Sleep deprivation and altered circadian rhythm affects the cognitive performance of an individual. Quality sleep is compromised in those who are frequently involved extended working hours shift work which found to be more common among nurses. Cognitive impairment leads fatigability, decline attention efficiency their workplace puts health patients' at risk.To find out prevalence its impact on cognition nurses.Sleep 97 female three male healthy nurses age 20-50 years was assessed by Epworth...

Abstract Objectives The novel corona virus disease, which was initially reported in China late 2019, has become a global pandemic affecting 330 million cases. COVID-19 affects predominantly the respiratory system, addition to other organ systems, mainly cardiovascular system. One of hypotheses is that entering target cells by binding angiotensin converting enzyme 2 hypothalamic pituitary axis could lead dysautonomia measured heart rate variability (HRV). HRV non-invasive measure autonomic...

Abstract This paper presents the Coswara dataset, a dataset containing diverse set of respiratory sounds and rich meta-data, recorded between April-2020 February-2022 from 2635 individuals (1819 SARS-CoV-2 negative, 674 positive, 142 recovered subjects). The contained nine sound categories associated with variants breathing, cough speech. metadata demographic information age, gender geographic location, as well health relating to symptoms, pre-existing ailments, comorbidity test status. Our...

Coronavirus disease-2019 (COVID-19) infection is a multisystem disease not restricted to the lungs. It has negative impact on cardiovascular system by causing myocardial damage, vascular inflammation, plaque instability, and infarction. The presence of injury poor prognostic sign. Electrocardiogram (ECG), simple bedside diagnostic test with high value, can be employed assess early involvement in such patients. Various abnormalities ECG like ST-T changes, arrhythmia, conduction defects have...

Gram-negative bacteremia is one of the leading causes mortality and morbidity in Indian hospitals. We hereby describe changing trends isolates from blood cultures a single center over ten-year period.Antibiotic susceptibility patterns were collected for total 4128 non-repetitive culture 2003 to 2013. analyzed clinically important (Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa Acinetobacter baumannii) their pattern. A. baumannii was studied between 2009 2013 only.There...

Electrocardiogram (ECG) is the simplest tool for diagnosing ST Elevation Myocardial Infarction (STEMI). We can use a12 lead ECG prognostication purposes also.

The COVID-19 outbreak resulted in multiple waves of infections that have been associated with different SARS-CoV-2 variants.Studies reported differential impact the variants on respiratory health patients.We explore whether acoustic signals, collected from subjects, show computationally distinguishable patterns suggesting a possibility to predict underlying virus variant.We analyze Coswara dataset which is three subject pools, namely, i) healthy, ii) subjects recorded during delta variant...

It is common to see chapters on acid-base physiology state that the goal of regulatory mechanisms maintain pH arterial plasma and not Pco(2) (Pa(CO(2))) or HCO(3). A hypothetical situation in which Pa(CO(2)) 80 mmHg HCO(3) concentration 48 mM presented analyzed get over this misconception. As per modified Henderson equation, would be 7.4; however, we explain may associated with intracellular acidosis due hypercapnia derangement homeostasis evident from occurrence respiratory depression and,...

Background Effective management of both acute and post-acute sequelae SARS-CoV-2 is essential, particularly for type 2 diabetes mellitus (T2DM) patients, who are at increased risk severe pro-inflammatory responses complications. Persistent symptoms residual lung cardiovascular damage in post-coronavirus disease (COVID-19) individuals highlight the need comprehensive long-term treatment strategies. Conventional treatments, including Remdesivir glucocorticoids, have limitations, suggesting...

Background: SARS-Co-V2 infection which was declared as a pandemic by the WHO has caused significant impact on morbidity and mortality to mother fetus, especially delta variant of COVID-19. Hence it is important identify subgroup women who are prone adverse complications prevent maternal perinatal mortality. Inflammatory biomarker one such tool high-risk expectant mothers. Methods results: A total 158 patients were identified in this retrospective study they classified based clinical signs...

