scholarly journals Profile and pattern of obstructive jaundice cases from a tertiary care teaching hospital of Uttar Pradesh

2017 ◽  
Vol 4 (2) ◽  
pp. 743
Author(s):  
Ashok Kumar Gupta ◽  
Abhishek Singh ◽  
Shwetank Goel ◽  
Rakesh Tank
Keyword(s):  
Obstructive Jaundice ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Madhya Pradesh ◽  
Modes Of Presentation ◽  
Benign Biliary Strictures ◽  
Common Causes ◽  
Study Population ◽  
One Year ◽  
Loss Of Appetite

Background: The common etiologies of obstructive jaundice have been reported to vary from one centre to another and from one individual to another. Only a very few studies have been conducted on this topic and none from the state of Madhya Pradesh, India. The present study was planned to study the profile and pattern of obstructive jaundice cases in the region of Madhya Pradesh, India.Methods: A retrospective cohort of patients with obstructive jaundice admitted to SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India during past one year i.e. January to December 2014 formed the study population. In this study, all the eligible patients positively diagnosed as extrahepatic obstructive jaundice were included in this study. Study tools were records of the patients such as information/records from MRD department and clinical case sheets.Results: Malignant causes (63.89%) were more frequent than benign causes (36.11%). More than 50% cases were in the age group of 55-75 years. Sex wise males outnumbered females. Among the malignant causes of obstructive jaundice, cancer head of pancreas (60.87%) and cholangiocarcinoma (17.39%) were common causes whereas among the benign causes of obstructive jaundice, choledocholithiasis (76.92%) and benign biliary strictures (15.38%) were common causes.Conclusions: Jaundice (91.67%), loss of appetite (77.78%) and pain abdomen (75%) were three most common modes of presentation of obstructive jaundice cases.

Hypophosphataemia at a large academic hospital in South Africa

2008 ◽  
Vol 61 (10) ◽  
pp. 1104-1107 ◽  
Author(s):  
M Hoffmann ◽  
A E Zemlin ◽  
W P Meyer ◽  
R T Erasmus
Keyword(s):  
South Africa ◽  
Intensive Care ◽  
Tertiary Care ◽  
Neoplastic Disease ◽  
Western Cape ◽  
Tertiary Care Centre ◽  
Refeeding Syndrome ◽  
Common Causes ◽  
Study Population ◽  
Patient Groups

Aim:The aim of this study was to determine the most common causes of hypophosphataemia (⩽0.5 mmol/l) in a hospital population in order to identify patient groups at risk of developing the condition.Methods:The study was conducted at Tygerberg Hospital, a tertiary care centre in the Western Cape, South Africa. All patients identified with a phosphate level ⩽0.5 mmol/l during an 18-month period were included in the study. Medical records of these patients were reviewed.Results:Of all the requests received for serum phosphate determination by the laboratory, 2% (861 out of 45 394 requests) were ⩽0.5 mmol/l. Thirty per cent (30%; n = 189) of the patients in the study population died during their hospital stay. Most (45%; n = 278) of the patients with low phosphate levels occurred in an intensive care setting, whereas 10% (n = 63) were most likely due to refeeding, and 6% (n = 35) had neoplastic disease. Sepsis was implicated as a contributing factor in 26% (n = 162).Conclusion:Severe hypophosphataemia is associated with a very high mortality (30%, n = 189). Patients with a high risk of developing hypophosphataemia include those in an intensive care unit (ICU), patients suffering from neoplastic diseases, possible refeeding syndrome and septic patients. Regular phosphate determination is recommended in these patients to facilitate early diagnosis of hypophosphataemia.

scholarly journals A PROSPECTIVE OBSERVATIONAL STUDY OF CLINICAL PROFILE IN ETIOLOGY OF ANEMIA IN ELDERLY-A HOSPITAL BASED STUDY IN A TERTIARY CARE CENTRE IN SOUTH INDIA

2021 ◽  
Vol 9 (09) ◽  
pp. 961-972
Author(s):  
K. Shivaraju ◽  
◽  
Karanam Sai Arun ◽  
Mandhala Saikrishna ◽  
◽  
...  
Keyword(s):  
Tertiary Care ◽  
The Elderly ◽  
Moderate Degree ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Total Study Population ◽  
Study Population ◽  
Poor Outcomes ◽  
One Year ◽  
Severe Degree

