scholarly journals Review of PPIUCD at tertiary care centre in Southern Rajasthan

2021 ◽  
Vol 12 (12) ◽  
pp. 91-95
Author(s):  
Nirmala Sharma ◽  
Vinita Gupta ◽  
Ashutosh Sharma
Keyword(s):  
Tertiary Care ◽  
Acceptance Rate ◽  
Family Welfare ◽  
Tertiary Care Centre ◽  
Eligibility Criteria ◽  
Medical College ◽  
Irregular Bleeding ◽  
The Government ◽  
Structured Questionnaire

Background: This study was conducted to observe the acceptance rate and safety for PPIUCD as PPIUCD was used as contraceptive method under family welfare program in this institute. Aims and Objectives: To see pattern of acceptance and safety of PPIUCD among women admitted for childbirth. Materials and Methods: A prospective, preformed semi-structured questionnaire-based observational study was conducted between September 2012 and August 2020 in the Government Medical College Kota. CuT380A was used as PPIUCD for insertion. WHO medical eligibility criteria were met along with inclusion and exclusion criteria. After counseling and consent, PPIUCD was inserted post-placentaly and during LSCS. Acceptance rate was calculated along with safety profile. Results: In the present study majority of patients were in the age group of 21–30 years. 44.26% women were second para. 96.35% insertions were uneventful during the study. The most common reason for acceptance and refusal of PPIUCD was reversibility and for refusal was fear of complications, respectively. The acceptance was increasing over the years. On follow-up majority of clients had no complaints. Among those who had complaints, irregular bleeding was most common. Major cause of requesting for removal was irregular bleeding. Continuation rate was found to be 91.91% and 85.30% at 6 weeks and 6 months, respectively. Conclusion: PPIUCD is a safe and effective method of contraception. Acceptance rate is increasing over the years and which can further increase with antenatal, intra natal and postnatal counseling along with counseling of husband/family attendants and management of side effects.

scholarly journals Penetrating neck injuries with laryngeal framework involvement: in a tertiary care centre

2019 ◽  
Vol 5 (5) ◽  
pp. 1379
Author(s):  
Chozhan Periasamy ◽  
Malarvizhi Ravisankar ◽  
Mathumithaa Subburayalu
Keyword(s):  
Vocal Fold ◽  
Treatment Plan ◽  
Tertiary Care ◽  
Young Male ◽  
Neck Injuries ◽  
Tertiary Care Centre ◽  
Male Population ◽  
Medical College ◽  
Laryngeal Injury

<p class="abstract"><strong>Background:</strong> Penetrating neck injuries are very common as a mode of homicidal and suicidal injuries. Not many of them are deep enough to affect the laryngeal framework.</p><p><strong>Methods:</strong> Prospective study in the Department of ENT Stanley Medical College, Chennai. The study period was from January 2018 to December 2018. Follow up of 3 months was done.</p><p class="abstract"><strong>Results:</strong> Penetrating neck injuries treated on emergency care with tracheostomy and wound exploration and repair. It was found to be more common in young male population.</p><p><strong>Conclusions:</strong> Laryngeal framework involvement necessitates tracheostomy during wound exploration. On table laryngeal injury repair improves prognosis and early post-operative vocal fold assessment helps frame a treatment plan designed specifically for the patient.</p>

scholarly journals A comparative study between coblation adenoidectomy and conventional adenoidectomy

2018 ◽  
Vol 4 (3) ◽  
pp. 721
Author(s):  
V. Saravana Selvan ◽  
Muthamil Silambu ◽  
D. Vinodh Kumaran
Keyword(s):  
Comparative Study ◽  
Pain Score ◽  
Tertiary Care ◽  
Conventional Technique ◽  
School Absenteeism ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Intraoperative Bleeding ◽  
Medical College

<p class="abstract"><strong>Background:</strong> The objective of the study was to compare the advantages and results between coblation adenoidectomy and conventional adenoidectomy by curettage.</p><p class="abstract"><strong>Methods:</strong> The study was<strong> </strong>conducted in Stanley medical college, Chennai (a tertiary care centre) from June 2013 to June 2016. Fifty patients were studied who underwent adenoidectomy. Twenty five patients underwent conventional adenoidectomy by curettage and rest by nasal endoscopy assisted coblation adenoidectomy. Following outcomes were evaluated: pain score on first day, days reporting pain, analgesic days, school absenteeism, endoscopic adenoid grading and intraoperative bleeding.  </p><p class="abstract"><strong>Results:</strong> Patients who underwent coblation adenoidectomy showed better results during follow up with lesser complications.</p><p class="abstract"><strong>Conclusions:</strong> Coblation adenoidectomy is a better technique when compared to conventional technique of curettage.</p>

scholarly journals OUR INSTIUTIONAL EXPERIENCE IN VISCERAL ARTERY ANEURYSMS

2021 ◽  
Vol 9 (03) ◽  
pp. 605-606
Author(s):  
Srinivasan a ◽  
Prathap Kumar ◽  
Velladuraichi a ◽  
Ilaya Kumar ◽  
Sritharan b
Keyword(s):  
Tertiary Care ◽  
Current Status ◽  
Visceral Artery ◽  
Interventional Treatment ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Visceral Artery Aneurysms ◽  
Coeliac Trunk ◽  
Madras Medical College

