scholarly journals Diagnostic accuracy of transabdominal ultrasound in respect to transvaginal ultrasound in diagnosing ectopic pregnancy in a tertiary care hospital of Kolkata taking histopathology as gold standard: a prospective study

2021 ◽  
Vol 9 (7) ◽  
pp. 1965
Author(s):  
Prasun Das ◽  
Raj Saha ◽  
Srijak Bhattacharyya ◽  
Swadha Priya Basu ◽  
Debopriya Das
Keyword(s):  
Diagnostic Accuracy ◽  
Ectopic Pregnancy ◽  
Transvaginal Ultrasound ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Hospital ◽  
Cross Sectional ◽  
Diagnostic Parameters ◽  
Acute Pelvic Pain

Background: Ectopic pregnancy (EP) represents an important cause of acute pelvic pain in women of reproductive age. Initial evaluation consists of appropriate history and clinical examination followed by pelvic ultrasonography (US) and hormonal assays. Objective of the study was to measure diagnostic accuracy of TAS in respect to TVS in detecting ectopic pregnancy.Methods: This prospective cross sectional study was done for 1 year duration in Nilratan Sircar Medical College and Hospital, Kolkata. 50 patients with suspected ectopic pregnancy were transferred from Gynae emergency ward and trans-abdominal, transvaginal ultrasound were subsequently performed on each. The results were corroborated with histopathology reports..Results: Diagnostic parameters of TAS in respect to HPE:sensitivity 75.5, specificity-80,PPV-97.1, NPV-26.6 (all in percentages). Diagnostic parameters of TVS in respect to HPE:sensitivity 86.6, specificity-80, PPV-97.5, NPV-40 (all in percentages).Conclusions: Sonography by transvaginal route stood way ahead of trans abdominal scan in terms of all diagnostic parameters to correctly evaluate ectopic pregnancy.

scholarly journals Hysterectomy and Oophorectomy in Reproductive Age: A Cross-Sectional Study from a Tertiary Care Hospital

Cureus ◽  
2020 ◽  
Author(s):  
Ruqaiya Shahid ◽  
Hina Abbas ◽  
Shazia Mumtaz ◽  
Fouzia Perveen ◽  
Muhammad Furqan Bari ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Socio-economic determinants of reproductive tract infections affecting the women (15-49 years): a cross sectional study in a tertiary care hospital of Chhattisgarh

2018 ◽  
Vol 5 (7) ◽  
pp. 3130
Author(s):  
Bhavana Pandey ◽  
Devesh Kumar Shukla
Keyword(s):  
Developing Countries ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tract Infections

Background: RTIs/STIs are a common public health problem in developing countries, contributing to a huge economic burden among individuals and health systems. RTI's excluding HIV constitutes the second major cause of disease burden (after maternity related causes) in women of developing countries. This cross sectional study is carried out with objectives of, to study socio-economic profile of respondents and to determine socio-economic factors of RTI, affecting the women of reproductive age group attending CIMS, Hospital Bilaspur (C.G.).Methods: A descriptive cross sectional study conducted in a tertiary care hospital CIMS, Bilaspur (Chhattisgarh) from May 2015 to October 2016. Total 450 cases were studied. Predesigned and pretested questionnaire was used to collect information regarding the socio-demographic profile and clinical profile of women’s regarding RTI. Statistical analysis was done using SPSS and Chi-square test was applied.Results: 4.3% (450) patient attending Obstetrics and Gynecology OPD were found to be suffering from RTI. Out of the 450 women, 83.8% of the women had experienced at least one symptom suggestive of RTI previously. Abnormal vaginal discharge was reported by 88.9% followed by lower abdominal pain (78.9%), genital ulcer (34%) and menstrual irregularity 75.8% of women. Symptoms of RTI were higher in old age, illiterate, those with employed, rural residential, Schedule tribe category, poor socio-economic status, separated, divorce and widow and women their husband educated up to primary class.Conclusions: Generating community awareness, ensuring proper menstrual hygiene, and improving the socioeconomic status would help in reducing the cases of RTI.

