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PRECIPITATING FACTORS AND THEIR ASSOCIATION WITH SEVERITY OF DIABETIC KETOACIDOSIS IN TYPE 1 DIABETES MELLITUS: A PROSPECTIVE OBSERVATIONAL STUDY

Gaurangi Sanjay Varade, Ram Singh Maniram, Manjula Gupta · International Journal of Clinical and Biomedical Research;

Background: Diabetic ketoacidosis (DKA) is the most serious acute metabolic complication of type 1 diabetes mellitus (T1DM). Most episodes follow an identifiable precipitant, but the relative contribution of individual…

CLINICAL SPECTRUM, MANAGEMENT PATTERNS, AND OUTCOMES OF COMMON OTORHINOLARYNGOLOGICAL DISORDERS AT A RURAL TERTIARY CARE TEACHING HOSPITAL: A PROSPECTIVE OBSERVATIONAL STUDY

Raju Naik Ajmeera, Giriboyina Sneharshitha, Nitya Goddanti · International Journal of Clinical and Biomedical Research;

Background: Common ear, nose, and throat disorders contribute substantially to outpatient morbidity. Evidence describing the case mix, management workload, and short-term outcomes of broad ENT services in rural teaching…

CLINICORADIOLOGICAL AND HISTOPATHOLOGICAL SPECTRUM OF ECTOPIC PREGNANCY AT TUBAL AND UNUSUAL IMPLANTATION SITES: A TWO-YEAR RETROSPECTIVE CASE ANALYSIS

Mohanty, Suravi, Giri, Ranjana, Macwan, Pankti, Pradhan, Prita · International Journal of Clinical and Biomedical Research;

Background: Ectopic pregnancy is implantation of a fertilized ovum outside the endometrial cavity and remains an important cause of first-trimester maternal morbidity. Although most ectopic pregnancies are tubal, implan…

DISEASE SEVERITY IN HOSPITALIZED PATIENTS WITH BACTERIAL PNEUMONIA: A PROSPECTIVE OBSERVATIONAL STUDY

Foram Ravindra Joshi, Arvind M N, Ayyali Ambresh, C Nagaraju, Mohan, Chandra Shekar H R · International Journal of Clinical and Biomedical Research;

Background: Bacterial pneumonia is a major cause of hospitalization. Community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP) differ in clinical context, microbiology, and outcomes. This study explored d…

CORRELATION BETWEEN SERUM FERRITIN LEVELS AND GLYCATED HEMOGLOBIN (HBA1C) IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: A HOSPITAL-BASED OBSERVATIONAL STUDY

Ananya Balaraj, Arvind M N, Ayyali Ambresh, C Nagaraju, Mohan · International Journal of Clinical and Biomedical Research;

Background: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder associated with persistent hyperglycemia and increased risk of microvascular and macrovascular complications. Serum ferritin, an indicator of b…

CORRELATION OF EOSINOPHIL COUNT AND LACTATE DEHYDROGENASE (LDH) IN PREDICTING DISEASE SEVERITY AMONG COVID-19 PATIENTS WITH UNDERLYING CHRONIC AIRWAY DISEASE

Arvind M N, C Nagaraju, Mohan, Siddesh N, Monika N, Ayyali Ambresh · International Journal of Clinical and Biomedical Research;

Background: Evidence on routinely available biomarkers in patients with COVID-19 and pre-existing chronic airway disease is limited. This study examined admission eosinophil percentage and serum lactate dehydrogenase (L…

PREVALENCE AND COMPOSITION OF KIDNEY STONES IN SOUTH INDIA: AN OBSERVATIONAL STUDY

Doddappa Mallappa Bannigida, Shashikala Hanumantappa Madivalar, Vijayashree Shivappa Neeravari, Shriraam Karunakaran · International Journal of Clinical and Biomedical Research;

Background: Kidney stone disease is a growing health concern in South India, influenced by environmental factors, dietary habits, and genetic predispositions. Understanding the prevalent types of kidney stones in specif…

NON-HODGKIN LYMPHOMA IN THE CONTEXT OF HEPATITIS B AND HIV CO-INFECTION: A RETROSPECTIVE OBSERVATIONAL STUDY OF 410 CASES

Doddappa Mallappa Bannigida, Shashikala Hanumantappa Madivalar, Vijayashree Shivappa Neeravari, Lakshmi Rao · International Journal of Clinical and Biomedical Research;

Background: Non-Hodgkin lymphomas (NHL) represent a group of lymphoproliferative disorders, with a limited understanding of their clinical spectrum, primary extra nodal variety, particularly in developing countries. The…

ASSOCIATION OF FETAL HEART RATE PATTERNS IN THE SECOND STAGE OF LABOUR WITH NEONATAL OUTCOME: A PROSPECTIVE OBSERVATIONAL STUDY AT A RURAL TERTIARY CARE TEACHING HOSPITAL

