Pratiksha Thakare

Datta Meghe Institute of Medical Sciences

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Ruchira Ankar

Datta Meghe Institute of Medical Sciences

Ranjana Sharma

Datta Meghe Institute of Medical Sciences

Shakib H. Sheikh

Datta Meghe Institute of Medical Sciences

M Nursing

Maharishi Markandeshwar University, Mullana

Samruddhi Gujar

Datta Meghe Institute of Medical Sciences

Kalyani Thakare

Datta Meghe Institute of Medical Sciences

Sonali Wavare

Datta Meghe Institute of Medical Sciences

Neha Tarekar

Datta Meghe Institute of Medical Sciences

Gauraokumar Tembhekar

Datta Meghe Institute of Medical Sciences

Shalini Lokhande

Datta Meghe Institute of Medical Sciences

Cooperative Institutions

Datta Meghe Institute of Medical Sciences

Jawaharlal Nehru Medical College

Institute of Development Studies

National Institute of Cholera and Enteric Diseases

Kathmandu University

Gujarat Technological University

Dhulikhel Hospital

Jawaharlal Nehru Medical College

Patan Academy of Health Sciences

Indraprastha Apollo Hospitals

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Carcinoma of Tail of Pancreas: A Case Report

Journal of Pharmaceutical Research International (2021)

Pratiksha Thakare Ruchira Ankar Ranjana Sharma Samruddhi Gujar Shakib H. Sheikh

Background: A typical manifestation of pancreatic tail cancer is large intestinal obstruction with perforation. Clinically the cancer of pancreas is usually complicated to diagnose. Most cancer patients are not having symptoms throughout during the initial stages of the cancer, which often leads to a delay in diagnosis. Treatment choices include surgery, chemotherapy, and palliative care. It is more common in African-Americans, slightly more common in men. Case Presentation: A female patient of 40 years from Wardha was admitted to Female surgery Ward, Unit-3, AVBRH on 18th December with a chief complaint of pain in epigastric region since 2weeks. Patient was apparently all right 2 months back then she was complaining of pain in the epigastric region which was insidious in onset, gradually progressive in nature, burning type of pain with radiating to left upper back. No history of fever, nausea vomiting, clay-coloured stools. After that patient was undergone on routine investigation in that total WBC count was increased i.e., 13000/cu mm and haemoglobin level were decreased i.e., 9.7gm%, liver biopsy revealed that metastasis of Adenocarcinoma probably of pancreatic origin, Computed tomography and ultrasound and it revealed that heterogenous iso-echoic mass in the tail of pancreas based on investigation she was diagnosed as a case of Carcinoma tail of pancreas and she was undergone on treatment of antibiotic before chemotherapy .after that chemotherapy treatment was done for management of pain. Conclusion: Pancreatic adenocarcinoma presents differently from large intestinal cancer and should be explored in the differential diagnosis of large intestinal obstruction.

Epigastric pain

10.9734/jpri/2021/v33i45b32785

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Carcinoma of Breast: A Case Report

Journal of Pharmaceutical Research International (2021)

Pratiksha Thakare Ruchira Ankar Ranjana Sharma Samruddhi Gujar Shakib H. Sheikh

Background: In Indian women, breast cancer is the most frequent type of cancer. Breast cancer affects 30 out of every 100,000 women in India. Case Report: A female patient of 70 years old was admitted to Female surgery Ward-33, Unit-3, AVBRH on 19th January with a chief complaint of lump in upper outer quadrant of the right breast, hardness and non-tenderness of right breast since 2 months. The patient was ok. She had complained of a lump in the upper outer quadrant of her breast for 2 months, and it had appeared gradually. During a physical examination, some clinical findings were obtained i.e., lump in a breast was gradually progressive, and non-tenderness and a nonmobile lump in upper outer quadrant of right breast, no history of fever, nausea vomiting, bloody discharge from a nipple. After that patient was undergone on the routine investigation in that Haemoglobin- 8.4gm% was decreased, Total Red Blood Cell count 2.88 cumm decreased, Total Leucocyte Count -17800 cumm increased. Fine needle aspiration cytology show metastasis of breast and ultrasonography shows an irregular strangulated hypoechoic mass of approximately 3.5*1.9 cm at the outer upper quadrant of the right breast. After histopathology report revealed that patient having metastasis of right breast and she was undergone on treatment of chemotherapy. Conclusion: This case report was of great relevance for academics, its provided to improve knowledge about breast cancer, to encourage the practice of BSE making women aware of the importance of this exam.

