scholarly journals Out Come of Threatened Abortion in a Series of 100 Cases in RMCH

1970 ◽  
Vol 18 (2) ◽  
pp. 76-79
Author(s):  
M Khanam ◽  
Nahid Yusuf ◽  
Fatema Ashraf
Keyword(s):  
Economic Condition ◽  
Preterm Labour ◽  
First Trimester ◽  
Normal Pregnancy ◽  
Placenta Praevia ◽  
Age Group ◽  
Missed Abortion ◽  
Threatened Abortion ◽  
One Year

Threatened abortion is a clinical entity where the process of abortion has started but has not progressed to a state from which recovery is impossible1. The prognosis of threatened abortion is very unpredictable whatever method of treatment is employed either in hospital or at home. 100 cases of threatened abortion were studied in RMCH. Over one year of study it was found that abortion cases constituted about 34% of all gyneacological admission. Among them 12% of all abortion related admitted cases had threatened abortion. From the results it was evident that most of the cases were between 20-30 yrs. Age group (58%), 71% were multigravida, 80% were illiterate & low socio economic condition uneventfully & discharged by giving conservative management. In the rest abortion pregnancy was terminated either by inevitable abortion or missed abortion. Follow up data showed that among 46 cases of threatened abortion who readmitted in hospital, 26 cases had normal pregnancy out come, 2 cases developed IUD, 4 cases developed preterm labour, 12 cases had placenta praevia, 2 cases had IUGR & 2 cases had aboruptio placenta. So the conclusion of the study was first trimester vaginal bleeding is an independent risk factor for adverse obstetric out come that is directly proportional to the amount of bleeding.   doi: 10.3329/taj.v18i2.3170 TAJ 2005; 18(2): 76-79

Mortality after proximal hip fracture in the Singapore population

2005 ◽  
Vol 15 (3) ◽  
pp. 166-170 ◽  
Author(s):  
K.H. Lin ◽  
Y.W. Lim ◽  
Y.J. Wu ◽  
K.S. Lam
Keyword(s):  
Hip Fracture ◽  
Mortality Risk ◽  
Cox Regression ◽  
Regional Hospital ◽  
Age Group ◽  
Risk Of Death ◽  
The Past ◽  
The Mean ◽  
One Year

The aims were to prospectively assess the mortality risk following proximal hip fractures, identify factors predictive of increased mortality and to investigate the time trends in mortality with comparison to previous studies. Prospectively collected data from 68 consecutive patients who had been admitted to a regional hospital from May 2001 to September 2001 were reviewed. The mean age of the patients was 79.3 years old (range, 55–98) and 72.1% females. Patients were followed prospectively to determine the mortality risk associated with hip fracture over a two-year follow-up period. The acute in-hospital mortality rate at six months, one year and two years was 5.9% (4/68), 14.7% (10/68), 20.6% (14/68) and 25% (17/68) respectively. One-year and two-year mortality for those patients who were 80 or older was significantly higher than for other patients and the number of co-morbid illnesses also had significant effect. Cox regression was performed to determine the significant predictors for survival time. It was noted that patients 80 years or older were at higher risk of death compared with those less than 80 years as well as those with higher number of co-morbid illnesses. Our mortality rates have not declined in the past 10 years when compared with previous local studies. We conclude that for this group of patients studied, their mortality at one year and two years could be predicted by their age group and their number of co-morbid illnesses.

scholarly journals P099: Extending the trimodal distribution of death; trauma patients die at increased rates after discharge. Linking trauma registry data to vital statistics and hospital datasets identifies opportunities to save life

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S100-S100
Author(s):  
J. French ◽  
C. Somayaji ◽  
D. Dutton ◽  
S. Benjamin ◽  
P. Atkinson
Keyword(s):  
Mortality Rate ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Trauma Registry ◽  
Vital Statistics ◽  
Trauma Patients ◽  
Age Group ◽  
Post Discharge ◽  
One Year

