scholarly journals TO COMPARE GAVAGE, CUP AND PALADY FEEDING METHODS IN TERMS OF ECONOMY IN PRETERM NEWBORN

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Kapil Kumar Tak ◽  
Mukesh Kumar Dhaker ◽  
Anurag Singh
Keyword(s):  
Preterm Neonates ◽  
Home Setting ◽  
Medical College ◽  
Breast Feed ◽  
Cup Feeding ◽  
Feeding Methods ◽  
The Mean ◽  
The Difference ◽  
Technical Manpower ◽  
Written Informed Consent

Background: UNICEF and WHO recommended that children be exclusively breastfed during the first six months of life. Breast milk is uncontaminated and contains all nutrients necessary for children in the first few months of life. Methods: This randomized control trial conducted at Umaid hospital, attached to Dr. S.N Medical College, Jodhpur. All preterm neonates with a gestational age between 30 to 34 weeks as defined below were included in the study after a written informed consent. A total of 100 neonates, those meeting the inclusion criteria were taken in the study.  These neonates were randomized into four groups – NG group, OG group, Palady group, and Cup group by block randomization comprising of 25 neonates each. Results- The mean expenditure in NG, OG, PALADY and CUP groups were 15427±10317 Rs., 17065±6807 Rs., 9231±1790 Rs. and 7319±1657 Rs. respectively. The difference was statistically significant for NG vs PALADY, NG vs CUP, OG vs PALADY, OG vs CUP and PALADY vs CUP. Conclusion: we conclude that feeding in preterm low birth weight neonates who cannot breast feed is best achieved by cup which was found to be the most economical method. Neonates on cup feeding required less expertise. Once mastered under supervision, cup feeding can be used independently in-home setting and in remote areas with less technical manpower at hand. Keywords: Feeding, Cup, Palady, OG.

Effectiveness of Oral Sucrose on Level of Pain during DPT Immunization among Infants at selected hospital Salem, Tamil Nadu

2021 ◽  
pp. 283-288
Author(s):  
Dhanasekar V. M. ◽  
Sathish Rajamani ◽  
Anu C. Vijay
Keyword(s):  
Tamil Nadu ◽  
Preterm Neonates ◽  
Control Group ◽  
Pharmacological Interventions ◽  
Quasi Experimental ◽  
The Mean ◽  
Oral Sucrose ◽  
The Difference ◽  
Crucial Part ◽  
Experimental Group

Evidence shows that neonates feel pain. Treating pain of infants at the time of immunizations has become a crucial part of infant care. Pharmacological treatments are rarely used during procedures because of concerns about their effectiveness3 and potential adverse effects. Therefore, non-pharmacological interventions are valuable alternatives. Use of sucrose in preterm neonates has been advocated uniformly for pain relief. The present study had taken with the aim to assess the effectiveness of oral sucrose on level of pain during DPT immunizations among infants. Study design was quasi experimental method. Sample size of the study was 60 infants who were receiving DPT immunizations at Salem Poly Clinic. Data were collected from the subjects through Modified REILY pain assessment scale. Data analysis was done through descriptive and inferential statistics. Results of the study revealed the mean level of pain for experimental group 8.03+0.91 (53.53%) where as in control group it was 11.53+1.17 (77.53%) the difference in mean percentage was 24, which indicates decreased level of pain in experimental group than in control group. The researcher concluded that giving oral sucrose during the time of vaccination in infants acts as an effective non – pharmacological measure for pain management.

scholarly journals Histological study of proportion of cortex and medulla of the ovary in Bangladeshi women

2016 ◽  
Vol 44 (1) ◽  
pp. 8-10
Author(s):  
Hosna Ara Perven ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Dilruba Siddiqua ◽  
Fatema Johora ◽  
Halima Afroz ◽  
...  
Keyword(s):  
Histological Study ◽  
Age Groups ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B ◽  
The Right

