scholarly journals Successful Vaginal delivery of locked twin in a tertiary care centre of Western region of Nepal

2014 ◽  
Vol 3 (1) ◽  
pp. 74-75 ◽  
Author(s):  
MR Pandey ◽  
P Ghimire ◽  
P Ghimire
Keyword(s):  
Vaginal Delivery ◽  
Twin Pregnancy ◽  
Tertiary Care ◽  
Labor Pain ◽  
Western Region ◽  
Care Centre ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Mediolateral Episiotomy

Here we report a case of unbooked primigravida who was admitted to the labor room with labor pain. Ultrasonography revealed twin pregnancy with first twin presenting as breech. After coming head of the first breech fetus locked with the head of the second cephalic fetus during labor. Successful Vaginal delivery of both the live fetuses was performed along with mediolateral episiotomy following disengagement of head. Nepal Journal of Medical Sciences | Volume 03 | Number 01 | January-June 2014 | Page 74-75 DOI: http://dx.doi.org/10.3126/njms.v3i1.10366

scholarly journals Clinico-Pathological Study of Ocular Surface Squamous Neoplasia in a Tertiary Care Centre of Western Region of Nepal

2019 ◽  
Vol 7 (1) ◽  
pp. 9-13
Author(s):  
Sushila Patel ◽  
Binita Bhattarai Pokharel ◽  
Anita Shah ◽  
Manita Sunam Goda ◽  
Saraswati Khadka Thapa
Keyword(s):  
Ocular Surface ◽  
Histopathological Examination ◽  
Tertiary Care ◽  
Western Region ◽  
Invasive Squamous Cell Carcinoma ◽  
Care Centre ◽  
Ocular Surface Squamous Neoplasia ◽  
Tertiary Care Centre ◽  
Male Predominance ◽  
Wide Range

INTRODUCTION: Ocular surface squamous neoplasia (OSSN) consists of a wide range of conjunctival and corneal lesions ranging from dysplastic lesions to invasive squamous cell carcinoma. In recent times, the incidence of OSSN seems to be on the rise, especially in developing countries. The present study was aimed to analyse demographic pattern, clinical characteristics, and histopathology findings of OSSN in a tertiary care centre of western region of Nepal.  MATERIAL AND METHODS: It was a retrospective study. We analyzed 94 cases of OSSN who presented to cornea department of Lumbini Eye Institute, Bhairahawa, Nepal over a period 1.5 years from 1st July 2017 to 31st December 2018. All the patients with OSSN, detailed clinical history and examination were recorded. Lesions were excised with a 3 mm margin clearance and sent for histopathological examination.  RESULTS: Mean age of our patients with OSSN was 48.89±17.955 years ranging from 17 to 85 years. There were 52 (55.32%) male and 42 (44.68%) female. Mean duration of presentation was 6.34±6.17 months. A solitary nodule at the limbus was the commonest presentation. Right eyes were involved more than left eyes. Lesions were found most commonly on temporal site 52 (55.32%) followed by nasal 36 (38.30%). On histopathological examination benign lesions were found in 31 (32.98%) eyes, preinvasive lesion in 50 (53.19%) eyes and invasive lesions in 13 (13.83%) eyes.  CONCLUSION: OSSN were seen more commonly in young adults with male predominance. Benign and pre invasive lesions are found more commonly than invasive lesions.

scholarly journals Tubercular mastitis: An institutional experience from a tertiary care centre of northern India

2017 ◽  
Vol 8 (3) ◽  
pp. 72-75
Author(s):  
Amit Gupta ◽  
Lovenish Bains ◽  
Deepshikha Yadav ◽  
Prashant Durgapal ◽  
Manish Kumar Agrawal
Keyword(s):  
Tertiary Care ◽  
Needle Aspiration ◽  
Care Centre ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Aspiration Cytology ◽  
Northern India ◽  
Institutional Experience ◽  
Needle Aspiration Cytology ◽  
High Index Of Suspicion

Background: Tuberculous mastitis (TM) is a rare extra pulmonary presentation of tuberculosis. It may be problematic to distinguish from carcinoma breast, a condition with which it may coexist.  Fine needle aspiration cytology (FNAC) / biopsy are indispensable for diagnosis and tuberculosis culture when positive may be very valuable to guide antimicrobial therapy.Aims and Objectives:  To disseminate the message to the concerned expertise that it can present a diagnostic problem on radiological and microbiological investigations, and thus a high index of suspicion is needed.Materials and Methods: 19 cases of tubercular mastitis between  January 2012 to March 2014 were identified and included in the present study. Cytology and biopsy alongwith AFB stain was done for confirmation.Results: Age ranged between 23- 55 years (median 33 years). Axillary nodes were palpable in 9 (47.3%) patients. Acid Fast Bacilli stain which was positive in only 3 patients. All the 19 patients were started on antitubercular treatment.Conclusion: This study highlights the importance of early diagnosis and aggressive medical and if required surgical management to cure this disease.Asian Journal of Medical Sciences Vol.8(3) 2017 72-75

scholarly journals Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre

2017 ◽  
Vol 6 (6) ◽  
pp. 2395
Author(s):  
Divya Gupta ◽  
Premlata Mital ◽  
Bhanwar Singh Meena ◽  
Devendra Benwal ◽  
. Saumya ◽  
...  
Keyword(s):  
Twin Pregnancy ◽  
Tertiary Care ◽  
Comparative Assessment ◽  
P Value ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Singleton Pregnancy ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Twin Pregnancies

