August 2024

Background: The mortality rate of hypertension-related complications in India is Approximately 1.1 million every year. We have noticed that the mortality rate due to High blood pressure has increased in India. It is better to control blood pressure early in life through lifestyle modifications and exercises. Aim & Objectives: To evaluate the change in the heart rate and blood pressure in young healthy adults after isometric handgrip exercise. Material & Method: A randomized, controlled study is being organized in the Department of Physiology at Jhalawar Medical College, Rajasthan, After obtaining approval and clearance from the Institutional Ethical Committee. The study sample Comprised 72 first-year MBBS Students volunteer (40 male and 32 female) subjects. Three maximum voluntary contractions are recorded by squeezing each time using a hand grip spring dynamometer, and the Maximal isometric tension (Tmax) is recorded by means of These three readings. The isometric exercise training protocol Includes five three-minute bouts of Isometric Handgrip Exercise performed At 30% of Tmax( maximal isometric tension), and a 5-min break was taken between the next readings. The exercise was recommended three times a week for three months. Results: A 3 months of IHE training, significantly reduced HR and BP in all Young Volunteers, with increased strength of muscle of the forearm. We found significant changes in SBP,DBP,MAP & HR. Conclusion: IHE Exercise training can reduce heart rate and blood pressure in all healthy adults.It can improve cardiac health and reduce the risk of blood pressure-related complications.

Introduction: Chloroacetyl chloride is chlorinated acyl chloride it is bifunctional compound thus making it useful building block chemical in many chemical reactions. It is corrosive to eye and skin on contact. Liquid or spray mist produces tissue damage particularly on mucous membrane of eyes, mouth, respiratory tract and can cause multi-organ dysfunction because of oxidative and hypoxic effect. Case report: 29 year old male patient presented to us with history of exposure to white colored smoke that formed after accidental spillage of Chloroacetyl chloride on floor containing water. He complained of redness and watering of eyes, vomiting and shortness of breath, as there is no specific antidote available he treated symptomatically and put on mechanical ventilation for respiratory distress for 3 days. After 5 days he made fully recovery and discharged from hospital. Conclusion: - As one of the few documented cases of chloroacetyl chloride exposure, this case report contributes to the limited literature and emphasizes the potential risks of chloroacetyl chloride exposure and the need for further research and increased awareness among healthcare professionals.

This study explains the relationship between the emission of greenhouse gases like CO2, CH4, and N2O with GDP per capita, fossil fuel energy consumption, foreign direct investment, and population density following the framework of the Environmental Kuznets Curve(EKC) hypothesis.The impact of the Environmental Degradation Index, Foreign Direct Investment and Population Density on Health Index is also explained in this study. To explain these relationships both the Fixed Effect Model and the Random Effect Model are used. For this purpose, the study employs panel data regression based on several countries selected out of three continents: Asia, Africa, and America.The panel data regression confirms the existence of EKC for all the greenhouse gases emitted. Further, the health outcome is significantly explained by the relevant explanatory variables. Again a decomposition model based on Kaya Identity is also used to describe the fossil fuel intensity of GDP.This study also considers some policy suggestions to improve the environment's quality by reducing environmental degradation.

Introduction and importance: The accidental or intentional consumption of caustic substances is a rare but serious medical emergency with potentially severe consequences and high mortality rates. While damage to the gastro-esophagus from these substances is well-recognized, injury to the pharyngolaryngeal structure is less common. Still, it poses a significant risk to life and has not been extensively documented. We presented the surgical treatments for these injuries and assessed patient outcomes following the intervention. Case Presentation: Ten patients were treated at the ENT department in Algiers, Algeria, from January 2018 to November 2023, presented with pharyngolaryngeal and oesophageal narrowing due to chemical substances and were referred by general surgeons for pharyngolaryngeal stenosis surgery in preparation for oesophageal reconstruction. We retrospectively analyzed the clinical data, surgical interventions, and patient outcomes following research to the PROCESS reporting guidelines. Clinical Discussion: Our study revealed a higher prevalence among females with a median age of 25. Intentional ingestion of caustic substances was the most common cause of 7 patients, and 8 of 10 patients required a tracheostomy. All patients had a healthy glottis, without scar and mobility conset (confirmed by endoscopy and CT) and received a feeding jejunostomy. Following endoscopic and CT assessments, all patients underwent transoral laser microsurgery (TLM), with a hospital stay of 24 hours and positive surgical outcomes. Two patients required additional procedures, but after one month, all patients demonstrated highly satisfactory results with almost complete resolution of hypopharyngeal and laryngeal stenosis, decannulation for tracheostomized individuals, and referral to general surgery for further management. Conclusion: Caustic pharyngolaryngeal and esophageal stenosis is challenging for specialistic teamwork. Otolaryngologists can play a crucial role in managing these patients by utilizing TLM to help address this difficult condition.

