Locking plate for displaced proximal humerus fractures-outcomes and complications: a prospective study

Background: The management of unstable proximal humerus fractures is controversial as many fixation techniques have evolved over the years claiming to be a better fixation device compared to the other.Methods: 23 patients with closed displaced proximal humerus fractures were included in this study. All patients underwent open reduction and internal fixation with proximal humerus locking plate through either delto-pectoral or deltoid splitting approach. Standard shoulder rehabilitation program was used in all cases. Functional and radiological outcome were assessed at follow-up.Results: The mean constant-Murley score achieved at 6 months was 66. Complications were reported in a total of 7 patients including 3 varus malunion, 1 valgus malunion, 2 screw penetration into the joint and 1 nonunion with implant breakage.Conclusions: The proximal humeral locking plate seems to be an adequate device for the fixation of displaced proximal humerus fractures as 83% of our study population had good/moderate functional outcomes.

Effectiveness of Professional Development in Teaching Mathematics and Technology Applications

This study investigated whether a four-week professional development workshop for math teachers helped improve their ability to integrate technology into instruction and teach math concepts. Instruments for data collection included four different types of surveys that asked questions concerning their technology skills and confidence in teaching various math topics. Results of the study revealed that the professional development workshop did improve their technology skills in using graphing calculators and different software programs, as well as increasing their overall confidence in teaching different math topics such as fractions, percentages, real numbers, etc

Improving Teacher\u27s self confidence in Learning Technology Skills and Math Education through Professional Development

Using technology tools in math instruction can help stimulate problem-solving skills and understanding of math concepts. However, teachers need to be confident in their abilities to use technology tools. This study investigated whether or not a four-week in-service professional development institute that addressed the use of technology in math education helped improved the teachers’ attitude and confidence in applying technology. Findings indicated that as the teachers explored and used the available technology tools relevant to math instruction during the institute, the more proactive and motivated they became to continue their professional development in using technology for classroom instruction. They realized that they were able to use technology and desired to continue their education in this area

Changes in expression of polyamines and ethylene biosynthesis genes in groundnut (Arachis hypogaea L.) genotypes during Sclerotium rolfsii infection

476-483Stem rot disease caused by fungal pathogen, Sclerotium rolfsii Sacc., is potential threat to groundnut production in warm and humid condition. After host-pathogen interaction, a multitude of plant resistance associated reactions are initiated. In the present investigation we studied the role of polyamines and ethylene during host-pathogen interaction in stem rot tolerant (CS319, GG17 and GG31) and susceptible (TG37A) groundnut genotypes at 24, 48 and 72 h after infection. Stem rot tolerant genotypes showed higher expression of polyamine biosynthesis genes ornithine decarboxylase (Ordec), spermine synthase (Sms) and lipoxygenase1 (LOX1) gene at 72 h after infection than that of susceptible genotype TG37A. The expression analysis of ethylene biosynthesis genes (1-aminocyclopropane-1-carboxylate oxidase: ACCO and (ACCS) showed up regulation in stem rot susceptible genotype TG37A than that of tolerant genotypes after infection at all stages (24, 48 and 72 h after infection). The expression of amine oxidase (AMO) gene was observed highest in stem rot susceptible genotype TG37A while minimum in GJG31. Expression of this gene was remarkably induced in TG37A which may leads to higher accumulation of H2O2. Higher content of a polyamine, putrescine was found in the leaves of stem rot tolerant genotypes at 48 and 72 h after infection. These results implied that tolerant genotypes induced higher polyamine biosynthesis which may involve in plant defense and impart tolerance/ resistance. While, susceptible genotype (TG37A), utilized higher flux of S-Adenosyl methionine (SAM) for ethylene biosynthesis which may leads to necrosis of plants. Thus, stem rot resistant genotypes may be developed through genetic manipulation of polyamine biosynthesis pathway

Changes in expression of polyamines and ethylene biosynthesis genes in groundnut (Arachis hypogaea L.) genotypes during Sclerotium rolfsii infection

Stem rot disease caused by fungal pathogen, Sclerotium rolfsii Sacc., is potential threat to groundnut production in warm and humid condition. After host-pathogen interaction, a multitude of plant resistance associated reactions are initiated. In the present investigation we studied the role of polyamines and ethylene during host-pathogen interaction in stem rot tolerant (CS319, GG17 and GG31) and susceptible (TG37A) groundnut genotypes at 24, 48 and 72 h after infection. Stem rot tolerant genotypes showed higher expression of polyamine biosynthesis genes ornithine decarboxylase (Ordec), spermine synthase (Sms) and lipoxygenase1 (LOX1) gene at 72 h after infection than that of susceptible genotype TG37A. The expression analysis of ethylene biosynthesis genes (1-aminocyclopropane-1-carboxylate oxidase: ACCO and (ACCS) showed up regulation in stem rot susceptible genotype TG37A than that of tolerant genotypes after infection at all stages (24, 48 and 72 h after infection). The expression of amine oxidase (AMO) gene was observed highest in stem rot susceptible genotype TG37A while minimum in GJG31. Expression of this gene was remarkably induced in TG37A which may leads to higher accumulation of H2O2. Higher content of a polyamine, putrescine was found in the leaves of stem rot tolerant genotypes at 48 and 72 h after infection. These results implied that tolerant genotypes induced higher polyamine biosynthesis which may involve in plant defense and impart tolerance/ resistance. While, susceptible genotype (TG37A), utilized higher flux of S-Adenosyl methionine (SAM) for ethylene biosynthesis which may leads to necrosis of plants. Thus, stem rot resistant genotypes may be developed through genetic manipulation of polyamine biosynthesis pathway

