. Most common gynaecological causes of acute pelvic pain include ruptured ectopic pregnancy and ruptured haemorrhagic corpus luteal cyst. Meticulous history taking, clinical examination, and laboratory workup is required to confirm the diagnosis and timely intervention is needed to reduce maternal morbidity and mortality. Hereby, I would discuss a case of spontaneous rupture of haemorrhagic corpus luteal cyst in a post mitral valve replaced patient on an oral anticoagulant. Case: A 22-year-old woman with 3 abortions, no live issues, known case of Rheumatic Heart Disease (Mitral Stenosis), Mitral Valve Replacement done in 2012, the patient was on oral warfarin, presented in casualty with acute pain in the lower abdomen, nausea and vomiting with tachycardia with no history of amenorrhoea. Diagnosis: Initial Blood investigations were within normal limits and transabdominal ultrasonography was suggestive of right ovarian tumour with benign neoplastic etiology. Intervention: Initially the patient was managed conservatively, later her condition deteriorated with tachycardia and hypotension with free fluid in the abdomen when she was taken for emergency exploratory laparotomy with transfusion of required blood products keeping in mind the oral anticoagulant and not to overload the patient. Persistent tachycardia in the postoperative period despite adequate replacements leads to her evaluation of thyroid profile when she was diagnosed as hyperthyroidism and was started on medications when her condition improved tremendously. The patient recovered well post-op. Conclusion: The patient with acute abdomen should be evaluated for all the differential diagnoses, primarily excluding pregnancy and other non gynaecological conditions. Timely diagnosis and management can save a patient’s life. English Corpus luteal cyst, Rheumatic heart disease, Mitral stenosis, Mitral valve replacement, Warfarin, Exploratory laparotomyhttp://ijcrr.com/abstract.php?article_id=2833http://ijcrr.com/article_html.php?did=2833

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareStudy of Karyotyping and Y Chromosome Microdeletionscreening in Infertile Males with Azoospermia and Oligozoospermia Prior to Art English8488Anuj VarmaEnglish Neha VermaEnglish Neema AcharyaEnglish Akshay NadkarniEnglishIntroduction: Infertility is defined as the failure to conceive after one year of unprotected sexual intercourse. About genetic causes, both chromosomal abnormalities identifiable by karyotype analysis and gene mutations or submicroscopic deletions of the Y chromosomal azoospermia factor (AZF) region can disrupt spermatogenesis. Recently, the techniques of testicular sperm extraction (TESE) and intracytoplasmic sperm injection (ICSI) have made it possible to assist men with azoospermia or severe oligozoospermia to attain successful fertilization and pregnancies. Aims: To find out the frequency and type of abnormal karyotype and Y chromosome microdeletions in infertile males before ART. Study Design: A retrospective randomized analytical study. In this study, we enrolled 100 infertile male patients willing to go for ART. Results: In 100 infertile male patients, 72 were azoospermic and 28 were oligozoospermic. There was no significant difference in the mean ages of men with oligozoospermia(31.6) and azoospermia (33.1). The levels of FSH and LH in azoospermic males were significantly higher than those in the oligozoospermic males (P = 0.001). However, the levels of testosterone(P = 0.749) were not significantly different. Of 100 cases with male infertility, 89% had a normal karyotype (46, XY) and 11% had abnormal karyotype. Eight of the chromosomal abnormalities were gonosomal in patients with Klinefelter Syndrome and two were balanced reciprocal translocations involving autosomes. One of the translocations was 46,XY,t(3;7) (q24 ;q36) and the other was 46,XY,t(5;6) (q35 ;q21). All of those with Klinefelter Syndrome had azoospermia, but translocation carriers had oligospermia. 11.1% of azoospermic patients and 7.14% of oligozoospermic patients had chromosomal abnormalities. In the current study, Yq microdeletion was detected in only 1.38% of azoospermic cases, but not seen in other cases. Conclusions: The results of this study showed that infertile men had a higher prevalence of chromosomal alterations. Therefore, the higher incidence of the chromosomal anomalies among the infertile males strongly suggested karyotyping and counselling before ART. English Intracytoplasmic sperm injection, Techniques of testicular sperm extraction, chromosomal anomalieshttp://ijcrr.com/abstract.php?article_id=2834http://ijcrr.com/article_html.php?did=2834