This cross sectional, descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka from January to December 2009, to determine the proportion of cortex and medulla of the ovary in di_erent age group of Bangladeshi women. This study was based on collection of 140 ovaries of 70 unclaimed female dead bodies from the morgue of Dhaka Medical College, Dhaka. The samples were divided into three age-groups including A (10-13 years), B (14-45 years) & C (46-52 years). Histological slides were prepared by using routine haematoxylin and eosin stain. Ten best prepared histological slides from each age group were examined to determine the thickness of the cortex and medulla & proportion of the thickness of the cortex and the medulla of the ovary were expressed in percentages. The mean proportion of the cortex and the medulla of the right ovary were found 80.83±0.58% and 19.17±0.58% in group A, 86.95±1.14% and 13.05±1.14% in group B, 70.53±1.53% and 29.47±1.53% in group C respectively. The mean proportion of the cortex and the medulla of the left ovary were found 80.63±0.58% and 19.37±0.58% in group A, 86.78±1.14% and 13.22±1.14% in group B, 70.41±1.50% and 29.59±1.50% in group C respectively. The difference in mean proportion of the cortex and the medulla was not signi_cant in between the ovaries. However, the difference in mean proportion of the cortex and the medulla of the ovary between group A & group B, group A & group C and group B & group C were statistically significant.Bangladesh Med J. 2015 Jan; 44 (1): 8-10

scholarly journals Study on weight of the postmortem parathyroid glands in a Bangladeshi population

2013 ◽  
Vol 22 (1) ◽  
pp. 34-38
Author(s):  
Sabiha Mahbub ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Abdul Alim ◽  
Rukshana Ahmed ◽  
Shamim Ara
Keyword(s):  
Age Groups ◽  
Parathyroid Glands ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Bangladeshi Population ◽  
Group B ◽  
The Right

Context: A cross-sectional descriptive type of study was designed to find out the difference in weight of the parathyroid glands of Bangladeshi people in relation to age and sex and to compare with the previous studies. Methods: This study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from January to December 2008. The study was performed on 207 post mortem human parathyroid glands collected from 60 unclaimed dead bodies which were in the morgue under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age-groups including group A (10-30 years), group B (31-60 years) & group C (61-90 years) and the weight of the parathyroids were measured and recorded. Results: The mean weight of the right superior parathyroid glands were 13.43±13.77 mg in group A, 13.86±19.15 mg in group B and 9.25±5.12 mg in group C in males and 16.00±6.69 mg in group A and 8.57±5.97 mg in group B in females respectively. The mean weight of the right inferior parathyroids were 17.78±13.94 mg, 16.75±15.67 mg and 23.00±11.53 mg in group A, B and C respectively in males and 26.00±4.18 mg in group A and 15.20±4.32 mg in group B in females. The mean weight of the left superior parathyroid glands were 13.63±6.08 mg in group A, 10.58±7.57 mg in group B and 11.00±3.74 mg in group C in males and 16.20±7.89 mg in group A and 8.29±5.47 mg in group B in females respectively. The mean weight of the left inferior parathyroid gland was 26.11±24.29 mg, 15.81±10.28 mg and 25.25±25.28 mg in group A, B and C respectively in males and 32.25±13.82 mg in group A and 13.29±5.41 mg in group B in females. No difference was found in the weight of superior parathyroid glands at right side between sexes and age groups excepting in superior and inferior parathyroid glands at left side between group A & B (p<0.05). DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15603 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 34-38

scholarly journals Antegrade Percutaneous Versus Retrograde Ureteroscopic Lithotripsy in Upper Ureteric Cases

2020 ◽  
Vol 3 (1) ◽  
pp. 84-87
Author(s):  
A. Nischal Prasad ◽  
Prasad PVGS
Keyword(s):  
Operative Time ◽  
Stone Size ◽  
Ureteroscopic Lithotripsy ◽  
Stone Clearance ◽  
Medical College ◽  
Ureteric Calculus ◽  
Group I ◽  
The Mean ◽  
Group Ii ◽  
The Difference

Background: The technical advancements in urology have profoundly changed the management of upper ureteric calculus. The present study compared antegrade percutaneous versus retrograde ureteroscopic lithotripsy in upper ureteric cases. Subjects and Methods: The present study was conducted at NRI Medical College & Hospital, Chinakakani, Mangalagiri Mandal, Andhra Pradesh from May 2013 to April 2014  on 60 patients with upper ureteric stones of both genders. Patients were divided into 2 groups. Group I patients were treated with antegrade percutaneous and group II with retrograde ureterolithotripsy. Outcome in both groups was recorded and compared. Results: The mean anesthetic time in group I was 82.4 minutes and in group II was 73.1 minutes, operative time was 45.2 minutes in group I and 58.4 minutes in group II, post- operative stay in group I was 2.6 days and in group II was 1.7 days, stone clearance was seen in 26 patients in group I and 22 in group II. Mean stone size in group I was 1.89 cm and in group II was 1.49 cm. Follow ups days were 71.2 in group I and 83.4 in group II. Clavien-Dindo categorization grade 0 was seen in 16 in group I and 13 in group II, grade 1 in 10 in group I and 12 in group II and grade 2 in 4 in group I and 5 in group II. The difference was significant (P< 0.05). There were 4 and 5 patients in group I and group II with post- operative complications (P< 0.05). Conclusion: Authors found that antegrade percutaneous has better stone clearance rates as compared to retrograde ureterolithotripsy for an upper ureteric calculus.

