Placental laterality and uterine artery resistance as predictor of preeclampsia: a prospective study at GMERS Medical College, Dharpur-Patan, North Gujarat, India

Background: Myringoplasty is a common ear surgery performed all over the world. This study is focused on prospective comparative study using two different graft materials.Methods: This was a prospective study done in the Department of ENT Stanley Medical College, Chennai during the period from March 2013 to September 2013. Sample size was 60 patients. Follow up was done till 6 months. Results: Graft acceptance was achieved in 28 patients (93%) who underwent palisade cartilage myringoplasty, whereas it was achieved in 24 patients (80%) in the temporalis fascia myringoplasty group.Conclusions: The outcomes in our patient series indicate that cartilage myringoplasty achieves good results. Cartilage, a very effective material for the reconstruction of the TM and grafts can provide an excellent anatomical result, perfect stability and good functional outcome.

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ESTIMATION OF FETAL WEIGHT BY CLINICAL METHODS AND ULTRASOUND AND CORRELATING ITS ACCURACY WITH ACTUAL BIRTH WEIGHT IN TERM PREGNANCIES AT ANMMCH, GAYA, BIHAR

10.36106/2332504 ◽

2021 ◽

pp. 17-19

Author(s):

Kumari Ragini ◽

Amit Kumar ◽

Reena Kumari ◽

Debarshi Jana

Keyword(s):

Birth Weight ◽

Prospective Study ◽

Fetal Weight ◽

Term Pregnancy ◽

Abdominal Girth ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Clinical Methods ◽

Fetal Birth Weight ◽

A Prospective Study

Objective:This study was to estimate the fetal weight in term pregnancy by clinical methods and ultrasound and to compare the results with actual birth weight (ABW). Material and Methods:This study was conducted at Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar from December 2019 to May 2020. It was a prospective study covering 200 pregnant women at term gestation. Results: Estimated birth weight by abdominal girth × symphysis fundal height (AG × SFH) formula was closest to the ABW (P = 0.060), as compared to the estimated birth weight by Johnson's formula (P = 0.000) and Hadlock's formula (P = 0.000). Therefore, of the three formulae studied, AG × SFH formula had better predictive value as compared to Johnson's and Hadlock's formulae. The accuracy of AG × SFH (Insler's formula) for estimating the fetal weight at term was found to be comparable to Hadlock's formula (P= 0.104). Conclusion: Clinical estimation of birth weight denitely has a role in the management of labor and delivery. AG × SFH is a simple, easy, costeffective, and universally applicable method to predict fetal birth weight which can be used even by paramedics like midwives and also in centers where ultrasound is not available.

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Second trimester uterine artery doppler analysis in the prediction of preeclampsia and fetal growth retardation: A prospective study

MedPulse International Journal of Gynecology ◽

10.26611/10121932 ◽

2021 ◽

Vol 19 (3) ◽

pp. 53-57

Author(s):

Simmi Salim ◽

Keyword(s):

Prospective Study ◽

Fetal Growth ◽

Growth Retardation ◽

Uterine Artery ◽

Fetal Growth Retardation ◽

Second Trimester ◽

Uterine Artery Doppler ◽

A Prospective Study ◽

Doppler Analysis

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Hemodynamic factors associated with fetal cardiac remodeling in late fetal growth restriction: a prospective study

Journal of Perinatal Medicine ◽

10.1515/jpm-2019-0217 ◽

2019 ◽

Vol 47 (7) ◽

pp. 683-688

Author(s):

Giuseppe Rizzo ◽

Cecilia Mattioli ◽

Ilenia Mappa ◽

Victoria Bitsadze ◽

Jamilya Khizroeva ◽

...

Keyword(s):

