scholarly journals Assessment of wound healing in relation to nutritional status of the patients in common surgical condition in tertiary care centre

2019 ◽  
Vol 6 (4) ◽  
pp. 1247
Author(s):  
Rahul Singh ◽  
Shashank Shekhar Tripathi ◽  
Ankur Tripathi ◽  
Himansha Pandey
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Economic Status ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Factors Affecting ◽  
Medical College ◽  
Definite Effect ◽  
Malnourished Group

Background: Wound healing depends upon a balance between general factors which include nutritional status of the patient and local factors. Assessment of wound healing in relation to nutritional status of the patients in common surgical conditions.Methods: 46 surgical patients admitted in S.R.N. Hospital, Motilal Nehru Medical College, Allahabad during the period from July 2017 to July 2018, were included. Clinical, anthropometric examination, assessment of wound healing and factors affecting wound healing was done.Results: The mean age of the males patients were 38 years and that of female 33 years. Out of 46 patients included in our study 71.74% were male and 28.26% were females, and among these 15.15% of male and 38.46% female were malnourished. Percentage of wound contraction was 11.38% among the healthy and 2.30% in malnourished group, while the percentage of infection was 14% and 13% among healthy males and female and 20% each for malnourished males and females. Loss of weight was 9.4% and 10.1% among healthy male and female and 6.54% and 7.5% for malnourished male and females. The percentage of wound disruption in our study was 9% among malnourished group.Conclusions: Wound infection and disruption collectively increased the mortality and morbidity significantly in patients of malnourished group. Socio economic status has indirect correlation with wound healing. Malnourishment has a definite effect on wound healing.

scholarly journals Incidence of Snake bites in Dhanusha District of Nepal: a study in tertiary care centre

2016 ◽  
Vol 3 (1) ◽  
pp. 52-55
Author(s):  
RN Mandal ◽  
Z Ahmed ◽  
A Mishra ◽  
RC Das
Keyword(s):  
Rural Areas ◽  
Economic Status ◽  
Tertiary Care ◽  
Snake Bite ◽  
Lower Limbs ◽  
Medical Emergency ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Snake Bites

Background and Objectives: Envenomation by poisonous snakes is considered as an occupational hazard. Snake bite is a common medical emergency and one of the important causes of mortality and morbidity in tropical region.Material and Methods: The present study was conducted in the emergency department of JMCTH. All the patients admitted to JMCTH from April 2014 to November 2014 with snake bite were followed up from the time of admission to throughout their stay in hospital. The data was obtained from hospital case records, direct interrogation from relatives, friends, person accompanying the patients. The information was collected in a pre-formed Proforma. Data were entered and analyzed using Microsoft Excel.Results: The victims of snake bite predominantly were male. Maximum numbers of snake bite cases were between the age group of 31 to 40 yrs and of low socio-economic status. 67.34 % cases were from rural areas and farmers were the most common victim (69.38 %).Conclusion: Maximum cases occurred during the summer and pre-monsoon months, during daytime and involved the lower limbs. Ptosis was the chief neurotoxic feature followed by dysarthria.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (1):52-55

scholarly journals Surgical management and perioperative complications of peritonitis secondary to hollow viscus perforation in a tertiary care centre

2021 ◽  
Vol 8 (11) ◽  
pp. 3359
Author(s):  
Lokesh M. G. ◽  
S. Chandrashekar ◽  
Arundathi Raikar ◽  
Abhishek S. S.
Keyword(s):  
Perioperative Complications ◽  
Tertiary Care ◽  
Surgical Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Hollow Viscus ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Threatening Condition ◽  
Hollow Viscus Perforation

Background: High mortality and morbidity is associated with peritonitis secondary to hollow viscus perforation, proving it a most common life threatening condition which needs emergency surgical care. Hence a proper evaluation was needed regarding appropriate management to have a better outcome, which was a challenge to operating surgeon.Methods: A serial study of 96 cases of peritonitis secondary to hollow viscus perforation was conducted at tertiary care centre, department of general surgery, Mysore medical college and research institute, Mysore, Karnataka from the period of August 2020 to July 2021. Data related to aetiology, surgical intervention and its peri-operative complications were noted. Appropriate statistical analyses were done to draw the inference.Results: Out of 96 cases studied, 74 were male, 22 were female with mean age of 45.53 years. Most common cause of peritonitis was GU perforation, followed by idiopathic, infective, malignancy, appendicular perforation and Trauma.Conclusions: Hollow viscus perforation being most common surgical emergencies, surgical outcomes and its related complications depends on age, general condition, site, co-morbidities and aetiologies.

