scholarly journals Clinical Profile and Ultrasonographic Evaluation of Brain in Perinatal Asphyxia

2014 ◽  
Vol 41 (3) ◽  
pp. 33-37
Author(s):  
F Noman ◽  
MI Islam ◽  
HA Khan
Keyword(s):  
Gestational Age ◽  
Cerebral Oedema ◽  
Perinatal Asphyxia ◽  
Periventricular Leukomalacia ◽  
Full Term ◽  
Ventricular Dilatation ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
Preterm Babies

This descriptive cross sectional study was carried out in the department of paediatrics, Mymensingh Medical College Hospital from March 2006 to December 2006. This study was performed on 100 consecutive asphyxiated newborns who were admitted in Mymensingh Medical College Hospital during the study period. Among them, 50 babies were preterm and 50 babies were full term with moderate to severe perinatal asphyxia. Full term (>37 weeks of gestation) and preterm (<37 weeks of gestation) newborn babies with perinatal asphyxia was taken as case in inclusion criteria. Among the preterm babies, highest number 23(46%) were in the age group o/ 34-36 weeks of gestational age and among the term babies, highest number 24(48%) were in the age group of 39-40 weeks of gestational age. This study shows that 39% mothers had prolong obstructed labour, 21% had premature rupture membrane and 17% had pre-eclamptic toxaemia during pregnancy,. Convulsion 66%, poor primitive reflexes 52%, cyanosis 49% pallor 32%, respiratory distress 32% and apnoic spells 26% were the common presentations of asphyxiated babies. Out of 50 preterm asphyxiated newborn, one showed periventricular leukomalacia, two IVH and two ventricular dilatation. In the present study abnormal sonogram were detected in ten term babies. Two cases showed features of cerebral oedema and eight cases showed mild to moderate ventriculomegaly together with several subcortical cystic lesions of varying size. In case of comparison, eight cases had ventricular dilatation in term babies while 2 cases had in preterm babies. None of the term babies had ventricular haemorrhage but 2 had in preterm babies. Only, one preterm baby had periventricular leukomalacia but none among the term babies. There were 2 cases of cerebral oedema in term babies but none in preterm babies. Thus ultrasonography helps early recognition of intracranial abnormalities in asphyxiated newborns. So prognosis may be assessed, complication may be anticipated and appropriate management plan can be designed. DOI: http://dx.doi.org/10.3329/bmj.v41i3.18956 Bangladesh Medical Journal 2012 Vol.41(3): 33-37

scholarly journals Ultrasonographic Findings of Brain in Perinatal Asphyxiated Babies

2018 ◽  
Vol 29 (2) ◽  
pp. 21-25
Author(s):  
M Luthfor Rahman ◽  
Kabiruzzaman Shah ◽  
Parimal K Paul ◽  
Sanaul Haq ◽  
M Belal Uddin ◽  
...  
Keyword(s):  
Perinatal Asphyxia ◽  
Cost Effective ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Paediatric Department ◽  
Preterm Babies ◽  
Stage 1 ◽  
Cns Lesions

Perinatal asphyxia is a major cause of morbidity and mortality among the newborns in developing countries like Bangladesh. The CNS lesions following perinatal asphyxia can be detected by ultrasonography before closure of fontanels which is easier, cost-effective, and convenient than other methods like CT scan and MRI. This cross-sectional type of descriptive study was conducted on 99 perinatal asphyxiated babies in the Paediatric department of Rajshahi Medical College Hospital during the period of July 2008 to June 2010 to assess CNS lesions in different grades of HIE in term and preterm babies. A non-random purposive sampling method was adopted to select the sample unit. Ultrasonography of the brain of each patient was done at the Centre for Nuclear Medicine & Ultrasound, Rajshahi only once within first 28 days of life when the baby became clinically stable. Ultrasonographic findings showed that 13.1% term babies had abnormal findings of which cerebral edema occupied the major portions (54.54 %). About 20.0% preterm babies had abnormal ultrasonographic findings of which ventriculomegaly without IVH (66.6%).The study also showed that the prevalence of intracranial abnormality was higher (78.6%) among the perinatal asphyxiated babies with HIE stage-2 in comparison to that of the HIE stage-3 (14.3%) and HIE stage-1(7.1%).So, this study provided evidences in favour of role of ultrasonography of brain in the evaluation of perinatal asphyxiated babies and designing appropriate management.TAJ 2016; 29(2): 21-25

scholarly journals Risk factor and outcome of retinopathy of prematurity among premature babies admitted to tertiary care hospital: a prospective observational study