scholarly journals A Study on the Clinical and Hormonal Profile of Polycystic Ovarian Syndrome Patients Attending a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Achala Vaidya ◽  
Sweta Yadav ◽  
Anshu Vaidya
Keyword(s):  
Polycystic Ovarian Syndrome ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Hospital ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Hormonal Profile ◽  
Ovarian Syndrome

Introduction: Polycystic ovarian syndrome (PCOS) is the most common endocrinological disorder in women of reproductive age and has a considerable metabolic, reproductive, and cardiovascular consequences. This study was designed to provide an overview of the presentation of PCOS in the Nepalese population attending a tertiary care hospital, specifically the clinical presentation and hormonal profile. Methods: A descriptive cross-sectional study was conducted between September 14, 2019 to October 16, 2019 on patients presenting to a tertiary care hospital, after obtaining ethical clearance from Institutional Review Committee (Dated 03/09/2019) and informed consent from the patient or patient relatives. Data entry and analysis were done in Microsoft Excel 10. The data was statistically analysed using Statistical Package for the Social Sciences (SPSS) version 20.0. Results: The study included 100 PCOS patients. The mean age of the patients was 24.9 ± 4.52 years and the most common group was 26-34 years. The most common presenting symptom was menstrual irregularity which was seen in 86 (86%) of the patients, followed by weight gain in 55 (55%) of the patients. Thirty percent (30 in number) of the patients were overweight, while eleven (11%) of the patients had grade I obesity. Conclusions: PCOS has varying clinical manifestations, most commonly affecting the young women of reproductive age group. The commonest presenting complaint in the current study was menstrual abnormality. Majority of the patients had deranged hormonal profile which can lead to an increased risk of cardiovascular disease and type 2 DM. Thus, awareness regarding PCOS is important for early diagnosis and to prevent its sequalae to various complications.

scholarly journals Table of Contents

2019 ◽  
Vol 1 (1) ◽  
pp. ii
Author(s):  
Europasian Journals
Keyword(s):  
Nursing Students ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Hospital ◽  
Hyperbaric Bupivacaine ◽  
Cross Sectional ◽  
Orthodontic Patients ◽  
Knowledge And Attitude ◽  
Reproductive Age Group

Editorial Cool Parent Syndrome; Redefining Cool Ganesh Amgain                                                                                                                                                 Original Articles Treatment of Chalazian: a Comparative Cross-sectional Study Binita Bhattarai, Koshal Shrestha, Sushila Patel, Laxmi Devi Manandhar, Rosy Karki, Nanda Gurung                                                                                                                                                                                                 Effectiveness of Hyperbaric Ropivacaine over Hyperbaric Bupivacaine in Spinal Anaesthesia Ramesh Ghimire, Madhu Gyawali                                                                                                                   Knowledge and Attitude on Abortion among women of reproductive age group attending Manipal Teaching Hospital, Nepal Laxmi Adhikari, Isha Karmacharya, Netra Bahadur Karki, Sandhya Shrestha                                         Nasal index among Students of People’s Dental College and Hospital Mangesh Bajracharya , Samjhana Sharma                                                                                                   Knowledge and Attitude on Organ Donation among Nursing Students of a College in Biratnagar Binu Limbu, Saraswati Basnet, Suvekshya Silwal                              Spinal Anesthesia for Removal of Thoraco-Lumbar Pedicle Screw Nirmal Kumar Gyawali                                                                            Impact of Pharmacist Counselling on Medication Adherence among Elderly Patients on Antihypertensive Therapy in a Tertiary Care Hospital of Nepal Sumitra Shrestha, Renu Karki, Mamita Ghimire                                                                                           Pain in Separation of the Molars among the Orthodontic patients Pushkar Manandhar, Anjana Rajbhandari, Resina Pradhan, Manju Bajracharya, Surendra Maharjan Effects of Food Habits on Menstrual Cycle among Adolescent Girls Kapil Amgain, Sujana Neupane                                                                 Review Articles Embalming – History to its Recent Advancements Sunil Shrestha, Saru Bhattarai, Samyog Mahat, Manisha Jha, Kapil Amgain                                          Viewpoints Community Dermatology: Necessity or Hype? Rushma Shrestha, Niraj Parajuli, Anupama Karki                                                                                        Conference Reports Attending 5th Varian Oncology Summit 2019: Learning Experiences as a Medical Physicist Venugopal Sudaram                                                                                                                             

scholarly journals A study of empowerment level in currently married women in western Maharashtra, India

