scholarly journals Magnitude of hypothyroidism among patients of cholelithiasis in a tertiary care centre in rural West Bengal: a prospective study

2021 ◽  
Vol 8 (11) ◽  
pp. 3375
Author(s):  
Jaganmoy Maji ◽  
Debjyoti Mandal
Keyword(s):  
Stone Formation ◽  
Tertiary Care ◽  
Gall Stone ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Elder Patients ◽  
A Prospective Study

Background: Cholelithiasis is a common pathology of the gall bladder affecting about 10 to 15% of the adults in western countries and 2 to 29% in India. More than 80% of the patients with cholelithiasis are asymptomatic. Hypothyroidism may cause gall stone formation due to the hyperlipidemia, motility disorders affecting the bile duct and sphincter of Oddi.Methods: This was a descriptive cross-sectional study conducted at Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura from March 2019 to February 2020 for duration of one and half year. The sample size was 54 and consecutive non-probability sampling technique was used for the sampling. All the collected data were recorded in a pre-designed proforma and analyzed in MS excel.Results: Out of 54-patients with cholelithiasis, 28% patients were from the age group 45-54 years.40% patients were hypothyroid pre-dominantly females. Among 30-female patients 11 (26.82%) were hypothyroid and among 11-male patients 2 (15.38%) were hypothyroid. Hypothyroidism in male and female was statistically significant.Conclusions: This study was introduced to determine the relationship between hypothyroidism and cholelithiasis. It was concluded that hypothyroidism was more common in female, obese and elder patients. The gender distribution of the hypothyroidism in patients with cholelithiasis was statistically significant while all other variables were statistically not significant.  

scholarly journals Position of parotid papilla and commissure of lip in relation to maxillary occlusal plane among patients visiting a tertiary care centre of Nepal

2021 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
P Mehta ◽  
S Chhetri
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Occlusal Plane ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Exact Position ◽  
The Mean ◽  
Edentulous Patients

Introduction: The exact position of the Parotid papilla and commissure of the lip plays a crucial role in determining the maxillary occlusal plane which directly facilitates rehabilitating edentulous patients with a removable complete denture. Since the beginning, many authors have conducted different studies regarding its position but multiple variations in its location have been noted. Also, this type of study has not been conducted in the Nepalese population which drags the urge to determine the position of these soft-tissue landmarks in context to the Nepalese population. Objective: To determine the position of parotid papilla and commissure of lip in relation to the maxillary occlusal plane. Materials and Methods: A descriptive cross-sectional study was conducted in the 45 dentate subjects visiting Nobel medical college from November 2019 to April 2020. A vestibular impression was made, stone index fabricated and vernier caliper was used to locate position of parotid papilla & commissure of lip. All the data were collected and statistically analyzed. Results: The mean measurement of distances between maxillary occlusal plane and parotid papilla was 3.69 ± 1.19 mm and between maxillary occlusal plane and commissure of lip was 0.41 ± 0.83 mm respectively. Conclusion: This study showed that the position of the parotid papilla was superior to the position of the maxillary occlusal plane with a mean distance of 3.69mm. The commissure of lip was found to be at the level of maxillary occlusion plane in highest number of cases followed by a superior position with least at the inferior position with respect to the maxillary occlusal plane.

scholarly journals Awareness of contraception in post-partum women in a tertiary care centre

2017 ◽  
Vol 6 (9) ◽  
pp. 3850
Author(s):  
Rupali Atmaram Gaikwad ◽  
Shrinivas N. Gadappa ◽  
Sonali S. Deshpande
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Contraceptive Device ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Medical College ◽  
Contraceptive Pills ◽  
Intrauterine Contraceptive

Background: In this modern or scientific era even though women are working equally or one step ahead of men, in family planning decision they are still lagging behind. Postpartum period is very crucial for a woman especially for many of those belonging to the villages as this may be the only time she comes in contact with a health personnel and in a mood to listen health advice. Keeping this in mind, this crucial period was considered as opportunity to test the issue of awareness regarding contraception.Methods: We conducted a cross-sectional study in the department of obstetrics and gynecology of Govt medical college and hospital, Aurangabad between August 2016 to December 2016. A total 720 post-partum women were interrogated and counselled regarding various methods of contraception.Results: Only 55.69% were aware about various methods of contraception. Awareness was maximum for Sterilisation (91%) followed by Intrauterine contraceptive device (81%) and Oral contraceptive pills (41%). Women knew about contraception from health care system (45%) and mass media (36%). After counselling 97% patients ready to use.Conclusions: There is lack of awareness regarding contraception. Contraceptive services are to be strengthened by intergrating with antenatal sevices.

