National Journal of Integrated Research in Medicine

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https://imsear.searo.who.int/handle/123456789/149641

Editors in Chief : Dr.Seema Baxi / Dr. Chinmay Shah,

ISSN: 2230 - 9969 (Print)

Frequency: 4 issues a year

Language: English

Indexed in National Library of Medicine Catalogue

Open Access Peer-reviewed journal

Web site: https://njirm.pbworks.com/w/page/245499/Home /

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The Utility Of Boger Boenninghausen’s Characteristics And Repertory In Cases Of Lower Urinary Tract Infection In Women
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background:Urinary tract infections (UTIs) are one of the most frequent clinical bacterial infections in women,accounting for nearly 25%of all infections. Around 50–60% of women will develop UTIs in their lifetimes. Present study shows the efficacy of BBCR in cases of Lower Urinary tract infection in women. Objective: To ascertain the role of BBCR Management of lower urinary tract infections. Material and Methods: Purposive Sampling for research purpose will be done. Selection ofthe medicine will be according to concept of Method of Repertorisation given by Dr Boger. Selection ofthe potency and repetition was based on the laws of homoeopathic Posology described in Organon of medicine Result: This study showed a significant relief to women suffering from lower urinary tractinfections. Many patients who were facing difficulty or uneasiness in their day-to day schedule couldattend it with best ability. Conclusion: This study has concluded the great utility of BBCR repertory infinding similimum for cases of LUTI in women.
To Study The Relationship Of Classification Of Depressive Disorders With The Hahnemannian Concept Of Mental Illness
(Association of Health Professionals and Health Educators, 2022-12) Joshi, H.
Background: Hahnemann (1996) has classified mental illnesses in a rather different way. Heunderstood the mental illness not very different in kind from the physical illness. He classified theillnesses on the principles of cause and effect and the dynamic shift of the illness from the body tomind or vice versa. Aim & Object: To classify patients suffering form Depressive Disorder as per DSM IVcriteria. To determine the relationship of this classification with that enunciated in the 215,216, 221 and225 aphorisms of Organon of Medicine. To evolve the totality of patients on the basis of the aboveevolved Hahnemannian classification of Depressive Disorders. To project a therapeutic plan based onthe finding in 1, 2 and 3 above. Material And Methods: Detailed interview focusing mainly uponsymptomatology for arriving at acomprehensive clinical diagnosis according to DSM IV. Studying theevolutionary pattern of the selected cases to understand them according to the Hahnemannianclassification. Correlating the therapeutic outcome with the principles used and thus discovering anycorrelation between the two approaches. Result and Conclusion: The conclusions range from theconceptual clarity of the applicability of the two systems of classification together to the specificunderstanding of the requirement of appropriate remedy in the appropriate potency and repetitionbased upon a collective understanding of the predisposing and maintaining causes and thesusceptibility. The importance of understanding of the susceptibility came out as the most importantaspect in the combination of the two systems of classification.
To Study The Role Of Justicia Adhatoda In Management Of Allergic Rhinitis In Children
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background:Allergic rhinitis is the most common chronic disease in children. About onein five children has symptoms by the age of 2 or 3 years. Allergy symptoms can have a profound effect on achild’s health, behavior and ability to learn. Left untreated, allergic rhinitis also can lead to a host of otherserious conditions, including asthma, recurrent middle-ear infections, sinusitis, sleep disorders and chronic cough.This studyisa prospective, clinical,interventional study to e valuate the role of an Indian drug Justicia Adhatoda in management of Allergic Rhinitis among children. Material and Methods: Samples hadbeen selected by simple randomized method from Swami Vivekananda homoeopathic medical college andhospital as well as my private OPD at Vrushti Homoeopathic clinic, jail road, Bhavnagar. The cases werefollowed for a period of 6 months. Result: In this study itis observed that the age group of 7-9 yrs. has found more liable to get allergic rhinitis. Males are more prone to get allergies than females. Among othercausative factors dust is found the most important causative factor. As far as miasms are concerned more cases are found to have all the three miasm.(Psora-Sycotic-syphilis).Conclusion: Justicia Adhatoda,although being a rare remedy has found to improved almost 93% of cases by means of reducing intensity,duration and frequency of cases of allergic rhinitis.
Effectiveness Of Bowel Nosode Dysentery Compound In Cases Of Generalized Anxiety Disorders