2017 ◽  
Vol 5 (12) ◽  
pp. 5247
Author(s):  
Priya M. Prabhu
Keyword(s):  
Cultural Beliefs ◽  
Tertiary Care ◽  
Women's Empowerment ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Women’S Empowerment ◽  
Care Hospital ◽  
Cross Sectional ◽  
Household Decision

Background: Empowerment of women in all fields constitutes one of the fundamental objectives of development efforts in a region. Laws can support the endeavour of women’s empowerment, but considering the complex cultural beliefs and practices that lie at the root of the imbalance, the effectiveness of such isolated efforts remains doubtful. Present study was planned to assess level of women’s empowerment in western region of Maharashtra with objectives to measure various direct and indirect indicators of women’s empowerment by different background characteristics.Methods: A cross-sectional study using structured questionnaire based interviews was carried out in female outpatients in tertiary care hospital. The sample of 300 currently married women in reproductive age-group was selected by systematic random sampling.Results: Out of 360 women majority belonged to Hindu religion (65%), and households of middle standard of living (71.7%) and 76.6% women were married below age of 21. 38.3% women were always involved in household decision making. Regarding freedom of movement, 38.3% women have complete freedom whereas 41.7% women have some control over economic resources. But only 30% women have personal savings. 60% women have favourable attitude towards girls’ education, and only 33.3% women defy domestic violence.Conclusions: There are significant divergences in the direct and indirect indices of women’s empowerment and there is much scope for improvement in self-esteem of women.

scholarly journals IMMUNIZATION OF CHILDREN

2018 ◽  
Vol 25 (04) ◽  
pp. 551-556
Author(s):  
Ali Ahmad ◽  
Noor Ul Ain ◽  
Jamal Abdul Nasir ◽  
Waleed Ahmed Mir ◽  
Sumair Anwar ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Hospital ◽  
Slum Area ◽  
Cross Sectional ◽  
Lahore City

Objectives: To ascertain the level of awareness and the preliminaryunderstanding about the importance and the practice of immunization of children among themothers hailing from an adjoining slum area while visiting a nearby tertiary care hospital atLahore. Study Design: Cross-sectional study. Setting: The respondents of this study werethe mothers coming from an urban slum area and visiting the pediatrics outpatient departmentof a nearby tertiary care hospital in Lahore city. Period: May 2016 to July 2016. Methods: 60mothers of reproductive age and all having children in the ages needing routine immunizationcoverage through expanded programme on immunization. Convenient sampling techniquewas adopted to select the respondents. Data was collected through a questionnaire which wasfilled during face-to-face interview of each voluntary participant. Results: 34.3% respondentshad general awareness about immunization of children, and out of them, only 6% mothers hadadditional understanding of the rationale for the immunization. 45% mothers had only partialawareness about immunization with no understanding of its rationale. 20% respondents had nosignificant awareness. Overall 10% of all the respondents had the knowledge about the need ofbooster doses of certain vaccines administered in expanded programme on immunization. Theawareness about the names of diseases prevented through the routine and free vaccinationprogramme was associated with the literacy level and socio-economic status of the respondingmothers. Conclusion: Inadequate awareness and basic understanding about immunizationwas found by this small study conducted among the mothers coming from an adjoining slumarea of a tertiary care hospital in Lahore city.

