scholarly journals A Study of Hypertension and Its Risk Factors among Rural Population in the Field Practice Area of Mahatma Gandhi Medical College and Hospital, Jaipur

Author(s):  
Singh Laxman ◽  
Author(s):  
Bushra Fiza ◽  
Maheep Sinha ◽  
Shalu Sharma ◽  
Sumit Kumar Tiwari

ABSTRACT Introduction Epilepsy is a disorder of the central nervous system, characterized by an epileptic seizure. Epileptic seizures occur due to abnormal synchronous activity in the brain. Calcium is an essential component of bone. Hypocalcemia enhances neuronal excitability, and there are many causes of which include hypocalcemia, vitamin D deficiency, and PTH resistance. Materials and methods The study was conducted in Department of Biochemistry in association with the Department of Neurology of Mahatma Gandhi Medical College and Hospital, Jaipur. Fifty patients diagnosed for epileptic seizure and 50 controls, visiting the inpatient department (IPD) and outpatient department (OPD) of Neurology fulfilling the inclusion criteria, were enrolled for the study. Result The present study showed significantly lower level of serum calcium in patients with epileptic seizure when compared to controls. Conclusion The serum calcium was measured between epileptic seizure and controls. Our present study showed significantly lower value of calcium. It is therefore suggested that there should be regular screening for calcium in patients with epileptic seizure. The serum calcium is biomarker of bone metabolism; so, the correlation can be further studied with some more bone metabolism markers in epileptic seizure patients. How to cite this article Sharma S, Fiza B, Tiwari SK, et al. Evaluation of Serum Calcium Levels in Patients with Epileptic Seizure. J Mahatma Gandhi Univ Med Sci Tech 2020;5(2):35–37.


2017 ◽  
Vol 4 (12) ◽  
pp. 3849
Author(s):  
Kannan Rajendran ◽  
S. Saravana Kumar ◽  
Robinson Smile

Background: Surgery for thyroid disorders is the common operation in general surgery and total thyroidectomy is widely performed both for carcinoma as well as benign bilateral diseases of the thyroid and the most common complication is transient hypocalcaemia. A preliminary study was conducted to assess the risk factors for transient hypocalcaemia in our hospital.Methods: This was a prospective observational study conducted from February 2013 to April 2014 at the Mahatma Gandhi Medical College and Research Institute, Pondicherry and have included all patients undergone any type of thyroid surgery with a normal pre-operative serum calcium level. After initial clinical assessment, blood samples were drawn for estimation of thyroid function and serum calcium and albumin. Postoperative hypocalcemia was assessed by eliciting Chovstek’s and Troussea’s sign and biochemically estimating serum calcium and albumin at 6,24, and 24 hours intervals and 1st and 3rd months during follow-up. The risk factors involved are also studied like sex, age, type of thyroidectomy, identification of parathyroid, Identification of recurrent laryngeal nerve and their histology.Results: A total of 50 patients who underwent thyroidectomy were included in the study. The hypocalcemia occurred in 28% of patients studied showed that 66.7% of patients developed hypocalcemia at 48-72 hours. There was no statistical significance for the parameters of age or gender, benign and malignant conditions of thyroid. The analysis of type surgery performed showed a significant number of patients developing transient hypocalcaemia after near or total thyroidectomy (p-0.002).Conclusions: The present study, though consisted of a small group of patients has shown that transient hypocalcaemia after near or total thyroidectomy occurs in early post-operative days. Hence, on an average 2-5 days of hospital stay is mandatory. Near total or total thyroidectomy is a risk factor. Early diagnosis and replacement with calcium intra-venous reduce the morbidity and mortality of hypocalcaemia. 


Author(s):  
Sofiya Crastha ◽  
Selvi Thangaraj ◽  
Ranganath Thimmanahalli Sobagiah

Background: Cancer is the non-communicable disease of public health importance. The oro-pharyngeal cancer is more common in developing than in developed countries. In India, oral cavity cancer is among the top five most common cancers in both sexes. Oral cancer is multi-factorial in nature, most of these risk factors can be prevented.The survival rate in oral cancer is directly related to the stage of diagnosis. Early diagnosis increases the probability of cure and minimizes the deformity. This study intends to find out the knowledge, awareness and practice of risk factors of oral cancer among rural population and to provide them health education about the prevention and early diagnosis. Methods: The cross sectional descriptive study was conducted in the rural field practice area of BMCRI (Bangalore Medical College and Research Institute), among 311 adults. Results: Majority, 195 (62.8%) of the population did not know the site of oral cancer, 248 (79.8%) did not know any clinical features of the oral cancer and 117 (37.6%) did not know about any risk factors of oral cancer. About 177 (56.90%) people agreed that there is a need for screening and regular oral examination to detect the lesions early. Only 42 (13.5%) had undergone oral examination done in the last 1 year. Conclusions: There is a need to generate awareness regarding the risk factors and about the good and harmful practices in the community. 


