Incidental Carcinoma Gallbladder: Incidence, Risk Factors, and Factors Affecting Survival—5-Year Experience from a Tertiary Care Institute

2019 ◽  
Vol 51 (3) ◽  
pp. 980-987
Author(s):  
Bhanu Pratap Singh ◽  
Washim Firoz Khan ◽  
Yashwant Singh Rathore ◽  
Manjunath Maruti Pol
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Factors Affecting ◽  
Care Institute ◽  
Carcinoma Gallbladder ◽  
Incidence Risk

scholarly journals Determinant factors affecting the trends of permanent sterilization: a decadal analysis in a tertiary care institute

2017 ◽  
Vol 6 (12) ◽  
pp. 5348 ◽  
Author(s):  
Meenakshi K. Bharadwaj ◽  
Seema Patrikar ◽  
Sanjay Singh
Keyword(s):  
Confidence Interval ◽  
Tertiary Care ◽  
Male Involvement ◽  
Cost Effective ◽  
Armed Forces ◽  
Fertility Rate ◽  
Factors Affecting ◽  
Care Institute ◽  
Socio Demographic Factors ◽  
Male Sterilization

Background: Permanent sterilization is a preferred method of contraception worldwide. In spite of popularization of temporary methods, it is used by 2/3rd of married women using any contraception. It has a low incidence of complications and failure rate and is cost-effective. Various socio-demographic factors play a role in acceptability of this method. It has an important role in controlling the total fertility rate.Methods: A retrospective record based analysis was done in armed forces personnel undergoing permanent sterilization operation over 11 years between 2005-2015 in a tertiary care institute. Analysis of trends in method choices of surgery, and comparison of the variables determining these choices was done. Year wise total fertility rates was calculated and the trend over 11 years was analyzed.Results: Permanent sterilization operations were performed in 2121 couples over the 11 years period. Of total operations, 1823 (85.95% with 95% confidence interval = 84.42, 87.38) were done in females and 298 (14.05% with 95% confidence interval = 12.62, 15.58) in males. Female sterilization acceptance ranged between 71.6% to 91.6% and male sterilization between 8.4%-28.4% with an increasing trend towards male sterilization acceptance over the years. Total fertility rate declined from 2.3 to 2.09 in 11 years.Conclusions: Increase in literacy rate of both the partners can positively impact the male involvement in permanent sterilization and control of TFR. This would help to stabilize India’s population growth. Also, a decline in son preference can be beneficial for decline in fertility rate. 

scholarly journals Prevalence and risk factors of postpartum depression at a tertiary care institute

2019 ◽  
Vol 8 (7) ◽  
pp. 2773
Author(s):  
Vanithamani Sivapragasam ◽  
Anitha A. Manjappa ◽  
Aruna B. Patil ◽  
Monicka Kalaimani
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Unplanned Pregnancy ◽  
Tertiary Care ◽  
Depression Scale ◽  
Postnatal Period ◽  
Care Institute ◽  
Increased Risk ◽  
Pregnancy And Postpartum ◽  
History Of

Background: Up to 85% of the women experience some type of mood disturbance in the postnatal period. Postpartum depression affects bonding with infant which may lead to malnutrition and other complications in the infant. This article focuses on the prevalence of depression among postnatal women attending a tertiary care institute in Chennai and to identify the risk factors that affect postpartum depression.Methods: This study was a cross sectional study, performed over a period of three months from January 2019 to March 2019. 200 postnatal mothers were recruited for the study, who were in postpartum period from 1 to 6 weeks after delivery. Specially designed proforma was used to record various determinants to assess the risk factors which could contribute to postpartum depression. The Edinburgh Postnatal Depression Scale was used to detect the depressive symptoms in postnatal mother.Results: A total of 200 cases were studied. Prevalence of postpartum depression was found to be 25%. Primi gravida, history of miscarriage and unplanned pregnancy were associated with increased risk of developing depression in the postnatal period. Fear regarding gender of the child and failure of lactation were not contributing risk factors to postpartum depression. Spacious house and partner support were found to be protective factors to combat depression in postnatal women.Conclusions: Prevalence of postpartum depression was 25%. Significant association was found between primi gravida, history of miscarriage, unplanned pregnancy and postpartum depression. Early screening of the women will reduce the adverse outcomes among both mother and the child.

scholarly journals Quality of Life in Children with Epilepsy in Private and Public Tertiary Care Centers in India

2018 ◽  
Vol 05 (01) ◽  
pp. 028-037
Author(s):  
Purva Karnavat ◽  
Anaita Hegde ◽  
Shilpa Kulkarni
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Economic Status ◽  
Tertiary Care ◽  
Pediatric Epilepsy ◽  
Duration Of Treatment ◽  
Case Record ◽  
Factors Affecting ◽  
Private And Public