2018 ◽  
Vol 6 (1) ◽  
pp. 97
Author(s):  
Vijaykumar Shegji ◽  
Sharanabasappa S. Dhanwadkar ◽  
S. S. Kalyanshettar ◽  
S. V. Patil ◽  
Ashwini Kumara N. B
Keyword(s):  
Risk Factor ◽  
Birth Weight ◽  
Gestational Age ◽  
Retinopathy Of Prematurity ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
College Hospital ◽  
Medical College

Background: Retinopathy of prematurity is a multifactorial vaso-proliferative retinal disorder that increases in incidence with gestational age. ROP is a vascular retinal disease that can cause low vision or blindness. ROP is a common blinding disease in children in the developed world despite current treatment and is becoming increasingly prevalent in the developing world. The purpose of this study was to determine risk factor and outcome of ROP among premature infants admitted to NICU of Shri B M Patil Medical College Hospital and Research Centre-Vijaypur.Methods: Preterm babies less than 35 weeks of gestation or less than 2000grams of birth weight delivered in or referred to Department of Paediatrics at B. L. D. E. U’s Shri B M Patil Medical College Hospital and Research Centre, Vijayapur.Results: Of 153 neonates screened 49 infants had ROP. The incidence of ROP in this study was found to be 32.02% among the babies screened. 25 babies were in stage 1(51.0%) 19 babies were in stage 2(38.8%) two babies from stage 2 progressed to plus disease and 5 babies with APROP (10.2%).Conclusions: The present study reflects the problem of ROP in a tertiary care centre. The incidence of ROP in our study was 32.02 % for any stage. The percentage of neonates who had ROP in the gestational age group ≤32 weeks 36.5%, 24.1%in the 32-36 weeks gestational age group and 40 % in >35 weeks of gestational age group. A statistically significant correlation between birth weight and ROP was also shown in our study. Our study showed greater risk of developing ROP with birth weights less than 1750g. There exists a statistically very high significant correlation between ROP and supplemental oxygen. Also, there is a statistically significant correlation between RDS and ROP.

Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun
Keyword(s):  
Stool Sample ◽  
Rapid Detection ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

scholarly journals HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
Gynaecological Surgery ◽  
College Hospital ◽  
Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

scholarly journals Public Private Partnership as a Treatment Strategy for Tuberculosis Under Dots in Coastal South India

2012 ◽  
Vol 02 (01) ◽  
pp. 23-25
Author(s):  
Rama Prakasha S. ◽  
Suresh G. ◽  
Ivor Peter D'sa ◽  
Shobha Shetty S. ◽  
Ganesh Kumar S. ◽  
...  
Keyword(s):  
Conversion Rate ◽  
South India ◽  
Public Private Partnership ◽  
Medical College Hospital ◽  
Age Group ◽  
Limited Information ◽  
College Hospital ◽  
Private Partnership ◽  
Medical College ◽  
Sputum Conversion

AbstractLimited information is available regarding the functioning of DOTS (Directly Observed Treatment Short course) center for tuberculosis treatment under public private partnership with a medical college hospital. The present study was done to assess the various parameters related to the effectiveness of follow up treatment and its outcome in a DOTS center attached to a medical college hospital in coastal South India.Reports of patients with tuberculosis diagnosed and treated under Revised National Tuberculosis Control Programme at KS Hegde Medical College hospital DOTS center under Mangalore TB unit were reviewed retrospectively for the period from July 2004 to June 2011. Data was described in proportion and chi square test was applied to assess the association of cases with age group and sex. Among 60 patients serially registered under DOTS, 41 (68.33 %) cases were females and 19 (31.67%) cases were males. Maximum number of cases belonged to 15-29 years age group (20, 33.3%) and the difference observed between the categories of TB and age group was found to be significant (P<0.001). Overall 23 (38.33%), 12 (20%) and 25 (41.67%) cases received Cat-I, Cat-II and Cat-III treatment respectively. Success rate for new smear positive cases was 92.85% (13/14) and for Re-treatment smear positive cases was 88.89% (8/9). Sputum conversion rate among new smear positive cases (n= 14) at 2 months and 3 months was 85.71% and 92.86% respectively. Sputum conversion rate for Re-treatment cases (n=9) at 2 months and 3 months was 55.56% and 88.89% respectively. RNTCP is running successfully in this DOTS center with very low treatment failure rate and better outcome indicators, highlighting the importance of public private partnership of poorly functioning DOTS centers with medical colleges.

scholarly journals Ultrasonographic Evaluation of Foetal Binocular Distance in Second & Third Trimester of Pregnancy and Correlation with Gestation Age

