International Journal of

Current Pharmaceutical Review and Research

e-ISSN: 0976 822X

NMC Approved

Peer Review Journal

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1. BLACK FUNGUS (MUCORMYCOSIS): A REVIEW REPORT
Prakhar Gupta, Ashok Kumar Sharma, Dilip Agrawal, Mohit Khandelwal, Shaneza Aman, Shweta bhandari
Abstract

Mucormycosis is one of the uncommon fungal contaminations, which has a high pace of bleakness and mortality. Its illness causing fungus is Mucormycetes and it has a place with the request Mucorales, subphylum Mucoromycotina. As the illness is uncommon, it is truly challenging to lead enormous, randomized clinical preliminaries. The information with respect to the study of disease transmission, finding, and treatment, is just made accessible through different case reports and case series. Mucormycotina saprobes are most ordinarily found in bad matter or soils. The board of the illnesses relies upon exact conclusion and brief treatment incorporating antifungal specialists alongside careful intercession with the elaborate tissues. Numerous new specialists with restorative impact against Mucorales are under assessment over chronicled and demonstrated first line treatment of amphotericin B-based medications or Posaconazole. Subsequently, in this article, I have summed up the insight concerning the mucormycosis i.e Dark Organism their sorts, beginning, treatment, determination, avoidances, various medications utilized for its treatment and their incidental effects. This audit shows an unmistakable outline of the Mucormycosis and its treatment.

2. PATIENTS UNDERGOING PRIMARY CORONARY INTERVENTION FOR ACUTE MYOCARDIAL INFARCTION WITHOUT ST SEGMENT ELEVATION SHOWED A CORRELATION BETWEEN THE PLATELET LYMPHOCYTE RATIO AND ANGIOGRAPHIC NO-REFLOW
Prashant Kumar, Neha Rani
Abstract
Aim: The purpose of this study was to determine the role of ultrasound (US) as a predictor of Objective: In ST-segment elevation myocardial infarction (STEMI), the occurrence of coronary no-reflow is linked to a poor clinical prognosis. An unregulated systemic inflammatory response is significant, even if its pathogenesis is not entirely understood. In patients with acute STEMI who had primary percutaneous coronary intervention (PPCI), we sought to investigate the association between platelet-lymphocyte ratio (PLR) and no-reflow. Method: The study comprised 100 STEMI patients who were also receiving PPCI at Sheikh Bhikhari Medical College, Hazaribagh within 2 years (May 2019 to May 2021) of enrollment. To measure the left ventricular (LV) ejection fraction (EF) and wall motion score index, a transthoracic echocardiographic examination was conducted. Before PPCI, blood samples were checked for platelet and lymphocyte counts. In myocardial infarction grade ≤II, no-reflow was characterised as coronary blood flow thrombolysis. Results: Following PPCI, no-reflow was seen in 57 (28%) of the STEMI patients. PLR was substantially greater in the no-reflow group compared to the normal reflow group (213±93 vs. 101.5±51.2, respectively, P<0.0002) and in hypertension patients compared to normotensive patients (144.6±91.5 vs. 109.0±47.0, respectively, P0.002). PLR (β: 0.484, 95% CI: 0.005-0.002, P<0.001) and LV EF (β: 0.271, 95% CI: 0.008-0.033, P<0.002) were identified as independent predictors of no-reflow following PPCI by logistic regression analysis. Conclusion: In STEMI patients, the no-reflow phenomenon during PPCI is predicted by a rise in PLR prior to the procedure.

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