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareStudy the Comparative efficacy of Nagakeshara (Mesuaferrea Linn.) and its substitute, Surapunnaga (Ochrocarpuslongifolius Benth. and Hook) in management of internal haemorrhoid English8998Bhagwat WaseEnglish Pramod KhobragadeEnglish Kiran KhandareEnglish Anjali ChiwaneEnglishIntroduction: Nagakeshara (Mesuaferrea Linn.) is medium-sized to the large evergreen tree of family Guttiferrae. (Syn. Clusiaceae). It is one of the contents of Chaturjataand widely used in many formulations meant for treating raktarsha (bleeding piles), adhoga-raktapitta, etc. It reduces the swelling and pain, shrinks the piles and restricts the bleeding. Surapunnaga (Ochrocarpuslongifolius Benth. and Hook.) also belongs to family Guttiferrae which is commonly distributed in Western Ghats of Konkan, Northern Kanara, Malabar and Coimbatore. The flower buds are also called as Lal Nagakesara and sold in the market as Nagakeshara. This is fragrant, analgesic, very useful in blood diseases such as leucorrhoea, menorrhagia and for controlling bleeding in piles. It also acts as antispasmodic and diuretic. Aim and Objective: Due to scarcity and unavailability of Nagakeshara and lack of awareness, fresh stamens and buds of other plants are used instead of Nagakesharastamens. In Gujarat, Maharashtra and most parts of North India, Surapunnaga is considered as Nagakesharaand sold in the market with name ‘Lal (red)/Ratan Nagakeshara’. Therefore identify and authenticate sample of Nagakeshara (MesuaferreaLinn.) and Surapunnaga is important. In the present study, Lal Nagakeshara (O. longifolius) was compared with Nagakeshara(M. ferrea) for its effect on internal haemorrhoids. Method: For this 60 clinically diagnosed patients of internal haemorrhoid were selected and randomly divided into two groups by simple random sampling method. 30 patients were enrolled in each group. Conclusion: The symptoms were relieved in less duration in Nagakesharaas compared to Surapunnaga. Hence it is concluded that powder of stamens of Nagakeshara with proper Anupama is more effective than powder buds of Surapunnaga.. EnglishNagakeshara, Mesuaferrea, Surapunnaga, Ochrocarpuslongifolius, Lal Nagakesara, Raktarshahttp://ijcrr.com/abstract.php?article_id=2835http://ijcrr.com/article_html.php?did=2835

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareAnalysis of User Experience in Health Apps: Focusing on Users of the 20s Step Count App English99107Seung-Min LeeEnglishIntroduction: As people’s interest in health and life sports increases, health is considered as the main content in various media. This interest has led to the release of hundreds of thousands of mobile health app applications along with the development of health information technology, and health apps that help consumers manage their health through personalized feedback are attracting attention. The trend of managing health data using various smart devices is spreading among young people in their 20s and 30s, and smartphones account for the largest portion as the route for them to receive health services. Aim and Objective: Therefore, this study aims to describe the phenomenon and identify problems and improvements by comprehensively exploring the user experience of the step count app of users in their 20s. For this purpose, FGI was conducted for users of the step count app. Result: As a result of the study, it was found that it is necessary to improve the level of the playfulness of the step count app, various additional functions, and reliability. In this study, we conducted an FGI to grasp the empirical data and satisfaction in detail when using the step counting app. Conclusion: To do this, the research participants in the study tried to use the health app and were free to talk about thinking and feeling. Through the results of this study, it is expected that the academic horizon of the health information service will be broadened and can be actively used as a guideline for future health apps. EnglishStep count app, mHealth, FGI, Empirical data, Health appshttp://ijcrr.com/abstract.php?article_id=2836http://ijcrr.com/article_html.php?did=2836