Parmi les espèces ligneuses alimentaires à usages multiples menacées figure l'importance du tamarinier (Tamarindus indica L.) dans la vie socio-économique des populations locales. Cette présente étude aborde les actions anthropiques sur le peuplement du Tamarindus indica L. dans la Commune de Tanda au Niger. Le but de cette recherche était d'identifier les divers éléments anthropiques sur le tamarinier dans une zone d’action croissante, afin de dégager une structure démographique pour une gestion durable. La méthodologie était basée sur les enquêtes socioéconomiques, ethnobotaniques, la détermination des paramètres structuraux et l’analyse statistique des données. Les résultats montrent que la filière tamarin est caractérisée par les activités de production et de vente, et les femmes sont majoritaires sur le plan numérique. Les caractéristiques socioéconomiques des personnes enquêtées ainsi que leurs catégorisations, l’état de connaissance de l’espèce et le rôle médicinal. Les âges des enquêtés les plus représentés ont varié entre [35-40] et [45-50] avec un pourcentage de 18 %. La structure globale du peuplement est caractérisée par un paramètre de forme " C " de la distribution théorique de Weill égal à 0,6457 (c’est à dire inférieur à 1), ce qui souligne une distribution en « J renversé ». Le peuplement ligneux de Tanda (champs et savanes) est caractérisé par un paramètre de forme c de la distribution théorique de Weibull égal à 1,087. Cette étude a démontré l’effet positif des facteurs anthropiques sur la ressource alimentaire locale du tamarinier.

Bambara groundnut [Vigna subterranea (L.) Verdcourt] is a highly nutritious food legume. However, the low genetic variability of Bambara groundnut is a limitation to its improvement to address various biotic and abiotic constraints. Gamma-irradiation mutagenesis is one of the techniques to create genetic variation in order to select new varieties to meet users' needs. However, the effectiveness of such method depends on identifying the appropriate radiation dose for each variety. This study aimed to determine the optimal lethal doses of mutagens producing maximum mutations with minimum damage. Seeds of three Bambara groundnut varieties (KVS115, KVS234 and KVS259) were subjected to five gamma-ray irradiation doses (200, 250, 300, 350 and 400 Gray). The radiation source was Cobalt-60, with an irradiation rate of 28.81 Gray/min. Irradiated and non-irradiated (control) seeds were sown in the field at INERA Saria station using a complete block design. Data were collected on parameters relating to seed germination, plant survival and pod yield of the varieties. A linear regression model was developed to determine the mean lethal dose (LD) and reduction dose (RD) of both varieties. The results revealed a decrease in germination and survival rates and a drop in pod weight with increasing irradiation doses. The KVS259 variety recorded 100% lethality at the 250 Gray dose and was the most sensitive to gamma irradiation. Variety KVS115 was the least sensitive to gamma irradiation, with 75% lethality at the highest dose of 400 Gray. Optimal doses varied between 148 Gray and 363 Gray depending on the variety. These results could be used in mutagenesis breeding programs to select mutants with desirable agronomic and nutritional traits for farmers and consumers.