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background: This study aim Effectiveness of bowel nosode Dysentery compound in 40 cases ofgeneralized anxiety disorder a minimum of 1year, of all the age groups and both gender were included inthe study. Material and Methods: Purposive sampling for research purpose has been done. Selection of medicine was according to concept of methods of Repertorisation. Selection of potency and Repetition wasbasedon law of study Homoeopathic posology which is described in Organon of Medicine. Result: The shows that mostly adults are more affected and acute cases are more present. As far as potencyis concerned mostly higher potency was used as nosodes are usually given in higher potency. Conclusion: Our study has concluded that the role of bowel nosode Dysentery compound is very efficacious.
To Study The Role Of Zingiber In Management Of Acute Summer Diarrhoea In Children
(Association of Health Professionals and Health Educators, 2022-12) Oza, N.
Background:In summer due to heat there may occur shortage of water so people try to get water from anywhere, even purification system is weak due to water shortage causing chance of water getting infected from various bacilli causing water borne diseases like Diarrhoea, Dysentery, Cholera, Typhoid etc. Some other factors like eating ice-creams, ice-gola, out-side unhygienic food, swimming in unclean swimming pool plays important role in development of acute diarrhoea. This study has been done in order to study role of Zingiber in reducing duration, intensity and frequency of summer diarrhoea. So that morbidity due to summer diarrhoea as well as general condition of the patients can be taken care of effectively, gently in a cost-effective manner. Material and Methods:This study is a prospective, clinical, interventional study .Sample of 30 cases had been selected by simple randomized method from Bhavnagar district from Swami Vivekananda homoeopathic medical college and hospital as well as my private OPD at Vrushti Homoeopathic clinic,Jail Road, Bhavnagar. Result:In this study age group of 0-3 and 3-6 are found more liable to get summer diarrhoea .As far as sex distribution is concern male: female is almost same. Cold food, cold drink, ice gola, out-side food, drinking impure water and swimming are found as major causative factors. As far as miasms are concern more cases (almost 60%) are found to have psora in background.Zingiber was used in various potencies in diarrhoea cases and assessment was done on the basis of improvement in terms of reducing intensity, duration and frequency of cases of acute summer diarrhoea. Purposive Sampling for research purpose has been done. Selection of the medicine is according to totality of symptoms. Selection of the potency and repetition was based on laws of Homeopathic Posology which is described in Organon of medicine. Cases were followed for 6 months. Conclusion:There is a better scope in Homoeopathic for the treatment of summer diarrhoea, since the treatment is based on holistic and individualistic approach. A homoeopathic remedy Zingiber not only annihilates the disease but also prevents the complications associated with it.
A Study Of Efficacy Of Homoeopathic Medicine In Case Of Urticaria
(Association of Health Professionals and Health Educators, 2022-12) Boricha, M; Patel, G.
Background:Urticaria or hives, that occur everywhere on the body. It start with small eruption to large wheals, with acute almost always being an allergic reaction. It is due to unknown reason and always bothers to patients in his/her routine life. Objectives:To study efficacy of Homoeopathic medicine in case of Urticaria.Material And Methods:Study of Urticaria cases with efficacy of Homoeopathic medicines through case study after defining, analyzing then further testing data for accuracy. Selection of medicine was depending on concept of individualization. Selection of potency and repetition was based on Homoeopathic posology which describe in Organon of Medicine.Result:In study mostly adults are more affected and acute cases are more presented. Mostly medium to high potency was used. Conclusion:Our study has concluded that Homoeopathic medicine has shown the efficacy in treatment of Urticaria. Cases were under the supervision of Homoeopathic physician (Dr. Manisha Boricha).
Study Of Pyoderma In Its Acute Dimensions With Respect To Causation, Pathogenesis And Miasmatic Co-Relation In The Paediatric Age Group
(Association of Health Professionals and Health Educators, 2022-12) Joshi, H.
