scholarly journals URO-DYNAMIC EVALUATION

2008 ◽  
Vol 15 (03) ◽  
pp. 361-366
Author(s):  
SAQUIB HANIF JANJUA ◽  
TARIQ MEHMOOD ◽  
REHANA YASMIN ◽  
Zaheer Ahmad GiLL ◽  
M. Farooq Azam Rathore ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Spinal Cord Injuries ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Urodynamic Evaluation ◽  
Study Materials ◽  
Life Threatening ◽  
Trained Staff

Objective: To describe the pattern of Urodynamic evaluation at ArmedForces Institute of Rehab Medicine, Rawalpindi. Study Design: Descriptive study. Materials and Methods: This studywas conducted on 466 patients reporting for urodynamic evaluation at Urodynamic/Incontinence Clinic at A F Instituteof Rehab Medicine from Feb 2003 to Dec 2006. We considered the age, gender, etiology, reason for referral, andpresenting complaints whereas results were formulated according to Classification of voiding disorders by Internationalsociety of Incontinence. Data was analyzed using statistical package forSocial Science version 10. Results: In all (466)patients, 58% were males and 42% were females. Mean age was 46.8 years. Increased frequency (61%) andincontinence (52%) were the most common presenting complaints, 158(34%) had spinal cord injuries, 58 were casesof myelodysplasias and 128 reported with stress incontinence. Urodynamic studies showed that 152(33%) hadhyperactive bladders, 110(24%) had a contractile/hypo-contractile bladders, 104(22%) had stress incontinence and56(12%) cases had normal results. Conclusion: Urodynamics helps in diagnosis of potentially life threatening urinaryproblems. The availability of this equipment and trained staff must be encouraged at tertiary care hospital. Moreresearch is required in this regard in Pakistan, which shall help in formulating better management protocols in future

scholarly journals Impact of Running a Behavior Therapy Room for Various Categories of Urinary Incontinence Cases in Different Age Groups in Obstetrics-Gynecology Outpatient Department of a Tertiary Care Hospital

2014 ◽  
Vol 48 (4) ◽  
pp. 159-163
Author(s):  
Vanita Jain ◽  
Puja Dudeja
Keyword(s):  
Urinary Incontinence ◽  
Behavior Therapy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Outpatient Department ◽  
Care Hospital ◽  
Kegel Exercises ◽  
Therapy Room ◽  
Trained Staff

ABSTRACT Introduction Urinary incontinence (UI) affects > 60% women. Its management is simple with the use of Kegel exercises. However, very few studies have been done in India about this problem and its solution. Objective To assess the impact of running a behavior therapy room (BTR) for various categories of UI cases in different age groups in obstetrics gynecology outpatient department (OBG-OPD) of a tertiary care hospital. Materials and methods Patients of UI were referred from gynecology OPD to BTR. There was trained staff available in BTR to teach Kegel exercises and related behavior therapy to the patients. Records of the patients were maintained. Follow-up was done through phone calls and personal visits of UI patients. Results A total of 251 cases were registered in BTR over 2 years. Overall 126 patients got relief from urine incontinence and prolapse of pelvic floor organs after BT. Conclusion Establishment of a separate room (BTR) with trained staff can be done in OBG department to teach Kegel exercises and to provide relief to women suffering from UI and pelvic organ prolapse (POP). Recommendation Behavior therapy room should be established in gynecology OPDs of all hospitals. How to cite this article Kaur T, Dudeja P, Sharma M, Jain V, Singh A. Impact of Running a Behavior Therapy Room for Various Categories of Urinary Incontinence Cases in Different Age Groups in Obstetrics-Gynecology Outpatient Department of a Tertiary Care Hospital. J Postgrad Med Edu Res 2014;48(4):159-163.

scholarly journals Experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan.

2021 ◽  
Vol 29 (01) ◽  
pp. 1-6
Author(s):  
Atta Ur Rehman ◽  
Muhammad Afzal Chowhan
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ethical Review ◽  
Care Hospital ◽  
Surgical Team ◽  
Team Members ◽  
Life Threatening ◽  
Related Stress ◽  
Surgical Teams ◽  
Study Setting