Cassava belongs to the family Euphorbiaceae, subfamily Crotonoideae, tribe Manihoteae, genus Manihot and species Manihot esculenta Crantz. Cassava is a dicot perennial shrub. It is known as tapioca, manioc, mandioca or yuca in different parts of the world. It can reach a height of 1-4 m. Its tuberous storage roots are rich in starch (20-40%) and are harvested either for direct human consumption, animal feed, or industrial uses. It is also known as cassada, cassava, manioc, yuca, tapioca, mandioca, shushu, muk shue, cassave, maniok, tapioka, imanoka, maniba, kasaba, katela boodin, manioc, manihot, yucca, mandioca, sweet potato tree, and tapioca plant. The generic name Manihot and the common name "manioc" both derive from the Guarani (Tupi) name mandioca or manioca for the plant. The specific name esculenta is Latin for 'edible'. The common name "cassava" is a 16th century word from the French or Portuguese cassave, in turn from Taíno caçabi.[4] The common name "yuca" or "yucca" is most likely also from Taíno, via Spanish yuca or juca. Cassava, also known as manioc or yuca, is a starchy root vegetable that has played a crucial role in the diets of people across the globe for centuries. Its significance as a staple food has transcended geographical boundaries and cultural differences, making it a truly universal crop. With its origins in South America, cassava has a rich history that dates back thousands of years, and its journey from being a wild plant to a vital food source for millions of people is nothing short of remarkable. The story of cassava is one of resilience and adaptability, as it has managed to thrive in a variety of climates and soil conditions. Its versatility as a food source, from being consumed as a whole root to being processed into flour and other products, has contributed to its widespread popularity. As we delve into the history of cassava as a staple food, it becomes evident that its impact goes far beyond mere sustenance, playing a significant role in shaping the cultural, social, and economic landscapes of the regions where it is grown and consumed. From its role in traditional rituals and ceremonies to its importance in local cuisines, cassava has been deeply woven into the fabric of many societies. Its journey from being a local food source to a global commodity has not been without challenges, and its history is marked by moments of triumph and adversity. As we explore the multifaceted nature of cassava’s history, we gain a deeper understanding of its enduring significance and the ways in which it has shaped the lives of people around the world. In this review article on Origin, Domestication, Taxonomy, Botanical Description, Genetics and Cytogenetics, Genetic Diversity, Breeding of Cassava are discussed.

Aluminium phosphide being economical and its ease for availability, extensively used in developing countries as an effective grain fumigant and rodenticide, poses significant toxicity risks to humans, particularly in cases of intentional ingestion for suicidal attempts.After reviewing the electronic and print media and various textbooks we got to know the effect of AlP poisoning on the vital orangs of human body. It affects the gastrointestinal, cardiovascular, respiratory, and nervous systems, with later manifestations of hepatic and renal failure and disseminated intravascular coagulation.This paper explores the ultrastructural and gross pathological effects of aluminum phosphide (AlP) poisoning on various human vital organs,offering valuable insights for medical professionals and researchers in improving treatment protocols and patient outcomes.The study compiles findings from multiple autopsies and histopathological analyses to detail the impact of AlP on the heart, liver, lungs, kidneys, brain, and spleen. The results reveal extensive cellular and tissue damage caused by AlP poisoning, such as myocardial necrosis and rhexis due to hypercontracted sarcomeres, centrizonal necrosis, alveolar thickening, acute tubular necrosis, and dilated and congested sinusoids., which leads to high mortality rates due tomulti-organ failure.It emphasizes the critical need for enhanced clinical management strategies and the development of specific antidotes for AlP poisoning. Thus,this review thoroughly investigates the toxicological effects of AlP poisoning on various human organs, detailing both microscopic and gross pathological alterations.

Introduction: Spindle cell lesions of the urinary tract encompass a variety of benign and malignant tumours as well as a group of lesions of controversial nomenclature that is the subject of ongoing debate. Case presentation: We present a rare case report of a 35-year-old female with painless haematuria who was diagnosed with bladder mass on imaging and managed by initial transurethral resection of bladder mass which revealed Lipoleiomyoma and hence, finally managed by open surgery with resection of the bladder mass with wide margins. The final histopathological diagnosis was benign spindle cell tumour of the urinary bladder. Conclusion: This case illustrates the clinical presentation, diagnostic challenges, surgical management of rare histopathological variant of bladder tumour called benign spindle cell tumour in a young female.

Behavioral problems in children are a growing concern in todays society, with a significant impact on the childs well being & development. Early detection & intervention are crucial in manageing behavioral problems in children. To effectively tackle these problems in children, a holistic approach can help to solve out problem. This article is an attempt how homeopathically we can tackle cases of behavioral problems in childrens.

For decades, livestock have been fed antibiotics to promote growth, treat infections, and prevent diseases in crowded and often unsanitary conditions. “Worldwide it is estimated that 66% of all antibiotics are used in farm animals, not people.” (ASA 1). However, the extensive use of these antibiotics has resulted in the emergence of highly drug-resistant bacterial pathogens. Antibiotic Resistance is caused when bacteria change to resist the antibiotics used to treat them effectively. If antibiotics are not taken promptly or if doses are skipped, then the bacteria grow to develop resistance. This led us to our research question: Can antibiotic use in livestock affect antibiotic resistance found in radishes if they are grown in organic manure-based fertilizer? Through the application of previous studies and research, we conducted our experiment to analyze antibiotic resistance in plants grown in animal-based manure.