Quadrant (abdomen)

Bloody

Breast carcinoma

Histopathology

10.9734/jpri/2021/v33i60b35021

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Ischemic Heart Disease: Case Report

Indian Journal of Forensic Medicine & Toxicology (2020)

Pratiksha Thakare Ruchira Ankar Sonali Wavare Manoj Patil M Nursing

Introduction: Ischemic Heart disease is one of the leading causes of mortality in the world. Advancementin the diagnosis and treatment of this disease available, but still they were considering as major healthproblems in the world.Case Presentation: The purpose of this report only to reduce the major risk factor that is obesity andprovide preventive base Health care treatment which has the greatest effect in the shortest period. Themain symptoms of this disease are chest pain (Angina) and pain mostly occur on the middle or left side ofchest and pain sharp and radiate towards the neck, arm or back, other symptoms like shortness of breath.Obesity is the one of risk factors in heart diseases. The main diagnose of ischemic heart disease is includesthe complete medical history,electrocardiogram, bloodanalysis, chest x-ray, echocardiography, coronarycomputed tomography and coronary angiography. Therapeutic interventions or treatment for ischemic heartdisease includes that pharmacological therapy, lifestyle modifications and regular exercises are the mostcost-effective interventions. Cardiac rehabilitation is for all patients with coronary artery disease is required.Outcome: The effective interventional strategies to help the patient to change the lifestyle and it helps toprevent risk factors such as obesity and also helps to the patient in identifying the symptoms.Conclusions: Considering the patient’s recovery process regarding physical strength it seems that thecombination of pharmacological treatment and lifestyle changes as a control on obesity,regular exercisesand cardiac rehabilitation helps to treat coronary heart diseases.

10.37506/ijfmt.v14i4.12649

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To Evaluate the Effectiveness of Awareness Program on Self Care Management Among Patients Undergoing Radiotherapy

Bioscience Biotechnology Research Communications (2021)

Pratiksha Thakare

Diagnosis and treatment of cancer can contribute to psychological distress and anxiety among cancer patients.Evidence indicates that information giving can be beneficial in reducing patient anxiety.To assess the pre-test knowledge regarding self care management among patients undergoing radiotherapy.2)To assess the pre-test perception regarding self care management among patients undergoing radiotherapy.3)To evaluate the effectiveness of awareness program on self care management among patients undergoing radiotherapy.4.)To assess the post-test knowledge regarding self care management among patients undergoing radiotherapy.5)To assess the post-test perception regarding self care management among patients undergoing radiotherapy.6)To associate the knowledge regarding self care management among radiotherapy receiving patients related to their demographic variable.7)To associate the perception regarding self care management among radiotherapy receiving patients related to their demographic variable.This study was based on an Interventional evaluatory approach.In this study 60 Head and Neck cancer patients undergoing radiotherapy were included.The result shows the findings of the study were discussed.The mean value of the pre-test knowledge score is 4.68 and effectiveness of the awareness program is 13.88 .The mean difference between pre-test and post-test knowledge scores is 9.20±3.01.The mean value of the pre-test perception score is 44.56 and effectiveness of the awareness program is 76.76 .The mean difference between pre-test and post-test perception scores is 32.20±12.89.Hence it is statistically interpreted that the awareness program on knowledge and perception regarding self care management among cancer patients undergoing radiotherapy was effective.