scholarly journals Factors affecting on Adherence to the Prescribed Drugs in Diabetic Patients Visiting a Tertiary Care Centre

2013 ◽  
Vol 2 (2) ◽  
pp. 11-17
Author(s):  
Bijay Thapa ◽  
Paras Kumar Pokharel ◽  
Ishwori Sharma Poudel ◽  
Sanjib Kumar Sharma ◽  
Pramod Mohan Shyangwa ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Factors Affecting ◽  
Medical College

Journal of Nobel Medical College Vol. 2, No.2 Issue 4 May-October 2013 Page 11-17 DOI: http://dx.doi.org/10.3126/jonmc.v2i2.8799

scholarly journals Changing pattern of birth weight over a decade in rural India

2017 ◽  
Vol 6 (10) ◽  
pp. 4625 ◽  
Author(s):  
Vidyadhar B. Bangal ◽  
Satyajit P. Gavhane ◽  
Swati D. Gagare ◽  
Kunal H. Aher ◽  
Dhruval K. Bhavsar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Economic Status ◽  
Tertiary Care ◽  
Childhood Mortality ◽  
Care Hospital ◽  
Maternal Weight ◽  
Mortality And Morbidity ◽  
The Government

Background: Birth weight is one of the important determinants of neonatal wellbeing. Birth weight has many determinants that mainly include maternal nutritional status and the term of gestation. Low birth weight is associated with high neonatal and childhood mortality and morbidity. Over the years the birth weight is showing the increasing trend in developing countries like India. The study aimed at finding out the changing pattern of birth weight over a decade in rural India.Methods: A retrospective analysis of over 45,000 births that took place in Tertiary care hospital from year 2008-2017was undertaken. The socio economic determinants of birth weight were studied.Results: The incidence of low birth weight declined from 47 percent to 35 percent over ten years. The mean rise in birth weight in ten years was observed in both male (176 grams) and female (151grams).The incidence of very low birth and extremely low birth was found declined. There was positive co relationship between improved birth weight and improved socio economic status, delay in age at marriage, higher maternal weight gain during pregnancy, improved pre pregnancy nutritional status of women.Conclusions: There is steady decline in incidence of low birth weight over last ten years in study area. Improved maternal health, better nutrition, improved quality of antenatal care and various efforts and actions from the government side have contributed in improving the birth weight.

EVALUATION OF THE ETIOLOGIES AND OUTCOME OF PRETERM LABOUR

2021 ◽  
pp. 13-17
Author(s):  
Rabindra Nath Behera ◽  
Sini Venugopal ◽  
Avilas Das
Keyword(s):  
Gestational Age ◽  
Neonatal Outcome ◽  
Preterm Labour ◽  
Tertiary Care ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Covered Group

Objective : This is a Prospective cohort study carried out in department of Obstetrics and Gynaecology, Hi-Tech Medical College & Hospital, Bhubaneswar, a tertiary care centre, with the objective of knowing the etiology and outcome of preterm labour and formulate measures to prevent the onset of preterm labour and deal with complications arising from preterm labour. Materials and methods : A total of 112 patients with preterm labour were included in the study. The investigations required to identify the etiology and also other routine investigations were carried out . The study was conducted over a two year period i.e. from November 2018 to October 2020 at Hi-Tech Medical College & Hospital, Bhubaneswar. Results : Majority of the patients were in the age group of 20-24 years. Among them, majority of the patients belonged to the gestational age group of 28-34 weeks . Infection was the commonest cause of preterm labour. There is signicant improvement in neonatal outcome in steroid covered group if gestational age is less than 34 weeks . Conclusion: Preterm labour has major impact on neonatal mortality and morbidity. Hence identication of risk factors and etiologies of preterm labour and timely interventions in the form of investigations and management and preparedness to tackle the maternal and neonatal complications are vital for a good maternal and neonatal outcome.

scholarly journals A CLINICAL COMPARATIVE STUDY BETWEEN MISOPROSTOL (PGE1) AND DINOPROSTONE (PGE2) FOR INDUCTION OF LABOUR AT TERM - A PROSPECTIVE RANDOMISED CONTROLLED TRIAL