Objective: To analyse experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan. Study Design: Analytical Observational study. Setting: Department of Surgery, Tertiary Care Hospital Sialkot, Pakistan. Period: March to September 2020. Material & Methods: After the permission of ethical review committee (ERC/12/2020), data was collected by all four groups surgeons, Resident and internees, paramedical staff and other staff of surgical teams. A simple, 6 question-questionnaire, manually typed, was distributed to all members willing to complete and return the questionnaire. Data was analyzed by using SPSS-23. Results: Majority (91.27%) of the surgical team members got satisfactory training to handle with Covid-19 Cases. The 80 % was in fear to contract the disease while working in isolation and COVID-19 wards and about (76%) were well adjusted to their newly assigned duties. About 85% of surgical team members experienced prolong duty hours (12 hours a day) related stress and similar percentage participated in the management of surgeries done during this period. Conclusion: Surgical Team participated and adapted to meet the newly assigned duties to lookafter the isolation and COVID-19 wards. Team members experienced stress and fear of contracting disease was a matter of concern. However, it has taken care of all trauma, life-threatening emergencies and oncological cases adhering to use of principles of use of PPEs.

scholarly journals Radiological Parameters for Conservative Management of Solid Organ Injuries in a Tertiary Care Hospital

2020 ◽  
Vol 5 (8) ◽  
pp. 672-676
Author(s):  
Hridhay. K.Prit ◽  
Dr. Perumal Boney
Keyword(s):  
Retrospective Analysis ◽  
Conservative Management ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Solid Organ ◽  
Care Hospital ◽  
The Past ◽  
Radiological Parameters ◽  
Hepatic Injuries

The management of solid organ injuries has changed drastically over the past couple of decades, with there being a shift from operative to conservative mode of management. The main purpose of this study is to establish radiological parameters for conservative management in order to make conservative mode of management more efficient. Retrospective analysis of solid organ injuries was done for 50 patients between January 2020 and March 2020 in a tertiary care hospital. It is found that conservative mode of management can be considered for patients belonging to grade I, II and III according to AAST classification of Splenic and Hepatic injuries whereas in Renal injuries it is considered for patients belonging to grade I and II

scholarly journals Microbiological Spectrum of Brain Abscess at a Tertiary Care Hospital in South India: 24-Year Data and Review

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
V. Lakshmi ◽  
P. Umabala ◽  
K. Anuradha ◽  
K. Padmaja ◽  
C. Padmasree ◽  
...  
Keyword(s):  
Brain Abscess ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Salmonella Typhi ◽  
Care Hospital ◽  
Emerging Pathogens ◽  
Diagnostic Challenge ◽  
Life Threatening ◽  
Brain Abscesses

Intracranial abscesses are life-threatening infections that pose a diagnostic challenge not only to the neurosurgeon but also to the microbiologists. Detailed studies documenting the spectrum of infecting agents involved in brain abscesses are limited from India. Materials and Methods. This is a retrospective analysis of 352 samples from 1987 to 2010 analyzed at a tertiary care hospital in South India from 1987 to 2010, to document the changing trends with time. Results. The age of the patients ranged from 2 to 80 years, a larger number of males being affected. Otogenic infections were the most common cause while cryptogenic abscesses were 20%. Gram stain and culture positivity were 78% each. Gram-positive and negative facultative aerobes and obligate anaerobes were also on the rise. Unusual organisms, like Burkholderia pseudomallei, Salmonella typhi, Nocardia species, Cladosporium bantiana, Fonsecaea pedrosoi, Entamoeba histolytica, and Acanthamoeba were also isolated and/or detected from the brain abscesses aspirate or resected tissue. Summary. New and emerging pathogens associated with brain abscess, especially in immunosuppressed individuals, have renewed the necessity of an early detection, and it will be of great value in appropriate management of patients with brain abscess.

scholarly journals Clinicopathological correlation of serum ascites albumin gradient with ascitic fluid total protein in patients of ascites with portal hypertension attending a tertiary care hospital in Eastern Bihar, India

2017 ◽  
Vol 4 (3) ◽  
pp. 842 ◽  
Author(s):  
Shanker Suman ◽  
Divya Jyoti ◽  
Pramod Kumar Agrawal ◽  
Bijoy Kumar Bhattacharya
Keyword(s):  
Portal Hypertension ◽  
Ascitic Fluid ◽  
Total Protein ◽  
Protein Concentration ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Total Protein Concentration ◽  
Provisional Diagnosis

