July 2021

Extramuscular soft tissue myxomas are extremely rare with only 4 documented cases in english literature till date. Myxomas are benign connective tissue tumours of unclear histogenesis and etiology. Virchow coined the term Myxoma in 1871 while Stout defined the criteria for diagnosis in 1948. Cardiac Myxomas are the most commonly reported and researched, and surgery is the accepted treatment modality. Extra cardiac myxomas are less common and predominantly occur in the head neck region. We review the literature about soft tissue myxomas in the light of a case of an Extramuscular myxoma in a 1 yr old kid. We propose inclusion of myxomas in differential diagnosis of neck masses and recommend surgery in the form of complete excision as the primary modality for treatment in these tumors though the clinical and radiological picture is deceptive. Paucity of available literature and rarity of these tumors demands vigilant evaluation to frame guidelines for their appropriate management.

Optimum plant population per unit area is considered as one of the agronomic management practice to boost up the yield of commercial crop which aid in provision of adequate sunlight, nutrient, water and space for proliferation (Biradar patil et al., 1991). Seed crop is not exempting from this rule and in addition seed crop require still more adequate spacing for rouging and to improve the size of seed (Savithri and Srimathi, 2002). Hence, in seed production the geometry should be adjusted in such a way that the quality of seed is yielded at higher order at the optimum plant spacing

The present study attempts to highlight the socio-economic determinants of health outcomes in India. The study investigates the relationship between infant and child mortality and socio- economic factors of health outcomes. The important socio economic factors are household income, female education, standard of living, social class etc. It is well acknowledged that improvement in income, level of education, literacy rate, mother education etc have positive impact not only on general health status of the people, but also on children’s overall growth and development. Further, the study analyze the socio-economic determinants of health outcomes and their impact on Infant Mortality Rate and Under Five Mortality Rate.In this study, the indicators that obtained after carrying out PCA are index for Socio Economic status (ISES), index for Demographic status (IDS) and index for Environmental Status (IES), index for Maternal Health (IMH) Index for Malnutrition (IMAL) and Index of Child Health Immunization (ICHI).In order to investigate the relationship between variables Regression Analysis has been used. In Linear regression model, the dependent variables, the health outcomes are assumed to a linear function of independent variables i.e. the prepared indices. Demographic Regression value are (-.765) and U5MR value are this show the negative impact of IDS on U5MR.

La insuficiencia cardiaca congestiva (ICC) representa uno de los síndromes clínicos más frecuentes siendo así un gran problema de salud pública en el mundo debido al incremento anual de la prevalencia, así como el costo que implica el tratamiento adecuado de los pacientes que padecen esta enfermedad, esta afectación es un complejo problema que se origina de un desorden estructural o funcional y deteriora la capacidad de llenado o expulsión ventricular de la sangre. Dentro de las principales causas de la insuficiencia cardíaca se encuentra la cardiopatía hipertensiva, la enfermedad isquémica, las valvulopatías y las cardiomiopatías dilatadas. (1) Al comenzar las manifestaciones clínicas de la ICC, la función cardíaca puede ser normal en reposo, pero no aumenta adecuadamente con el ejercicio; en etapas avanzadas se vuelve anormal también en reposo. A su vez la ICC, secaracteriza por presentar síntomas cardinales, como son la disnea, fatiga y la retención de líquido, mismos que afectan considerablemente el rol que desempeña el paciente en su vida cotidiana. (2) Materia y Métodos: Para este estudio se seleccionaron, pacientes con fracción de eyección del ventrículo izquierdo (FEVI) menor al 40% estos pacientes no deben portar con ningún dispositivo de soporte como es el uso de marcapasos y desfibrilador automático implantable (DAI), de la misma forma serán omitidos los pacientes que sufran de enfermedad renal crónica, una vez seleccionados se pesarán en ambas básculas para determinar la ganancia o pérdida de líquidos. Resultados: En el presente estudio se llevó a cabo la medición del peso corporal en bascula de bioimpedancia de los pacientes pertenecientes a la clínica de insuficiencia cardiaca de los cuales 30 pacientes fueron captados satisfactoriamente debido a que reunieron los criterios necesarios para ser incluidos en el presente estudio logrando obtener el peso seco y el peso con bioimpedancia detectando así la composición corporal total de agua de los pacientes logrando identificar datos de incremento en el volumen de líquidos. Discusión: La Insuficiencia Cardiaca y sus complicaciones representan los problemas más importantes de Salud Publica en nuestro país, el peso oportuno de pacientes que presentan insuficiencia cardiaca constituye una herramienta pertinente para la detección de retención de líquidos que presenten en cualquier momento o clase funcional de la enfermedad, es de importancia que en cada consulta se realice el peso corporal en bascula de bioimpedancia para así establecer los criterios pertinentes para determinar el ratamiento del paciente. Es importante que el personal que se encuentre a cargo de dicho proceso conozca el uso de la báscula de bioimpedancia.

