Study of correlation between symptoms and signs in women with anterior vaginal wall prolapse

Background: Pelvic organ prolapse is a common, distressing and disabling condition affecting up to 30% of the women, 20- 60 years of age, attending Gynaecology outpatient clinics. Objective of present work was to know the effect of Pelvic Organ Prolapse (POP) on micturition symptoms.Methods: Descriptive study including 64 women presenting with POP symptoms. Subjects were evaluated using POP-Quantification system, Urinary Distress Inventory.Results: Women were asked to rate the extent to which they were bothered by their urinary function on a scale of 1 to 10, with 1 being not at all and 10 being extremely. Ten women (16%) reported 1 to 4, 23 (37%) reported 5 to 7, and 29 (47%) reported and gt;8.Conclusions: Strong association does exist between POP and micturition symptoms which are obstructive in nature and those causing urge incontinence

Severe Thrombocytosis in Chronic Liver Disease Secondary to Iron Deficiency Anemia: A Case Report

Thrombocytopenia is the commonest haematological abnormality seen in chronic liver disease. Thrombocytosis is of two types: Primary and secondary. In secondary form of thrombocytosis usually there is mild to moderate elevation of platelet count. Here, we present a case of 60 year old patient, a known case of chronic liver disease who presented with severe thrombocytosis secondary to iron deficiencyanaemia. Thrombocytosis normalized with treatment of iron deficiency anaemia with parenteral iron

Forecasting COVID-19 Pandemic – A scientometric Review of Methodologies Based on Mathematics, Statistics, and Machine Learning

Introduction: The COVID-19 pandemic is being regarded as a worldwide public health issue. The virus has disseminated to 228 nations, resulting in a staggering 772 million global infections and a significant death toll of 6.9 million. Since its initial occurrence in late 2019, many approaches have been employed to anticipate and project the future spread of COVID-19. This study provides a concentrated examination and concise evaluation of the forecasting methods utilised for predicting COVID-19. To begin with, A comprehensive scientometric analysis has been conducted using COVID-19 data obtained from the Scopus and Web of Science databases, utilising bibliometric research. Subsequently, a thorough examination and classification of the existing literature and utilised approaches has been conducted. First of its kind, this review paper analyses all kinds of methodologies used for COVID-19 forecasting including Mathematical, Statistical, Artificial Intelligence - Machine Learning, Ensembles, Transfer Learning and hybrid methods.  Data has been collected regarding different COVID-19 characteristics that are being taken into account for prediction purposes, as well as the methodology used to develop the model. Additional statistical analysis has been conducted using existing literature to determine the patterns of COVID-19 forecasting in relation to the prevalence of methodologies, programming languages, and data sources. This review study may be valuable for researchers, specialists, and decision-makers concerned in administration of the Corona Virus pandemic. It can assist in developing enhanced forecasting models and strategies for pandemic management

Association of ABO Blood Groups with Cardiovascular Diseases in Adult Indian Population

This study was designed to investigate whether there was an association between ABO blood groups and major cardiovascular diseases (ischemic heart diseases) in adult Indian population. The present retrospective study analyzed ABO blood groups among 1527 patients with documented IHD, who were treated at CIMS Hospital in Ahmedabad city from January to December, 2011 comparing with a control group of 860 subjects. Data were analyzed with GraphPad Prism 6.0 and by using chi square test. A p-value less than 0.05 were considered as +statistically significant. No significant difference in distribution of ABO blood groups was seen in patients with IHD (A, 21.95%; B, 35.41%; AB, 8.61%; O, 34.01%) and also after adjustment for common cardiovascular risk factors such as age, gender, addiction history, obesity, hypertension, diabetes in these patients (A, 25.47%; B, 37.53%; AB, 9.04%; O, 27.94%) as compared to the controls (A, 22.32%; B, 35.58%; AB, 8.83%; O, 33.25%), p-value = 0.9916 and 0.2778 respectively. The findings of the study suggest that there seems to be no correlation between various ABO blood groups and development of cardiovascular diseases. Moreover, the prevalence of major risk factors was equal in patients with different blood groups and blood groups had no impact on development of cardiovascular pathogenesis in individual subjects

Determination Of Combined Functional And Core Training Among Badminton And Tennis Players - A Systematic Review

Core strength training with functional training is gaining recognition and respect in the competitive sports training community in our country. In the past, strength training was focused on specific exercises, but now basic strength training is becoming increasingly popular as a training sport. In racket sports, the capability to swiftly and efficiently vary body direction and location while maintaining stability and postural orientation is key. It requires a harmonious execution of skills and strategies, involving dynamic and agile balancing. Purpose: The purpose of the study is to evaluate the effectiveness of core strengthening and functional training on anaerobic power and muscular strength in racquet players. Study design: Pre- and post-control group designs with pre-and post-test assessments were employed in this investigation. The methodology involved 40 subjects, both male and female, aged 18 to 25 years old, who had been training for at least 1-2 years and met the inclusion and exclusion criteria. Each participant provided me with general assessment information, such as age, height, weight, practice hours, and medical background. After that, the patients were divided into two groups of equal size. group A for training and group B for control. We evaluated the results before and after the 6-week program, which had three sessions per week. Measures of success include the Star Excursion Power Test (a vertical leap test), the McCill Test for core muscle endurance, the Illinois Agility Test (IAT), the 10- and 20-meter sprint test (a speed test), the hand grip test (a hand dynameter), and the flexibility test (a sit-and-reach test). Results: The data was reported as mean SD for Group A (the training group) and Group B (the control group). At a significance level of 0.05%, statistical analysis was done using paired and unpaired t-tests to evaluate the statistical differences between the parameter