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareFine Needle Aspiration Cytology of Cervical Lymph Nodes with Special Emphasis on Different Cytomorphological Presentation of Tuberculous Infection English108114Sutapa DasEnglish Ujjwal BandyopadhyayEnglish Dipanwita NagEnglishAim: Tuberculous lymphadenitis is the most common form of extrapulmonary tuberculosis and constitutes approximately 20- 40% of all extrapulmonary tuberculosis. The gold standard for the diagnosis of active tuberculosis is to perform a culture test. With the advance of molecular techniques, various polymerase chain reaction (PCR) methods have been introduced to identify Mycobacterium tuberculosis more easily and quickly. With this background scientific knowledge, the following study was undertaken with the general objective to determine the various causes of cervical lymphadenopathy by fine-needle aspiration cytology (FNAC) and to delineate the pathology of tuberculous lymphadenitis in patients of a government-run medical college of West Bengal by FNAC. Methodology: Total 100 cases with clinical suspicion of tuberculous lymphadenitis were aspirated amongst which 14 cases has been excluded. The rest 86 cases, amongst which 43 cases were diagnosed as Chronic granulomatous lymphadenitis,26 cases as tuberculous lymphadenitis and 17 cases as Suppurative lesion. In our study chronic granulomatous lymphadenitis and tuberculous lymphadenitis were regarded as FNAC suggestive of tuberculosis. The suppurative lesion was regarded as FNAC not suggestive of tuberculosis. Cytomorphological features associated with suppurative lesion didn’t reliably exclude tuberculous lymphadenitis in our study. Results: Out of 86 cases, 36% showed AFB positivity, and 69 cases of FNAC suspicious of tuberculous aetiology showed acidfast bacilli(AFB) in 42% cases. Out of 86 cases, culture was positive in 69 cases(80.2%). TB Culture was positive in 12(70.58%) cases of the suppurative lesion. The culture was found positive in all the AFB positive cases and out of 55 AFB negative smears, TB culture was positive in 38(69%) cases. Conclusion: So to conclude many of the cervical lymph nodes show suppurative lesion without definite granuloma, however they showed AFB positivity in Ziehl Neelsen stain(ZN smear)/ culture positivity. Therefore these cases should be investigated for acid-fast bacilli(AFB) for proper treatment. EnglishTuberculous lymph node, Cytologyhttp://ijcrr.com/abstract.php?article_id=2837http://ijcrr.com/article_html.php?did=2837

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareJoys and Sorrows of Korean Women Undergoing Infertility Treatment: An Ethnographic Perspective English115125Seong-Heui KimEnglishIntroduction: The number of infertile couples are rapidly increasing in Korean society for a variety of reasons, including increased marriage age, stress, environmental pollution, number of working couples, and increased ‘3 abandonments’ tendency Aim and Objective: This study was motivated by the need to develop an effective nursing intervention for women undergoing infertility treatment under Korean sociocultural background. Using ethnographic research method, this study has nine married women who are diagnosed infertile and pursuing medical treatment as informants. Result: The study has found a common cultural experience from the women undergoing infertility treatment expressed as ‘getting rid of stigma of deficient women’. This cultural theme can be divided into the following 4 categories: ‘turning into life of a loser’, ‘doing homework to be recognized for my existence’, ‘the ambivalence about infertility treatment’, ‘positioning the value of being myself’. This study argues that it is necessary to develop and activate a program that encourages women to maintain and recover a positive self-concept and self-esteem. Conclusion: It is suggested that nursing care, policy, and social support related to infertility issues should be approached based on the positions, perspectives, and experiences of women who are undergoing infertility treatment in order to promote physical, mental, and socio-cultural health of them. English Infertility, Women, Experience, Korea, Ethnography, Spradley’s ethnographic analysis methodhttp://ijcrr.com/abstract.php?article_id=2838http://ijcrr.com/article_html.php?did=2838

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareSpecific Peculiarities of Conducting Psychological Actions with Oncology Patients English126129Urazbaeva Dilbar AbdullaevnaEnglishIntroduction: Nowadays, all over the world, a trend of steady growth in oncological diseases is increasing. This article highlights some problems of onco-psychology and provides an experimental analysis of the characteristics of the disease response and the assessment of the social status of their sickness in patients diagnosed with the oncological illness. Aim and Objective: The study of women’s attitudes towards the disease in patients treated for breast cancer is important in activities aimed at improving the patient’s various pain and quality of life. Method: The study involved 62 female patients diagnosed with breast cancer treated at the Republican Specialized ScientificPractical Medical Center of Oncology and Radiology. The “Serdyuk” questionnaire was used to assess the social status of the disease in patients. Result: According to the results of the conducted study, the indicators on the assessment of the personal and social status of patients on all scales of the test increased from the bottom up in the stages of the disease. That is, as the stages of the disease progress, they have felt weak, powerless, experienced changes in family relationships, increased tendency to depression, subdepression and depression, decreased leisure time, increased time spent mainly on treatment. Conclusion: Hospitalization, limited opportunities to improve professional status in society, and as well patients are concerned about looking ugly and unattractive to those around them, especially their spouse, are mentally unwilling, have increased feelings of weakness, felt limited in communication, and experienced economic hardship. English Oncology, Psychiatry, Oncology patient, Breast cancer, Emotional statehttp://ijcrr.com/abstract.php?article_id=2839http://ijcrr.com/article_html.php?did=2839