Objectives: To evaluate the incidence, management, and outcome of visceral artery aneurysms (VAA) over the 5. years in our institution, a tertiary care centre, Madras Medical College. Methods 14 patients with 19 VAA were analysed according to location, diameter, aneurysm type, aetiology, rupture, management, and outcome. Results: VAA were localised at the splenic artery, coeliac trunk, renal artery, hepatic artery, superior mesenteric artery, and other locations. The aetiology was mostly degenerative, connective tissue disease. The rate of rupture was higher in pseudo-aneurysms than true aneurysms (66% vs 5%). 18 VAA were treated by intervention {coil embolisation} (n=3) or surgery (n=9) or hybrid [n=1] and one patient was managed conservatively. Three cases with ruptured VAA were treated on an emergency basis. The largest aneurysm was about 16cm and smallest one was about 1mm . After interventional treatment, the 30-day mortality was 21.4 % in ruptured VAA compared to no mortality in non-ruptured cases. Follow-up included USG and/or CT after a mean period of 7 months. The current status of the patient was obtained by a structured telephone survey. Conclusions: There is increase incidence of Celiac and SMA aneurysms. Aneurysm size seems to be a reliable predictor for rupture. Young patient need vasculitic workup for further management.

Study of Hemoptysis in a Tertiary Care Center of Province 1: Causes and Recurrences

2020 ◽  
Vol 5 (2) ◽  
pp. 1050-1054
Author(s):  
Ram Hari Ghimire ◽  
Ashima Ghimire ◽  
Rupesh Kumar Shreewastav ◽  
Sushil Yadav ◽  
Bidesh Bidesh Bista
Keyword(s):  
Diagnostic Yield ◽  
Care Center ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Number Of Patients ◽  
Chest Clinic ◽  
Telephone Calls

Introduction: Hemoptysis is a common but distressing and alarming symptom in a patient. Data related to detail clinical profile and follow up study of hemoptysis are lacking. Objective: This study was carried out to see the clinical profile of patients with hemoptysis and to study the recurrences in tertiary care centre of province 1 within the study period. Methodology: This was a prospective observational study conducted at the department of Pulmonary, Critical Care and Sleep Medicine of Nobel Medical College and Teaching Hospital, Biratnagar, Nepal. The study was carried out between 30th January 2017 to 1st February 2020. For follow up of recurrences of hemoptysis, the patients were asked for regular chest clinic follow up and regular telephone calls made to the patients, in case, patients could not attend the chest clinic for any reason. Results: A total of 150 patients were enrolled over the last 3 years. Among them 75% were male. The maximum number of patients (27%) were between 31-40 years of age group. Old sequelae of pulmonary tuberculosis (PTB) (32%) and bronchiectasis (28%) were the commonest cause of hemoptysis. Lung cancer (10%) and active PTB (10%) were other causes of hemoptysis. CT scan of the chest provided the highest (84%) diagnostic yield. Most of the cases were having mild hemoptysis (50%). 17% of the patients in our study had recurrences of hemoptysis. Conclusion: Old PTB sequelae with bronchiectasis (fibrobronchiectasis) were the commonest cause of hemoptysis. Conservative management worked most effectively in controlling hemoptysis, if used properly.

Feasibility and Outcomes of Left Main to Branch Vessel PCI with Novel Tapered Coronary Stent in a Tertiary Care Centre: A Real World Experience

2021 ◽  
Vol 21 ◽  
Author(s):  
T.R. Raghu ◽  
Sathwik Raj V.A ◽  
Jayashre Kharge ◽  
Natraj Setty H.S ◽  
Rahul S. Patil ◽  
...  
Keyword(s):  
Real World ◽  
De Novo ◽  
Tertiary Care ◽  
Major Adverse Cardiovascular Events ◽  
Care Centre ◽  
Left Main ◽  
Tertiary Care Centre ◽  
Eligibility Criteria ◽  
Myocardial Infraction