Background:Hahnemann was always at great pains to emphasis the importance of causative factors in the environment-both physical & emotional which could be held responsible for development of illness. According to homoeopathy, mind, body and soul are trinity of life. So along with exciting and maintaining causes, there is need of studying the psycho -somatic correlations. As in many clinical cases, the state of mother during pregnancy leading to skin condition in child is noted. Aim and Objective: To study the various clinical presentations of Pyoderma. To examine time of occurrence & observe whether it is in antecedence with the onset of pyoderma i.e. .to establishes the precipitating factors of pyoderma. To observe the socio-economical scenario of the patient’s life to establish the maintaining causes of pyoderma. To understand the susceptibility and to establish the role of miasms. Material And Methods:Detailed case study to understand patient as a person & the focus will be on the life space of the child, the parents’ mental state before conception, mother’s state during pregnancy, his interactions with people around him both inside & outside family; possible causative events and classifyingthem into precipitating, exciting & maintaining causes.Result:In all the 30 cases no psychological cause has been found. So we can postulate that pyoderma is predominantly a physical disease where the predisposing maintaining and precipitating causes play a vital role.Conclusion:As prescription was based mainly on the symptoms exhibited, recurrence and understanding of susceptibility, the most frequently used potency, were moderate, in frequent repetition (80%).
ISO 15189 Internal Auditor Training- Feedback From Participant To Make It More Effective And Convenient
(Association of Health Professionals and Health Educators, 2022-06) Jethva, D; Papulla, S; Patel, S; Savaliya, N; Karbhari, N.
Background:ISO 15189 will equip traineeswith effective auditing techniques and will increase understandingof audit methodologies. Trying to improve the quality of training that will be given underNABL ISO 15189. Material And Methods:The study was done forimproving the training of internal audit. Participants who have already taken training were asked to fill questionnaire in the google form regarding the cost effectiveness, mode of training, material of reference,No. of days of training, frequency at which training should be conducted and mock audit. For each question we had given certain option which will be chosen by earlier participants. For each question % of the answers are calculated individually to analyses whether the training is up to mark or has to be improved.Result:The results obtained are as follow s, for the cost of training to be 58.1% answered it to be five thousand. For the no of days maximum people gave the answer as 3 days. For mode of training results obtained was 80.23% offline.60.46% of trainees wanted weekdays as the days to be included for training session.60.4% of participants wanted power point presentation as the method for training to be conducted. Once in year was selected by 40.6% of trainees for how frequently the training should be conducted. All the participants have answered for the mock audit to be conducted.Conclusion:Most of them seem satisfactory with the training. Many of them suggested we have small break sessions during training. Live training sessions was also suggested as it could be more interactive.
Analysing The Correlation Of Lipid Profile Pattern In Chronic Rheumatic Heart Disease (RHD) Patients
(Association of Health Professionals and Health Educators, 2022-06) Patel, M; Rana, D; MalhotraS; Patel, T.
Background:The global burden of ARF and RHD is significant, and is predominantly found in populations living in low-resource settings. This study was conducted with a view for analysing the lipid profile variation in patients with chronic Rheumatic Heart Disease (RHD) and correlating the same. The early management of RHD has to be started to prevent further cardiac complications. To date no hypothesis is established on the relation between the Lipid Profile and RHD. This study would be beneficial to Indian cardiologists in defining the optimal treatment by the choice of antibiotic therapy and Lipid lowering agents like Statins.Material And Methods:It was a cross-sectional study carried out on the patients visiting Cardiology Out Patient Department (OPD) at a tertiary care hospital in Ahmedabad and who were diagnosed with Rheumatic Heart Disease (RHD).The blood lipids levels of thepatients were evaluated with current classification schemes and treatment levels for hyperlipidemia based on the National Cholesterol Education Panel’s (NCEP) Adult Treatment Program-3 (ATP-III) guidelines.Result:Total 89 patients were included in the study. 76 patients were associated with dyslipidaemia and 13 patients had normal lipid values. As far as total cholesterol levels were concerned, 23 out of 76 patients (30.26%) had above target levels for total cholesterol. Also 46 patients out of 76(60.52%) had raised triglycerides levels and 47 patients (61.84%) had raised LDL levels. As far as HDL levels were concerned, 38 out of 76 patients (50.00%) had below desirable levels. The frequency of deranged LDL is higher as compared to HDL, triglycerides and total cholesterol levels. If these values are to be co-related to the disease, then LDL as a lipid parameter stands most significant.Conclusion:Morbidity and mortality in RHD is very high in Indian patients and one of the determinants of the cardiovascular morbidity is the increased lipid levels. The frequency of deranged LDL is higher as compared to HDL and total cholesterol levels in these patients. This study was planned to evaluate an entirely novel hypothesis that RHD is an independent risk factor for Atherosclerosis and CAD. The exact reason behind the occurrence is unknown but it can be environmental or genetic. RHD and Dyslipidaemia might engulf younger patients. The study is also aimed at evaluating all lipid parameters with RHD.