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareHistomorphological Study of Salivary Gland Tumours English130133Reena BanerjeeEnglish R. K. ChandrakarEnglishIntroduction: Tomours of the salivary glands are an uncommon phenomenon. A heterogeneous community of pathologies includes around 3–10 % of carcinomas of the head and neck and just 0.5 % of all malignant tumours suit these forms. Although most other cancers of the head and neck are closely linked to smoking and alcohol, the salivary glands do not play a role in these. Some studies have found that a diet rich in vitamin C and low in cholesterol can help prevent salivary cancer of the gland. An increased risk of salivary gland cancers was found to be associated with HIV infection. Objective: To identify different salivary gland histomorphological trends tomours, age, frequency and distribution of sites. Material & Methods: Present study was at Chandulal Chandrakar Memorial Medical College and hospital. A total of 63 samples were studied. Demographic information was collected with information on location of tumor and size of tumor was determined for each salivary gland tumor. In both major and minor glands of malignant salivary gland tomours, frequency of benign and malignant tumor was determined. Results: There were total 23 malignant tumor and 40 benign tomours. It has been observed that out of total 23 malignant tomours, 17(73.9%) were parotid glands, 4(17.4%) were submandibular glands while 2(8.7%) were minor salivary gland. Among mucoepidermoid carcinoma, the parotid gland was found to be most common (N=8, 34.8%). Among all 40 benign tumours, 1(2.5%) was minor salivary gland, 5(12.5%) were submandibular gland and 34(85%) parotid glands. In warthins tumour (N=9, 22.5%) and pleomorphic adenoma (N=13, 32.5%) parotid gland was more frequent compared to minor salivary gland and submandibular gland. Conclusion: The most common carcinoma of mucoepidermoid is widely known malignant tumour of the parotid and salivary glands is a common site to the same. The histopathological checkup is mandatory for salivary gland tumour diagnosis as they occur to have a vast range of morphological patterns. EnglishMalignant, Tumour, Salivary glands, Carcinomas, Heterogeneous communityhttp://ijcrr.com/abstract.php?article_id=2840http://ijcrr.com/article_html.php?did=2840

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareStudy of Relationship between E-Cigarette Selection Factors and Smoking Cessation Attempts English134138Ryoung ChoiEnglish Ji Eun ParkEnglishIntroduction: Most of previous studies on E-cigarette were focused on adolescents and adults or factors related to the use of E-cigarette. The relationship between E-cigarette selection factors and smoking cessation attempts among college students has not been reported yet. Objective: The objective of this study was to analyze the relationship between perception of E-cigarette and smoking cessation attempts in college students known to have strong mental and physical maturity, social justice, and ideals compared to adolescents and have strong desire. This study used data from the Korea National Health and Nutrition Examination Survey in 2016. Subjects were 36 college students enrolled in school who had E-cigarette experience. Linear regression analysis was performed to identify factors influencing smoking cessation using SPSS version 25.0. Result: Regarding factors influencing smoking cessation, both model 1 and model 2 revealed that those who perceived E-cigarette to 'help quit smoking and be less harmful than cigarette' were more likely to have cessation attempt. In Model 2, frequency of binge drinking was more likely to affect smoking cessation in 'less than 4 times a month' compared to 'more than 4 times a month'. Conclusion: A health policy should be established so that continuous smoking cessation support services can be provided to college students along with a healthcare approach to disseminate proper awareness of E-cigarette English E-cigarette, Cigarette, Smoking cessation, Perception, Healthcarehttp://ijcrr.com/abstract.php?article_id=2841http://ijcrr.com/article_html.php?did=2841

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareStudy of Cardiovascular Risk Prediction in Patients with Type 2 Diabetes with Arterial Hypertension after Combined Hypotensive Therapy of Enalapril with Moxonidine English139144Zumrad ErgashevaEnglish Bustanov SherzodbekEnglish Bakhtiyorjon JurabaevEnglish Mamurjon TurgunovEnglish Mukhayyo AkhmatokhunovaEnglishIntroduction: Treatment of arterial hypertension in type 2 diabetes mellitus patients is complex and at the same time, according to our data, possible and/or controlled process. For example, the use of combined antihypertensive therapy of enalapril with moxonidine is effective in the treatment of arterial hypertension in patients with type 2 diabetes, which has a positive effect on the dynamics of catecholamine excretion and 3,4-dioxyphenylalanine, monoamine oxidase activity, significantly reduces the level of Malone dialdehyde in serum. Aim and Objective: After combined hypotensive therapy with moxonidine, we observed a more pronounced statistically significant decrease in daily excretion of CA and DOFA, with values of these indicators approaching those of the control group. Result: Thus, after treatment with moxonidine, there was a significant decrease in SBP by 28.5%, DBP by 11.2% (P English Type 2 diabetes with arterial hypertension, Catecholamine excretion, Monoamine oxidase, Dopaminehttp://ijcrr.com/abstract.php?article_id=2842http://ijcrr.com/article_html.php?did=2842