scholarly journals Role of Transvaginal Ultrasound in Infertility: Experience at a Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 15 (2) ◽  
pp. 41-47
Author(s):  
Jannat Ara Ferdows ◽  
Ishrat Jahan ◽  
Fahmida Sharmin Joty ◽  
Raunak Jahan ◽  
Zobaida Sultana Susan ◽  
...  
Keyword(s):  
Endometrial Thickness ◽  
Transvaginal Ultrasound ◽  
Tertiary Care ◽  
Follicular Development ◽  
Cross Sectional Study ◽  
Transvaginal Sonography ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College

Background: Infertility problem is a global problem and now infertile couples are more aware for the treatment of infertility. Transvaginal sonography since 1995 has expanded the scope of use of ultrasonography in assessment of endometrial thickness, ovarian volume, follicular development in response to hormone in different phase of menstrual cycle in relation to infertility management. In this study it may be assumed that present study may help to establish transvaginal sonography as a new and reliable diagnostic method by which we will be able to proceed accurately with more confidence in diagnosing infertility.Objectives: The purpose of the present study was to assess the role of TVS in diagnosing& evaluating causes of infertility and the comparison between clinical correlation and TVS findings in infertility.Methodology: It is a Hospital based cross sectional study conducted in outdoor department of Obstetrics and Gynecology in Sir Salimullah Medical College (SSMC) and Mitford Hospital, Dhaka, Bangladesh and in a infertility clinic in Dhaka, from March 2009 to August 2009. Sample size was 98 cases of infertile women.Result: Amongst 98 women, 64 cases were represented with primary infertility and 34 patients came with secondary infertility; common age group is 29-35 years; most frequent TVS finding is PCOD with its various presentation and ovarian volume.Conclusion: Transvaginal sonography is painless, quicker, costeffective and can be done as a out door patient in the department. It can be used as a first-line diagnostic procedure for infertility in Bangladesh.But it demands costly equipments, special TVS probe as well as expertise of the operator. At present there are few number of IVF centres in some districts of Bangladesh where transvaginal sonography is the most useful procedure and they play an important role in the diagnosis of causes of infertility.Journal of Science Foundation, July 2017;15(2):41-47

scholarly journals Diagnostic Accuracy Of RIPASA Scoring System In Presumptive Accurate Diagnosis Of Acute Appendicitis : A case control study

2021 ◽  
Author(s):  
Mehwish Mooghal ◽  
Wajiha Khan ◽  
Shahid Mehmood ◽  
Lal Bux ◽  
Asrar Ahmad ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Scoring System ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Accurate Diagnosis ◽  
Negative Appendectomy ◽  
Care Hospital ◽  
Cross Sectional ◽  
Ripasa Score

Introduction: The RIPASA scoring system was established specifically for Asians. Chong CF in his study consisting of 312 patients who had an emergency appendectomy concluded that optimal cut-off threshold score for negative appendectomy was 7.5. Objective: To determine the diagnostic accuracy of RIPASA scoring system in presumptive accurate diagnosis of acute appendicitis by taking histopathology as the gold standard. Materials and methods: This Cross Sectional Study was carried out at Surgery department at a tertiary care hospital, Karachi over a period of 6 months, from 15th December 2019 to 15th June 2020. A total of 141 patients of both gender of suspected cases of acute appendicitis presenting with sign and symptoms were included in the study. Patients underwent detailed history, general and physical examination and scoring of patients according to RIPASA scoring scale and then decision of appendectomy was taken on the basis of RIPASA score. Removed appendix samples were sent for histopathology. Results: Age range in this study was from 15 to 50 years with mean age of 30.191±6.09 years and mean RIPASA score was 5.375±1.77. Majority of patients were males (58.9%). RIPASA score diagnosed 28(19.9%) and histopathology diagnosed 27(19.1%) patients with acute appendicitis. RIPASA score showed sensitivity of 85.2%, specificity 95.6%, diagnostic accuracy 94%, PPV 82.1% and NPV was 96.4%. Conclusion: We conclude that RIPASA scoring system is the scoring system of choice in diagnosis of the acute appendicitis with good sensitivity albeit a hit high and specificity albeit a bit low profile.

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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