scholarly journals Socio demographic profile of GDM using 75 gm OGCT

2017 ◽  
Vol 6 (12) ◽  
pp. 5327
Author(s):  
Muthuprabha P.
Keyword(s):  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Nutrition Therapy ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Class V ◽  
Medical College ◽  
Medical Nutrition

Background: The aim of this study was to study the prevalence of GDM in a tertiary care centre based on 75 gm OGCT and to analyse the socio demographic and clinical profile of GDM using 75 gm OGCT in a tertiary care centre.Methods: This study was conducted in the antenatal OPD of Tirunelveli Medical College Hospital from October 2014 to July 2015, a period of 10 months on 300 antenatal women. The mothers were screened using 75gm 2-hour OGCT once during each trimester and the results analysed.Results: The prevalence of GDM in this study was 3.4%. Out of this 47-50% of women with GDM were of the age group 26-30 years. 6% of the women had BMI of >25 kg/m2. The incidence of GDM was found to be high in multigravidas and 70% belonged to class V socioeconomic status. Using the 75 gm OGTT 20%, 40% and 40% were diagnosed during the I, II and III trimesters respectively. 90% of the women delivered at term and total caesarean section rate was 30.6%. Mean birth weight of the babies was 2.9 kg. 70% of the diagnosed GDM women were treated using Medical Nutrition Therapy (MNT).Conclusions: 75gm OGCT recommended by WHO can be used to detect significant number of cases of GDM.

A PROSPECTIVE HISTOPATHOLOGICAL STUDY OF MENINGIOMAS IN A TERTIARY CARE CENTRE OF VIJAYAWADA

2021 ◽  
pp. 11-13
Author(s):  
C.Bhanu Sree ◽  
P. Annapurna ◽  
M. Rajani
Keyword(s):  
Surgical Resection ◽  
Tertiary Care ◽  
Histopathological Study ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Histological Appearance ◽  
Classi Cation ◽  
A Prospective Study

Background: Meningiomas are neoplasms arising from the arachnoidal cap cells in the meningeal coverings of the spinal cord and brain. These are the most common benign intracranial tumours and account for about 13-26% of all primary brain neoplasms. These are generally benign neoplasms of adults most often seen in middle age, but about 10% are atypical or malignant. These neoplasms are graded by WHO as Grade I , II and III . Benign meningiomas can be cured by surgical resection where as higher grade meningiomas require radiotherapy after surgical resection as these higher grade meningiomas have greater recurrence and aggressive behavior. Aims and Objectives: To study the variants and histopathological spectrum of meningioma and prognosis of variants. Material & Methods: The present study is a prospective study conducted in the department of Pathology, Siddhartha medical college from June 2019-May 2020. During this study, 16 cases of meningiomas were diagnosed and reviewed. Result:In our study of 16 cases females were 62.5%. The most common age group is 41-60 yrs (68.75%). Most common variant was noted to be transitional meningioma followed by meningothelial meningioma. Out of the 16 cases, grade I were 81.25%. Conclusion: Meningiomas account for 28-30% of primary central nervous system tumors and unveil a heterogeneous histopathology. The histological appearance of meningioma determines the grading for the management of the various subtypes and also associated with patient's prognosis. Hence a continuous revision of histopathological classication systems is required to improve the diagnostic accuracy. Benign meningiomas are the most common type. From our study, we conclude that transitional meningioma is the most common benign variant.

scholarly journals Profile of new Patients attending Psychiatry Out-patient Department at Lumbini Medical College-Teaching Hospital, Palpa

2018 ◽  
Vol 6 (2) ◽  
pp. 42-44
Author(s):  
B Sharma ◽  
A Devkota ◽  
SC Pant
Keyword(s):  
Psychiatric Illness ◽  
Tertiary Care ◽  
College Teaching ◽  
Age Group ◽  
Household Work ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Level Of Education ◽  
Primary Level ◽  
Medical College