Background: Kinesiotaping (KT) is a type of taping treatment method involving the application of elastic therapeutic tapes to the skin. The benefits of taping were said to be due to sensorimotor and proprioceptive feedback mechanisms. Taping offers immediate sensorimotor input, and patients often report symptom relief, increased relaxation, or increased joint stability. The elasticity of KT allows for movement by conforming to the body. The most common cardiovascular disorder is coronary artery disease (CAD), which is correlated to a decline in quality of life. For the treatment of CAD, revascularization procedures such as Coronary Artery Bypass Graft. The patient was not resumed with protocol. After a month, he developed dyspnea while walking, chest discomfort, and neck pain. An examination revealed moderate kyphotic posture, trigger points in the trapezius and sternocleidomastoid muscles, and spasm of neck muscles on palpation, as well as a decrease of neck range of motion. Case presentation: we present a male patient 55 years old diabetic and hypertensive with coronaries obstruction, his BMI was 22 kg/m2. Methods: we conducted a case study of targeted patient kinesiotape effect on primary outcome Cobb angle of kyphosis post coronary artery bypass surgery and investigated with sagittal radiographic evaluation whether the magnitude of change differed from baseline and follow up radiographs for Cobb angle measurements. The patient was delivered physical therapy protocol daily and for one week post operation and re-evaluated after 1 month. The protocol included: breathing exercises, incentive spirometry, expansion exercises, neck and trunk mobility exercises and walking combined with kinesiotape application on back muscle. Results: The Cobb’s angle base line measurement was 42o degree and follow up was 40o degree. There was significant difference between Cobb angle measurements after intervention. Conclusion: Kinesiotape has an important role in prevention of kyphosis posture development as a secondary complication after coronary artery bypass surgery.

Background: At the Background: Patellar tendinopathy presents one of the most common and formidable challenges for competitive athletes and sports medicine clinicians. Diagnosed clinically as activity-related anterior knee pain associated with focal patellar tendon tenderness it is frequently the source of chronic pain and limits athletic practice and performance. . The prevalence of jumper's knee (patellar tendinopathy) is high, up to 40%‐50%, in sports characterized by high demands on leg extensor speed and power, such as volleyball, basketball, football, and athletics. Balance relies on the integrated feedback and movement strategies among the hip, knee, and ankle, balance can be disrupted by diminished afferent feedback or deficiencies in the strength and mechanical stability of any joint or structure along the lower extremity kinetic chain. Poor balance has been associated with increased injury risk among athletes. Aim of the study: The purpose of the study was assess the dynamic balance in athletes with jumpers knee Subjects and Methods Fifteen basketball subjects with jumper’s knee were included in this study with age ranged from 15-30 years and body mass index ranged from 18.5-30 kg/cm2 participated in this study. The assessment was conducted for each subject individually on the Balance System (Biodex Medical Systems Inc, Shirley, NY, USA), to compare stability parameters between affected and non-affected lower limbs. The stability parameters examined in this current study were overall stability index, anteroposterior stability index and mediolateral stability index. Results: Statistical analysis using T-test was made to compare between the mean values of stability indexes There was no significant difference between the mean value of overall stability index (t =- 0.09, p =0.46) ,anteroposterior stability index (t = 0.07, p =0.47)and mediolateral stability index (t = - 0.17, p =0.43) in affected limb compared with non-affected at stability level 4 Conclusion: There was no significant difference observed the mean value of stability indexes in the comparison of affected side and unaffected side in lower limb in athletes with jumpers knee.