Background: Anemia is often considered as a normal physiological process that occurs with aging. but recently since past 2 decades anemia of any degree is being recognized as significant independent contributor to morbidity mortality and frailty in elderly patients. It is easy to overlook anemia in elderly as symptoms of anemia like fatigue, SOB etc are often attributed to aging process itself. many evidences accumulated states that anemia of any degree reflects poor health and increased vulnerability to poor outcomes. Materials and methods: This study was conducted in the department of internal medicine in a tertiary care hospital over a period of one year with sample size of 362 subjects satisfying the inclusion and exclusion criteria after taking the consent form. Results: Moderate degree anaemia was the commonest around, 65.6% followed by severe degree anemia 20.1%. Easy fatigability was the commonest symptom and pallor was the commonest sign of anaemia in elderly. Anemia is not always a consequence of aging. Anemia of unexplained etiology constituted 15.97% of total study population. Conclusion: Anaemia in elderly is a challenge and has to be approached in an organized manner for appropriate diagnosis and evaluation to look into its cause and plan management to improve the quality of life of the elderly persons.An effort should always be made to reach etiological diagnosis before instituting specific therapy.

scholarly journals A study of the outcome of pregnancy complicated by obstetric cholestasis

2018 ◽  
Vol 7 (3) ◽  
pp. 996
Author(s):  
Samik Medda ◽  
Sibani Sengupta ◽  
Upasana Palo
Keyword(s):  
Neonatal Outcome ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Adverse Outcomes ◽  
Number Of Patients ◽  
Common Causes ◽  
Fetal Surveillance ◽  
Meconium Staining ◽  
One Year ◽  
Period Of Gestation

Background: Obstetric cholestasis is one of the most common causes of liver disease in pregnancy. Present study was carried out to study the incidence of Obstetric Cholestasis and its feto-maternal outcome in a tertiary care hospital.Methods: It is a prospective epidemiologycal study during a period of one year (2014 to 2015) over 100 pregnant ladies suffering from pruritus and detected as having Obstetric Cholestasis. They were followed up and maternal as well as fetal-neonatal outcome recorded. Appropriate statistical analysis done as applicable.Results: The incidence of Obstetric Cholestasis in our hospital was 9.9%. Majority of cases (43.0%) are diagnosed in late gestational age, mostly during 28 to 32 weeks period of gestation. Maternal morbidities are due to sleep disturbance (60/100), dyslipidemia, coagulation abnormality, PPH (10.0%) and increase chance of operative delivery (66.0%). Neonatal morbidities are mainly due to fetal distress, prematurity (22.0%), low birth weight (32/100) and meconium staining of amniotic fluid (42.0%). Maximum number of patients are delivered at 37 to 38 weeks, due to active and early intervention.Conclusions: Early diagnosis and active maternal and fetal surveillance is of utmost importance to avoid adverse outcomes.

Characterization and evaluation of Jalauni sheep

2004 ◽  
Vol 34 ◽  
pp. 67-73 ◽  
Author(s):  
G. Sahana ◽  
A. Jain ◽  
S.B. Maity
Keyword(s):  
Management Practices ◽  
Geographical Area ◽  
Morphological Characteristics ◽  
Uttar Pradesh ◽  
Madhya Pradesh ◽  
Barren Land ◽  
Sheep Population ◽  
Permanent Pasture ◽  
And Performance ◽  
One Year

SummaryJalauni sheep are found in the Bundelkhand region of Uttar Pradesh and Madhya Pradesh states in India. About 37% of the geographical area of this region is under cultivation and about 86% of the population, mostly directly or indirectly dependent on agriculture, live in villages. Forests, cultivable waste and barren land occupy more than 50% of the area, permanent pasture and other grazing lands about 9% and miscellaneous tree crops and grasses about 0.7%. The livestock census figures of 1977 and 1997 indicate an annual declining trend of 0.04 % in the sheep population in Uttar Pradesh and Madhya Pradesh states. Characterization and evaluation of Jalauni sheep under field conditions were undertaken to establish the norms, morphological characteristics and performance parameters of this breed. A total of 78 households were visited in 29 villages in five districts. Information on feeding, breeding and management practices, utility patterns etc. and production and reproductive performance was collected through personal observations and interaction with the farmers. Body weight and/or body measurements were recorded for 374 animals. Average adult body weights of male and female Jalauni sheep were 35.5±2.1 and 27.2±0.7 kg respectively. Age at first lambing was 1.5 to 2 years and lambing interval one year. A ewe, on an average, delivers 7–9 lambs in her lifetime.

scholarly journals Acute Flaccid Paralysis with Acute Encephalitis Syndrome at a tertiary care centre of eastern Nepal 