Designing and testing basic protocol for medium fast bowler to increase the speed and accuracy

Background: The skill of medium fast bowlers to consistently maintain their pace and accuracy while bowling , help them to not allow batsman to settle in their inning, and benefit to bowlers to take their wickets. In field of cricket the various parameters like bowling speed and accuracy have been a major area of research. Aim. To study the effect of designed and tested basic protocol on medium fast bowlers speed and  accuracy. To study the Kinematic measures in the first four overs of medium fast bowling. To study the effect of a designed based training on, 6RM Squat Test , 6 RM Bench Press Test and Yo-Yo Intermittent Recovery Test Level 1 ( YYIRTL1). Material and Methods: 60 State Level  Male Medium Fast Cricket Bowlers  ( mean age under 19 boys ) were  divided into two  group one group will going to do subject specific protocol based training for 6 weeks and another  will be an control group.&nbsp

Designing and Testing Basic Protocol for Medium Fast Bowler to Increase the Speed and Accuracy

Background: The skill of medium Fast bowlers to consistently maintain their pace and accuracy while bowling , help them to not allow batsman to settle in their inning, and benefit to bowlers to take their wickets. In field of cricket the various parameters like bowling speed and accuracy have been a major area of research. Aim. To study the effect of designed and tested basic protocol on medium Fast bowlers speed and  accuracy. To study the Kinematic measures in the first four overs of medium Fast bowling. To study the effect of a designed based training on, 6RM Squat Test , 6 RM Bench Press Test and Yo-Yo Intermittent Recovery Test Level 1 ( YYIRTL1). Material and Methods: 60 State Level  Male Medium Fast Cricket Bowlers  ( mean age under 19 boys ) were  divided into two  group one group will going to do subject specific protocol based training for 6 weeks and another  will be an control group.&nbsp

Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital

Background: Blood transfusion is a life-saving procedure, but inappropriate use of blood and its com¬po¬¬nents in obstetric emergencies, especially in cases of massive bleeding, increases the risk of morbidity and mortality. The aim of this study was to describe the determinants of blood and blood components in obstetrics in a tertiary care hospital with indications for transfusion for different components during the study.Subjects and Method: A Prospective Observational study was carried from May 2018 to Dec¬ember 2019 at Department of Obstetrics and Gynaecolog,T.N.M.C & B.Y.L.Nair Hospital Mumbai. The independent variables are sociodemographic characteristics, parity, mode of delivery, edu¬cation, hospital level, while dependent variables are frequency of obstetric transfusion. Frequency of transfusion of blood and its components obtained from case file of patient. The other data were collected by questionnaire. Analysis of 366 Obstetric patients requiring blood transfusion in eigh¬teen months period was done. Qualitative data were presented as frequency and percentages and analysed using the chi-square test.Results: During the whole study 366 of obstetric admission required transfusion of blood and its components. Severe anaemia during pregnancy/postpartum anaemia (51%) were the most com¬mon indications for blood product transfusions followed by Accidental Haemorrhage (30%), Cae¬sarean section (10.38%) Genital tract trauma including uterine rupture (11%), Postpartum Haemo¬rrhage’s (13%), Placenta previa (6.5%), Ectopic pregnancies (3.5%), Vesicular mole (3.27%), Retained placenta (3.27%) Ruptured uterus (1%), and Abortion (2.7%). Packed cells (47%) were the most common type of blood and blood products transfused followed by Fresh Frozen Plasma (41.86%).Conclusion: In obstetric emergencies, correct diagnosis and management of emergencies, A pre-planned, multidisciplinary protocol yields excellent effects in the management.Keywords: blood transfusion, pregnancy, anaemia, obstetric emergenciesCorrespondence: Avinash N. Jadhao. Associate Professor, Department of Biochemistry Seth GSMC & KEMH Parel Mumbai 400012, India. Email: [email protected]. Phone no.91 7718971066.Journal of Maternal and Child Health (2022), 07(05): 591-599https://doi.org/10.26911/thejmch.2022.07.05.1

Ischemia-modified albumin and thyroid hormone levels in first trimester abortions: a relationship?

Background: recurrent pregnancy loss (RPL) patients make up 40- 50% of those who do not have a known reason for their losses. There is currently no information on any relationship between maternal thyroid hormone levels and IMA levels in first-trimester pregnancy loss. Objectives: Estimation of maternal thyroid hormone levels and IMA levels in first-trimester pregnancy loss and to study the correlation between the maternal thyroid hormone levels and the IMA Patients and methods: We recruited 45 pregnant women with recurrent pregnancy loss  from our obstetric clinic as cases and 45 healthy pregnant women with the same gestational age and successful pregnancy outcomes as controls. Results: There is no correlation between the maternal thyroid hormone levels and the IMA levels in first-trimester pregnancy loss. Maternal IMA levels appear to be elevated in women with early RPL. Conclusion: In cases of first-trimester pregnancy loss, there is no association between maternal thyroid hormone levels and IMA levels. IMA cannot be used for the diagnosis and follow-up of early RPL because maternal IMA levels appear to be higher in women with early RPL. Keywords: Abortion, IMA ,thyroid profil