Les travaux antérieurs ont établi que les enfants des ménages déplacés à la suite des guerres, des conflits et des catastrophes naturelles ont moins de chance d’aller à l’école. En 2015, le Tchad a enregistré les premières attaques des groupes armés non étatiques dans la province du Lac. Ces attaques, qui s’installeront dans la durée, ont conduit de nombreux ménages à fuir des sous-préfectures frontalières avec le Nigeria vers les sous-préfectures plus intérieures. L’objectif de l’étude est de mesurer la fréquentation scolaire des enfants, avant et après, le départ des ménages des localités d’origine vers la sous-préfecture de Bagassola, d’identifier les raisons de la non fréquentation scolaire et les facteurs associés à la fréquentation scolaire des enfants déplacés. Les données de l’étude proviennent d’une enquête par questionnaire auprès des chefs de ménage et des entretiens individuels avec les responsables du système scolaire, en février 2024. Des analyses descriptives et multivariées ont été réalisées. Les résultats montrent que le niveau de fréquentation scolaire des enfants s’est amélioré après le déplacement. Dans les villages d’origine, 29,1% des enfants de 6 à 18 ans partaient à l’école. Dans les villages ou sites d’accueil, ils sont 37,5% à fréquenter l’école ; la proportion de garçons fréquentant l’école est le double de celle des fille (49,7% de garçons contre 24,9% de filles). La principale raison de l’amélioration de l’accès à l’école après le déplacement serait la disponibilité des écoles dans les sites ou villages d’installation, ou à proximité de ceux-ci. L’implication dans les activités économiques du ménage est la principale raison de la non fréquentation scolaire des enfants. D’après les résultats de l’analyse multivariée, les facteurs les plus déterminants de la fréquentation scolaire sont le sexe et l’âge de l’enfant, le niveau d’instruction et la principale occupation du chef de ménage. Il est nécessaire d’engager un peu tôt les réflexions sur le devenir scolaire de ces enfants déplacés quand il sera question de retourner dans les localités d’origine.

Liposomes are novel drug delivery system which delivers the drug directly to the place of action. The liposomes are colloidal carriers with a diameter ranging from 0.01 to 5.0 μm. Liposomes can be formulated using different approaches like thin-film hydration method, reverse phase evaporation method, solvent injection method etc. However, this drug delivery mechanism fails to transport the medication to the GIT when liposomes are employed to treat diseases related to the GIT, because of the medication release into acidic environments. In this instance, the liposomes are coated using the enteric coated polymer. The word “enteric” indicates small intestine; therefore enteric coatings prevent release of medication/drug before it reaches the small intestine. At low pH levels, the enteric coated polymer continues to unionize and stays insoluble. Enteric-coated liposomes are formulated for avoiding the first pass metabolism, gastric irritation and degradation and to direct the drug to the intestine. The Polymer used for enteric coating are cellulose acetate phthalate (CAP), polyvinyl acetate phthalate (PVAP), hydroxypropyl methylcellulose phthalate (HPMCP), acrylate polymer etc. The review focuses on the general overview of enteric coated liposomes, their manufacturing method, characterization, and their application in the drug delivery system

Rheumatoid arthritis (RA) is a subset of arthritis, defined as chronic, inflammatory, systemic autoimmune disease, affecting the joints. It is commonly described by distinctive pattern of bone and joint destruction and is a major cause of disability in mid age group population. The incidence and prevalence of RA vary in terms of age, gender, and population. Early detection of RA plays a key role in restorative success, especially with autoantibody positivity, high disease activity and early bone erosion. RA is a complex disease which is a result of interplay between genetic and environmental factors. The main genetic factor which is involved in RA is HLA-DRB1. The environmental factors which act as predisposing factors for RA are cigarette smoking, occupational hazards, or air pollutants. As for now, the treatment primarily focuses to reduce pain and slow or stop any further damage to joints/bone. Here in we set forth a case of a patient with multiple joints involvement due to rheumatoidarthritis with characteristics of bone deformity in both upper and lower limb.

Teachers can play a significant role in making our environment pollution free by changing the attitude of students and society towards the environment. The Student teachers are the prospective teachers of the nation. So it is the time for the great concern for protection and preservation of natural resources which can only be possible if we have a right type of attitude towards proper awareness in the related matters. Teachers can bring awareness and attitude which can be possible through environmental education. The goal of environmental education in schools and colleges is to acquaint and sensitize the students towards environmental problems and concerns, to inculcate in them healthy personal and social attitude and behaviour towards environment. Hence, it is necessary to know how far the Student teachers are aware about environment and environmental problems. A pilot study was carried out selecting 120 pupil teachers studying in teacher education colleges located at Faridabad district of Haryana. “Environmental pollution Attitude Scale” developed by Dr. M. Rajamanickam Environment Education should enable students to analyze, evaluate and draw inferences about problems and issues related to environment.