scholarly journals Caesarean section in a tertiary care centre

2020 ◽  
Vol 9 (8) ◽  
pp. 3106
Author(s):  
Rina V. Patel ◽  
Divyanshi J. Shani ◽  
Parul T. Shah ◽  
Dipali Pandey
Keyword(s):  
Caesarean Section ◽  
Surgical Site Infection ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Infectious Complications ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Background: Caesarean section constitutes a major surgical procedure characterized with morbidity even if it is performed a planned procedure. Postoperative infection in obstetrics continues to affect the practice of every surgeon. Infection can cause an increase in patient’s stay in the hospital, create discomfort, cause disfigurement and lead to morbidities to the patient. Thus, preventive measures need to be constantly evaluated and updated and hence authors have to study and analyse prevalence of postoperative infectious morbidities.Methods: The study was conducted in an Urban Based Medical College Hospital in Ahmedabad. It was a retrospective cross-sectional study of 50 cases of patients who suffered infectious complications post caesarean from 1st March 2019 to 31st March 2020.Results: The prevalence rate of surgical site infection in my study is 5.9% whereas of post-operative puerperal sepsis is 0.6%, of post-operative urinary tract infection is 1.09%, of post-operative breast abnormalities is 0.16%. The most common infectious morbidity amongst all was surgical site infection (surgical site) infection and its prevalence was 5.9%.Conclusions: The development of post-operative infection is an important event that can be prevented by taking proper precautions and following prescribed guidelines. There should be specific use of antibiotics in the post-operative period. In the event of early signs of sepsis antibiotics should be administered properly as per culture sensitivity report. The decrease in infection rate also indirectly reduce the health costs involved in treating them post operatively.

scholarly journals Blood Donation Practice among Undergraduate Students in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Pravakar Dawadi ◽  
Sabina Khadka ◽  
Milan Chandra Khanal ◽  
Raj Kumar Thapa
Keyword(s):  
Medical Students ◽  
Blood Donation ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
First Year ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College

Introduction: Voluntary blood donation is a reliable source of increasing the demand for blood transfusion. Medical students are the potential pool of blood donors. This study aims to find the prevalence of blood donation practice among medical students of a medical college in Nepal. Methods: This is a descriptive cross-sectional study conducted in a medical college of Nepal among students studying from the first year to final year MBBS. Ethical approval was obtained from the Institutional Review Committee of the Nepalese Army Institute of Health Sciences (Ref no. 245). A stratified random sampling technique was used to collect data. A self-administered pre-tested questionnaire was used to collect data. Data were analyzed using Microsoft Excel 2016. Results: The prevalence of blood donation practice among medical students of the medical college is 41 (22.20%) (17.35-27.05 at 95% Confidence Interval). The practice of blood donation is seen more among students of the final year 15 (35.71%) and the least among first year 3 (8.57%). Most of the donors, 24 (58.54%), have donated blood only once before. The most common reasons for donating and not donating blood before are ‘behavior of altruism’ 12 (29.27%) and ‘I am not fit/disapproved’ 44 (30.56%) respectively. Conclusions: This study shows less prevalence of blood donation practice among medical students. It points to the need for more extensive studies to explore the factors deterring medical students from donating blood. Definitive strategies are also needed to encourage medical students to increased voluntary participation in blood donation.

scholarly journals Ruptured uterus outcome among the pregnant women admitted in a tertiary care centre

2018 ◽  
Vol 7 (5) ◽  
pp. 1718
Author(s):  
Ranu Jain ◽  
Mamta K. Shewte
Keyword(s):  
Maternal Death ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Fetal Mortality ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Ruptured Uterus