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr Beena. B ◽  
Dr Shyla. S ◽  
Dr P.K. Syamala Devi
Keyword(s):  
Comparative Study ◽  
Low Cost ◽  
Economic Status ◽  
Controlled Trial ◽  
Tertiary Care ◽  
Fetal Monitoring ◽  
Induction Of Labour ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Randomised Controlled

Background: Comparative study beween misoprostol and dinoprostone for induction of labour at term has been done at various centres which showed misoprostol to be more effective. This study was done, 18 years back in 2001, when the most common method of induction was dinoprostone. Since then both the drugs has been used equally for induction of labour at term. But in recent past, PGE1 is not being used widely because of fear of untoward effect.  Hence, the importance this article which shows misoprostol to  be more effective with less side effects, easy for storage and low cost. This study is to compare the effectiveness between the two molecules of prostaglandins PGE1 and PGE2 for induction of labour in term. The complication can be reduced by proper selection, 1 to 1 and continuous fetal monitoring. Methods: It was a prospective RCT. 200 Women at term in whom induction of labour was indicated with no contraindications for the use of prostaglandin attending labor room in a tertiary care centre (SAT Hospital Government Medical College Trivandrum) for a period of five months, from September 1St 2000 to January 31st 2001 was chosen to compare the effectiveness of Misoprostol and Dinoprostone for induction of labour at term. Both the groups were comparable in age, parity and bishop score. Results: Among 200, 123(61%) were primigravida and 146 (73%) were in the age group of 21 – 30 yrs. Median induction delivery interval was about 9 hrs shorter in PGE1 group. Only14.14% required oxytocin augmentation in PGE1 Group compared to 50.54% in PGE2 group. There was 8 failures in PGE2 and there was one case of hyper stimulation in PGEI group for which LSCS was done. PGE2 costs 10 times more than PGE1. Conclusion: Misoprostol is faster acting with low induction delivery interval and requirement for oxytoccin augmentation. Misoprostol is low cost drug, affordable to most of our patient from low socio economic status. Keywords: Term pregnancy, Tab Misoprostol, PGE1, Dinoprostone gel, PGE2, Induction of labour.

A knowledge, attitude and practice study on awareness of contraception among postpartum women in a tertiary care centre

2021 ◽  
Vol 12 (2) ◽  
pp. 1597-1601
Author(s):  
Sivasundari Maharajan ◽  
Dhanvarsha Sumaldha Subbiah Ramkumar ◽  
Perni Navya Sree
Keyword(s):  
Postpartum Period ◽  
Economic Status ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
P Value ◽  
Postpartum Women ◽  
Tertiary Care Centre ◽  
Chi Square ◽  
Factors Affecting ◽  
Practice Methods

Despite being the first country to launch the National Family Planning Programme in 1952, India still lags behind in practising contraception. This study was conducted to assess knowledge, awareness and practice methods of contraception during the postpartum period. The study included 720 postpartum women; details including awareness and practice methods of contraception and factors affecting use by the postpartum women were obtained. Statistical analysis was done by using the chi-square test and percentage (%). The mean age of postpartum women was 26.5 years, 28.19% were literate between 9th - 12th grade, 96.94% women were housewives. Among them, 56% of women were aware of at least one contraception and correct usage. Among them, 98.01% knew about sterilization. About 48.88% of women were aware of more than one method of contraception. After counselling, 97.2% of women were willing to use contraception. However, 2.78% of patients chose abstinence. In our study, knowledge about contraception based on education and socio-economic status of women shows significant association (p-value <0.00001 for both). Health professionals should evaluate the level of awareness, create awareness and provide education regarding methods of contraception for use in the postpartum period to improve maternal and fetal outcome. 

scholarly journals BLOOD TRANSFUSION PRACTICES IN OBSTETRICS AND GYNAECOLOGY AT TERTIARY CARE CENTRE: A RETROSPECTIVE STUDY.