Increased Carotid Intima Medial Thickness (CIMT) is associated with cardiovascular risk factors and vascular events like Coronary Artery Disease (CAD) stroke.This study was designed to identify whether CIMT increased in the children of parents premature coronary artery disease compare it age sex matched controls who are normal individuals. We also tried correlate changes if any, among group relation family history diabetes hypertension.It an observational prospective case control study....

Background Scrub typhus, caused by Orientia tsutsugamushi (formerly classified as Rickettsia tsutsugamushi), is an acute infectious disease of variable severity that transmitted to humans arthropod vector the Trombiculidae family. It affects people all ages including children. may be missed in this population unless clinically suspected. Materials and Methods We reviewed medical records children admitted with scrub typhus between January 2010 June 2012 a tertiary care pediatric referral...

<bold>Background:</bold> The coronavirus disease 2019 (COVID-19) pandemic was associated with an increased incidence of mucormycosis globally. However, the clinical pattern, epidemiologic features and risk factors for adverse outcomes are not well established. <bold>Methods:</bold> We performed a retrospective analysis data from patients hospitalized proven between April 2021 August 2021. Patients were managed multi-disciplinary approach involving medical, surgical, comorbidity treatment....

Iodinated contrast material (ICM) can rarely cause sialadinitis. Here we report a case of unilateral parotitis following coronary angioplasty, which subsided with conservative management. He also had past history similar illness previous angiogram. Direct toxic effect the or idiosyncratic reaction has been considered as possible etiology.

Background: Anaemia is almost universal in haemodialysis patients. Here, we evaluated the utility and clinical implications of commonly employed tests assessing iron status patients.Methods: In this prospective observational study, enrolled 100 prevalent patients, measured transferrin saturation (TSAT) serum ferritin at enrolment. Patients were categorized to have normal, deficient, overload, or indeterminate based on KDOQI guidelines. To study anaemia trend, haemoglobin (Hb) level time...

Clinical human brucellosis is quite rare in India, that too an non susceptible host. This report describes a case of clinical India. involved 36 years old male, professor Engineering college. He presented with complaints fever for 4 months myalgia, generalized tiredness, loss weight and appetite. On evaluation, total counts ESR was elevated all other investigations were normal. Based on history, common causes like occult tuberculosis or autoimmune diseases considered. But, blood cultures...

A 48-year-old woman from rural India presented with a 6-month history of diarrhea and symmetric, photosensitive rash on her neck forearms. On the basis symptoms typical appearance Casal’s necklace rash, pellagra was diagnosed. Her condition improved intravenous vitamin B complex.

Coronary artery embolism is an uncommon cause of myocardial infarction. Here we present a case infarction in patient with severe mitral stenosis who was sinus rhythm at presentation. The had complete occlusion right coronary artery. During percutaneous intervention, because large thrombus burden the developed distal and guide catheter by thrombotic material, which managed successfully.

This paper presents the Coswara dataset, a dataset containing diverse set of respiratory sounds and rich meta-data, recorded between April-2020 February-2022 from 2635 individuals (1819 SARS-CoV-2 negative, 674 positive, 142 recovered subjects). The contained nine sound categories associated with variants breathing, cough speech. metadata demographic information age, gender geographic location, as well health relating to symptoms, pre-existing ailments, comorbidity test status. Our study is...

The financial market in India is fast changing with the growth of internet access to a very large population. last development emergence number money lending apps feed need Indian customers. has both formal and informal business going for long time. Informal providers such as lenders are getting replaced some extent by these fintech especially urban India. Thousands available google play store other app download options. It high time government comes out proper rules regulation this segment service.

Introduction: Asymptomatic HIV associated Neurocognitive disorder (HAND) is with increased morbidity, goes undetected in outpatient clinics due to lack of awareness and time constraints for a detailed assessment.To assess the prevalence HAND using Montreal Cognitive Assessment (MoCA) test evaluate association between severity CD4 count cognitive impairment.Materials Methods: This was across-sectional study conducted on 103 patients living sampled convenient sampling technique, age ranging...

Thromboembolic Manifestations in Hospitalized COVID-19 Patients India- A Single-Centre Retrospective Study