Background: Rupture of a previously unscarred uterus is usually a catastrophic event resulting in death of the baby and sometimes even maternal death from blood loss. Incidence of rupture uterus varies from 0.3/1000 to 7/1000 deliveries in India accounting for 5% to 10% of all maternal deaths. Hence, the present study was conducted to study the proportion of ruptured uterus among the antenatal women admitted, their associated clinical spectrum and maternal outcome.Methods: A cross sectional study was carried out among 46 antenatal women presented with ruptured uterus in the department of Obstetrics and Gynaecology at N.S.C.B medical college and Hospital at Jabalpur, (M.P) during 1st August 2011 to 31st August 2012.Results: The incidence of ruptured uterus was 1 in 118 (0.84%) of all hospital deliveries. Mostly, 18 (39.1%) patients were in 26 -30yrs of age. Maximum, 22 patients (47.83%) with ruptured uterus were in second gravidae. Most common site of scar rupture was lower uterine segment, observed in 42 (91.30%) patients. The most common form of management was rent repair done in 36 (78.26%) patients, followed by subtotal hysterectomy (STH) in 8 (17.39%) and total hysterectomy (TH) in 2(4.34%) patients. A perinatal mortality was seen in 38 (82.60 %) cases with 1 maternal death was observed.Conclusions: Reducing the primary cesarean section rate and early diagnosis with active surgical management will go a long way in reducing the incidence of ruptured uterus and maternal and fetal mortality.

scholarly journals A study on traditional practice of squeezing of breasts in newborn care among mothers in a tertiary care centre in Malda, West Bengal, India

2021 ◽  
Vol 8 (4) ◽  
pp. 1710
Author(s):  
Sushama Sahoo ◽  
Arpita Singh
Keyword(s):  
West Bengal ◽  
Tertiary Care ◽  
Newborn Care ◽  
Integrated Approach ◽  
Cross Sectional Study ◽  
Mustard Oil ◽  
Tertiary Care Centre ◽  
Traditional Practice ◽  
Cross Sectional ◽  
Medical College

Background: Newborn care is culturally and traditionally sensitive in every society. India is a vast country with different communities having their own traditional practices of newborn care. Squeezing of breasts in newborn period is one such unique traditional practice prevalent among population of rural background of West Bengal. This study was conducted to explore the traditional practice of squeezing of neonatal breasts and to highlight its related morbidities following the procedure among newborns.Methods: This was a descriptive, cross-sectional study conducted at triage of Special Newborn Care Unit (SNCU) of Malda Medical College and Hospital among 352 mothers who presented to us with their sick newborns following squeezing of neonatal breasts. After obtaining proper informed consent, mothers were interviewed. The data were collected using pre-designed questionnaires. Statistical analyses of the data were done using SPSS version 21.Results: In the present study, majority (33.52%) of mothers were 18-21 years old and 92.90% were Muslims. Squeezing of neonatal breasts was usually done on 10th day of life (40.34%) and on 4th day of life (27.27%). Local application following squeezing was done with hot turmeric paste (31.25%) and mustard oil (27.56%). Majority of newborns presented with features of mastitis (39.49%), 15.91% with breast abscess and 35.51% with sepsis.Conclusions: This study highlights the harmful aspects of traditional practice of breasts-squeezing among newborns prevalent in rural Bengal. This practice must be condemned by everyone through an integrated approach of proper health education and counseling of mothers and family members.

scholarly journals PROFILE OF BREAST CANCER PATIENTS ATTENDING A TERTIARY CARE CENTRE: A CROSS-SECTIONAL STUDY

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Ganpat Singh Choudhary ◽  
Man Singh Bairwa
Keyword(s):  
Breast Cancer ◽  
Breast Carcinoma ◽  
Rural Areas ◽  
Tertiary Care ◽  
Nipple Discharge ◽  
Cross Sectional Study ◽  
Breast Cancer Patients ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College

Background: World-wide breast cancer is the most frequent type of cancer among females with increasing incidence. Methods: This study was retrospective and prospective both. Total 40 Female patients of Breast cancer, from all age group admitted in Department of Surgery, Dr. S.N. Medical College, Jodhpur were included. Results: Lump was presenting feature in all cases 100%. The next most common presenting feature was pain, which was present in 62.5% cases. 10%, 17.5% and 2.5% cases had nipple discharge, nipple retraction and skin ulceration. Conclusion: The highest incidence of breast carcinoma was in 4th, 5th and 6the decades.Majority of the patients was Hindus and of rural areas and all the patients were married female. Keywords: Breast Carcinoma, Histopathologically Positive, Metastasis

scholarly journals Prevalence of dermatoses in adult migrant workers attending dermatology OPD in a tertiary care centre in Puducherry

2021 ◽  
Author(s):  
Bhavana Sampadarao ◽  
Govardhan J. Kumar ◽  
Damayandhi Kaliaperumal ◽  
Jude E. Dileep ◽  
Sucharita Sekar ◽  
...  
Keyword(s):  
Migrant Workers ◽  
Skin Diseases ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Epidemiological Data ◽  
Skin Lesions ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College