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareStudy on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-toface Classes among University Students in South Korea English145150Juna ByunEnglish Hyeok-chan JeonEnglish Soon-jung HwangEnglishIntroduction: The Coronavirus-19 pandemic has thrown the world into survival trauma. The negative effects of anxiety on academic performance had been shown in many studies. The pandemic of Coronavirus-19 increases not only the symptoms associated with grief but also mental disorders such as post-traumatic stress, depression and anxiety disorder. Aim and Objective: This paper examined the anxiety about Coronavirus-19 among university students who recently experienced face-to-face and non-face-to-face classes, to suggest a better class type for high-quality academic performance with less fear. The survey was conducted on 94 nursing college students in J. City, South Korea, from June 27 to June 30, 2020. The State Anxiety Inventory (Spielberger, 1975) was employed online. Result: The findings showed that there was a significant difference (t=12.113, p=.000) in anxiety between face-to-face (53.05±9.41/80) and non-face-to-face class groups (37.46±7.63/80). That of face-to-face was 1.41 times higher than that of non-face-to-face. There were significant differences with regards to class preference (t=12.113, p=.000) and gender (t=12.113, p=.000) only in the face-to-face but not in the non-face-to-face group. The non-face-to-face preferred group had scored 1.22 times higher than the other group and females had scored 1.19 times higher than the males. These results were highly significant (t=13.958, p=.000) in the high anxiety than low anxiety group in both classes. The score above 40 in the high anxiety group (54.66±7.215) of the face-to-face was 1.86 times higher than in the low group (29.33±4.131). 93.62% belonged to the high anxiety group in the face-to-face group. Factors affecting anxiety were class preference (β=-.546, p=.001) and gender (β=.244, p=.004) in the face-to-face group. The explanatory power of these variables was 74.7%. Conclusion: It is suggested that students are more worried about Coronavirus-19 spread within the classroom than about difficulties from the non-face-to-face class. In this study, the non-face-to-face class is recommended, especially, for non-face-to-face class preferred and female students, for better quality academic achievement in universities, without worry during Coronavirus-19 epidemic. EnglishCoronavirus-19, Face-to-face/non-face-to-face, Class preference, Gender, Anxietyhttp://ijcrr.com/abstract.php?article_id=2843http://ijcrr.com/article_html.php?did=2843

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareUse of Newer Protective and Disinfection Strategies: A Simple Tool Guide for the Dentists During the COVID-19 Pandemic English151154Sanjay MiglaniEnglish Md. Irfan AnsariEnglish Bhoomika AhujaEnglish Ashish GuptaEnglishAim: This paper aims to provide a simple tool guide for dental practitioners about understanding the utility and effectiveness of the new protective measures for prevention and disinfection in dental practice during the COVID-19 pandemic. Methods: The preventive and disinfection guidelines of different statuaries bodies were collected online and the new protective measures and equipment for safer dental practice were listed down. Results: Based on this list the technical details of these measures are presented for easy understanding of the dentist. Conclusion: The COVID-19 pandemic may be here to stay. It is important to understand this equipment to keep safe the dental health care provides, their assistant, and patients. English Dentistry, COVID-19, SARS-CoV-2, Disinfection, Dental clinicshttp://ijcrr.com/abstract.php?article_id=2844http://ijcrr.com/article_html.php?did=2844

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-52411216EnglishN2020August22HealthcareThe Effect of Physical Activity Program of Elderly in Rural Areas on Life Satisfaction English155163Young Hee NamEnglishIntroduction: The age standard for the elderly varies slightly depending on the statute or the viewpoint, but the Elderly Act and the WHO define an elderly person as someone aged 65 years and older. Aim and Objective: This study was to influence of perceived health status and falling efficacy on life satisfaction in elderly performing physical activity program. Method: The 12-week physical activity program was applied to the public health clinic in H City of Korea from January to March 2019, and the evaluation was conducted before and after the program was applied. The data collected from 34 subjects were analyzed by SPSS 23.0. Result: The ratio of women was 94.1%, and the average age was 76.09(±7.37). The number of chronic diseases was the highest with 2 (41.2%) and the average was 2.29 (±1.24). Life satisfaction perceived health status, and falling efficacy were 3.0 points in the pre-average and 3.3 points in the post-average, which were statistically significant. The factors that affect the life satisfaction pre-test and post-test applying the physical activity program were perceived health status (pEnglish Falling efficacy, Life satisfaction, Perceived health status, Physical activityhttp://ijcrr.com/abstract.php?article_id=2845http://ijcrr.com/article_html.php?did=2845