2017 ◽  
Vol 13 (1) ◽  
pp. 216-219
Author(s):  
Shipra Chaudhary ◽  
Rupa Rajbhandari Singh ◽  
Nisha Keshary Bhatta ◽  
Gauri Shankar Shah ◽  
Jyoti Agrawal
Keyword(s):  
Acute Flaccid Paralysis ◽  
Tertiary Care ◽  
Altered Mental Status ◽  
Case Definition ◽  
Flaccid Paralysis ◽  
Tertiary Care Centre ◽  
Acute Encephalitis Syndrome ◽  
Acute Encephalitis ◽  
Common Causes ◽  
One Year

Background & Objectives: Acute encephalitis syndrome (AES) can have widely varied presentation. Hence this study was done to find out clinical features and outcome of Acute Enecphalitis Syndrome (AES) with Acute Flaccid Paralysis (AFP).Materials & Methods: A Prospective hospital-based study was carried out over one-year period, including all cases fulfilling AFP case definition. All cases of AFP meeting AES definition were further analysed in terms of history, clinical examination, investigations and outcome. Statistical analysis was done using SPSS version 17. Results: Out of total 43 children with AFP, 23 (53.5%) children  had AES. Amongst AFP with AES, altered mental status and seizures were present in 87% and 74% respectively. The mean Glasgow Coma Scale (GCS) was 7.61±3.65. Predominant weakness pattern was quadriparesis (87%). Cerebrospinal fluid was abnormal in 11 (47.9%) children with Japanese encephalitis (JE) positive 8.7%. Amongst 60.9% children with complications, respiratory failure (52.1%) was the most common. During 60-day follow-up, 11 (47.9%) children expired while 2 (8.7%) still had residual paralysis. Conclusion: AES is one of the common causes of AFP besides other causes. AFP with AES is commonly associated with quadriparesis, low GCS, respiratory complications, neurological sequelae and a high mortality. Thus, this study stresses upon the importance of AES surveillance along with AFP surveillance. 

SURGICAL SITE INFECTIONS AFTER OPERATIVE DELIVERY AT THE TERTIARY CARE HOSPITAL IN RAJASTHAN, THEIR MICROBIOLOGICAL PROFILE, ANTIBIOTIC SENSITIVITY AND CLINICAL RISK FACTORS

2021 ◽  
pp. 25-28
Author(s):  
Ruby Naz ◽  
Krishna Meena
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Surgical Site Infections ◽  
Care Hospital ◽  
Delivery Methods ◽  
Prolonged Labour ◽  
Care Workers ◽  
Study Population ◽  
One Year

Introduction: Surgical site infections (SSI) are common problem in developing country like India. There are so many factors are responsible for SSI like low immunity, prolonged labour, production of hematoma presence of gestational diabetes Anaemia, multiparaty, heavy blood loss during delivery. Methods: It is a case-control study undertaken for a period of one year in a tertiary care hospital of Rajasthan state, India. The study population included patients suffering from SSIs in the various unit of obstetrics ward of our hospital. Result: in our study we found a lot of factor affecting prevalence of SSIs like anaemia, premature rupture of membrane, prolonged labour, multiparity and obesity. Common organism are Escherichia coli, staphylococcus and pseudomonas. Most of the organism are susceptible with carbapenems vancomycin and amikacin. Conclusion: Even though the total number of Cesarean delivery has increasing consistently, wound infection should be has remained less constant. This may be achieved by high compliance among the infection control practices by health care workers in the hospital

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.

scholarly journals Risk factors for septic arthritis of hip in neonates and infants

2017 ◽  
Vol 3 (3) ◽  
pp. 508
Author(s):  
Nitin Chaudhari ◽  
Sharvil Gajjar ◽  
Hari Menon ◽  
Yatin Patel
Keyword(s):  
Risk Factors ◽  
Septic Arthritis ◽  
Tertiary Care ◽  
Data Entry ◽  
Tertiary Care Centre ◽  
Study Population ◽  
Laboratory Investigations ◽  
Nicu Admission ◽  
One Year ◽  
Neonates And Infants