Evaluation Of Sealing Ability Of Biodentine, MTA Angelus And Zirconia-Reinforced Glass Ionomer Cement For Repairing Furcation Perforations : An In Vitro Study
(Association of Health Professionals and Health Educators, 2022-06) Sneha; Asrani, H; Rawtiya, M; K, S P; Asrani, K.
Background:Background and objective: One of the unfavourable outcomes of endodontic treatment is furcal perforation. Materials such as MTA-Angelus, Biodentine and Zirconomer have been recommended for the repair of furcal perforations.In this study we compared the sealing ability of MTA-Angelus, Biodentine and Zirconia-reinforced GIC in furcal perforations using dye penetration method. Material And Methods:Access cavities were prepared in extracted mandibular molars (n= 40) using round bur in a high speed hand pieceunder water coolant. Perforations were made in the centre of furcation region using 2mm round bur.The teeth were randomly divided into 4 groups based on the material used to seal the perforation: Group I(n= 12) = MTA –Angelus , Group II (n=12)= Biodentine, Group III(n=12) = Zirconomer , Group IV (n= 4) = left unsealed (negative control group).Leakage at the repaired site was then evaluated using methylene blue dye penetration technique under stereomicroscope and data was statistically analyzed.Result:Minimum dye penetration was observed in biodentine followed by MTA, Zirconomer and control group. The results was not statistically significant (p= .08). Conclusion:According to this study, biodentine showed best of the three materials used for furcation repair.
Materiovigilance Program Of India (MVPI): Current Need And Status In Country
(Association of Health Professionals and Health Educators, 2022-06) Trivedi, S.
Background:The term “medical device” includes a broad classification of production ranging from therapeutic medicinal devices withlocal uses tohighlyadvanced electronic medicalequipmentandindicativemedicaldevices. These devices vary widely in their production, type and are highly essential for patients’ care. Thus, their manufacturing, distribution, and sales must be managed to ensure their quality, safety, and efficacy. They play a major role in to detection, assessment and management and treatment of many different diseases. That being said, the quality of devices can very different and even the perfectly articulated products can fail in clinical practice. Post-market surveillance istherefore essential to ensure the quality and evaluate the safety and performance of medical devices. Despite the importance placed on surveillance of drug safety, the need for better monitoring of medical device-associated adverse events receives less attention. A well-structured vigilance system is the backbone of a robust regulatory framework to ensure the quality and promote the safe use of medical devices. The regulation of medical devices, however, is a complex and constantly evolving area that is often complicated by legal technicalities. Although the regulations may differ from one country to another.
To Determine The Role Of Imaging Findings On Computed Tomography (CT) And Magnetic Resonance Imaging (MRI) Predictive Of Acute Invasive Rhino-Orbito-Cerebral Mucormycosis (ROCM) In COVID 19 Patients
(Association of Health Professionals and Health Educators, 2022-06) Solanki, T; Patel, A; Shah, S; Kagathara, V; Dhakan, U.
Background:There is a sudden rise of fungal infection with coronavirus disease. This is attributed to the immunomodulation by the disease and the drugs used, diabetes mellitus, steroid use, oxygen inhalation using dirty water, use of zinc and iron supplements, etc. Early diagnosis and prompt medical and surgical intervention is the mainstay of treatment. This can greatly reduce the high morbidity and mortality associated with this disease. The objective of the retrospective study is to describe the imaging findings of acute invasive rhino-orbito-cerebral mucormycosis (ROCM) in 58 patients with severe acute respiratory syndrome coronavirus 2, from SVP hospital with proven mucormycosis. Special emphasis is placed on the signal patterns of sinonasal mucosa, the earliest and most common findings.Material And Methods:We report the sinonasal, orbital and neuroimaging findings in patients of suspected acute invasive ROCM. A total of 58 patient’s scans were analyzed. The study comprises cases performed at two different imaging modalities and a tertiary care hospital from March 23,2021 to September 1, 2021. All the patients had positive reverse transcriptase polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 and were hospitalized with clinically severe disease as per the guideline s laid down during the second wave in India. They were on intravenous steroids and oxygen. Thirty patients (52%) had diabetes mellitus. All of them presented with headache, facialand/or