Introduction: The New Brunswick Trauma Registry is a database of injury admissions from eight hospitals throughout the province. Data tracks individuals in-hospital. By linking this information with vital statistics, we are able to observe outcomes post-discharge and can model health outcomes for participants. We want to know how outcomes for trauma patients compare with the general population post discharge. Methods: Using data from 2014-15, we followed over 2100 trauma registry observations for one year and tracked mortality rate per 1,000 people by age-group. We also compared the outcomes of this group to all Discharge Abstract Database (DAD) entries in the province (circa. 7500 total). We tracked mortality in-hospital, at six months, and one year after discharge. We truncated age into groups aged 40-64, 65-84, and 85 or older. Results: In-hospital mortality among those in the trauma registry is approximately 20 per 1,000 people for those age 40-64, 50 per 1,000 people for those aged 65-84, and 150 per 1,000 people aged 85 or older. For the oldest age group this is in line with the expected population mortality rate, for the younger two groups these estimates are approximately 2-4 times higher than expected mortality. The mortality at six-month follow-up for both of the younger groups remains higher than expected. At one-year follow-up, the mortality for the 65-84 age group returns to the expected population baseline, but is higher for those age 40-64. Causes of death for those who die in hospital are injury for nearly 50% of observations. After discharge, neoplasms and heart disease are the most common causes of death. Trends from the DAD are similar, with lower mortality overall. Of note, cardiac causes of death account for nearly as many deaths in the 6 months after the injury in the 40 -64 age group as the injury itself. Conclusion: Mortality rates remain high upon discharge for up to a year later for some age groups. Causes of death are not injury-related. Some evidence suggests that the injury could have been related to the eventual cause of death (e.g., dementia), but questions remain about the possibility for trauma-mitigating care increasing the risk of mortality from comorbidities. For example, cardiac death, which is largely preventable, is a significant cause of death in the 40-64 age group after discharge. Including an assessment of Framingham risk factors as part of the patients rehabilitation prescription may reduce mortality.

scholarly journals Results of Tympanomastoid surgery in CSOM with Cholesteatoma (Attico-Antral Variety) - A study of 30 cases

2015 ◽  
Vol 20 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Md Abul Hossain ◽  
Md Zakaria Sarker ◽  
Md Ashequr Rahman Bhuiyan ◽  
KM Nurul Alam ◽  
Md Abdullah Al Harun ◽  
...  
Keyword(s):  
Economic Condition ◽  
Disease Recurrence ◽  
Hearing Level ◽  
Age Group ◽  
Radical Mastoidectomy ◽  
Hearing Status ◽  
Younger Age ◽  
Modified Radical Mastoidectomy ◽  
The Mean

In this prospective study 30 case of CSOM with cholesteotoma, admitted in 3 tertiary level hospitals, where modified radical mastoidectomy with type III tympanoplasty were done, then results of operation were assessed in follow up. The objectives of study to assess the clearance of disease, recurrence of disease and the cavity problem and to find the take rates of graft and improvement of hearing level after surgery. In this study most of the cases were younger age group (40%), male (60%), poorsocio- economic condition (73:33%), Illiterate (46.67%), day laborer (26.67%) & rural peoples (80%). It was observed that hearing status was improved 46.67%, unchanged 33.33% and deteriorated 20% cases. The mean, hearing gain was 10.79 dB. Also post mastoidectomy discharging ear was 20%, facial palsy 3.33%, recurrence of cholesteatoma 13.33%, dead ear 0%. Early detection and management of CSOM with cholesteatoma should be our goal to prevent complications. If good tympanomastoid surgery is done meticulously there will be improvement of hearing and less complications. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22013 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 20-26

scholarly journals Importance of placental localisation in early pregnancy

1970 ◽  
Vol 2 (2) ◽  
pp. 16-19
Author(s):  
Veena Agrawal ◽  
Sonal Kulshresta
Keyword(s):  
Pregnant Women ◽  
Key Words ◽  
Early Pregnancy ◽  
Placenta Previa ◽  
Placenta Praevia ◽  
Cesarean Sections ◽  
Third Trimester ◽  
Threatened Abortion ◽  
D 20

Objectives: To determine the incidence and rate of persistence of placenta praevia diagnosed as low lying placenta in d" 20 weeks' gestation using sonography (USG) and to establish its' co-relation with pregnancy outcome. Methods: Randomized 230 pregnant women studied by USG at d" 20weeks gestation. Among them 42 were recruited for study as they were having low lying placenta. These cases were rescanned at e" 28 weeks. Results: In 230 cases, the incidence of low lying placenta at d" 20weeks was18.26% (42/230); 90.5% had lateral, 2.4% had marginal and 7.1% had total placenta praevia. A total of 26 (61.9%) cases, had threatened abortion and two patients aborted. On longitudinal follow-up, 80% of remaining 40 cases had normally situated placenta at rescan. However those with total placenta praevia at d" 20weeks persisted as such with 100% persistence while only 10.5% with lateral low lying placenta persisted. APH was presentation in 3(7.1%), all of them undergoing cesarean sections for placenta praevia. Conclusion: Ultrasonography at < 20 weeks gestation showing low lying placenta has been useful in predicting placenta praevia at third trimester. Total placenta at this gestation has invariably persisted as placenta previa at third trimester. Key words: Placenta, Low lying Placenta, Placenta Praevia, APH  doi:10.3126/njog.v2i2.1449 N. J. Obstet. Gynaecol 2007 Nov-Dec; 2 (2): 16 - 19

scholarly journals Role of cytohormonal study in normal pregnancy and in threatened abortion