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Suppurative arthritis of hip is pyogenic inflammation of synovial membrane of the hip, usually due to bacterial infection. The main aim of early diagnosis and treatment of septic arthritis of hip is to prevent damage to articular cartilage and growth plate, give stable and painless hip and to resume normal development and prevent sequelae.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Pro</span><span lang="EN-IN">spective interventional study consisted of 34 patients with 36 Hips septic arthritis of hip less than one year of age carried out at Department of Orthopedics of a tertiary care centre during August 2011 to December 2013. Risk factors and related laboratory investigations were carried out. Data entry and analysis was done by MS Excel 3.0</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In our study more than 70% patients presented after one week. Left sided hip involvement (59%) was more common followed by right hip (35%). Sex ratio of the study population was   M: F-4:6.  NICU admission was present in 94% cases.  In many of our patients there were more than one risk factors like septicemia, low birth weight, jaundice and ventilator support. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">All NICU neonates should be handled with strict aseptic precaution.</span></p>

FNAC SPECTRUM OF LYMPHADENOPATHY IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 261-263
Author(s):  
Shilpa Gupta ◽  
Shanu Srivastava ◽  
Prabhavati Patil
Keyword(s):  
Lymph Nodes ◽  
Tertiary Care ◽  
Age Distribution ◽  
Needle Aspiration ◽  
Tertiary Hospital ◽  
Care Hospital ◽  
Lymph Node Enlargement ◽  
Common Causes ◽  
Granulomatous Lymphadenitis ◽  
One Year

Background – The aim of this study was to identify the pattern of pathologies on FNA of supercial lymph nodes in a tertiary hospital over a period of one year. Methods – The data pertaining to our reports given to the patients who underwent FNAC evaluation of supercial lymph nodes was analysed to determine age distribution of patients, group of lymph nodes involved and distribution of pathologies diagnosed . Results – Majority of patients were adults. Cervical group of lymph nodes were most commonly involved. Granulomatous lymphadenitis was the predominant diagnosis in our series 39%. Conclusion – Fine needle aspiration evaluation is a quick, easy, relatively non traumatic and in expert hands, a reliable method of diagnosing the pathology of underlying enlarged supercial lymph nodes. Granulomatous lymphadenitis was the most common causes of lymph node enlargement in our series.

scholarly journals Profile of hypoxic ischemic encephalopathy in newborns in a tertiary care centre of Bhilai, Chhattisgarh, India

2018 ◽  
Vol 5 (6) ◽  
pp. 2032
Author(s):  
C. Sudhakar ◽  
Pallavi Jindal
Keyword(s):  
Tertiary Care ◽  
Birth Asphyxia ◽  
Hypoxic Ischemic Encephalopathy ◽  
Obstetrics And Gynecology ◽  
Long Term Outcome ◽  
Study Population ◽  
One Year ◽  
Prospective Longitudinal ◽  
Ischemic Encephalopathy

Background: Birth asphyxia is an important cause of static development and neurological handicap in both term and preterm infants. Birth asphyxia is found to be responsible for 28.7% deaths in hospital settings and 20% deaths in rural/tribal areas. Approximately the same number develops serious sequelae which cripples these children both physically and mentally. Children who have suffered moderate encephalopathy had varying rates of infant death and morbidity. Precise determination of the prognosis in the term new born, who sustains a hypoxic ischemic insult is hindered by difficulty in determining the severity of insult.Methods: This was a prospective longitudinal, observational study was conducted in the Department of Paediatrics, CMC Bhilai with close association with the Department of Obstetrics and Gynecology, Department of Radio diagnosis and Department of Neurology. All deliveries taking place in the Department of Obstetrics and Gynecology of CMC Bhilai were enrolled for the study. Each enrolled infant underwent a detailed neurologic examination within the first 12 hours after birth. During the period of data collection 180 babies with birth asphyxia were admitted to NICU. Out of which 126 babies had fulfilled the inclusion criteria and completed one year follow up, hence as cases. Babies who lost follow up were not included in study. The neurological examination was performed 14 days after discharge, then at 1 month, 3-month, 6-month, 9 month and 12 months. Long term outcome in this study is defined as outcome at one year of age in terms of morbidity and mortality.Results: The female and male ratio is 0.4:1. Most of the asphyxiated newborn, 81 (64%) were in 2500-3000gm. Among the study population, maximum number of cases 76 (60%) were suffering from HIE-I. Majority of study population, 87 (69%) were born by LSCS. Normal CUS in 93 babies and abnormal in 33 babies; with normal CUS, there were no death in study population and out of 33 abnormal CUS, 12 deaths occurred. Out of the different complications enlisted in the table convulsions (66.7%) is most common followed by Apnea (65.08%). Recurrent infections (45.24%) is the most common complication followed by seizure disorders (22.63%) and failure to thrive (20.63%).Conclusions: Hypoxic ischemic encephalopathy is one of the major consequences of perinatal asphyxia. Despite of best care, some babies are likely to develop it.

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