OTT means ‘over-the-top’, which is so called any media service that gives streaming of video content like TV shows and films via app or website thought the internet other than traditional distribution networks like cable and DTH. You would like an internet connection and a device, which may be your mobile phones, tablets, laptops, or smart TVs, to observe the content. Anyone can see this whenever they wish through these platforms rather than following a guide or expecting their favourite shows and films to air. This is often among the various reasons why OTT platforms are gaining popularity. OTT is restricted to the web and its content is usually unavailable elsewhere.OTT services in India are a lot, it is often a hassle choosing the simplest one for you. Choosing this platform depends on the type of content you’d wish to stream. There’s Netflix and Amazon prime video for streaming series and exclusive movies, whereas for streaming regional content and serials we have Disney + hotstar, Voot and Sony LIV. The chief aim of the study is to conduct a comparative analysis of the top OTT platforms available in our country. The secondary objectives are to identify the significant relevant factor that is influenced by the users of OTT platforms like User friendliness, design system, payment gateway, etc. The research conveys that a huge number of the respondents are well aware of Netflix and Amazon prime video. Their favourite genre is described to be Thriller. Respondents spend at least 2 to 4hours with their favourite OTT platforms and they use mobile as their primary device for watching this. The questionnaire survey method is adopted for conducting the research which is circulated through Google forms due to COVID’19. The sample size was 150 which all of them were from Kerala. The instruments helped to conduct the study are CHI- Square test, MDS and Percentage analysis. The software whichis used to conduct the study is SPSS.

Background: At the beginning of the pandemic in Spain, concern was raised about the need to hospitalize the elderly living in nursing homes affected by coronavirus disease 2019 (COVID-19). A multidisciplinary hospital team was formed in Valladolid (Spain) to medicalize these facilities. Methods: 835 elderly residents (70% women and 30% men) of six nursing homes were analyzed. We performed a universal screening by real time-polymerase chain reaction (RT-PCR) of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and a retrospective analysis of the outcomes (incidence, severity, hospital admissions and mortality) at 14, 21 and 28 days after diagnosis. Treatments administered to patients were also analyzed. Results: Of the 578residents with positive RT-PCR,177 (31%)showed moderate or severe symptoms,71 (12%) required hospitalizationand103 (18%) died in the 28 days after diagnosis. In the group with negative RT-PCR, the mortality rate was 16%. Patients received more corticosteroids in nursing homes and more lopinavir-ritonavir in the Hospital. Among critically ill patients, no difference in the mortality rate was found between those hospitalized (80%) and those who remained in the nursing home (81%). Conclusions: The screening showed that 72% of the elderly had SARS-CoV-2 infection. The mortality rate was similar in the initially positive and negative RT-PCR groups, suggesting that many residents subsequently developed the infection. In our experience, when adequate health care is provided, with sufficiently trained health workers, the life expectancy of elderly people with COVID-19 is not affected by staying in nursing homes, even in severe cases.

En el presente trabajo se exponen los resultados de las políticas públicas implementadas en México durante el sexenio comprendido entre los años dos mil doce y dos mil dieciocho tendientes a difundir la música académica y a promover el ejercicio de los derechos culturales de la población mexicana durante ese periodo. Se hace una evaluación en cuanto al cumplimiento del derecho humano a la cultura tomando como indicador el acceso a la música académica a la luz de los Tratados Internacionales de los que México es parte así como del texto del décimo segundo párrafo del artículo cuarto Constitucional. Se hacen propuestas para el sexenio comprendido de dos mil dieciocho a dos mil veinticuatro con el fin de que mayor cantidad de habitantes en México tenga la posibilidad real de acceder a la música académica como espectador.