Abstract Background Pediatric epilepsy is associated with various comorbidities. It is known that children with epilepsy have a compromised health-related quality of life (QOL) and may be affected across physical, psychological, social, and educational domains. Aims and Objectives (1) To study QOL in children with epilepsy from private and public outpatient departments, (2) study various risk factors affecting QOL, and (3) compare risk factors between groups. Methods Sample consisted of 400 and 201 children aged 5 to 18 years from private and public settings with epilepsy taking antiepileptic drugs (AEDs) for at least 6 months. Structured case record form was used to collect data on sociodemographic, clinical, and treatment parameters. QOL was measured by the Pediatric Quality of Life Inventory (PedsQL) questionnaire (in the local language). Adverse effects were monitored by Pediatric Epilepsy Side Effects Questionnaire (PESQ). Univariate regression analysis was performed on the data (p < 0.005). Results Overall PedsQL score was 67.21 ± 29.391 and 78.66 ± 9.161 in private and public settings, respectively (p = 0.000). QOL was affected significantly by age of the child, educational and economic background of the caregivers, age at the onset of epilepsy, seizure frequency, duration of treatment, number of drugs, presence of comorbidities, intelligence quotient (IQ) levels of children, and PESQ score in both the groups. Total PESQ score was 18.63 ± 17.02 and 7.69 ± 10.646 in private and public settings, respectively (p = 0.000). Conclusions Children with epilepsy have a compromised QOL. Risk factors relating to QOL are numerous. Educational and economic status of caregivers plays a significant role in awareness of the problem.

scholarly journals A study of factors affecting regression of βhCG in gestational trophoblastic disorders

2019 ◽  
Vol 8 (3) ◽  
pp. 955
Author(s):  
Neena Devasia ◽  
Tinu Philip
Keyword(s):  
Risk Factors ◽  
Low Socioeconomic Status ◽  
Strong Association ◽  
Tertiary Care ◽  
Sociodemographic Factors ◽  
Tertiary Care Centre ◽  
Factors Affecting ◽  
Persistent Disease ◽  
Trophoblastic Disease ◽  
Gestational Trophoblastic Diseases

Background: Gestational trophoblastic disorders are among the rare human tumors that can be cured even in the presence of widespread dissemination. Authors can anticipate the development of persistent trophoblastic disease by identifying high risk factors affecting βhCG regression in vesicular mole. The study of this aim was to determine the incidence of gestational trophoblastic disorders and persistent trophoblastic disease in our institution. Factors affecting regression of βhCG and thereby leading to persistent disease are assessed.Methods: The study was conducted for a period of 2 years at a tertiary care centre in central Kerala. The factors affecting progression to persistent disease are assessed by a case control study. Those developing persistent trophoblastic disease were taken as cases and those with normal regression of βhCG were taken as controls. Variables studied were age, sociodemographic factors, obstetric history, histopathological report, βhCG value, post evacuation USG and clinical features.Results: The incidence of gestational trophoblastic diseases was 1 in 178 births and of persistent trophoblastic disease was 18.6%. Fourteen cases with persistent trophoblastic disease were studied and 61 controls were recruited. Incidence increased in older age group (>30) and low socio-economic group. Pre-evacuation βhCG> 40000 and presence of theca lutein cyst are important factors affecting βhCG regression.  Strong association with uterine size >poa, post evacuation uterine subinvolution and presence of hyperthyroidism was found.Conclusions: Progression to persistent trophoblastic disease was associated with low socioeconomic status, high   pre-evacuation βhCG values, uterine size>poa and presence of theca lutein cysts. Identification of these risk factors helps in proper counseling and meticulous follow up of patients.

scholarly journals An audit of extra-uterine pregnancy in a tertiary care facility in Northern India

2017 ◽  
Vol 6 (11) ◽  
pp. 5025
Author(s):  
Sheeba Marwah ◽  
Kumari Usha Rani ◽  
Archana Mishra
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Tertiary Care ◽  
Previous History ◽  
Care Facility ◽  
First Trimester ◽  
Hospital Data ◽  
Northern India ◽  
Tertiary Care Facility ◽  
Incidence Risk

Background: Ectopic pregnancy is the most frequent lethal gynaecological predicament, befalling worldwide in all strata of reproductive women. It remains the leading cause of pregnancy-related first trimester deaths. Though prompt diagnosis has furthered a decline in associated morbidity, an upsurge has been seen in its prevalence owing to a rise in predisposing risk factors. The objectives of this study were to identify incidence, risk factors, and outcome in patients presenting with ectopic pregnancy in a tertiary care hospital.Methods: This two-year retrospective study was conducted in Department of Obstetrics and Gynecology in Vardhaman Mahavir Medical College and Safdarjung hospital, on patients presenting with a diagnosis of ectopic pregnancy (either ruptured or un-ruptured). The primary outcome was incidence of ectopic pregnancy. Secondary outcomes noted were demographic characteristics, predisposing risk factors, clinical presentation and management course in hospital. Data was recorded on a predesigned proforma and deciphered later.Results: Incidence of ectopic pregnancy was 0.82%. Significant causative factors were previous history of PID (29.28%), TB (21.4%), previous pelvic surgeries (18.57%) and preceding ectopic pregnancy (12.14%).Conclusions: Increase awareness and knowledge of risk factors amenable to modification and features will aid early diagnosis of extra-uterine pregnancy, besides planning conservative treatment if possible, and devising effective risk-reduction strategies.

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