2018 ◽  
Vol 7 (5) ◽  
pp. 1735
Author(s):  
Shailesh B. Patil ◽  
Milind B. Patil
Keyword(s):  
Normal Pregnancy ◽  
Fetal Outcome ◽  
Control Group ◽  
Vaginal Smear ◽  
Age Group ◽  
Number Of Patients ◽  
Significant Difference ◽  
Parity Number ◽  
Threatened Abortion

Background: It is certain from clinical experience of many that one or more hemorrhages in early pregnancy can still end up in good fetal outcome. So, our study deals with comparison of cytohormonal study in pregnancy and threatened abortion. The study was conducted with the aim of utilizing colpocytogram as a tool in assessing and treating cases of threatened abortion and comparing them with normal pregnant women.Methods: Patients attending antenatal care unit on outdoor basis and labelled as normal pregnancy cases were considered as control group. The patients of threatened abortion were studied when they were admitted in Gynecology department for indoor treatment. Patients were studied taking into consideration their age, parity, number of abortions, complaints (P/V bleeding, pain in abdomen), gestational age, per abdomen and per vaginal findings and also USG findings and vaginal smear pattern.Results: Maximum number of patients was present in the age group of 21-25 years in both the groups. While only 13.33% had normal smear pattern in threatened abortion group. 86.67% patients in threatened abortion group showed abnormal smear pattern. There is statistically significant difference was found (p<0.05). There is statistically significant was found (P<0.01) and indicates good effects of the drug on the vaginal epithelium.Conclusions: The cytohormonal study acts as a simple, reliable, good, noninvasive method for evaluation of hormonal pattern in normal pregnancy and threatened abortion. 

The Consequences of Iron Overdose and its Treatment with Desferrioxamine in Pregnancy

1991 ◽  
Vol 10 (4) ◽  
pp. 251-259 ◽  
Author(s):  
P.R. McElhatton ◽  
J.C. Roberts ◽  
F.M. Sullivan
Keyword(s):  
Serum Iron ◽  
Information Service ◽  
First Trimester ◽  
Normal Pregnancy ◽  
Severe Toxicity ◽  
Third Trimester ◽  
The United Kingdom ◽  
Iron Overdose ◽  
In Pregnancy

A study was carried out to assess the effect on the outcome of pregnancy of iron overdose and its treatment with desferrioxamine. Sixty-eight cases were drawn from those reported to the United Kingdom National Poisons Information Centre and the Teratology Information Service at Guy's Hospital, London, and follow-up was obtained in 51 of these. Two were subsequently reported not to be pregnant and there were 49 records of pregnant patients who took iron overdoses and where outcome of the pregnancy was known. Twenty-five of these patients were treated with desferrioxamine. In 48 of the 49 patients the dose of iron allegedly taken was known and in 28 (60%) was over 20 mg kg-1, sufficient to put them at risk of toxicity. In the 36 whose serum iron levels were measured, 20 patients had levels in excess of 60 μmol l-1, indicating a risk of moderate or severe toxicity. Of the 49 pregnancies, 43 resulted in live babies, two had spontaneous abortions and there were four elective terminations. Of the live babies, three were premature, two of whom had problems, and there were three other babies with abnormalities. All babies with malformations were associated with overdoses after the first trimester and so the malformations cannot be directly related to the overdose. A total of 25 patients received desferrioxamine of whom two had malformed babies, but the desferrioxamine can be excluded as a cause. There was no correlation between the serum iron levels and the birthweights. In conclusion, iron overdose in pregnancy can be fatal and antidote treatment if appropriate should not be withheld. The majority of second and third trimester iron overdoses, treated with desferrioxamine or other antidotes, will have a normal pregnancy outcome. The risk of spontaneous abortion is low but cannot be excluded.

Chondroblastoma – an unusual site in a young patient

1996 ◽  
Vol 110 (7) ◽  
pp. 696-699 ◽  
Author(s):  
M. H. Al-Sader ◽  
R. Tait ◽  
M. Leader
Keyword(s):  
Case Report ◽  
Young Patient ◽  
Age Group ◽  
Unusual Site ◽  
Nasal Bridge ◽  
One Year

AbstractWe report a case of primary chondroblastoma presenting as a submucosal lump on the nasal bridge of a 15-yearold female. The lesion was curetted and the patient remains well after one year follow-up. This case report describes a primary chondroblastoma arising in an unusual site and in an unusual age group.

scholarly journals Placenta praevia in Najran University hospital: incidence and risk factors