Background: The level of ascitic fluid total protein (AFTP) is used to differentiate between transudative and exudative ascites. Ascites patients having portal hypertension are considered to be transudative in nature. The traditional transudate/exudate system of ascitic fluid classification based on ascitic fluid total protein concentration is sometimes misleading in patients of ascites with portal hypertension. Now a days SAAG (serum ascites albumin gradient) has become more acceptable in differentiating patients presenting with ascites due to portal hypertension. The objective of this prospective study was to correlate serum ascites albumin gradient with ascitic fluid total protein in patients of ascites having portal hypertension.Methods: 100 cases of ascites are selected randomly. All the provisional diagnosis are confirmed with the help of different biochemical, pathological and radiological investigations.Results: SAAG (≥1.1gm/dl) was more sensitive and specific (94% and 90% respectively) than ascitic fluid total protein concentration of <2.5 gm/dl (78% and 50% respectively) in detecting portal hypertension and had higher positive and negative predicative values (97% and 82% respectively) compared to AFTP concentration (85% and 38% respectively).Conclusions: Considering the advantages of measuring the serum-ascites albumin gradient in illuminating the pathogenesis of ascites and the ease with which this test can be done, it is suggested that this parameter should replace the traditional parameter of ascitic fluid total protein level in the routine analysis of ascites fluid and classification of ascites.

scholarly journals A Rare Case Report of Splenic Abscess Caused by Burkholderia pseudomallei Progressing to Disseminated Melioidosis

2021 ◽  
Vol 10 (11) ◽  
pp. 200-206
Author(s):  
Lakshmi Shanmugam Priyadarshi Ketan ◽  
Stanley Pheba Monika Sivaradjy ◽  
S. Balamurugan Elamurugan Thirthar Palanivelu ◽  
Sastry Apurba Sankar
Keyword(s):  
Burkholderia Pseudomallei ◽  
Rare Case ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Splenic Abscess ◽  
Care Hospital ◽  
Rare Case Report ◽  
Threatening Condition ◽  
Life Threatening ◽  
Upper Abdomen

Splenic abcess is a rare but potentially life threatening condition which can be less frequently caused by gram negative saprophytes, Burkholderia pseudomallei. Because of the challenges faced in the identification of this organism, it is often under diagnosed or misdiagnosed. Here, we report a case of splenic abcess eventually leading to disseminated melioidosis caused by Burkholderia pseudomallei in a 40 year old diabetic male from a tertiary-care hospital in southern India, who presented with fever and pain over left upper abdomen.

scholarly journals Carbamazepine induced Stevens Johnson Syndrome: a case report from a tertiary care hospital

2018 ◽  
Vol 7 (8) ◽  
pp. 1654
Author(s):  
Jyoti B. Gadhade ◽  
Rajesh S. Hiray ◽  
Balasaheb B. Ghongane
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
The Body ◽  
Stevens Johnson Syndrome ◽  
Care Hospital ◽  
Common Cause ◽  
Johnson Syndrome ◽  
Intravenous Antibiotics ◽  
Life Threatening ◽  
Ulcerative Lesions

Stevens Johnson Syndrome is a rare but life-threatening skin disease and Carbamazepine is considered as one of the most common cause. The reported frequency of serious Carbamazepine hypersensitivity reaction is between 1/1000 and 1/10000 new exposures to the drug. Here, we report a case of a 40 year old female patient, who developed multiple ulcerative lesions all over the body three days after starting treatment with Carbamazepine for Trigeminal Neuralgia. (Worldwide Unique Number- 2017-58502 and AMC Report Number- BJGMC-Pune/Nov-2017/BBG-1860) Stevens Johnson Syndrome was diagnosed. Carbamazepine was withdrawn, and the patient was treated with topical and intravenous antibiotics. A biopsy was done which confirmed the diagnosis of Stevens Johnson Syndrome.

scholarly journals Study of maternal and fetal outcome in various types of placenta previa

2018 ◽  
Vol 7 (11) ◽  
pp. 4652
Author(s):  
Sonal Bhuyar ◽  
Neha Dharmale
Keyword(s):  
Neonatal Outcome ◽  
Tertiary Care Hospital ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Intrauterine Death ◽  
Care Hospital ◽  
Institutional Deliveries ◽  
Life Threatening ◽  
A Prospective Study

Background: Placenta previa is one of the life-threatening complications in obstetrics which affects maternal and neonatal outcome. Now-a-days its incidence is increasing due to previous operative procedures. The objective of the present study was to study out maternal and fetal outcome in various types of placenta previa.Methods: A prospective study was conducted in our tertiary care hospital on 78 patients in order to know the cause and outcome of placenta previa.Results: Early termination was carried out in major PP group due to APH. 13 out of 17 patients presenting with APH had major degree of PP. Abnormal lie and presentation are commonly seen in cases of PP however cephalic constituted 83.3% cases of fetal presentations in present study followed by breech 10.2%, oblique 3.9%, face 1.3% and transverse 1.3%. In this study, 92.2% neonates were born alive while neonatal death and intrauterine death (IUD) was observed in 5.2% and 2.6% neonates respectively.Conclusions: Combined efforts for prevention of risk factors for PP, timely diagnosis and planned institutional deliveries can only reduce the morbidity and mortality associated with PP.

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