scholarly journals Current trends in highly active anti-retroviral therapy in an anti-retroviral therapy centre attached to a remote government medical college of Maharashtra, India: a retrospective study

Author(s):  
Pravin Rathod ◽  
Praveenkumar Patil ◽  
Rekha Lohar ◽  
A.W. Patil
1970 ◽  
Vol 6 (2) ◽  
pp. 37-39 ◽  
Author(s):  
M Ahmad ◽  
MZ Hossain

This retrospective study was conducted on 145 postmortem cases of hanging victims at government medical college morgue over a period of two years. The objective of this study was to find out the pattern of hanging cases as a proper method of suicide and to evaluate the present situation of hanging in this capital city. Out of 145 cases, 41% were male and 51% were married. One hundred and one victims hanged themselves at night, while 44 at day time. In 72 victims, stomachs were found empty. Most (97%) of the bodies were recovered from inside the living rooms. Ninety seven percent had complete suspension. One hundred and forty two (98%) cases had ligature mark in neck. Thirty nine cases had fracture of hyoid bones, 27 cases had fracture of thyroid cartilages. Most of the victims (45%) were from the age group 20- 30 years. Dopatta (orna) was the commonest (35%) ligature material. Quarrel among husband and wife was the commonest (31%) cause of suicidal hanging. Hanging was observed as a frequently used method of suicide in Bangladesh. Key words: Hanging, suicide; post mortem DOI: 10.3329/jafmc.v6i2.7273JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.37-39


Author(s):  
Suneela Mullakkal Sankaran ◽  
Jayasree Sukumara Pillai

Background: Fibroids are the commonest benign tumour arising from the smooth muscle from uterus. Effects of fibroids on pregnancy and the effects of pregnancy on fibroids are a frequent clinical concern since these tumors are common in women of reproductive age. Most pregnant women with fibroids do not have any complications during pregnancy related to the fibroids. Pain is the most common problem and there may be a slightly increased risk of obstetrical complications like miscarriage, preterm labor and delivery, malpresentation and placental abruption.Methods: A retrospective study was carried out to study the fetomaternal complications in fibroid complicating pregnancies. Duration of study period was one year. Study was from 1 January 2019 to 31 December 2019 in government medical college, Kozhikode. Patients beyond 28 weeks of gestational age with fibroid complicating pregnancies were included. Case records were reviewed from medical records library government medical college, Kozhikode. Detailed review of patients including history, examination and ultrasound scan reports, mode of delivery, antepartum, intrapartum, postpartum complications and details of babies were also taken.Results: During the study period a total of 112 cases of fibroid complicating pregnancies were included in the study out of 15875 total number of deliveries. Majority of patients belonged to age group between 30 to 35 years (40.17%) and 28.1% belonged to between 35 and40 years. 63.39% of patients were multies. In most of the cases fibroid was diagnosed by the first trimester ultra sound itself. Size of uterus remained corresponding to gestational age in more than half of cases (56.25%). There was increased incidence of caesarean delivery (56.25%), preterm delivery (7.2%) and placenta praevia (2.8%) postpartum haemorrhage (10.71%) in the studied cases.Conclusions: Fibriod complicating pregnancies are associated with higher incidence of obstetric complications during all the phases of pregnancy. Proper antenatal care and assessment can reduce the adverse outcomes to a greater extent.


2021 ◽  
Vol 12 (7) ◽  
pp. 17-21
Author(s):  
Shilpa S Babu ◽  
Renju Raveendran ◽  
Anwar KA