2017 ◽  
Vol 6 (5) ◽  
pp. 1758
Author(s):  
Sana B. Mustafa ◽  
Abdulhadi M. Elbashir ◽  
Adil Y. Waddad ◽  
Abdelrahman M. A. Ibrahim
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Significant Risk ◽  
Placenta Praevia ◽  
University Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Care Clinic ◽  
One Year ◽  
The Impact

Background: Placenta praevia is a source of drastic pregnancy, fetal and neonatal complications. There was variable incidence in the literature in different parts of the world and within the same country regions. We carried out this study to find the impact in our area and the possible risk factors for this serious obstetric problem.Methods: This study is a cross-sectional descriptive, one-year retrospective one-year prospective study, carried out from April 2014 to April 2016. All pregnant women attended the antenatal care clinic in Najran University Hospital during the study period, were included.Results: The incidence of placenta praevia was found to be 2.7%. AMONG the study group, the most affected age group was between 20-29 years. Previous placenta praevia and previous caesarean  section were the significant risk factors P=0.00 and 0,017 repectively.Conclusions: The incidence of placenta praevia in Najran KSA in this study was high, compared to other regions in Saudi Arabia and the majority of the international figures. Caesarean section and previous placenta praevia were the significant risk factors for placenta praevia in this study.

scholarly journals Role of Misoprostol in Missed Abortion

2013 ◽  
Vol 26 (2) ◽  
pp. 92-99
Author(s):  
KN Nahar ◽  
SB Chowdhury ◽  
Shayela Shamim ◽  
Begum Nasrin ◽  
Fawzia Hossain ◽  
...  
Keyword(s):  
Cardiac Activity ◽  
Expectant Management ◽  
First Trimester ◽  
Uterine Perforation ◽  
Missed Abortion ◽  
Gestational Sac ◽  
Vaginal Misoprostol ◽  
Very High

Spontaneous abortion or miscarriage is the spontaneous end of a pregnancy at a stage where  the embryo or fetus is incapable of surviving independently, generally defined in humans at  prior to 20 weeks of gestation, but in our country before 28 weeks of gestation. Nearly 20% of  all confirmed pregnancies end in abortion. The incidence of this type of abortion is very high  during first trimester and decreases with increasing gestational age. Of many types of abortion, missed abortion occurs when the embryo or foetus has died, but a miscarriage has not yet  occurred. The retention of a fetus known to be dead for >4 weeks. The cervix is closed and   there is no or only slight bleeding. Ultrasound examination shows an empty gestational sac or  an embryo/fetus without cardiac activity. Surgical evacuation is the most common method of  treatment of missed abortion.It is considered to be safe but carries some risk of complications  related to anaesthesia and of surgical complications such as uterine perforation, cervical trauma, intrauterine adhesions and infections. Expectant management and medical treatment  are the two other ways of treatment of missed abortion. Based on a review of the published  literature, a single dose of 800?g vaginal misoprostol may be offered as an effective, safe and acceptable alternative to the traditional surgical treatment for this indication in the first trimester. Alternatively, 800?g misoprostol can be administered sublingually. Treatment may be repeated  twice with a 3-4 hour interval for maximum three doses can be given orally or sublingually. Where as, vaginally, dose can be repeated 6-8 hourly for three doses. For the rest, 12-28 weeks of missed abortion,400?g of misoprostol every 4 hours until expulsion. Majority of  cases have the expulsion within 48 hours. After administration of misoprostol, hospitalization  is not necessary and the time of expulsion varies considerably. Bleeding may last for more than 14 days with additional days of light bleeding or spotting. The woman should be advised  to contact a provider in case of heavy bleeding or signs of infection. A follow up is recommended  after 1 to 2 weeks.DOI: http://dx.doi.org/10.3329/bjog.v26i2.13787Bangladesh J Obstet Gynaecol, 2011; Vol. 26(2) : 92-99 

Uvulopalatopharyngoplasty in a child with obstructive sleep apnea

1988 ◽  
Vol 102 (6) ◽  
pp. 546-548 ◽  
Author(s):  
Mufid H. Abdu ◽  
Joseph G. Feghali
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
One Year

Abstract Uvulopalotopharyngoplasty (UPPP) has been recently popularized for the treatment of snoring and sleep apnea syndrome (SAS). All reported cases so far have been adults and the use of this procedure in the pediatric age group has not as yet been reported. Obstructive sleep apnea in children has been classically treated previously either medically or by adeno-tonsillectomy. The case of a three year old child with obstructive sleep apnea secondary to a large uvula and a redundant soft palate is reported. The child was successfully treated by UPPP, and remained free of symptoms for a follow-up period of one year.

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