scholarly journals A study on clinico-laboratory profile of newborns with perinatal asphyxia admitted to tertiary care hospital

2018 ◽  
Vol 5 (6) ◽  
pp. 326-335
Author(s):  
Dr. Uma Maheswara Rao Kuppili ◽  
◽  
Dr. Simhachalam Malluvalasa ◽  
Dr. Mudunuri Satya Revathi ◽  
◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
Care Hospital ◽  
Laboratory Profile

scholarly journals Clinical profile and changes in laboratory parameters among dengue patients at tertiary care hospital: an observational study

2019 ◽  
Vol 6 (5) ◽  
pp. 2276
Author(s):  
Pankaj Ashok Pande ◽  
Amit Jagdish Jogdande
Keyword(s):  
Observational Study ◽  
Clinical Features ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lifestyle Changes ◽  
Common Symptom ◽  
Care Hospital ◽  
Rapid Urbanization ◽  
Dengue Patient ◽  
Laboratory Profile

Background: Globally the incidence of dengue has increased in the past three decades. It is predominantly found in the urban and semi-urban area however now it is spreading in rural areas also. In India the incidence of dengue has increased due to rapid urbanization, lifestyle changes and improper water storage practices. Hence this study was planned to study the clinical and laboratory profile of dengue patient as the number of dengue patients is on rise every year and there is varied presentation of clinical features in different parts of India.Methods: This observational study was carried out in tertiary care hospital. Confirmed cases of Dengue were included in the study. There cases were observed seven days. During this period their clinical and biochemical profile was recorded in pre structured and pre tested proforma. Data was compiled and analyzed by MS-Office (Excel) and SPSS-21.Results: In this study total 129 patients were enrolled. Out of total 91 were males and 38 were females. Laboratory profile of dengue patients suggested steep decline in total leucocytes count and platelet during first five days but started to increase by seventh day but platelets have not reached to its original normal value while TLC reverted to normal range. Fever and headache were most common symptom in our study.Conclusions: Clinical and laboratory profile of dengue patient changes with every new epidemic and different region in India. Clinical features like organomegaly are more common in paediatrics age group than adults. 

scholarly journals Assessment of Perinatal Mortality in a Tertiary Care Hospital by Using Wigglesworth Classification

1970 ◽  
pp. 32-39
Author(s):  
Lutfun Nahar Begum ◽  
Kishwar Azad ◽  
Shahida Akhter ◽  
Nazmun Nahar ◽  
Abu Hasan Md Abdullah
Keyword(s):  
Child Health ◽  
Key Words ◽  
Causes Of Death ◽  
Tertiary Care Hospital ◽  
Perinatal Death ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Care Hospital ◽  
Perinatal Deaths

Objective: To determine the causes of perinatal death using Wigglesworth classification and to assess the feasibility of using Wigglesworth classification in a tertiary care hospital setting. Methods: All live and stillborn babies delivered at BIRDEM over a 5 yr period(from January 2000 to December 2004) were recorded. Perinatal deaths of that period were analysed according to Wigglesworth classification Results: According to Wigglesworth classification, majority of deaths were in the group "macerated stillbirths" (63.5%). Perinatal asphyxia was responsible for 13.6% of deaths, lethal congenital malformation was found in 11.2% and immaturity and "others" each accounted for 6.1%. Conclusion: Macerated stillbirth and asphyxia were the two leading causes of death at BIRDEM and Wigglesworth classification has been found to be feasible in BIRDEM for categorising perinatal deaths retrospectively. Key words: Perinatal death; Wigglesworth classification DOI: 10.3329/bjch.v31i1.6072 Bangladesh Journal of Child Health 2007; Vol.31(1-3): 32-39

scholarly journals Referral profile of child guidance clinic of a tertiary care hospital in central Maharashtra: a retrospective observational study

2019 ◽  
Vol 6 (6) ◽  
pp. 2587
Author(s):  
Smita M. Mundada ◽  
Shilpa Y. Pawar ◽  
Amol R. Suryavanshi ◽  
Prabha Khaire ◽  
Prajit Prasad
Keyword(s):  
Tertiary Care Hospital ◽  
Language Disorder ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
Global Developmental Delay ◽  
Care Hospital ◽  
Early Intervention Services ◽  
Hyperactivity Disorder ◽  
Childhood Population ◽  
Specific Language Disorder

Background: Developmental disabilities occur in approximately 5-10% of the childhood population. The paucity of data regarding the burden and risk factors slows down the programs and policymaking actions for these highly prevalent conditions in developing countries.Methods: A retrospective review of records of 264 children below 12 years referred to CGC of a Tertiary Care Hospital from November 2016 to December 2018 was done. Data was analysed using SPSS software and is described in terms of frequency and mean.    Results: 264 new cases that were referred to the CGC were enrolled. The mean age of referral was 2.54 yrs. (±1.00) with M: F ratio being 1.4:1. In religion, Hindu predominance (56.4%) was found.76.5% hailed from urban area. 39% of all cases showed Consanguinity.37% belonged to Class IV(Upper Lower) and 89% had chronic malnutrition. 46.2% of cases had NICU stay of which perinatal asphyxia(PA) was found in 40%.Majority of children (45.7%) had Global developmental delay (GDD)/Mental Retardation (MR), 37.7% had various forms of CP, Attention Deficit Hyperactivity Disorder(ADHD) was seen in 13%, 3.4% had Autism, 4.5% had specific language disorder, Learning disability  was seen in 2.7% and only 2.7% had Isolated motor delay.Conclusions: Early Intervention services for children lag behind in developing countries and the proportion of children referred to CGC with severe disabling conditions is high. This study provides baseline data for further planning of services and interventions for these children in Maharashtra.

scholarly journals Association of clinical features, comorbidities and laboratory profile with outcomes among dengue patients admitted in a tertiary care hospital, Delhi NCR

2021 ◽  
Vol 9 (7) ◽  
pp. 1918
Author(s):  
Mohit Tiwari ◽  
Abhishek Tibrewal ◽  
Varun S. Pichika ◽  
Narinder P. Singh ◽  
Pankaj N. Choudhary ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Clinical Features ◽  
Tertiary Care Hospital ◽  
Wide Spectrum ◽  
Dengue Infection ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Chronic Obstructive ◽  
Care Hospital ◽  
Laboratory Profile

Background: Dengue fever is an endemic disease across multiple countries. Dengue infection results in a wide spectrum of non-specific clinical manifestations with unpredictable clinical course and outcome. Objective of the study was to understand the association of different clinical features, comorbidities and laboratory profile with outcomes (ICU use, ventilation use and blood transfusion) among dengue patients admitted in a tertiary care hospital in Delhi, National Capital Region.Methods This cross-sectional study included 75 dengue patients with fever <1 week confirmed based on NS-1 antigen and/or IgM antibody positivity. Descriptive analysis was used.Results: Gender was not significantly associated with the outcomes. The duration of fever was significantly higher among those with ICU use (median: 6 versus 4 days; p=0.005), ventilator use (median: 5.5 versus 4.0 days; p=0.049] and blood transfusion (median: 6 versus 4 days; p=0.013). Dengue patients with co-morbidities (diabetes, hypertension, or chronic obstructive pulmonary disease) or co-infection had a significantly higher odds of the outcomes. The platelet level was significantly lower while liver enzymes were significantly higher among those with the outcomes.Conclusions: The clinical features, comorbidities and laboratory profile can help in identifying critical patients for ICU admission and timely intervention to improve outcome.

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