scholarly journals Study of perinatal autopsies in tertiary care hospital 20 year experience

2017 ◽  
Vol 6 (7) ◽  
pp. 2914 ◽  
Author(s):  
N. S. Kamakeri ◽  
Ramalingappa C. A. ◽  
Vinayraju D.
Keyword(s):  
Congenital Abnormalities ◽  
Neonatal Period ◽  
Tertiary Care Hospital ◽  
Perinatal Death ◽  
Tertiary Care ◽  
Care Hospital ◽  
Pathological Findings ◽  
Meconium Aspiration ◽  
Perinatal Autopsy ◽  
Common Causes

Background: Losing a baby is painful. Looking for answers can help. Although nothing can change the loss, a perinatal autopsy may offer answers to better understand what happened. A perinatal autopsy is a medical exam done on the fetus or infant to help explain the cause of death. This exam may also find the underlying reason for an illness, disease or birth defect.Methods: Babies of mothers with bad obstetrics history, died in utero, neonatal period and baby deaths of unknown cause were subjected for clinical autopsy in the last 20 years. Based on the major and associated pathological findings, an attempt was made to find the cause of death.Results: Immaturity of the organs found to be the most common cause for perinatal death. Meconium aspiration pneumonia, external congenital abnormalities are found to be the other common causes for perinatal mortality.Conclusions: Perinatal autopsies are the effective method of finding the cause of perinatal death, and helps to some extent in preventing the future loses.

ISOLATED BENZODIAZEPINE TOXICITY AND THE USE OF FLUMAZENIL: AN EYE-OPENING ANTIDOTE CASE REPORT IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 231-233
Author(s):  
Siddharth Panikkar ◽  
Gigy Varkey Kuruttukulam ◽  
Manju Manmadhan ◽  
Jithin Antony Bose ◽  
Jacob Chacko ◽  
...  
Keyword(s):  
Case Report ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Delay In Diagnosis ◽  
Patient Medication ◽  
Common Causes ◽  
Eye Opening ◽  
Ct Brain ◽  
The 1960S

Since its debut in the 1960s, the broad use and availability of benzodiazepines has mirrored the increased incidence of overdose cases. Due to its non-specic presentation, there is often a delay in diagnosis. We report a case of Benzodiazepine toxicity in a 70-year-old man who presented to us in a comatose state. He was evaluated at another hospital initially and was intubated in view of his low Glasgow Coma scale. A CT brain plain study was done suspecting a basilar artery thrombus and he was referred to us for Neuro-Interventional procedures. As radiological, laboratory and electrophysiological investigations were unremarkable a provisional diagnosis of drug intoxication was made after patient medication review and a trial of Flumazenil was given, after which the patient had improved dramatically. Flumazenil is not routinely used due to fears of withdrawal seizures and its high cost. It also has no effect on reversing sedation caused by barbiturates, ethanol, or opioids. The antidote has a favorable risk-benet ratio when dosed appropriately and can be a helpful diagnostic tool after ruling out the more common causes of acute sensorium loss as demonstrated by this case report.

scholarly journals The common causes leading to pancytopenia in patients presenting to tertiary care hospital

2013 ◽  
Vol 29 (5) ◽  
Author(s):  
Suneel Kumar ◽  
Kirpal Das Makheja ◽  
Bharat Kumar Maheshwari ◽  
Shafique Arain ◽  
Sangeeta Kumari ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Common Causes ◽  
The Common

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 A study of surgical site infections in a tertiary care hospital

2019 ◽  
Vol 6 (11) ◽  
pp. 3911 ◽  
Author(s):  
Ayush Jain ◽  
Anuradha Tolpadi ◽  
Bhupendra Chaudhary ◽  
Ansh Chaudhary ◽  
Ankita Misra
Keyword(s):  
Nosocomial Infections ◽  
Antimicrobial Agents ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Laboratory Data ◽  
Surgical Site Infections ◽  
Health Concern ◽  
Care Hospital ◽  
Duration Of Surgery ◽  
Common Causes

Background: Health care-associated infections remain as an important public health concern. Surgical site infections (SSIs) are known to be one of the most common causes of nosocomial infections worldwide.Methods: A prospective observational study was conducted across 12 months (May 2018-April 2019) in a tertiary care hospital. The present study includes 223 patients who were undergoing clean and clean contaminated surgery in the hospital. Contaminated and dirty surgeries were excluded. The demographic data of the patient, diagnostic criteria used, associated risk factors, use of prophylactic antimicrobial agents, the type and duration of surgery, clinical evaluation of wound and laboratory data was collected. All the pus samples or wound swabs of clinically suspects of SSI cases received in the Department of Microbiology were inoculated and interpreted according to Centre for Disease Control and Infection guidelines.Results: The study included 223 patients who underwent surgery in the hospital. Amongst them 9 (4%) developed SSI. The incidence of SSI was 4.03%. There was a direct relationship observed between the occurrence of SSI and certain co-morbid conditions such as diabetes. It was also observed that prolonged surgeries above two hours and females were more predisposed to develop a surgical site infection.Conclusions: SSIs being one of the most common causes of nosocomial infections. It was also the most important factor responsible for significant morbidity, mortality, unwanted prolonged hospitalization and additional cost of treatment in surgical patients which can be reduced by strictly following the guidelines of infection control along with judicious and rational use of antibiotics.

scholarly journals CLINICAL PROFILE AND COMMON CAUSES OF HAEMOLYTIC ANAEMIA IN A TERTIARY CARE HOSPITAL, NORTHERN KERALA

2016 ◽  
Vol 3 (76) ◽  
pp. 4136-4142
Author(s):  
Jog Antony ◽  
Reeta J ◽  
Sreelakshmi S ◽  
Rohit Mathew ◽  
Adarsh Surendran
Keyword(s):  
Haemolytic Anaemia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Care Hospital ◽  
Common Causes

scholarly journals Load and configuration of ocular trauma in pediatric patients of a tertiary care hospital in Mirpur Azad Kashmir.