2016 ◽  
Vol 3 (1) ◽  
pp. 10-15
Author(s):  
Md. Menhazul Islam ◽  
Taslima Akter ◽  
Saiful Islam ◽  
Farzana Alam ◽  
Uday Goswami ◽  
...  
Keyword(s):  
Gestational Age ◽  
Cross Sectional Study ◽  
Uterine Wall ◽  
Third Trimester ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Gestation Age ◽  
Medical University ◽  
Posterior Position

Background: Foetal Binocular Distance in Second & Third Trimester of Pregnancy and correlation with Gestation Age is important. Objective: The purpose of the study was to sonographically measure the foetal binocular distance, determine the foetal gestational age & to find out relationship between them in 2nd & 3rd trimester of gestation. Methodology: This cross sectional study was carried out in the department of radiology and imaging Mymensingh Medical College Hospital, Mymensingh and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period of July 2012 to June 2013. In all the cases BPD, FL, AC, Binocular distance (BD) in cm and gestational age in weeks were measured by USG. Each patient was voluntary enrolled into the study without any specific indication. The measurement was performed only once for each patient. The foetal outer binocular distance was identified in the occipito-transverse or occipito-posterior-foetal positions. With the head in the occipito-posterior position, the transducer was placed in a plane that transected the occiput, orbits, and nasal processes. Measurements were obtained only when the fetal face was directly perpendicular to the uterine wall, since measurements in an oblique plane were considered to be unreliable. Result: The correlation between binocular distance (BD) in cm and gestational age (GA) in wks was calculated. This correlation was highly significant (r = 0. 973; p<0.001).Conclusion:Excellent correlation was found to exist between binocular diameter and gestational age. In the absence of known date of last menstrual period or where fundal height does not agree with dates, these parameters are valuable in estimating the gestational age of the foetus.Journal of Current and Advance Medical Research, 2016;3(1):10-15

scholarly journals Prediction of nutritive sucking in preterm babies (<34 weeks) and preterm sucking readiness scale

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Nisha Kumari ◽  
Ashish Jain ◽  
Siddarth Ramji
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Observational Study ◽  
Gestational Age ◽  
Negative Association ◽  
Medical College ◽  
Longitudinal Observational Study ◽  
Nutritive Sucking ◽  
Preterm Babies ◽  
Prospective Longitudinal

Abstract Objective To determine predictors of nutritive-sucking in babies < 34 weeks and estimate the appropriate preterm sucking readiness (PTSR) score as an indicator of readiness of nutritive-sucking. Methods Prospective longitudinal observational study conducted in Neonatal unit of a referral hospital attached to Medical College. Forty-nine inborn babies of 28-34 weeks’ gestation and on full gavage feeds were enrolled. Results (a) Nutritive-sucking was achieved at a median age of 14 days (Range 7–50). (b) Low birth weight (LBW) (< 1531.1 ± 142.8) and lesser gestational age (GA) (< 32.8 ± 1) were poor predictors (p < 0.05) and have a significant independent negative association (Correlation birth weight (BW) - 0.0222, GA − 2.2177) with age at which established nutritive-sucking was achieved. (c) PTSR score of ≥9 had the best prediction for achievement of nutritive-sucking at 14-days of life, with a sensitivity of 92.3% and specificity of 100%. Conclusion PTSR score is a sensitive and specific tool to predict the readiness for nutritive-sucking in preterm babies < 34 weeks.

scholarly journals Prevalence and Management of Otitis Media with Effusion Amongst the School Going Children of a Rural Area in Puducherry

2016 ◽  
Vol 24 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Sharath Babu K ◽  
Jayagar Prabakaran ◽  
Shankar Radhakrishnan
Keyword(s):  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
Developed Countries ◽  
Wide Field ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
Group A ◽  
Group B