Background: Myasthenia gravis (MG) is an autoimmune neuromuscular disorder resulting in weakness and fatigability of skeletal muscles; usually due to autoantibodies directed against acetylcholine receptors (AChRs) at neuromuscular junctions (NMJs). (1) Therefore, careful perioperative management is required because of the unpredictable susceptibility to muscle relaxants. There are not many reports describing the management of myasthenic patients undergoing cardiac surgery with prophylactic thymectomy. Case presentation: In this report, we describe the successful anaesthetic management of a patient with MG undergoing off-pump coronary artery bypass grafting (OPCABG) using titrated dose of cistracurium for muscle relaxation. We chose cisatracurium due to non-enzymatic hoffmans elimination into non-active metabolite, short duration of action, less histamine release and minimal laudanosine production. Other studies, have used rocuronium in MG patients with suggamadex availability as a backup, (1) whereas cisatracurium (2) and atracurium (4) has been used in low resource centres. Conclusions: We concluded cisatracurium is safe during general anaesthesia in MG patients undergoing OPCABG when combined with intraoperative continuous Bispectral index (BIS) and intermittent train-of-four (TOF) monitoring.

The objective of this study is to analyze the explanatory factors for the low use of the results of monitoring and evaluation implemented in the University Decentralization Program. The working hypothesis maintains that social and organizational factors favor the low use of monitoring-evaluation results implemented in the university decentralization program. To account for the object of study, we used functionalism. The documentary study, the survey (questionnaires and interview guides) and the observation helped in the collection of data. These have undergone the test of qualitative and quantitative analyses. The results of the study reveal major problems in the organization and operation of the implementation of monitoring-evaluation activities in the university decentralization program in Côte d'Ivoire. The respondents attribute these difficulties to a central factor: the low use of results from monitoring and evaluation. This deficiency in the use of the data produced directly impacts the program's ability to adjust and improve its performance. Several factors contribute to the low use of monitoring and evaluation results in the university decentralization program. Among these factors, the absence of a coherent public policy in terms of monitoring and evaluation stands out as being the most critical, with 38.5% of respondents identifying it as the main obstacle. This high percentage indicates a lack of institutional and strategic framework, essential to guarantee the systematic integration of monitoring and evaluation results into decision-making processes. The second most important factor, with 25.6%, is the diversity of monitoring and evaluation mechanisms. This multiplicity leads to a fragmentation of efforts and results, making harmonization and effective use of data difficult. The various systems in place are poorly coordinated, thus reducing the overall impact of monitoring and evaluation activities. Then, 17.1% of respondents point out shortcomings in the functions of the actors involved in the management of monitoring and evaluation. This factor reflects a lack of clear roles, responsibilities, and coordination between different stakeholders, which hinders the collection, analysis, and use of data for continuous improvement of the program. In light of these data, our research hypothesis is confirmed.

Aim and objective: To assess the Antibacterial efficacy of clindamycin gel incorporated Zinc oxide eugenol and Endoflas FS, two obturating materials used in pulpectomy, against enterococcus faecalis in primary teeth. Materials and methods: The study consisted of four groups, with 11 samples in each group: group I (zinc oxide eugenol paste), group Ia (Zinc oxide eugenol paste + 2% Clindamycin gel ), group II (Endoflas FS), and group IIa (Endoflas FS+ 2% clindamycin gel). A double layer agar well diffusion test was used to evaluate the antibacterial activity against enterococcus faecalis. The zones of microbial inhibition were measured at the end of 24 hours, 6th day, and 29th day. Results: On intergroup comparison, the difference in the antibacterial activity was found to be highly significant (p <0.001). Among the various groups evaluated, group IIa showed the highest antibacterial activity against E. faecalis followed by group II, group Ia, and the least activity being shown by group I throughout the experimental periods. On intragroup comparison at different time intervals, a maximum zone of inhibition was seen at 24 hours with a p value < 0.05 in all the tested groups. Conclusion: Incorporation of 2 % Clindamycin gel into Zinc oxide eugenol and Endoflas FS enhanced the antimicrobial activity of both the root canal filling materials with lasting antimicrobial activity even at the end of the 29th day. Clinical significance: An essential prerequisite for a root canal filling material is its antibacterial efficiency, which will aid in eliminating residual microorganisms in the root canal system following chemo mechanical preparation. A pulpectomy-treated tooth has a better prognosis when the root canal filling materials' antibacterial efficiency is greatly increased when an antimicrobial agent, like clindamycin gel, is added to them.