Author(s):  
Simmi Mehra

ABSTRACT During routine scanning of bones in the Department of Anatomy, Mahatma Gandhi Medical College & Hospital, Jaipur, India, an unusual second rib belonging to left side was found having an oval facet, almost centrally placed along the inner border of the shaft. In the absence of the corresponding skeleton, it can be hypothesized that the left first rib or an extra rib articulated with the second rib at this facet. Such structural anomalies of ribs are quite rare and need to be documented. If present, they may lead to compression of neurovascular structures crossing the ribs leading to thoracic outlet syndrome. An incidence of 0.3% of synostosis of first and second ribs has been reported in the literature. Search of literature reveals that there are 22 known syndromes in which fused ribs are a constant component. Such a variant second rib as found in the present case could lead to neurovascular compression and a possible indicator of underlying systemic disorder. How to cite this article Mehra S. A Variant Articular Facet on Left Second Rib. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):29-30.


Author(s):  
Juhi Agarwal ◽  
Archana Meravi ◽  
Poorva Badkur

Background: Anemia during pregnancy is a global public health challenge facing the world today. Among the South Asian countries, WHO estimate that India has the highest prevalence of anemia in pregnancy. Prevalence of anemia in pregnant Indian women is 49.7%, against the global prevalence of 41.8% (WHO 2008). In India, the prevalence of anemia is high because of ignorance, poverty, fewer intakes of iron, folic acid and food sources and gender bias significantly contribute to this high prevalence. Hence, this study aims to identify the risk factors and red cell morphological pattern that contribute to the presence and severity of anemia among pregnant women at the Sultania Zanana hospital, Gandhi Medical College Bhopal.Methods: The present study was conducted in Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India. The study included all pregnant women at third trimester who was admitted at Sultania Zanana hospital, Bhopal from January 2016 to December 2016 having haemoglobin level < 7 gm /dl. This is a Hospital- based Observational study. The sample size was calculated to be 500.Results: The following conclusion were drawn from this study. Poverty, early marriage, multiparity, poor nutrition, parasitic infections and lack of antenatal visits and antenatal care due to illiteracy and ignorance are probably the most important features responsible for severity of anemia. Maximum patients of anemia were in the age group of 21-35 Years. The majority of patients (62.8%) were rural. Majority of cases (65.4) belongs to low-socioeconomic class followed by (29.8%) belongs to middle socio-economic category. Most of the patients were multigravida (68.6%) most of them came from poor and illiterate class of society (74.2%) followed by women less than 20-year-old (18.8%). Majority of patients had education level (43.0%) below 10th standard.Conclusions: This study was undertaken to find out the various risk factors that contribute to the severity of anemia.


Author(s):  
Shivani Shekhawat ◽  
Swati Garg ◽  
Drishti Jain ◽  
Urvashi Sharma

Background: Patient satisfaction is an important measure of quality of services in a healthcare organization. Other than the medical care issues, the satisfaction and experience involves personal relationships, attention to pain and health education, and the status of hospital environment. Patient's opinion is an important because dissatisfaction suggests opportunities for improvement of health services in the hospital. This study was done with the aim to assess the satisfaction levels in inpatients of a tertiary care hospital and to compare interdepartmental satisfaction scores in the same hospital.Methods: This cross-sectional survey was done in inpatients of the department of general medicine, general surgery and obstetrics & gynaecology wards of Mahatma Gandhi Medical College & Hospital, Jaipur for two consecutive days. A total of 150 adult female patients were included in the study. Structured questionnaire was developed from previously used survey tools, and validated in present patients group, and patient satisfaction was checked.Results: The demographic data of patients showed that majority of respondents were belonged to age group 20-30 years (50.7%) followed by less than 20 years (20%), more than 40 years (15.3%) and 30-40 years (12%). About 29.33% respondents were uneducated followed by primary level (25.33%), senior secondary level (24%) and graduation (21.33%). 90% respondents belonged to Hindu religion. 36.6% of the respondents were either technicians or doing a clerical job. Almost equal numbers (33.3%) were unemployed and 30% belonged to the labour class. Only 15 patients (10%) were either professionals or on managerial posts.Conclusions: This study highlighted overall patient satisfaction was good regarding the quality of health care services of Mahatma Gandhi Medical College and Hospital. Areas where patient satisfaction was found to be lowest were patience shown by the nursing staff while communicating with patients and hospital ambiance in terms of peacefulness, both of these are important aspects of health care and there is imperative need to address these problems effectively and urgently in order to improve quality of care.


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