<p class="abstract"><strong>Background:</strong> Migrant workers are exposed to dangerous and unhygienic work environments, which puts them at risk of developing skin diseases. This study aims to assess the prevalence of skin diseases and provide epidemiological data regarding various dermatoses among migrant workers in Puducherry.</p><p class="abstract"><strong>Methods:</strong> This is a hospital-based, cross-sectional study conducted in Aarupadai Veedu Medical College and Hospital from August 2019 to February 2021. 350 migrant workers were randomly selected and examined for the prevalence of infective and non-infective dermatoses. The observations were documented and data were analyzed using statistical package for the social sciences (SPSS) version 22.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 350 migrant workers were included in the study. Of most migrants, 90.9% (n=318) were males, while the remaining 9.1% (n=32) were females. The prevalence of infective dermatoses was found to be 76% (n=266) and the prevalence of non-infective dermatoses was 43.10% (n=151) in this study. Fungal infections are the most common infective dermatoses affecting 51.5% of the workers, followed by bacterial skin lesions in 27.4%.</p><p class="abstract"><strong>Conclusions:</strong> This study reveals a high prevalence of infective and non-infective dermatoses among migrant workers, with fungal infections being the most commonly occurring infective skin disease. Eczema was the commonly occurring non-infective dermatoses, according to this study.</p>

scholarly journals Clinical profile and outcomes of snake bite poisoning in a tertiary care centre in South Tamilnadu

2017 ◽  
Vol 6 (2) ◽  
pp. 418
Author(s):  
Meenakshi B. ◽  
Shantaraman K. ◽  
Indhumathi M. ◽  
Arumugapandian S. Mohan
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Snake Bite ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Snake Bites

Background: Snake-bites are well-known common medical emergencies in many parts of the world. In India 46,000 people are dying every year from snakebites. However, the true scale of mortality and morbidity from snake-bite remains uncertain. This study analyses the clinical profile and outcomes of the snake bite poisoning in patients admitted to this centre.Methods: This cross sectional study analyses the data of 150patients admitted to the Intensive Medical Care Unit of Tirunelveli Medical College Hospital with the history of snake bite between April and September of 2015 as available in their case records.Results: In this study, 42.7% of the patients were in the age group of 18 to 40 years and 64% were males with rural: urban ratio of 2.3: 1. About 82.7% of bites were haematotoxic, 10.7% neurotoxic and the remaining nontoxic bites. About 54% patients recovered completely, 44% had some form of morbidity at discharge and mortality was 2%. Out of 136 patients who were treated with Anti-snake venom (ASV), 9.6% developed ADR. The common ADR was itching and hypotension followed by rigor, breathlessness and edema of lips and eyes.Conclusions: This study highlights the need for early treatment intervention post bite. Imparting health education about early pre-hospital management and transfer to the hospital will help in the prevention of deaths due to snakebite. Identification of the type of snake is essential to decide on the type of toxicity and method of treatment to be instituted.

SURGICAL SITE INFECTIONS AT A TERTIARY CARE CENTRE: A CROSS SECTIONAL STUDY

2021 ◽  
pp. 56-58
Author(s):  
G. D. Yadav ◽  
Kuldeep Kumar ◽  
Ashish Varshney ◽  
Himanshu Singh
Keyword(s):  
Tertiary Care ◽  
Surgical Site Infections ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Cost Of Health Care ◽  
One Year

Background: Surgical site infections are associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to identify the etiological pathogens and their antimicrobial susceptibility, resistance and risk factors for development SSIs. Methods: It is observational study carried out at Department of General Surgery at GSVM Medical College, Kanpur, India for a period of one year. It is a tertiary care centre and a teaching hospital. A predesigned and pretested proforma was used to collect data. Surgical sites were examined and culture with sensitivity was done for infected wounds. Results: The most commonly isolated bacteria were: Klebsiella, E. coli and Staphylococcus aureus. Increasing age and associated diabetes showed signicantly higher rates of infection compared to their counterparts. Universal resistance was present to ampicillin, cefoxitin, ceftriaxone and tetracycline, while organism were sensitive to Imipenam, Meropenam and Piperacillin. Conclusions: Post-operative abdominal wound infection represents a substantial burden of disease both for the patients and the healthcare services in terms of the morbidity, mortality and economic costs.

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