Introduction: Study on prevalence of psychiatric disorders in Palpa and nearby districts which lie in western Nepal, is not much studied till date. We therefore conducted this study aiming to see the pattern of psychiatric illness in an Outpatient Department of Lumbini Medical College which is a tertiary care centre located in Palpa district.Material And Method: : This is a retrospective study where outpatient record of all new cases attending the Psychiatry OPD from 29th Oct 2014 to 29th Dec 2014 were studied and statistical analysis were done. The number of new patients were 107.Results: Out of 107 patients, 60.74 % (65)) were females and 39.26 %( 42) were males. Patients of age group 31-40yrs showed the largest proportion (27.49%) followed by age group 41-50yrs (24.29%). Majority cases were illiterate (69.15%) followed by primary level of education (14.95%). The occupation of most of the cases were household work (35.51%) followed by farming (31.77%). Anxiety disorder (27.10%) was the most frequent diagnosis ahead of “Others” (18.69%) followed by depressive disorder (15.88%).Conclusion: Most of the new patients attending the psychiatry OPD of Lumbini Medical College were females, of 31-40 age group and most of the patients suffered from anxiety disorders. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 42-44

scholarly journals Clinical Characteristics and Endoscopic Findings of the Patients with Cirrhosis of the Liver in a Tertiary Care Centre in Eastern Nepal

2016 ◽  
Vol 5 (1) ◽  
pp. 26-31
Author(s):  
Ram Hari Ghimire
Keyword(s):  
Clinical Characteristics ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Gastroesophageal Varices ◽  
Medical College ◽  
Endoscopic Findings ◽  
Cirrhotic Patients ◽  
Upper Gastrointestinal

Background Studies on clinical characteristics and upper gastrointestinal endoscopic findings of the cirrhotic patients in a tertiary care centre are sparse from eastern region of Nepal. The aim was to profile these patients clinically and analyse the endoscopic findings.Material and Methods This was a cross-sectional analytical study carried out in the Department of Medicine of Nobel Medical College, Biratnagar from 30st September 2012 to 30th August 2013(one year). After admission, detail medical history and meticulous clinical examination was carried out in every patient with clinical diagnosis of cirrhosis of liver. Routine, biochemical, hematological, imaging and special investigations were sent as per clinical scenario. Upper gastrointestinal endoscopy was carried out in all patients. Basic descriptive statistics were used to present the data.Results A total of 104 patients were enrolled in our study. The mean age was 50.09 years ± 11.79 (Range 26-79), of which 60% were males. Almost 70% of the patients were from productive age group (31-70 years). All the patients were symptomatic. Chronic excessive alcohol consumption was the commonest cause of cirrhosis (80.76%). The major clinical presentations were ascites (83.65%) and jaundice (79.92%). Pedal edema was the commonest (85.6%) presenting sign. Diabetes mellitus and pneumonia were common comorbidities. Gastroesophageal varices were commonest (70.19%) endoscopic finding.Conclusion Cirrhotic patients presented late with complete decompensation in the form of ascites, jaundice and upper gastrointestinal bleeding from esophageal varices. Mostly people with productive age group were affected.Journal of Nobel Medical College Volume 5, Number 1, Issue 8, January-July 2016, 26-31 

scholarly journals PROFILE OF MEDICOLEGAL AUTOPSIES OF FEMALE SUBJECTS AT A BORDER DISTRICT TERTIARY CARE CENTRE OF WEST BENGAL - A PILOT STUDY

2020 ◽  
pp. 1-3
Author(s):  
Aloke Mazumder ◽  
Umme S Faisal ◽  
Partha Pratim Mukhopadhyay ◽  
Amartya Chatterjee
Keyword(s):  
Collaborative Research ◽  
Female Subject ◽  
West Bengal ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
One Year ◽  
Female Subjects

Present study has been conducted at Department of Forensic Medicine and Toxicology, Malda Medical College, located at Malda District of West Bengal state that covers both international and state borderand having a different socio economic scenario than rest of the country which is often reflected at the pattern of medicolegal cases reported here. On the other hand, death of a female subject of medicolegal category bears definite implication on such aspects. In view of this one year autopsy based study has been conducted where out of 1685 autopsies, 562 cases were of female subjects. It has been seen that majority of unnatural deaths of females were due to effects of Hanging ( 26.87% ) , followed by Burn (19.93%) and intake of Poison (15.12% ). As per the age group is concerned, commonest age group affected was 16- 20 yrs ( 23.13%), followed by 21- 25 yr ( 14.95%). Highest incidence of such deaths took place in the month of October ( 11.21%) followed closely by August and September. Besides implementing mass awareness program on it, a collaborative research team comprising of Medicos, Judiciary and Police Authority is required to minimize such fatal outcomes of females.

scholarly journals Assessment of indications of lower section caesarean section at tertiary care centre: a cross sectional study

2017 ◽  
Vol 4 (4) ◽  
pp. 1253
Author(s):  
Vijay L. Badge ◽  
Sumit Suresh Aggarwal ◽  
Deepti D. Ambalkar ◽  
Arun Humne ◽  
Neethika Raghuwanshi
Keyword(s):  
Caesarean Section ◽  
Care Center ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College