2020 ◽  
Vol 27 (11) ◽  
pp. 2492-2498
Author(s):  
Umair Tariq Mirza ◽  
Muhammad Luqman Ali Bahoo ◽  
Kanwal Ijaz
Keyword(s):  
Pediatric Patients ◽  
Ocular Trauma ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Open Globe ◽  
Common Causes ◽  
Azad Kashmir ◽  
Type Of Injury

Objectives: In pediatric patients, ocular trauma is one of the most common causes of acquired blindness. This study aims to determine the epidemiology of ocular trauma in the pediatric age group, with its risk factors and consequences , visiting a Tertiary care Hospital in Mirpur Azad Kashmir. Study Design: Cross Sectional Observational study. Setting: Department of Ophthalmology at Mohammadi Teaching Hospital, Mohiuddin Islamic Medical College, Mirpur Azad Kashmir. Period: June 2016  and April 2017. Material & Methods: A cross sectional observational study was conducted in our hospital on children aged 0-10 years presenting with ocular trauma in Eye Out Patient Department. Detailed evaluation including Visual acuity, slit lamp examination and fundus assessment with 90D Lens was done. Various epidemiological parameters like age, sex distribution, place, nature, mode, object, time and type of injury along with visual acuity and treatment options were recorded. Results: Of total 40 patients most common age of presentation was 5 and 8 years. Males (72.5%) were more than females (27.5%). Out of total patients, 27 (67.5%) presented with closed globe injury as compared to open globe. Among the closed globe injury most common trauma was with wood followed by stick and fall. In cases of open globe injury, trauma with wood and scissor were common causes. Home was the most common place of injury (20 cases/ 50%), followed by park, road and school. Most frequent cause of admission and type of injury was corneal ulcer. Conclusion: Children susceptible to ocular trauma are commonly males at ages 5 and 8 years. They should not be left unsupervised even at home. Objects like wood, stick and scissors etc. should be out of reach of children. Immediate comprehensive primary management and secondary rehabilitation are mandatory in these cases.

scholarly journals Donor defferal crietria-one year study at a tertiary care hospital

2021 ◽  
Vol 6 (2) ◽  
pp. 90-93
Author(s):  
Kirti N Vyas ◽  
Jyoti Prakash Sapre ◽  
Alpesh Maheshbhai Maru ◽  
Amar Ramkrishna Shah
Keyword(s):  
Health Care ◽  
Blood Donors ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Common Cause ◽  
Common Causes ◽  
Blood Banks ◽  
One Year ◽  
Donor Deferral

: Blood Transfusion Services is vital part of health care system which saves many lives annually across the globe. Shortage of blood donors is a problem faced by all the blood banks. Many donors are deferred either due to temporary or permanent causes which differ across the blood banks.: The study was carried out on 1646 donors which came to the blood bank.: Total 194 donors were deferred out of 1646 registered donors due to different reasons, anaemia followed by intake of medicines were found to be most common causes of deferral and males were deferred more as compared to the females.: The donor deferral rate in the present study was 11.78 with anaemia as the most common cause of deferral followed by intake of medicines. The temporarily deferred donors need to be closely followed up to ensure their contribution in the blood banks after the treatment of their causes.

Identifying the etiological profile of children presented with hepatomegaly admitted to a tertiary care hospital

2020 ◽  
Author(s):  
Chau Duc Nguyen Huu
Keyword(s):  
Tertiary Care Hospital ◽  
Statistical Significance ◽  
Tertiary Care ◽  
Care Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Hematological Disorders ◽  
Study Results ◽  
Common Causes ◽  
Congenital Biliary Atresia

Objectives: To identify the pattern and etiology of diseases in children presented hepatomegaly at Pediatrics Department in Hue Central Hospital, Vietnam. Material and Methods: The Present study was conducted to evaluate the possible etiology and clinical features of children presented with hepatomegaly. A total of 107 children, from one month to fifteen years of age with hepatomegaly admitted in the Pediatric Department of Hue Central Hospital, Vietnam from May 2018 to April 2019 were included in this study. Results: The most common causes of hepatomegaly were inflammation/infection of the liver (miscellaneous cause included), hematological diseases and congestion heart failure with the percentage of 50.5%; 27,1% and 12,1%; respectively. Among the hepatitis group, viral agents account for nearly 50.0%, of which the most common one was Cytomegalovirus accounting for nearly 30.0%. Distribution of causes by age group revealed most cases in 1 year-old or younger children was caused by inflammation (53.8%), and in the older than 1 year-old children were hematological disorders (47.3%) which has statistical significance (P<0.05). Conclusions: Our research observed that the most common causes of the group of ≤ 1 year old were hepatitis, followed by cardiovascular disease and biliary obstruction due to congenital biliary atresia, and in the older than 1 year group, hematological disorders was the most common.

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