Hypokalemic Quadriparesis Associated with Dengue: A Case Series

Dengue is an important viral cause of febrile illness in tropical and subtropical regions. Manifestations may range from an asymptomatic infection to life threatening hemorrhagic fever and shock syndrome. Neurological presentations of this disease are rare. Here, we are presenting a case series of three confirmedcases of dengue fever with hypokalemic paralysis presenting as acute pure motor reversible quadriparesis. A clinician should keep dengue virus associated hypokalemic paralysis in mind while dealing with a case of fever with quadriparesis

Sublinear Approximation Algorithm for Nash Social Welfare with XOS Valuations

We study the problem of allocating indivisible goods among $n$ agents with the objective of maximizing Nash social welfare (NSW). This welfare function is defined as the geometric mean of the agents' valuations and, hence, it strikes a balance between the extremes of social welfare (arithmetic mean) and egalitarian welfare (max-min value). Nash social welfare has been extensively studied in recent years for various valuation classes. In particular, a notable negative result is known when the agents' valuations are complement-free and are specified via value queries: for XOS valuations, one necessarily requires exponentially many value queries to find any sublinear (in $n$) approximation for NSW. Indeed, this lower bound implies that stronger query models are needed for finding better approximations. Towards this, we utilize demand oracles and XOS oracles; both of these query models are standard and have been used in prior work on social welfare maximization with XOS valuations. We develop the first sublinear approximation algorithm for maximizing Nash social welfare under XOS valuations, specified via demand and XOS oracles. Hence, this work breaks the $O(n)$-approximation barrier for NSW maximization under XOS valuations. We obtain this result by developing a novel connection between NSW and social welfare under a capped version of the agents' valuations. In addition to this insight, which might be of independent interest, this work relies on an intricate combination of multiple technical ideas, including the use of repeated matchings and the discrete moving knife method. In addition, we partially complement the algorithmic result by showing that, under XOS valuations, an exponential number of demand and XOS queries are necessarily required to approximate NSW within a factor of $\left(1 - \frac{1}{e}\right)$.Comment: 41 page

Effect Of Ladder Training In Different Sports - A Review Study

Introduction: Human behaviour-related activities have undergone long-term development. The extent to which a motor task is completed and the outcome of the activities is referred to as performance. Sports training focuses on improving motor abilities associated with a certain sport discipline. Assumed performance is determined by motor ability and motor skill. This study focus on investigating the effect of ladder training in different sports in promoting the physical components. Materials and Methods: A review study was conducted. The data was collected from the various databases and search engines like pub med, google scholar and research gate etc. The articles were included fixing a criterion according to the needs to rule out the effectiveness of ladder training in various others sports. Conclusions: Training with the ladder has shown immense improvement in performance in sports by promoting the physical parameters required in ever sports including speed, quickness, power, stability of body, coordination, response time as well as can be further implemented in long run to increase injury preventio

An anatomical study of Guda Marma and its clinical importance

Nowadays owning to the sedentary life style with almost negligible or irregular physical activities as well as improper diet, frequency of several diseases and disorders has increased significantly. Guda (Anus) thus is implied in context of disease since ages and plays a very important role in the physical wellbeing of human body. The terminal part of large intestine and Moola of Pureeshava Srotas is known as Guda. It is one of the Karmendriyan. Charak has mentioned that Guda is one of the Koshtangas. Guda is defined as the passage through which excretion of faeces takes place and is located in the pelvic region and Charaka recognized two parts in it i.e., Uttara Guda and Adhara Guda. It is one among nine Bahirmukhasrotas located in pelvic region. Total length of Guda is 4½ Angula. There are 3 sphincter situated inside the Guda placed one above the other at a distance of 1½ Angula from each other and are named as Pravahini, Visarjini and Samvarni. Pureeshdhara Kala is related to Guda and it is Moola of Pureeshvaha Srotas and also is Sadhyopranhara Marma. Guda thus is implied in context of disease since ages and plays a very important role in the physical wellbeing of human body. Objective of the study are comprehensive literary review of Guda Marma with correlation of anatomical features described in Ayurveda to contemporary science. Data related to Guda Sharira and diseases were collected from various classics

New Oral Anticoagulants: An Overview

Oral anticoagulant therapy is used in the prevention and treatment of venous thromboembolism (VTE), prevention of stroke and other systemic emboli in patients with atrial fibrillation (AF) and artificial heart valves