scholarly journals Comparison of clinical profile of leptospirosis patients during post flood and non-post flood periods

2021 ◽  
Vol 9 (7) ◽  
pp. 1913
Author(s):  
Bhagyanath . ◽  
Jacob K. Jacob ◽  
Suma Samuel ◽  
Rakhi R. Kurup ◽  
Reshnu Ravindran
Keyword(s):  
Total Bilirubin ◽  
Clinical Profile ◽  
Cardiac Complications ◽  
P Value ◽  
Zoonotic Infection ◽  
Cross Sectional ◽  
Medical College ◽  
Flood Period ◽  
The Mean ◽  
The Difference

Background: Leptospirosis is a zoonotic infection with high mortality rates. The incidence of leptospirosis is more during floods. The aim of the study was to find the difference in clinical profile of leptospirosis during post flood and non-post flood periods.Methods: This was a cross sectional observational study comparing the clinical profile of leptospirosis patients admitted in Government Medical College Ernakulam, Kerala during the post flood period of 2018 with that of non-post flood period. The data with respect to clinical features and investigations were retrieved from the hospital records.Results: Out of the 42 patients studied 15 were from the post flood period and the rest 27 patients were from the non-post flood period. The mean age in the post flood group was 40 years and that in the non-post flood group 43 years. Myalgia, icterus and calf tenderness was significantly higher in the post flood group. The mean platelet count was significantly lower in the non-post flood period (p value=0.011). Mean serum urea and total bilirubin were significantly higher in the post flood group compared to non-post flood group (p value=0.001). Cardiac complications were seen only among the post flood group.Conclusions: The clinical profile and complications were different in leptospirosis patients during post flood and non-post flood periods. These findings help the treating physicians to formulate different approaches in treating patients during the post flood and non-post flood period.  

ROLE OF STRESS AND SELF-ESTEEM IN ACADEMIC PERFORMANCE OF MEDICAL STUDENTS

2021 ◽  
pp. 67-70
Author(s):  
Vikram Gowda N R ◽  
Sri Harsha H ◽  
Jiyo Chacko ◽  
Nirmala C N
Keyword(s):  
Academic Performance ◽  
General Health ◽  
General Health Questionnaire ◽  
Self Esteem ◽  
Psychological Status ◽  
P Value ◽  
Health Questionnaire ◽  
Medical College ◽  
The Mean ◽  
The Difference

Background: Deterioration in performance of students in medical college is raising concern. One of the reasons is compromise in mental state which is due to stress and it is one of the concerns in present world which needs urgent attention. Many studies have reected that emotional problems are one of the major concerns in higher education which leads to psychological abnormalities like anxiety and depression. Thus early identication and intervention for students having psychological distress would prevent the long term failure in the educational task desired from them at the end of course. Objectives: To assess psychological state among undergraduate medical students measured by general health questionnaire and Rosenberg scale of self-esteem and to correlate their academic performance with the present psychological status. Methods:Adescriptive cross-sectional study was conducted among MBBS students across different phases studying in medical college in central Kerala. The questionnaire included general information and specic information like regarding stay in hostel, hours of study per day, recreational activity, family matters and nancial situation. Psychological wellbeing was assessed using General Health Questionnaire–12. Ascore of ≥15 was considered as an indicator of psychological stressful situation. Self-esteem wellbeing was assessed by Rosenberg Self-esteem Scale according to which any score <20 was considered as low self-esteem. The summative assessment (University examination) marks pattern in theory, viva and practical's were considered as measure for academic performance. Results: 338 students from different phases belonging to different year of admission from 2012 to 2015 participated in the study. The mean age group of sample was 20.96±1.49 years among them 73% were female students. In 118 students General Health Questionnaire score was less than 15 but the difference in sample across the group was not statistically signicant, similarly 207 students had score less than 20 in Rosenberg selfesteem scale where the difference in the score among the group was not statistically signicant. Only in 2012 batch students, a statistically signicant negative correlation was observed between the mean scores of general health questionnaire with academic performance (Mean GHQ score 16.42, r value -0.2, p value 0.018) and a statistically signicant positive correlation was observed between low self-esteem with academic performance (Mean RSE score 18.41, r value 0.23, p value 0.03). In all other batch although GHQ score did not correlate with academic performance but self-esteem score was statistically signicant in batch of 2014. Conclusion: Our study supports that as stress increases, the academic performance decreases hence GHQ and RSE should be used among students with poor academic performance to rule out psychological distress and low self-condence. Every college should be provided a cell to monitor the psychological status of students periodically and intervene if required.