10.21786/bbrc/14.9.26

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Nursing Perspectives in Diabetic Ketoacidosis

Indian Journal of Forensic Medicine & Toxicology (2021)

Pratiksha Thakare Ruchira Ankar M Nursing

Diabetic ketoacidosis(DKA) is a serious life threatening condition and it occurs when insulin productionin our body is less.Diabetic ketoacidosis is a complication of diabeties mellitus and it mostly occur inhospitalize patients . Diabetic ketoacidisis condition mostly found in both type of diabeties such as Type1 and Type 2 diabeties patients. In between 20-30% of cases of diabetic ketacidosis condition occure innewly diagnosed patient with diabeties . Almost till 20 years the mortality rate of diabetic ketoacidosis is100 percent and till now there is no reduction in prevalence of diabetic ketoacidosis in younger patients dueto that children are continuous suffering with death .The mortality rate in Diabetic ketoacidosis is very important because it is a very serious life threateningcondition so the prevalence of diabeties is very crucial. The younger are the foundation of future health caredelivery system so the evaluation of their knowledge and continue development and upgrading regardingawareness and unstanding the sign and symptoms of diabetic ketoacidosis it helps to reduce the mortalityrate of Diabetic ketoacidosis.It’s an emergency condition, so the health care professional becomes a vital part of managing diabetesrelated hyperglycemic emergencies, rising health care costs and changing health care systems preventingsigns and symptoms of diabetic ketoacidosis remains an essential requirement.Effective management and prevention on diabetic ketoacidosis can reduced longer stay time in hospitalizepatient.

Diabetic ketoacidosis

Ketoacidosis

10.37506/ijfmt.v15i1.13447

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Title: A Study to Assess the Knowledge among Parents Related to Aggression in School Going Children

Journal of Pharmaceutical Research International (2021)

Pratiksha Thakare Kalyani Thakare Chetan Supare Gauraokumar Tembhekar Neha Tarekar

Background: School going is a period of life with health and developmental needs and rights. It this period the children develop knowledge and skills, learn to manage emotions and relationships. The WHO defines school going from age 10 to 19 years. Investing in the world’s 1.2 billion school going can break cycles of poverty and inequity, highlights UNICEF in its 2011 State of the World’s Children report. Aggressive behaviors can obstruct instruction and success in a variety of interventions, preventing progress in a variety of developmental domains. Objectives: 1. To assess the knowledge among parents related to the aggression of school going children. 2. To determine the association between the knowledge score of parents with their demographic variables. Materials and Methods: This study was based on a descriptive approach, In this study 80 parents of school going children were selected from the rural area of Sawangi Meghe,Wardha District by using tool such as structured knowledge questionnaire with non-probability convenient sampling method data was collected. Results: The study showed that the mean percentage of knowledge score was 13.31±4.39 (44.36 %) according to the level of knowledge score regarding aggression among parents of school going children. 2.5% of the parents had poor, 42.5% had average, 45% had good knowledge score, 8.75% had very good knowledge score and 1.25% had excellent knowledge score. Conclusion: The present study is descriptive and aims to assess the knowledge regarding aggression among parents of school going children. Recommendation, we can study on Impact of the Aggression on student’s mental health and school performance.

Knowledge level

10.9734/jpri/2021/v33i46b32983

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To Evaluate the Effectiveness of Awareness Program on Self Care Management among Patients Undergoing Radiotherapy

Journal of Pharmaceutical Research International (2021)

Pratiksha Thakare Ruchira Ankar

Background: Cancer is one of the main life-threatening disease among all diseases. Besides a large number of care efforts dedicated to this disease in the health system, cancer also imposes high costs on society. Aim of the Study: To evaluate the effectiveness of awareness program on self care management among patients undergoing radiotherapy. Methods: In this, study participants are a head and neck cancer patient, Interventional approach, The one group pre-test and post-test design. The head and neck cancer patient having an age group of more than 20 years will be included as per inclusion/exclusion criteria. The efficacy of the awareness program on management of self care in undergoing radiotherapy patients will be assessed by a structured knowledge questionnaire and perception questionnaire on radiotherapy. Each test having 20 items and the duration of the test will be 20 min. The pre-test will be assessed first day then the informational booklet on self care management undergoing radiotherapy will be provided to each patient and after seven days post-test will be assessed. Expected Outcome: Primary outcomes include evaluation of the efficacy of awareness on self care management in patients undergoing radiotherapy. Secondary outcomes involve Association of Knowledge and perception score related to management of self care among radiotherapy receiving patients related to their demographic variable. Conclusion: The study will be drawn from the results and after that article will be published in the peer-review journal.

10.9734/jpri/2021/v33i45b32774

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