Background: Multiple pregnancy remains one of the highest risk situations for the mother, foetus and neonate despite recent advances in obstetrics, perinatal and neonatal care. Twin pregnancies have increased rates of obstetric and perinatal complications compared to singletons Objective of present study was comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy in Obstetrics and Gynaecology Department of S.M.S. Medical College, Jaipur.Methods: This was a hospital based, prospective observational study done in the Department of Obstetrics and Gynaecology. S.M.S. Medical College, Jaipur from April 2015 to March 2016. 150 women with twin pregnancy and 150 women with singleton pregnancies at gestation age of 28 weeks and above coming for delivery and consented for the study were included in the study. Women with chronic medical disorder or chronic hypertension were excluded from the study. Maternal and neonatal outcome recorded and analysed.Results: Occurrence of twin in our study was 2.82%. Risk of preterm labour was about nine times higher in twin pregnancies than the singleton (OR: 2.74, 95% CI; 1.4494-5.1884, P value 0.001). The risk of premature rupture of membrane was increased by 2.74 times in twin pregnancies (OR:2.74; 95% CI: 1.4494-5.1884, p value .001). There was 3-time increased risk of malpresentation (OR 3.14; CI:1.7184-5.7480, p value .00002) and 2.28 times increase in hypertensive disorder (OR 2.28; 95% CI: 1.0727-4.8823, p value .03) in twin pregnancies. The risk of asphyxia and septicaemia was 2.5 times more in twins.Conclusions: Twin pregnancy is a high-risk pregnancy with more complications in mother and foetus and is a great challenge for obstetrician. So, it should be managed carefully at tertiary care centre to reduce the maternal and perinatal mortality and morbidity.

scholarly journals Efficacy evaluation of antidepressant drugs utilized at tertiary care centre in North Karnataka in psychiatric outpatient department

2019 ◽  
Vol 8 (11) ◽  
pp. 2465
Author(s):  
Harish G. Bagewadi ◽  
Chandrashekar Huded
Keyword(s):  
Selective Serotonin Reuptake Inhibitors ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Antidepressant Drugs ◽  
Prescribing Patterns ◽  
Care Centre ◽  
Medical Sciences ◽  
Efficacy Evaluation ◽  
Tertiary Care Centre ◽  
Signed Rank

Background: Depression is the major psychotic disorder affecting 9.5% of population worldwide. Present study investigates the prescribing patterns of different antidepressants evaluating their efficacy.Methods: This was a prospective, observational study which was conducted in the out-patient department of Psychiatry and Pharmacology in Gulbarga Institute of Medical Sciences, Kalaburagi. A total of 200 cases were enrolled for the present study. Statistical analysis for efficacy was done using Wilcoxson’s signed rank test.Results: Predominantly, females suffered from depression when compared to male counterparts. In our study, monotherapy was practiced more frequently than polytherapy with 2 or more drugs. Selective serotonin reuptake inhibitors (SSRIs) like Escitalopram was found out to be the most widely used antidepressant drug.Conclusions: Among antidepressant medications, SSRIs are preferred over others because of their better side effect profile.

scholarly journals Plastibell circumcision in neonates and infants at tertiary care centre

2018 ◽  
Vol 5 (4) ◽  
pp. 1488
Author(s):  
Nandkishor D. Shinde ◽  
Mohammad Moinuddin ◽  
A. N. M. Owais Danish
Keyword(s):  
Prospective Study ◽  
Surgical Procedure ◽  
Tertiary Care ◽  
Care Centre ◽  
Inclusion Criteria ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Surgical Time ◽  
The Mean ◽  
Neonates And Infants

Background: Circumcision is the most common surgical procedure in children worldwide. The aim of this study was to study the safety and complication of Plastibell circumcision in neonates and infants.Methods: This prospective study of 420 male children less than 1 years who underwent Plastibell circumcision for religious or cultural indication in the Department of Surgery at KBN Institute of Medical Sciences, Kalaburagi, during February 2016 to January 2018. Children were divided into two groups; neonates (0 to 4 weeks) and infants (5 weeks to1 year). Parents were given specific instructions on care of the device on discharge and followed up on day 3 and on day of separation of the Plastibell.Results: During the study period, 420 cases of Plastibell circumcision fulfilling the inclusion criteria were included and analyzed. Out of the total cases, 120 (28.57%) were neonates, whereas the remaining 300 (71.42%) were infants. Mean surgical time was 4±2 minutes. The mean number of days for Plastibell to separate was 6.2 days, Plastibell ring separation in neonates earlier (3 days to 7 days) as compared to infants (5 days to 12 days). Out of the total 420 cases 65 (15.47%) cases developed minor complications. In neonates, out of 120 cases only 05 (4.16%) developed complications. In infants, out of 300 cases, 60 (20%) developed complications.Conclusions: Neonates had shorter time for the Plastibell to separate and with fewer complications than infants. Though complications were present, they were few and could be managed easily. Plastibell circumcision is safe in neonates and infants.

scholarly journals Psychiatric morbidity in elderly patients attending OPD of tertiary care centre in western region of Nepal

2014 ◽  
Vol 23 (2) ◽  
pp. 101 ◽  
Author(s):  
Prakash Thapa ◽  
PrasantaK Chakraborty ◽  
JaiB Khattri ◽  
Krishnamurthy Ramesh ◽  
Bhaskkar Sharma
Keyword(s):  
Elderly Patients ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Western Region ◽  
Care Centre ◽  
Tertiary Care Centre
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