Objective: To assess the safety and efficacy of Novel tapered (BioMime™ Morph) sirolimus-eluting stent (SES) for left main PCI in a real-world scenario. Background: Currently no data is available on clinical usefulness of tapered ultrathin stents in left main PCI. Methods: This was a prospective, non-randomised, single centre study carried out between February 2018 and May 2020 at a tertiary cardiac care centre in southern India. The study included patients treated with BioMime Morph tapered stent for distal de novo LMB lesion or ostial LAD/LCX lesions with significant size disparity between reference segments based on the eligibility criteria. Primary endpoint of the study was the cumulative incidence of major adverse cardiovascular events (MACE) composed of cardiac death, myocardial infraction, and clinically driven target-lesion revascularisation at follow-up. Results: A total of 41 patients (average age of 54.83±9.81 years) were included in the study. Average SS-2 score was 23.17±5.42. Majority of the lesions (n=31; 75.61%) were of medina class (0.1.0). Provisional single stent strategy was adopted for treatment of LMB lesions. TIMI flow-3 was achieved in 40 patients (97.56%). Median clinical follow-up was 20 months (range 6-34 months) There was no periprocedural complication or MACE during follow-up.

scholarly journals Needle Directed Pulse Spray Pharmacomechanical Thrombolysis for Acute Thrombosis of Dialysis Fistulas – Technique, Efficacy and Short Term Follow UP

2020 ◽  
Vol 8 (1) ◽  
pp. 14-20
Author(s):  
Geda Anusha ◽  
Yugandhar Samireddypalle ◽  
Ranjith Kumar Vulchi ◽  
Sagar Dembla ◽  
Pavithira Annamalai ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Short Term ◽  
Tertiary Care Centre ◽  
Portable Ultrasound ◽  
Acute Thrombosis ◽  
Medical College ◽  
Arteriovenous Fistulas ◽  
Stage Renal Disease ◽  
End Stage

Background: The incidence of end stage renal disease is on the rise and most of these patients are undergoing dialysis either through tunnelled/non tunnelled dialysis catheters or through arteriovenous fistulas/grafts. The dialysis grafts and fistulas have limited durability of about 3 years and are more prone for thrombosis and stenosis. Catheter directed interventions are successful in establishing flow in most of the thrombosed fistulas, but require dedicated Cath lab and tertiary care centre. Needle directed thrombolysis is a novel economical, safe technique for thrombolysis of dialysis fistulas and grafts. The aim of the studt is to review the technique, safety, efficacy of needle directed pulse spray pharmacomechanical thrombolysis of dialysis fistulas and grafts with short term follow up. Subjects and Methods: This was a prospective observational study done in department of Radio diagnosis, Narayana medical college, Nellore. Selectively 25 patients with thrombosed AV fistulas were referred from nephrology OPD for needle directed thrombolysis to our department from December 2018 to May 2019. The procedure was performed on OPD basis in ultrasound procedure room. Regular Doppler follow up of patients is done up to 6 months. Results: Out of twenty five cases about seventeen cases (68%) were successful in achieving adequate recanalization in single session. four cases (16%) required repeat sessions of thrombolysis and were successful in second attempt. In four cases (16%) there was failure in attaining adequate recanalization due to marked multisegment attenuation/flow limiting stenosis of the draining vein. Conclusion: Needle directed Pulse spray pharmacomechanical thrombolysis is a novel technique, which can be done bedside, under portable ultrasound guidance and is an economical procedure as no intervention hardware is required. Continuous monitoring allows procedure to be stopped at the earliest once there is optimal recanalization, minimizing the systemic side effects of thrombolytic agents.

TO EVALUATE THE RESPIRATORY FUNCTIONS OF COVID-19 PNEUMONIA SURVIVORS THREE MONTHS AFTER RECOVERY AT TERTIARY CARE CENTRE.

2021 ◽  
pp. 125-128
Author(s):  
A. Ramasamy ◽  
K. Anbananthan ◽  
S. A. Natesh ◽  
Anu Sree. S. C
Keyword(s):  
Psychological Assessment ◽  
Functional Disability ◽  
Tertiary Care ◽  
Careful Monitoring ◽  
Tertiary Care Centre ◽  
Walk Distance ◽  
Medical College ◽  
Minute Walk Distance ◽  
Minute Walk