Roshni, Vidyadhar Bangal² · International Journal of Clinical and Biomedical Research;

Background: Fetal heart rate (FHR) monitoring during the second stage of labour is a central component of intrapartum surveillance, permitting early recognition of evolving fetal hypoxia and timely obstetric interventio…

EFFECTIVENESS OF A STRUCTURED BASICS OF LAPAROSCOPY WORKSHOP IN ENHANCING KNOWLEDGE AND SIMULATION-BASED SKILLS AMONG UNDERGRADUATE MEDICAL STUDENTS: A SINGLE-GROUP PRE-POST INTERVENTIONAL STUDY

Roshni, Vidyadhar Bangal · International Journal of Clinical and Biomedical Research;

Background: Laparoscopy is now central to surgical and gynaecological practice, yet formal exposure to minimally invasive surgery during undergraduate medical training remains limited in many Indian institutions. Simula…

YOGA AS A COMPLEMENTARY APPROACH IN THE MANAGEMENT OF HYPOTHYROIDISM: A SYSTEMATIC ANALYSIS

Mohammad Adil Masroor, Seema Singh, Syed Tahseen Raza, Abdussalam, Vaibhav Shukla · International Journal of Clinical and Biomedical Research;

Hypothyroidism is a common endocrine disorder, most frequently affecting women, and is conventionally managed with lifelong levothyroxine replacement. This systematic review evaluated the role of yoga as a complementary…

BRIDGING THE GOLDEN HOUR GAP: A MULTICENTRE STUDY OF FACTORS INFLUENCING OUTCOMES IN ORTHOPAEDIC TRAUMA PATIENTS

Amulya K, Ketavath Motilal, Vyas Vijaya Kumar · International Journal of Clinical and Biomedical Research;

Background: Trauma is a leading cause of death and disability worldwide, and orthopaedic injuries contribute substantially to morbidity, particularly in low- and middle-income countries such as India. Delays in prehospi…

SEROREACTIVITY FOR TRANSFUSION-TRANSMISSIBLE INFECTIONS AMONG BLOOD DONATIONS: A 5.5-YEAR RETROSPECTIVE STUDY AT A TERTIARY CARE TEACHING HOSPITAL IN NORTHERN TELANGANA

B Amul Kumar, Motrapu Lavanya, Swathi Taduri · International Journal of Clinical and Biomedical Research;

Background: Transfusion-transmissible infections (TTIs) remain an important preventable hazard of blood transfusion. Local audits of screening-marker reactivity are needed to evaluate donor selection and laboratory scre…

CLINICAL AND BEHAVIORAL CORRELATES OF OBSTRUCTIVE SLEEP APNEA AMONG PATIENTS ATTENDING THE OTORHINOLARYNGOLOGY DEPARTMENT OF A DISTRICT HOSPITAL IN KODANGAL: A CROSS-SECTIONAL STUDY

Vata Prabhanjan Kumar, G Shaul Hameed, K Padma Malini, Davidson, Apeksha · International Journal of Clinical and Biomedical Research;

Background: Obstructive sleep apnea (OSA) is common, underdiagnosed, and associated with cardiometabolic and neurocognitive morbidity. In settings where definitive sleep testing is limited, structured clinical screening…

MATERNAL AND PERINATAL OUTCOMES FOLLOWING FIRST-TRIMESTER MULTIMARKER SCREENING FOR PLACENTAL-MEDIATED PREGNANCY COMPLICATIONS: A PROSPECTIVE COHORT STUDY

Chimpiri Sudhakar, Sabahath Fathima, G. Kumari Vara Prasanna · International Journal of Clinical and Biomedical Research;

Background: Preeclampsia and related placental-mediated disorders contribute substantially to maternal and perinatal morbidity. First-trimester multimarker screening combines maternal characteristics with biophysical an…

COMPARATIVE CLINICAL EFFECTIVENESS OF COMBINED INTRALESIONAL AND SYSTEMIC BEVACIZUMAB VERSUS CONVENTIONAL MICROLARYNGOSCOPIC EXCISION IN ADULT RECURRENT LARYNGEAL PAPILLOMATOSIS: A PROSPECTIVE TERTIARY CARE STUDY

Giriboyina Sneharshitha, Mrudula Mukiri, Sarasa Akhila · International Journal of Clinical and Biomedical Research;

Background: Recurrent laryngeal papillomatosis (RLP) is a benign but locally aggressive disorder of the larynx caused predominantly by human papillomavirus (HPV) types 6 and 11. Recurrent exophytic papillomas produce pr…

ARTIFICIAL INTELLIGENCE-BASED ACOUSTIC VOICE ANALYSIS FOR EARLY DETECTION OF BENIGN AND MALIGNANT LARYNGEAL DISORDERS: A PROSPECTIVE DIAGNOSTIC ACCURACY STUDY