Background: Caesarean section is one of the commonly performed surgical procedures in obstetrics and is certainly one of the oldest operations in surgery. One of the most dramatic features of modern obstetrics is the increase in the caesarean section rate. The present study was conducted to estimate proportion of various indications of LSCS and also to assess socio demographic profile of mothers undergoing caesarean section in a tertiary care centre. Methods: The present cross sectional observational study was conducted at Government Medical College & Hospital, Akola in the post natal ward (PNC). Non probability convenient sampling method was used. All patients admitted to PNC ward after LSCS were included in study. For data collection paper based pre tested, semi –structured questionnaire was used. Results: Previous LSCS was indication for LSCS in 32% cases. Eclampsia, preeclampsia and Anaemia were the indications for LSCS in 19.3%, 8.6% and 5.3% cases respectively. Other common indications includes CPD, meconium stained liquor, fetal distress, breech presentations, twin pregnancy and preterm labour. Conclusions: The proportion of LSCS is more than WHO recommended proportion of LSCS. It may be due to present institute acts as tertiary care center. Still this proportion is high, so encouragement should be given to trial of labour in selected low risk cases and in Primi patients whenever possible. 

scholarly journals An epidemiology of animal bite cases attending tertiary care centre of Bangalore Medical College and Research Institute, Bengaluru: a retrospective study

2017 ◽  
Vol 4 (7) ◽  
pp. 2538
Author(s):  
Navya Sri Sreenivas ◽  
Saraswathi Sakranaik ◽  
Ranganath Thimmanahalli Sobagiah ◽  
Anil Kumar
Keyword(s):  
Retrospective Study ◽  
Tertiary Care ◽  
Virus Transmission ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Paediatric Age ◽  
Epidemiological Pattern ◽  
One Year

Background: Rabies is a viral zoonosis. In up to 99% of cases, domestic dogs are responsible for rabies virus transmission to humans. About 30% of the victims of dog bites are children under the age of 15. Ironically, all these problems are preventable by effective vaccination. However, for an ef­fective prevention programme, it is important to un­derstand the epidemiology of animal bite cases. The objective of the study was to assess the epidemiological pattern of animal bite cases attending anti-rabies clinic. Methods: A record based retrospective study was conducted from April to May 2016 by reviewing the records of one year in anti-rabies clinic. Results: In the study out of 2850 bite victims, 78% were males and about 21, 54% were in the age group of 20-29 years. 97% of cases were bitten by dog. Based on area wise distribution majority of the bite victims were from Bangalore west (49.5%), among them 23% was referred for Immunoglobulin. The study also showed that majority of paediatric cases were reported more during the month of April and May. Conclusions: In our study we found that majority of cases were reported among the paediatric age group during summer vacations. Hence education should be given in the community as well in schools for primary prevention of animal bite. 

scholarly journals Peripartum hysterectomy: a five year review at a tertiary care centre

2017 ◽  
Vol 6 (8) ◽  
pp. 3590
Author(s):  
Deepak A. V. ◽  
K. J. Jacob ◽  
Sumi P. Maria
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Case Fatality ◽  
Tertiary Care Centre ◽  
Retrospective Case ◽  
College Hospital ◽  
Peripartum Hysterectomy ◽  
Medical College ◽  
Obstetric Haemorrhage ◽  
Suboptimal Care

Background: Peripartum hysterectomy is a life-saving procedure resorted to when conservative measures fail to control obstetric haemorrhage. Several predisposing factors, suboptimal care and lack of infrastructure may lead to this emergency procedure. We wanted to find out factors associated with peripartum hysterectomy and the adverse maternal outcomes at our centre.Methods: A retrospective case series analysis of 40 cases of peripartum hysterectomy performed over a period of 5 years from January 2010 to December 2014 at Government Medical College Hospital, Thrissur, Kerala was done.Results: The incidence of peripartum hysterectomy was 0.29%. The most common indication for peripartum hysterectomy was hysterectomy was uterine atony (50%). Thirty-five women (88%) were between 20 and 35 years. Most of the subjects were unbooked. There were two maternal deaths (case fatality rate of 5%) following peripartum hysterectomy during this period. All the subjects required blood transfusion.Conclusions: Prompt performance hysterectomy before the patient’s clinical condition deteriorates is the key to success. The incidence of adherent placenta is increasing, so every effort should be taken to reduce the caesarean section rates globally. 

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