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Effectiveness of Ultrasonography-Guided Steroid Injection for Treating Plantar Fasciitis – A Prospective Study

2026-04-11T05:29:11Z

Title: Effectiveness of Ultrasonography-Guided Steroid Injection for Treating Plantar Fasciitis – A Prospective Study Authors: Vishnukumar G , Anil Bulagond, Dr. Rajakumar Bagewadi, Ravikumar Biradar, Santosh S Nandi Abstract: Background: Plantar fasciitis is a common cause of heel pain, often affecting middle aged individuals and leading to significant functional limitation. Ultrasound-guided steroid injections have emerged as an effective treatment modality, offering improved accuracy and outcomes. Aim: To evaluate the effectiveness of ultrasound-guided steroid injection in patients with plantar fasciitis by assessing changes in pain, plantar fascia thickness, and heel pad thickness. Materials and Methods: This prospective observational study was conducted on 147 patients with plantar fasciitis at a tertiary care centre from March 2024 to December 2025. Patients received an ultrasound-guided injection of triamcinolone with lignocaine. Clinical assessment included the Visual Analogue Scale (VAS) for pain, and ultrasonographic measurement of plantar fascia and heel pad thickness at baseline, 2 weeks, and 3 months. Statistical analysis was performed using SPSS version 20, with p<0.05 considered significant. Results: The mean age was 43.36 ± 5.96 years, with slight male predominance (54.4%). There was a significant reduction in plantar fascia thickness from 5.52 mm to 4.96 mm (p<0.001) and heel pad thickness from 1.95 mm to 1.80 mm (p<0.001). VAS scores decreased significantly from 7.99 to approximately 4 at follow-up (p<0.001), indicating substantial pain relief. Heel pad thickness reduction showed a significant negative correlation with pain improvement (r = -0.394, p<0.001). Complications were minimal, with heel pad atrophy observed in 2.7% of patients. Conclusion: Ultrasound-guided steroid injection is an effective and safe treatment for plantar fasciitis, providing significant pain relief and structural improvement with a low complication rate.

Analysis and Visualization of Research Trends in Indian Surgery: A Bibliometric Analysis

2025-04-24T09:38:57Z

Title: Analysis and Visualization of Research Trends in Indian Surgery: A Bibliometric Analysis Authors: Prasannakuma, B M; Chavan, Deepak; Patil, Aravind Abstract: Indian surgery has significantly impacted global surgery; many notable scholars from India have contributed to developing the cultural basis of surgery. The study aimed to present a summary of the research productivity and trends on Indian surgery in Indian research publications during the years 2010–2021 with a bibliometric analysis. Examine highlights of the most well-cited successful works, current journals, organizations, and writers; find global partnerships; and discuss keyword analysis and popular research subjects. The researcher used a replicable bibliometric methodology to analyze data; all the data was acquired from the Web of Science. Keywords: Bibliometric analysis, Indian surgery, Research trends. World Journal of Laparoscopic Surgery (2025): 10.5005/jp-journals-10033-1657

Contribution of JSS Academy of Higher Education and Research towards Global Research: Trends and Insights

2025-04-24T09:34:48Z

Title: Contribution of JSS Academy of Higher Education and Research towards Global Research: Trends and Insights Authors: Rohith Yampati, Chandrika Doddihal C; Mallanagouda M Patil, BM Prasanna Kumar Abstract: Introduction: JSS Academy of Higher Education and Research (JSSAHER) has a long-standing tradition of promoting interdisciplinary research and fostering global collaborations. The institution has made significant strides in health sciences, particularly in areas such as pharmacology, public health and clinical medicine. JSSAHER, a health sciences-oriented institution in India, has consistently emphasised research and global collaboration. This study evaluates its contribution to global research. Aim: This study used the Web of Science database to analyse the research output, growth and international collaboration of JSSAHER from 1996 to 2023 through scientometric analysis. Materials and Methods: This bibliometric study was conducted at JSSAHER, Mysuru, India, between January and June 2024, using data from the Web of Science database. A total of 4,680 publications were analysed based on specific inclusion and exclusion criteria. Parameters such as publication trends, citation metrics, international collaborations and keyword analysis were assessed using tools like Biblioshiny, VOSviewer, CiteSpace and MS Excel. Ethical clearance was not applicable, as this study involved secondary data analysis. Results: JSSAHER’s research output demonstrated an annual growth rate of 13.87%. In 2023, 649 papers were published, and 5,665 citations were recorded in 2022. Prominent keywords included “in-vitro,” “prevalence” and “oxidative stress.” Collaboration networks revealed partnerships with various countries. Conclusion: The analysis highlights JSSAHER’s growing influence in scientific research, marked by sustained publication output, impactful collaborations and diverse research themes. These insights guide the institution’s future research endeavours

Efficacy and Safety of High-dose versus Standard-dose Prazosin in Paediatric Scorpion Envenomation: A Single-blinded Randomised Controlled Study

2025-01-11T06:39:31Z

Title: Efficacy and Safety of High-dose versus Standard-dose Prazosin in Paediatric Scorpion Envenomation: A Single-blinded Randomised Controlled Study Authors: Prasannakumar, B M Abstract: ABSTRACT Introduction: Scorpion sting is a serious health problem in the world, especially in developing countries like India. It is often associated with serious clinical manifestations. As children have a small body surface area, they are prone to more serious cardiac, respiratory and neurological complications. Prazosin, an alpha-blocker, is the drug of choice for the treatment of scorpion envenomation. With the increasing incidence of paediatric scorpion envenomation in rural India, there is a need to optimise prazosin dosing protocols to improve outcomes and reduce hospital stays. Aim: To evaluate and compare the efficacy and safety of standard-dose versus high-dose prazosin protocols in managing paediatric scorpion envenomation in a tertiary care hospital in North Karnataka, India. Materials and Methods: A single-blinded randomised controlled study was conducted in Paediatric Intensive Care Unit (PICU) at BLDE DU Shri BM Patil Medical College Hospital and Research Centre, Vijayapur, Karnataka, India, from January 2017 to December 2022. Children below 18 years of age admitted to the hospital with history of scorpion sting with severity grades II and III were enrolled. Children were randomised into three groups: Group A: 30 µg/kg every three hours; Group B: 60 µg/ kg initially, followed by 30 µg/kg every three hours; and Group C: 90 µg/kg initially, followed by 30 µg/kg every three hours. They were monitored for sweating, cold or warm extremities, the appearance and disappearance of pain, vital parameters and priapism (in male children) hourly until stabilised, then every third hourly for 24 hours and then sixth hourly til discharged from the PICU. After the patient was haemodynamically stable for 24 hours shifted to a high-dependency unit. The time interval between sting and treatment, various vital parameters, duration of the PICU stay and hospital stay were noted. Categorical variables were compared using the Chi-square test and continuous variables were analysed using the Student’s t-test. Results: A total of 86 children were recruited. The standard protocol (Group A) had 26, Group B had 29 and Group C had 31 children. Forty-eight (56%) of the children were over five years old (12, 21 and 15 were in Groups A, B and C, respectively). The male-to-female ratio of 1.8:1, 2.6:1 and 1.8:1 in Groups A, B and C, respectively. The sting-to-symptom interval, priapism, duration of hypertension and duration of hospital stay were higher in Group B compared to Group A. The duration of hypertension, cardiac involvement and priapism were higher in Group C, whereas a shorter sting-to-symptom interval and symptom-to-prazosin initiation were noted in Group C compared to Group A. Conclusion: High-dose prazosin is a safe and effective treatment for scorpion envenomation in children, offering a potential advantage over the standard dosing protocol