Akash Anadure, Shaik Mohammad Nadeem, Reddy Abhilash · International Journal of Clinical and Biomedical Research;

Background: Persistent dysphonia may reflect benign, premalignant, or malignant laryngeal disease. Acoustic voice analysis combined with machine learning offers a non-invasive approach to risk stratification, but prospe…

ANALGESIC EFFECT OF BILATERAL ULTRASOUND-GUIDED ERECTOR SPINAE PLANE BLOCK WITH 0.375% ROPIVACAINE IN LUMBAR SPINE SURGERY

Milind Pol, Vaijayanti Badhe · International Journal of Clinical and Biomedical Research;

Background: Lumbar spine surgery is frequently followed by moderate-to-severe postoperative pain and substantial opioid exposure. The erector spinae plane block (ESPB) is an ultrasound-guided fascial plane block increas…

ASSOCIATION OF SERUM COPEPTIN, CARDIAC TROPONIN T, AND ADIPONECTIN WITH ANGIOGRAPHIC SEVERITY OF CORONARY ARTERY DISEASE: A HOSPITAL-BASED CASE-CONTROL STUDY

Joshi, Prangyada Reecha, Samal, Pradosh, Swain, Banashree · International Journal of Clinical and Biomedical Research;

Background: Copeptin reflects activation of the arginine vasopressin stress axis, cardiac troponin T indicates myocardial injury, and adiponectin has anti-inflammatory and anti-atherogenic properties. Their combined rel…

ULTRASONOGRAPHIC STUDY OF MORPHOGENESIS OF THE FETAL CLAVICLE AND ESTIMATION OF GESTATIONAL AGE

Keshari Kumar Tiwari, Arjun Singh Parmar, Amaresh Kumar Shukla, Chandraprabha Choudhary, Meghana Mishra, Richa Singh, Bhaskar Reddy · International Journal of Clinical and Biomedical Research;

Accurate estimation of gestational age (GA) is central to antenatal care because it informs fetal growth assessment, timing of obstetric interventions, counselling, and perinatal risk stratification. Although convention…

EFFECTIVENESS OF A STRUCTURED COPING INTERVENTION ON CAREGIVER BURDEN AND COPING STRATEGIES AMONG CAREGIVERS OF HOME-BASED PALLIATIVE CANCER PATIENTS: A QUASI-EXPERIMENTAL STUDY

Gaikwad Priyanka A, Chandekar Pratibha A · International Journal of Clinical and Biomedical Research;

Background: Family caregivers are central to the delivery of home-based palliative care for patients with advanced cancer, yet many experience substantial physical, emotional, social, and financial strain. Structured co…

TEMPORAL LOBE ASYMMETRY: A MORPHOMETRIC ANALYSIS

Suchitra Somkuwar, Rajesh R Vijay Kumar, M. Rajneesh · International Journal of Clinical and Biomedical Research;

Objective: An attempt was done to find out asymmetry of temporal lobe to advocate further consideration of "heschl gyrus and planum temporale in investigations of an anatomic basis for language or auditory functional as…

MORPHOMETRIC ANALYSIS OF CERVICAL VERTEBRAL PEDICLES AND UNCINATE PROCESSES: CLINICAL IMPLICATIONS IN AN OSTEOLOGICAL SAMPLE FROM THE VINDHYA REGION

Ashish Tiwari, Bhaskar Reddy, Chandraprabha Choudhary, Meghana Mishra, Arjun Singh Parmar · International Journal of Clinical and Biomedical Research;

The cervical vertebrae support the skull, permit complex neck movements and protect the spinal cord and vertebral vessels. Precise morphometric knowledge of the cervical pedicle and uncinate process is essential for saf…

ASSOCIATION OF CHEST TRAUMA WITH CLINICAL OUTCOMES IN PATIENTS WITH TRAUMATIC BRAIN INJURY: A PROSPECTIVE OBSERVATIONAL STUDY IN A TERTIARY CARE MEDICAL CENTRE

Kapil Dhiman, Gaurav Bajpai, Naveen Kumar Patbamniya, Anuj Pratap Singh, Sudhir Singh Pal, Sandeep Jain, Pragyey Nawlakhe · International Journal of Clinical and Biomedical Research;

Background: Traumatic brain injury (TBI) is a major cause of morbidity and mortality worldwide. Associated chest trauma is frequently encountered in patients with TBI and may adversely affect neurological recovery by ca…

CORRELATION BETWEEN CLINICAL, RADIOLOGICAL, AND INTRAOPERATIVE FINDINGS IN ACUTE APPENDICITIS: A PROSPECTIVE OBSERVATIONAL STUDY

Jaya Sakthi S, Narendar, Kavin Shivan · International Journal of Clinical and Biomedical Research;

Acute appendicitis is a common surgical emergency whose diagnosis, although fundamentally clinical, is frequently supplemented by imaging. The Modified Alvarado (MANTRELS) score offers a structured, stepwise means of es…