Prospective Study ◽

Cardiac Remodeling ◽

Uterine Artery ◽

Umbilical Artery ◽

Umbilical Vein ◽

Growth Restriction ◽

Cardiac Remodelling ◽

Special Care Unit ◽

Factors Associated ◽

A Prospective Study

Abstract Background Altered cardiac geometry affects a proportion of fetuses with growth restriction (FGR). The aim of this study was to explore the hemodynamic factors associated with cardiac remodeling in late FGR. Methods This was a prospective study of singleton pregnancies complicated by late-onset FGR undergoing assessment of left (LV) and right (RV) ventricular sphericity-index (SI). The study population was divided in two groups according to the presence of cardiac remodelling, defined as LVSI <5th centile. The following outcomes were explored: gestational age at birth, birthweight, caesarean section (CS) for fetal distress, umbilical artery (UA) pH and neonatal admission to special care unit. The differences between the 2 groups in UA pulsatility index (PI), middle cerebral artery (MCA) PI, uterine artery PI, cerebroplacental ratio (CPR) and umbilical vein (UV) flow corrected for fetal abdominal circumference (UVBF/AC) were tested. Results In total, 212 pregnancies with late FGR were enrolled in the study. An abnormal LV SI was detected in 119 fetuses (56.1%). Late FGR fetuses with cardiac remodeling had a lower birthweight (2390 g vs. 2490; P = 0.04) and umbilical artery pH (7.21 vs. 7.24; P = 0.04) and were more likely to have emergency CS (42.8% vs. 26.9%; P = 0.023) and admission to special care unit (13.4% vs. 4.3%; P = 0.03) compared to those with normal LVSI. No difference in either UA PI (p = 0.904), MCA PI (P = 0.575), CPR (P = 0.607) and mean uterine artery PI (P = 0.756) were present between fetuses with or without an abnormal LV SI. Conversely, UVBF/AC z-score was lower (−1.84 vs. −0.99; P ≤ 0.001) in fetuses with cardiac remodeling and correlated with LV (P ≤ 0.01) and RV SI (P ≤ 0.02). Conclusion Fetal cardiac remodelling occurs in a significant proportion of pregnancies complicated by late FGR and is affected by a high burden of short-term perinatal compromise. The occurrence of LV SI is independent from fetal arterial Dopplers while it is positively associated with umbilical vein blood flow.

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Uterine Artery Pulsatility Index Assessment at <11 Weeks’ Gestation: A Prospective Study

Fetal Diagnosis and Therapy ◽

10.1159/000500776 ◽

2019 ◽

Vol 47 (2) ◽

pp. 129-137

Author(s):

Tracey J. Taylor ◽

Ann E. Quinton ◽

Bradley S. de Vries ◽

Jonathon A. Hyett

Keyword(s):

Prospective Study ◽

Pulsatility Index ◽

Uterine Artery ◽

A Prospective Study

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Diagnostic accuracy of presepsin in predicting bacteraemia in elderly patients admitted to the emergency department: prospective study in Japan

BMJ Open ◽

10.1136/bmjopen-2019-030421 ◽

2019 ◽

Vol 9 (12) ◽

pp. e030421

Author(s):

Yoshiro Imai ◽

Kohei Taniguchi ◽

Ryo Iida ◽

Masahiko Nitta ◽

Kazuhisa Uchiyma ◽

...

Keyword(s):

Emergency Department ◽

Elderly Patients ◽

Prospective Study ◽

Characteristic Curve ◽

Ethics Committee ◽

Blood Sampling ◽

Medical College ◽

Reactive Protein ◽

Evaluation Scores ◽

A Prospective Study

ObjectiveEarly prediction of bacteraemia in the elederly is needed in the emergency department (ED).Design, setting and participantsA prospective study in Japan; single-centre trial in patients who satisfied the sepsis criteria was conducted between September 2014 and March 2016. Forty-six elderly patients aged ≥70 years were included. The study protocol was approved by the ethics committee of Osaka Medical College. Ethics Committee approval number was 1585.InterventionsBlood sampling to evaluate C-reactive protein (CRP), procalcitonin (PCT) and presepsin plasma levels; two sets of blood sampling for bacterial cultures; and evaluations of the Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation scores were performed on arrival at the ED. The results were compared between patients with bacteraemia and those without bacteraemia.Main outcome measureThe accuracy of detecting bacteraemia.ResultsThe presepsin value was significantly higher in the bacteraemia group than in the non-bacteraemia group (866.6±184.6 vs 639.9±137.1 pg/mL, p=0.03). The PCT and CRP did not significantly differ between the groups. The area under the receiver operating characteristic curve values were not significantly different among presepsin (0.69), PCT (0.61) and CRP (0.53). Multivariate analysis showed that presepsin was independently associated with bacteraemia (OR 8.84; 95% CI 0.95 to 81.79; p=0.02).ConclusionPresepsin could be a good biomarker to predict bacteraemia in elderly patients with sepsis criteria admitted to the ED.

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