Study on the Thicknesses and the Girths of Tendoachilles of Human Cadavers: Study in a Medical College

2020 ◽  
Vol 11 (2) ◽  
pp. 124-129
Author(s):  
Lutfun Nahar ◽  
Ahmad Seraji ◽  
Md Shofiur Rahman ◽  
Md Redwan Ahsanullah
Keyword(s):  
Human Cadaver ◽  
Dhaka City ◽  
Cross Sectional ◽  
Male And Female ◽  
Medical College ◽  
Significant Difference ◽  
Human Cadavers ◽  
The Mean ◽  
The Difference ◽  
Measurement Of Thickness

Study on the Thicknesses and the Girths of Tendoachilles of Human Cadavers. Background: Tendoachilles is the chief planter flexor of the ankle joint. It provides elastic energy storage in walking and running. The present study was planned to collect data to find out possible variations of thickness and girth between right and left leg of both male and female. Materials and methods: A cross sectional analytical type of study was conducted in the department of Anatomy, Dhaka Medical College, Dhaka, from July 2013 to June 2014. The data was collected from both right and left tendoachilles of 60 human cadaver taken from Anatomy Department of different Government and Nongovernment Medical Colleges in Dhaka city. After dissection thickness and girth of tendoachilles was measured and recorded. Results: Among 60 human cadaver, 30 are male and 30 are female. The mean thickness of tendoachilles was greater in right leg than in left leg at its junction with gastrocnemius in male, (P<0.001) at the level of 4 cm above its junction with calcaneus and at the level of its junction with calcaneus in both male and female. No significant difference was observed in the measurement of thickness of right and left tendoachilles at the level of its junction with gastrocnemius in female. Mean girth of tendoachilles was greater in right leg than in left leg at its junction with gastrocnemius, at the level of 4 cm above its junction with calcaneus and at the level of its junction with calcaneus in both male and female. Conclusions: The present study revealed that thickness and girth of tendoachilles was greater in right leg than in left leg which were statistically significant. The difference in thickness and girth can be useful during repair of rupture tendon by orthopaedic and plastic surgeon. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 124-129

scholarly journals Pattern of Cephalic Index among Medical Students of a Medical College of Eastern Nepal

2019 ◽  
Vol 15 (4) ◽  
pp. 256-259
Author(s):  
Raju Kumar Chaudhary ◽  
Sanjib Kumar Sah ◽  
Surya B. Parajuli ◽  
Suman Pokhrel ◽  
Santosh K. Deo
Keyword(s):  
Medical Students ◽  
Teaching Hospital ◽  
Head Length ◽  
Cephalic Index ◽  
Male And Female ◽  
Medical College ◽  
Head Breadth ◽  
The Mean ◽  
The Difference ◽  
Head Type