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Shailendra Singh ◽  
Shantipriya Bhardwaj ◽  
Kuldeep Jareda ◽  
Amit Sharma ◽  
Keshari Singh Shekawat
Keyword(s):  
Tertiary Care ◽  
Blood Component ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Blood Component Transfusion ◽  
Number Of Patients ◽  
Maternal Mortality And Morbidity ◽  
Anemia During Pregnancy ◽  
Ratio Of Components

Background: This study was undertaken to ascertain the total patients receiving a transfusion, indications for transfusion, various blood components used, the timing of transfusion, and the presence of any risk factors in the patients transfused. Methods: Transfusion request forms of 2998 patients admitted to the Department of Gynaecology and Obstetrics in the zanana Hospital, SMS Medical College and attached group of hospitals Jaipur from May 2020 to July 2020were retrospectively reviewed for the types and volume of blood component transfused. Indication for each blood component transfusion was noted. Patients who had MOH were further analyzed to estimate the ratio of components transfused. Results: We have experienced 898 obstetric patients who underwent blood component transfusion during the study period. Out of these, 440 (49%) and 458 (51%) were primigravida and multigravida respectively. The mean age of patients who received transfusion was 27 years. The maximum number of patients was in the age group of 21–32 years Conclusion: Anemia during pregnancy is a significant cause of maternal mortality and morbidity. The decision for transfusion was done in this study when the Hb<7 gm%, and there were <4 weeks for delivery or in labor Keywords: Hb, Anemia, Pregnancy.

scholarly journals Clinical profile and outcomes of snake bite poisoning in a tertiary care centre in South Tamilnadu

2017 ◽  
Vol 6 (2) ◽  
pp. 418
Author(s):  
Meenakshi B. ◽  
Shantaraman K. ◽  
Indhumathi M. ◽  
Arumugapandian S. Mohan
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Snake Bite ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Snake Bites

Background: Snake-bites are well-known common medical emergencies in many parts of the world. In India 46,000 people are dying every year from snakebites. However, the true scale of mortality and morbidity from snake-bite remains uncertain. This study analyses the clinical profile and outcomes of the snake bite poisoning in patients admitted to this centre.Methods: This cross sectional study analyses the data of 150patients admitted to the Intensive Medical Care Unit of Tirunelveli Medical College Hospital with the history of snake bite between April and September of 2015 as available in their case records.Results: In this study, 42.7% of the patients were in the age group of 18 to 40 years and 64% were males with rural: urban ratio of 2.3: 1. About 82.7% of bites were haematotoxic, 10.7% neurotoxic and the remaining nontoxic bites. About 54% patients recovered completely, 44% had some form of morbidity at discharge and mortality was 2%. Out of 136 patients who were treated with Anti-snake venom (ASV), 9.6% developed ADR. The common ADR was itching and hypotension followed by rigor, breathlessness and edema of lips and eyes.Conclusions: This study highlights the need for early treatment intervention post bite. Imparting health education about early pre-hospital management and transfer to the hospital will help in the prevention of deaths due to snakebite. Identification of the type of snake is essential to decide on the type of toxicity and method of treatment to be instituted.

scholarly journals A study on awareness and acceptance of contraceptive methods in postpartum women in a tertiary care institute

2020 ◽  
Vol 9 (11) ◽  
pp. 4648
Author(s):  
Sowmyanarayanan Lavanya ◽  
Rajyalakshmi Talapala ◽  
Swetha Munivenkatappa
Keyword(s):  
Economic Status ◽  
Tertiary Care ◽  
Unwanted Pregnancy ◽  
Postpartum Women ◽  
Contraceptive Device ◽  
Contraceptive Methods ◽  
College Hospital ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Medical College

Background: Contraception is an important tool to reduce unwanted pregnancy and promote healthy living. The benefits of family planning program are recognized worldwide to improve health, social and economic status of families. The objective of the study is to estimate the prevalence of awareness for various contraceptive methods among postpartum women, to find the acceptance of different contraceptive methods and evaluate the factors affecting the same.Methods: The study is a cross-sectional observational study conducted among postpartum women who delivered in Narayana medical college hospital over a period of 1 year. The awareness, acceptance and reason or refusal for contraception was assessed. The data obtained was analyzed to generate graphs and tables.Results: A total of 61% women were aware of at least one method of contraception. 74% were using a contraceptive at the time of study. 39% were unaware of any contraceptive method. 49% preferred intrauterine contraceptive device. Main reason for non-acceptance of contraceptive was couple’s desire for a male child. Health professionals were the main source of imparting the knowledge of birth spacing.Conclusions: Regular antenatal counselling to all pregnant women must be done in every hospital in a village to tertiary care centres. Information should be provided about various contraceptive methods and patient should be able to choose a method of her own choice. A strong motivation is required to adopt a suitable method individualised to each woman.

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