scholarly journals Mortality and morbidity associated with acute poisoning cases in north-east India: A retrospective study

2019 ◽  
Vol 8 (6) ◽  
pp. 2068 ◽  
Author(s):  
Rakesh Sharma ◽  
Neelanjana ◽  
Nandita Rawat ◽  
Nalini Panwar
2015 ◽  
Vol 5 (4) ◽  
pp. 312 ◽  
Author(s):  
WihiwotValarie Lyngdoh ◽  
Vikramjeet Dutta ◽  
Ishani Bora ◽  
Basabdatta Choudhury ◽  
AnnieBakorlin Khyriem ◽  
...  

2018 ◽  
Vol 13 (4) ◽  
pp. 1084 ◽  
Author(s):  
GyaniJail Singh Birua ◽  
VishnuSingh Munda ◽  
NagendraNath Murmu

2017 ◽  
Vol 08 (S 01) ◽  
pp. S37-S43
Author(s):  
Binoy Kumar Singh ◽  
Abinash Dutta ◽  
Shameem Ahmed ◽  
Zakir Hussain ◽  
Rajib Hazarika ◽  
...  

ABSTRACTBackground: Traumatic brain fungus is manifestation of neglected head injury. Although rare it is not uncommon. The patients are usually intact with good Glasgow coma (GCS) score inspite of complex injuries and exposed brain parenchyma but morbidity and mortality is very high with time if no proper and timely management is offered. There is very less study on traumatic brain fungus with no defined management protocols. So an attempt was made to explain in details the surgical strategies and other management techniques in patients with traumatic brain fungus. Aims: To study and evaluate the pattern of causation, clinical presentations, modalities of management of traumatic brain fungus and outcome after treatment. Methods: All patients with fungus cerebri, admitted to our centre from January 2012 to December 2015 were studied prospectively. All the patients were examined clinically and triaged urgently for surgery. CT head was done in all patients to look for any brain parenchymal injury. All patients were managed surgically. Outcome was assessed as per the Glassgow Outcome Score. Results: Total 10 patients were included in the study. 8 were men and 2 women. The patients' ages ranged from 3-48 years (mean 31.6 years). The interval between initial injury and protrusion ranged from 3 days to 6 days (mean 4.1 days). Mean GCS at the time of presentation was 13.2.60% of the patients (n =6) sustained moderate head injury. (GCS-9-13). Size of the fungus ranged from 5cm×3cm to 8cm×10cm. Conclusion: Early and proper local wound treatment prevents fungus formation. Pre-emptive antibiotics, AEDs and cerebral decongestants are recommended. Loose water-tight duroplasty prevents CSF leak. But mortality and morbidity can be reduced significantly if brain fungus is managed properly by applying basic surgical principles and antibiotic protocols combined with newer surgical modalities.


2021 ◽  
pp. 4-5
Author(s):  
Murchana Khound ◽  
Sekharjyoti Sharma

Background: Neonatal jaundice is a common cause of mortality and morbidity in newborn babies and account for up to 60% cases in term and 80% in preterm babies. Studies from different geographical areas should be done to know the causes of hyperbirubinemia properly so that a collective effort can be made to decrease the burden mortality and morbidity associated with it Objectives:To study the incidence and causes of neonatal jaundice in babies admitted in the hospital Methods: It was a hospital based observational study conducted in one of the busiest hospitals of Jorhat over a period of 12 months. Incidence and causes of neonatal jaundice in the babies born in the hospital during the study period were studied. Results: 710 newborns delivered during the study period out of which 439 (61.8%) newborns developed clinical jaundice. 290 (66%) newborns had physiological jaundice and the rest 149 (34%) developed pathological jaundice. Among the 149 babies developing pathological jaundice 87(58.3%) were males and 62(41.6%) were females. Most common cause was ABO incompability(31%) of cases, second was breast feeding jaundice (28%) , third was prematurity (12%) .Other causes were cephalohematoma(1.3%), Rh incompatibility(3.3%) , G6PD deciency(8%), sepsis(4.7%) and in 11.4% babies no denite cause was found. Conclusion: Adequate feeding, preventing premature deliveries, good monitoring of babies with ABO incompability, prematurity, Rh incompability, G6PD deciency can decrease the mortality and morbidity associated with neonatal jaundice.


Author(s):  
Jyotirmoy Phookan ◽  
Shilpi Gupta

<p class="abstract"><strong>Background:</strong> The school of Bilroth in Vienna started modern thyroid surgeries in 1860s.<sup>1</sup> Thyroidectomy was associated with high mortality, recurrent laryngeal nerve injuries and tetany. One and a half century down the timeline, complications still occur. Although, in experienced hands, the thyroid surgeries performed today are associated with minimal mortality and morbidity. Lateral approach thyroidectomy is a commonly practiced approach with fewer complications. We carried out a study to assess the efficacy, safety and advantages of lateral approach thyroidectomy with a new key step.</p><p class="abstract"><strong>Methods:</strong> A prospective study was performed on thirty patients undergoing conventional open thyroidectomy from January to July 2019 at a tertiary care hospital in north east India. All patients underwent open thyroidectomy via lateral approach in which identifying superior belly of omohyoid was considered a key step of surgery. Basic demographic data, preoperative diagnosis, operative time, blood loss, need for transection of strap muscles and complications were recorded.  </p><p class="abstract"><strong>Results:</strong> There were no intra-operative complications, without the need to cut strap muscles or sacrifice superior belly of omohyoid in any case. Voice change was seen in one case, improved after steroid administration. One case developed tetany after total thyroidectomy managed with calcium supplements.</p><p class="abstract"><strong>Conclusions:</strong> Results suggested that lateral approach of thyroidectomy is a quick and safe technique where identification of superior belly of omohyoid considered as our key step, enabled easy delivery of superior pole of thyroid and facilitates easy identification and preservation of vital structures; thus, causing least morbid sequelae.</p>


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