Background Cephalic index (CI) is one of the important anthropometric parameters to determine racial variation.  Studies done in Nepal has made a comparison of cephalic index for castes (Tharu, Brahmin, Chhetri, Newar), races (Mongoloids and Aryans) but lacks sex variation. The objective of this study was to find the difference in the cephalic index between two genders and to find the sequence of most predominant to least common head type in different genders among the Medical Students of Birat Medical College & Teaching Hospital (BMCTH). Methods A cross-sectional study conducted in the department of Anatomy of BMCTH from 1 July 2019 to 1 September 2019 comprising of 256 medical students (133 male and 123 female) aged between 18 to 24 years. Head length, head breadth and cephalic index were the variables measured using standard devices and techniques. Ethical clearance was taken from the Institutional Review Committee (IRC) of Birat Medical College & Teaching Hospital, Nepal. Results The mean cephalic index in male and female is found to be 81.41 ± 4.52 and 83.62 ± 4.08 respectively. Statistically significant difference found between gender in terms of head length males (18.78±0.69) and females (17.71 ± 0.60); head breadth males (15.28 ±0.62) and females (14.79 ±0.57). The mean cephalic index in males is 81.41 ± 4.52 varying from 69.31 to 94.48. In females, the cephalic index varied from 74.74 to 93.14 and the mean cephalic index is 83.62 ± 4.08. The difference between male and female cephalic index is found to be statistically significant. Majority (43.75%) had Brachycephalic head (CI>79.9) followed by Hyperbrachycephalic (26.95%), Mesocephalic (25.39%), and Dolicocephalic (3.90%). Conclusion Cephalic index is significantly high in female as compared to male whereas head length and breadth are significantly high in males than females. It confirms sexual dimorphism exists. Brachycephalic is the commonest head type.  

scholarly journals Study of serum FT3, FT4 and TSH in pregnant women

2015 ◽  
Vol 23 (1) ◽  
pp. 68-72
Author(s):  
Shahanara Yeasmin ◽  
AFM Anwar Hossain ◽  
Tahmina Yeasmin ◽  
Md Ruhul Amin ◽  
Qazi Shamima Akhter ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Control Group ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B ◽  
Tsh Levels

Background: Thyroid diseases have a strong predominance in woman of childbearing age. Pregnancy may be associated with thyroid dysfunction. The aim of the present study was to assess the serum FT3, FT4 and TSH levels in pregnant women. Methods: This cross-sectional analytical study was done in the Department of Physiology of Dhaka Medical College, Dhaka, from July 2006 to June 2007. Total 50 apparently healthy women of low socioeconomic class, age ranged from 18-40 years were selected from the Outpatient Department of Urban Primary Health Care Project (UPHCP) at Mirpur, Dhaka. Out of them 30 pregnant women of different trimester were taken as study group (group A) and 20 age matched non pregnant women were taken as control (group B). Serum FT3, FT4 and TSH levels were parameters in both groups. Statistical analysis was done by the SPSS version 12.0. Results: The mean serum FT3 levels were 6.36±1.16 pmol/L and 6.381.36 pmol/L in group A (Study) and group B (control) respectively. The mean serum FT4 levels were 20.25±4.77 pmol/L and 19.39±8.17 pmol/L in group A (Study) and group B (control) respectively. The mean serum TSH levels were 0.96±0.96 mIu/L and 1.27±0.86 mIu/L in group A (Study) and group B (control) respectively. The difference was not significant (p>0.05) between group A and B. Conclusion: From the results obtained in the present study, it may be concluded that there is no change of serum FT3, FT4 and TSH level in pregnancy. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22697 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 68-72

scholarly journals Self home blood pressure monitoring in pregnancy: how reliable is it?

2018 ◽  
Vol 7 (2) ◽  
pp. 419
Author(s):  
Hemapriya L. ◽  
Nagaraj Desai ◽  
Ambarish Bhandiwad
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Self Monitoring ◽  
Medical College ◽  
The Mean ◽  
The Difference ◽  
A Prospective Study ◽  
The Impact ◽  
In Pregnancy

Background: The use of automated blood pressure monitors in pregnancy has become increasingly popular, as more women tend to get involved in their healthcare. Not only does it reduce clinician visits, it also helps to eliminate the white coat hypertension.Methods: We conducted a prospective study in the antenatal department of JSS Medical College and Hospital, Mysuru; over a period of one year, from July 2016 to June 2017. The blood pressures of 50 women were recorded at four different periods of gestation using the conventional ‘Diamond mercury Sphygmomanometer’ versus the automated ‘Omron HEM 7130’ home BP monitor and compared.Results: The recordings of systolic blood pressure at home were consistently less than the office measurements at all periods of gestation. However, the difference was not statistically significant. The comparison of diastolic pressures revealed minimal variations between the mean of the office and home blood pressure recordings. The mean arterial pressure also revealed a similar trend.Conclusions: Self-monitoring of blood pressure is a feasible and acceptable option to pregnant women. It might make antenatal care more effective, but we need further research to establish safety and efficacy, the impact on women and health professionals, and how best to use the results.

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