Tourism in Sikkim Himalayas has a great economic significance and this industry is growing very rapidly. Every year,this tiny Himalayan state witnesses scores of visitors both national and international owing to its natural beauty, salubrious climate, rich bio-diversity, endangered flora and fauna and warm approach of people towards the visitors.If Sikkim wants to sustain the flourishing tourism business than the satisfaction level of tourists must be ensured, optimum tourist satisfaction can only lead to sustainable tourism in Sikkim. This study examines the role of educational and cultural agritainment in enhancing visitor satisfaction within the agro-tourism sector of Gangtok, Sikkim. The research specifically focuses on five villages: Khamdong, Zuluk, Sazong-Rumtek, Pakyong, and Lingdok. The primary objectives are to evaluate how various educational and cultural activities, such as farm tours, hands-on workshops, culinary experiences, traditional festivals, cultural performances, and local food tastings, contribute to overall tourist contentment.A mixed-method approach was adopted, utilizing both quantitative surveys and qualitative interviews to gather comprehensive data from tourists visiting these villages. The sample consisted of 300 respondents, evenly distributed across the five locations. Data analysis involved statistical methods to pinpoint key satisfaction factors and thematic analysis for qualitative insights. The findings reveal that educational activities, including farm tours and demonstrations, hands-on agricultural workshops, and culinary experiences, significantly enhance tourist satisfaction. Visitors highly appreciate interactive learning opportunities that provide deeper insights into local farming practices and traditional cooking methods. Similarly, cultural activities, such as participation in local festivals, witnessing cultural performances, and tasting local cuisine, play a crucial role in enriching the overall visitor experience.The implications of this study suggest that agro-tourism operators in Gangtok should integrate more educational and cultural components into their offerings to attract and satisfy tourists. Policymakers can leverage these insights to develop targeted strategies for promoting agro-tourism in the region. Ultimately, this research highlights the importance of combining educational and cultural elements to create a more engaging and fulfilling agro-tourism experience.

The aim of this research is to analyze the concept of organizing sustainable Balinese cultural tourism with research results showing that (1) The nature of the role of indigenous communities in organizing sustainable Balinese cultural tourism by prioritizing the concept of cultural tourism and the Tri Hita Karana concept, so that both increase harmoniously, harmonious and balanced; and (2) The model for regulating the role of indigenous communities in organizing sustainable Balinese cultural tourism by indigenous communities focuses on long-term tourism development that minimizes negative impacts on the environment and the values of the Tri Hita Karana philosophy and local wisdom of Sad Kerthi are very appropriate to be applied in formulating development policies sustainable tourism. The local community empowerment model can of course provide opportunities for the community to play a role in the development of a tourist village so that it can improve the welfare of the local community which of course is expected to realize sustainable tourism development.

In this study, we compare the traditional surgeries to minimally invasive surgeries of tonsillectomy patients and adenoid hypertrophy to rule out the benefits of minimally invasive surgeries compared to traditional surgeries. The criteria for choosing patients is to understand the severity of the procedure the hospital stays, postoperative bleeding, and the recovery time strategy of tonsillectomy patients and adenoidectomy. (We collected and analyzed 150 patients with coblation tonsillectomy compared traditional tonsillectomy and the benefits of minimally invasive surgery compared to traditional. Surgery The total number of patients was 150. There are male and female patients. 78 males, underwent coblation tonsillectomy 72 females, underwent traditional tonsillectomy and they all performed coblation compared with traditional surgeries. Of the number of patients aged 4 to 6 years, most are younger than age 15, 72 were about 4-6, years, and 78 were over age 6. Material and Method: Comparing 150patients were divided into two groups coblation tonsillectomy was performed to the amount of intraoperative bleeding and recovery time pain was measured all patients were followed for 14 months, compared with blood loss and management Results: coblation tonsillectomy was more convenient compared to traditional cold steel dissection tonsillectomy the mean duration of surgery. Conclusion: Coblation tonsillectomy gives the significant advantage of dissection methods with blood and pain less and return to normal activities, coblation is better recommended in all patients performing tonsillectomy the main purpose of this study is to understand the significance of less pain and less bleeding compared to the old technique of cold steel tonsillectomy the benefits are less bleeding, less postoperative bleeding, and quick recovery.