Background :  Otitis Media with Effusion(OME) also known as  Secretory Otitis Media, has been identified as the commonest middle ear condition causing deafness in children in developed countries. Neither the indication for surgical treatment nor the types and number of procedures used are uniform. Possible treatment includes myringotomy with or without insertion of ventilation tube either alone or with adenoidectomy and occasionally tonsillectomy. Aims and Objectives :  To assess the prevalence and the different modes of presentation of Otitis Media with Effusion among the rural school children of Puducherry and to assess the improvement in hearing after 6 months of surgical intervention done on patients with Otitis Media with Effusion. Materials and Methods:  A school screening camp was conducted on 600 children in the age group of 5-12 years in a government middle school near our medical college hospital for identifying children with Otitis Media with Effusion. Students with Otitis Media with Effusion were further classified into 4 groups for various interventional procedures namely adenotonsillectomy with bilateral grommet insertion (Group A), adenoidectomy with bilateral grommet insertion (Group B), bilateral grommet insertion (Group C),  bilateral myringotomy with wide field incision in the antero-inferior quadrant (Group D). Result : The prevalence was almost in equal proportions in the age group between 5-12 years and the overall prevalence of Otitis Media with Effusion among the study population was 13.3%. The adenotonsillectomy with bilateral grommet insertion procedure had shown a significant improvement in hearing, which was measured by using pure tone audiometry by assessing the mean air-bone gap, which was 9.81, 8.27 and 6.73 at the end of 6 weeks, 3 months and 6 months respectively, when compared to the other procedures.   Conclusion : Adenotonsillectomy with bilateral grommet insertion should be considered in a child with Otitis Media with Effusion who is at risk for speech/language/hearing loss. 

scholarly journals Siddha Diagnostic Methodology of Envagai thervu for Gunmam Patients at Government Siddha Medical College & Hospital, Palayamkottai

2020 ◽  
pp. 1-13
Author(s):  
Rakulini Raveendran
Keyword(s):  
Tamil Nadu ◽  
South India ◽  
The Body ◽  
Age Group ◽  
Microsoft Excel ◽  
College Hospital ◽  
Medical College ◽  
Diagnostic Methodology ◽  
The Voice ◽  
Study Setting

Introduction: Siddha Medicine is a system of traditional medicine originating in ancient Tamil Nadu in South India and Sri Lanka. Traditionally, it is taught that the siddhars laid the foundation for this system of medicine. Siddha system has a unique diagnostic method to identify the diseases and their causes. According to the Saint Theraiyar, there are eight tools of diagnosis: symptoms of the body, the colour, the voice, the eyes, the tongue, stools, urine and the pulse. Aim: The aim of this study was to study the siddha diagnostic methodology of envagaithervu for gunmam patient sat government siddha medical college & hospital, palayamkottai. Study Setting: Government Siddha Medical College, Palayamkottai from April to August 2019. Methodology: It is an observational study. After identifying the eligible subjects, Data will be collected by using the interview administrated questionnaire & relevant data will be collected by measurement. Collected data were processed and statistically analysed by a simple statistical method using Microsoft Excel. Results and Discussion: Majority of the gunmam subjects were females (60%) and age group within 41-60 & 51-60 years. The maximum number of subjects were observed in Pitha Kaalam. Majority of the gunmam subjects had Abdominal pain, eructation, generalized body weakness. Vali azhalnaadi (38%) and azhalvalinaadi (32%) were observed in majority of the gunmam subjects. Neikuri was observed as valiazhal & azhalvali in gunmam subjects. Conclusion: This study has given quite evidence for literatures. These collected information are helpful for further studies in gunmam.

scholarly journals A Clinical Study of 100 Cases of Eclampsia In Rajshahi Medical College Hospital

1970 ◽  
Vol 17 (2) ◽  
pp. 80-83 ◽  
Author(s):  
Marina Khanum ◽  
Fatema Ashraf ◽  
Humaira Sahrin
Keyword(s):  
Developing Countries ◽  
Clinical Study ◽  
Perinatal Mortality ◽  
Developed Countries ◽  
Normal Vaginal Delivery ◽  
Age Group ◽  
College Hospital ◽  
Maternal Deaths ◽  
Medical College ◽  
Group 12

Eclampsia is the occurrence of one or more convulsion in association with the syndrome of pre eclampsia. It is relatively uncommon in developed countries where it complicates about one in every 200 deliveries. Eclampsia can be 20 times more common in developing countries and it probably accounts for more than 50,000 maternal deaths worldwide each year. Which anticonvulsant for women with eclampsia Evidence from the collaborative Eclampsia Trial lancet 1995, 345, 1445-63. The main objective of this study was to observe the clinical profile of antepartum eclampsia cases. The study was carried out with 100 cases that were selected randomly during year 2004. 58% of the patients were primigravida; among them 25% patients were in age group 15-14 years. About 95% patients were illiterate, low socio economic group, and in 53% patients' convulsion occurred in 32-37 weeks of pregnancy.Among 100 patients, 71 patients had normal vaginal delivery and 25% patients needed Caesarean section. Maternal mortality rate was 2%, perinatal mortality was 38%. Perinatal mortality was higher in vaginal group (12%) than LSCS group (7%). doi: 10.3329/taj.v17i2.3450 TAJ 2004; 17(2): 80-83

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