Background: It is known that no treatment has yet been developed for upper respiratory tract infections (URTI) caused by many different pathogenic mechanisms and the immune system must be strong in order to overcome the symptoms. Aim: To research the antimicrobial effects against clinically significant bacterial and fungal organisms and antioxidant activities of some syrups sold with and without prescriptions and commonly used for URTI in children. Design and setting: This study analyzed the syrups recommended by pediatricians for upper respiratory infections. Method: The antimicrobial efficacy of 10 syrups, 5 of which are chemical-based and 5 of which are herbal-based, against microbial species was tested with the disc diffusion method and obtained results were statistically analyzed. Additionally, the antioxidant activities of the syrup samples were evaluated based on different methodand total phenolic contents. Results: Found herbal-based syrups had mean activity (11 mm) that was higher compared to chemical-based syrups (9.42 mm) according to inhibition diameters. While the total phenolic content of a syrup with chemical origin was higher than that of all other syrups, the antioxidant activity of another syrup containing many herbal extracts at the same time was considerably higher as a result of 2,2-diphenyl-1-picryl-hydrazyl-hydrate (DPPH) assay. Conclusion: The strongest antimicrobial activity was identified in syrups with herbal-based active material of Pelargonium sidoides root extract and thyme fluid extract. The antioxidant activities of herbal syrups containing extracts of different parts of herbal species such as thyme, licorice root, echinacea, ginger, African geranium, barberry, and acerola were found to be more effective other syrups.

Purpose: Text-Neck Syndrome is a rising 21st-century syndrome that affects millions of people of all ages all over the world. This study aimed to investigate the effect of Text-Neck Syndrome on Scapular Index and Respiratory Functions in Different Age Groups. Methods: Forty-four subjects aged between (10 and 29 years) who had Text-Neck Syndrome participated in this study. They were distributed into 2 groups according to their age. Group (A) adolescent age group (10-19 years) and group (B) young adult age group (20-29 years). visual analogue scale was used to measure neck pain intensity, Functions of the upper extremity were scored by the Quick questionnaire, Scapular index was measured to assess Rounded shoulder posture, photographing method was used to determine craniovertebral angle to assess forward head posture, Respiratory function was assessed using 6-Minute Walk Distance. Results: Subjects with Text-Neck Syndrome in adolescent age group (A) had significantly worse Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (p<0.05), As well as non-significantly worse measurements of Visual analogue scale, scapular index and craniovertebral angle than those at the young adult age group (B) (p>0.05). But, regarding 6-Minute Walk Distance, group (A) had significantly higher results than group (B). Conclusion: Text-Neck Syndrome co-morbidities such as: neck pain, disabilities of upper extremity, rounded shoulder, forward head posture and decreased respiratory functions are all more present at adolescent compared to young adult age groups excluding the affection of respiratory functions which is worse in older age.

Background: In tandem with current technological advancements, the quest for innovative treatment methods capable of enhancing musculoskeletal functioning is rising. Because of its wide mobility and the sensitive capacities of its surrounding tissues, which allow grasping and sensation, the human hand is undoubtedly the most significant and complicated structure of the upper extremity. Its vital duties, and because handgrip strength plays such an important part in daily activities, this study looked at the effects of kinesiotaping on different handgrip strengths in computer users. Aim of the study: The present study aimed to investigate the effect of kinesiotaping on power hand grip and precision hand grip in computer users. Subjects and Methods: Thirty computer users voluntarily participated in this study, their ages were ranged from 20 to 45 years, they assigned in one single group, power hand grip was measured using hand held dynamometer, and precision hand grip was measured using pinch gauge for all participants for both right and left hands. Then kinesiotaping was applied on the wrist joint of both hands, and all measures was taken again. Results: It was observed that a significant increase in strength values occurred in the right hand and the left hand compared to the initial values, in both the power and precision hand grip strength, In the comparison of handgrip strength between the dominant and non-dominant hands, it was observed that the dominant hand (right hand) demonstrated greater handgrip strength at all the assessment times. Conclusion: kinesiotaping has a positive effect on the improvement of both power grip strength and precision grip strength of both right and left hands.