Background: The coronavirus pandemic is one of the deadliest pandemic in history. The authorities worldwide responded to this pandemic by implementing business closures, travel restrictions, lockdowns and quarantines. Aims and Objectives: To determine the type of cases and compare the patterns of deaths which came for autopsy to Department of Forensic Medicine, Government Medical College, Kottayam during the Pre lockdown period in 2019 and COVID-19 Lockdown Period in 2020. Materials and Methods: This retrospective study was conducted in the Department of Forensic Medicine, Govt. Medical College, Kottayam. The study data was collected from postmortem reports of Department of Forensic Medicine, Govt. Medical College, Kottayam. Pre-lockdown period was taken as from 21 March to 31 May 2019.There were total 424 cases in 2019,whereas in the Lockdown period taken as from 21 March 2020 to31 May 2020,no: of cases reduced to 270. All these cases were grouped according to cause of death, manner of death and modalities of natural and unnatural deaths. Details of cases were entered utilizing a proforma. Results: There were total 424 cases in the pre-lockdown period in the year 2019, whereas in the lockdown period in 2020, number of cases declined to 270. Among the manner of deaths, accidents accounted for most of the deaths in the year 2019, i.e. 44.6% deaths due to accidents, whereas in the year 2020, deaths due to natural diseases topped the list, 46.3%. These differences in the manner of deaths were found statisticallysignificant. Conclusion: Two months into lockdown, statistically significant differences were noted in patterns of deaths. Further study should be conducted in the near future, when more data will become available. Providing early warning in patterns of mortality within the community could prove to be an invaluable public health asset.


2014 ◽  
Vol 3 (6) ◽  
pp. 493
Author(s):  
Vikrant Ranjan ◽  
Sanjay Desai ◽  
Tulika Joshi ◽  
Dewesh Kumar ◽  
Mayank Pancholi ◽  
...  

Author(s):  
Atal Sood ◽  
Himani Prajapati ◽  
Suruchi Bhagra ◽  
Rekha Bansal

Background: It is estimated that there are 35.3 million PLHA worldwide and 1.6 million have received ART. ART is freely available in designated ART Centres. HAART (highly active antiretroviral treatment) has significantly reduced AIDS related morbidity and mortality. It involves using three different drugs from two different classes. The main challenge in prescribing HAART is ADRs associated with it affecting patient compliance and treatment outcomes.Methods: A retrospective observational study was carried out in the ADR monitoring Centre of Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India.Results: The data for ADEs was collected from 108 patients over a period of 17 months. A total of 280 ADEs were reported in 65 females and 43 males. TLE was the commonest regimen in 61 (56%) patients followed by ZLN in 37 (34%). Neurological ADRs were reported in 39.8% cases with TLE that was nearly double as reported with ZLN regimen 20.5%. Dermatological ADRs were highest with other regimens (57.4%) followed by ZLN 20.5%. Similarly the frequency of Gastrointestinal ADR was highest with other regimens. Hematological ADRs were maximum with ZLN (22.9%) followed by TLE (3.3%). Most commonly reported ADRs were dizziness (10.7%), rashes (8.2%), anorexia and dyslipidemia (6.8%), asthenia (6.4%), pruritus (6%), joint pains (4.6%), insomnia, alopecia and vomiting (4.3%), numbness or parasthesia (3.9%), hepatotoxicity (3.6%) and deranged RFTs (1.8%).Conclusions: The real burden of ADRs due to ART cannot be estimated until voluntary and mandatory reporting system of ADRs works efficiently. A structured surveillance of the pharmacovigilance system can help to overcome these hurdles to ensure compliance with ART regimens.


2022 ◽  
Vol 8 (1) ◽  
pp. 379-384
Author(s):  
Jaspinder Pratap Singh

Background: The term abandonment refers to babies or foetuses which are found abandoned at various unwanted places such as gutter, rubbish dumps, railway tracts and bushes. It does not refer to live born babies left in places, such as hospitals where care can be given by someone other than the mother. Aims and Objectives: To find out the distribution of death cases of newborns/feotuses and to trace its probable reason and its relationship with female foeticide.Methods:A retrospective study of all the medico-legal autopsies of foetuses and newborns was conducted in Forensic medicine and Toxicology department, Government Medical College, Amritsar (Punjab) from Jan 1, 2014 to Jul 31, 2021. During this period, 46 cases of fetal and newborn deaths had been studied.Results:The dead bodies of known foetuses/newborns is 43.5% cases while total unknown cases were 56.5% cases. 32.6% cases were non viable foetuses while 10.8% cases died as a result of prematurity. All the unknown cases (56.5%) were found from the abandoned places like street, bushes, canal side, water bodies that mainly includes pond and railway tract.Conclusion:Despite, the problem is present in every corner of the nation, there is dearth of research studies on this issue. Stringent measures and strict checks are required against antenatal sex determination. The motive behind the abandonment of foetuses can be any, but this grave issue needs urgent attention.


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