BACKGROUND: In this study we provide a suggested structure for the respiratory follow up of patients with clinicoradiological conrmation of COVID 19 pneumonia three months after recovery. OBJECTIVES: 1.To evaluate the respiratory function and functional disability of COVID – 19 Survivors 3 months after recovery.. MATERIALS AND METHODS: This was a retrospective study done on 70patients, who were attending the OPD/ IP of Thanjavur medical college three months after recovery from COVID PNEUMONIA.These patients were enrolled consecutively from August 2020 to January 2021 .Datas during admission had been collected from patient records.Spirometry, 6-minute walk distance, pulse oximetry ,CT chest scan, psychological assessment were performed 3 months after discharge.Statistical Analysis was done by SPSS trial version 20. RESULTS:,Amongthe 70 studypopulations ,Age rangedfrom24 to74 yearswithmeanage 56.9 yearsofageandSD-11.45,mostof them were male (80%).Nearly 75% of the patients had sp02 80-90% during admission and after recovery nearly 95% of the patient had more than 90% spo2.On admission more than half of the patients had moderate CT severity score ,after recovery more than 70%ofthepatientshad mildCTseverity score .Afterrecovery more than70%ofthepatientsdoesnotrequire oxygen. Onspirometry nearly70%ofthepatientswiththeagegroupof 41-60yearsofagehadmildrestrictionsafterrecovery. CONCLUSION: Three months after SARS CoV-2 infection shows signicant improvement in functional and radiological abnormalities on careful monitoring. A systematic follow-up for survivors needs to be evaluated to optimise care for patients recovering from COVID-19.

scholarly journals Postpartum intrauterine contraceptive device: evaluation of acceptance and complications

2019 ◽  
Vol 8 (8) ◽  
pp. 3219
Author(s):  
Sindhu S. Gaur ◽  
Suman Mendiratta
Keyword(s):  
Retrospective Study ◽  
Side Effects ◽  
Tertiary Care ◽  
Acceptance Rate ◽  
Intrauterine Contraceptive Device ◽  
Study Group ◽  
Contraceptive Device ◽  
Medical College ◽  
Intrauterine Contraceptive

Background: Postpartum intrauterine contraceptive device is inserted within 10 minutes to 48 hours of expulsion of placenta. The objective of the study was to determine acceptability, safety and complications of PPIUCD in tertiary care center.Methods: This is a retrospective study conducted at Zenana Hospital, SMS Medical College, Jaipur over a period of 1 year from April 2018 to March 2019. Women were followed after 6 weeks and their complaints and various parameters were analyzed.Results: 5653 women were inserted PPIUCD during 1 year period. Acceptance rate was 29.26% and higher in multipara (54.30%) and between 18 to 25 years of age (50.29%). The main complaints at follow-up were pain and bleeding which were dealt mainly by reassurance. Main cause of removal was bleeding, pain and family pressure.Conclusions: The acceptance was high in this study group. PPIUCD is safe, effective and acceptable with negligible side effects. PPIUCD has abundant scope in India where accessibility for contraception is lower during interval period and women do not come for follow-up after delivery.

Chemo-prophylaxis of COVID-19 with hydroxychloroquine: a study of health care workers attitude, adherence to regime and toxicities/side effects (Preprint)

2020 ◽  
Author(s):  
Debajyoti Bhattacharyya ◽  
Neeraj Raizada ◽  
Bharathnag Nagappa ◽  
Arvind Tomar ◽  
Prateek Maurya ◽  
...  
Keyword(s):  
Side Effects ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Perceived Threat ◽  
Care Hospital ◽  
Care Workers ◽  
Perceived Danger ◽  
Structured Questionnaire

BACKGROUND There are apprehensions among healthcare worker (HCWs) about COVID-19. The HCWs have been given hydroxychloroquine (HCQ) chemo-prophylaxis for seven weeks as per Government of India guidelines. OBJECTIVE To assess the apprehensions among HCWs about COVID-19 and to document accessibility, adherence and side effects related to HCQ prophylaxis in HCWs. METHODS A longitudinal follow up study was conducted in a tertiary care hospital. HCQ was given in the dose of 400 mg twice on day one, and then 400 mg weekly for seven weeks. 391 HCWs were interviewed using semi structured questionnaire. RESULTS 62.2% HCWs expressed perceived danger posted by COVID-19 infection. Doctors (54%) showed least acceptance and paramedics (88%) showed highest acceptance to chemo-prophylaxis. 17.5% participants developed at least one of the side effects to HCQ. Females and nursing profession were significantly associated with adverse effects. Common side effects were gastro-intestinal symptoms, headache and abnormal mood change. Most of these were mild, not requiring any intervention. Gender, professions and perceived threat of COVID-19 were significantly associated with acceptance and adherence to HCQ prophylaxis. CONCLUSIONS Two third of HCWs had perceived danger due to COVID-19. Three fourth of the HCWs accepted chemo-prophylaxis and four out of five who accepted had complete adherence to prophylaxis schedule. One out of five had developed at least one of side effects; however, most of these were mild not requiring any intervention.

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