orbital pain,periorbital puffiness with decreased vision, during the course of treatment. CT or MRI examination of the paranasal sinuses, orbits and brain was done, with intravenous contrast wherever possible. The presence of mucormycosis was confirmed by histological diagnosis in all of them following clinico-radiological diagnosis of acute invasive ROCM. Result:Computed tomography (CT) and magnetic resonance imaging (MRI) of 58 patients showed most commonly involved sinuse s as maxillary and ethmoid sinuses together. Sino-nasal mucosal thickening was the most common finding. Periantral infiltration preceded orbital, cerebral complications, with grossly intact bones. Sinus wall erosions were seen in only patients and maxillary alveolar arch erosionwere frequent findings. CT showed hypodense soft tissue thickening or fat stranding as the predominant finding in involved areas, while MRI showed T2 iso-to hyperintense mucosal thickening with T2 hypointense component as the main finding. Conclusion:MRI is better at demonstrating early mucosal abnormalities, turbinate necrosis, devitalized tissues, orbital apex involvement and intra-cerebral extension. Imaging findings of inflammatory tissue infiltration adjacent to the paranasal sinuses in premaxillary, retroantral fat, facial muscles, pterygopalatine fossa, temporal, infratemporal fossa and extraconal orbital-fat along with typical patterns of sinonasal mucosal thickening should raise the suspicion of acute invasive fungal etiology given the short duration of history and immunocompromised status. High incidence of periantral and orbital extension of the disease is suggestive of acute invasive form of fungal infection. Also the rapidly progressive inflammatory changes without much bone involvement should suggest the suspicion of ROCM. Bony, cerebral and vascular involvements are relatively late complications.
1St Year Resident, Department Of Radio-Diagnosis; SVP Hospital; Smt. NHL Municipal Medical College; Ahmedabad
(Association of Health Professionals and Health Educators, 2022-06) Sonarkhan, D; Jiandani.
Background:Tuberculosis (TB) is a major public health problem. Pulmonary TB sequelae can affect a person's physical and functional capacity leading to decreased quality of life and societal participation. The study aims at evaluating exercise capacity, quality of life, and social participation in patients with post-pulmonary tuberculosis. Material And Methods:An analytical cross-sectional study was carried out in 100 post-tuberculosis patients by convenient sampling. Quality of life was assessed using WHOQOL BREF and social participation was evaluated with the Impact on Participation and Autonomy Questionnaire (IPAQ). Exercise capacity was measured using a six-minute walk test (6MWT). Result:The mean 6MWT distance in males was 333.76 ± 47.10 meters and in females was 335.04 ± 52.34 meters. The mean VO2 peak in males and females was 13.32 ± 2.37 ml/kg/min and 14.02 ± 2.84 ml/kg/min respectively. The quality of life and social participation in both males and females was good. There was a very weak positive correlation between 6MWT and WHOQOL BREF (spearman's rho=0.251) and a moderate negative correlation between WHOQOL BREF and IPAQ (spearman's rho= -0.663) There was no relationship between 6MWT and IPAQ score. Conclusion:The study concludes that the majority of the patients post pulmonary tuberculosis hasfair effort tolerance and good quality of life. It also concludes that there is no statistically significant difference in the quality of life and social participation between males and females.
Role Of Individualised Homoeopathic Medicines In Integrated Management Of Post Dengue Fever Weakness
(Association of Health Professionals and Health Educators, 2022-06) Bhatt, B.
Background:Communicable diseases are major health hazards in developing countries like India. Due to alteration in host, environment or agent factors, there are various manifestations as well as severity were seen in Dengue cases. So, it is imperative to know about management of this communicable disease in brief as well as preventive measures to maintain good health in Community. Integrated approach with alternative medicine opens a new path for management of Communicable diseases in effective way.Material And Methods:At the Manglam Clinic Rajkot, 30 year old patient with Post Dengue Fever weakness was treated with individualized homoeopathy between 30/09/2021 to 03/10/2021. The treatment involved prescription of individually selected homoe opathic single remedy. During Follow up visits, outcome was assessed with Blood Report and general wellbing feeling of patient. Result:over an observation, an increasingly beneficial result from individualized Homoeopathy was noted in post Dengue Fever Weakness as well as on laboratory reports.Conclusion:Homoeopathy is branch of medical science and known for its gentle healing. This gentle art of healing finds a good scope in integrated Management of Post Dengue Fever Weakness
Histopathological Spectrum Of Head And Neck Lesions At Tertiary Care Hospital: 1531 Cases Study
(Association of Health Professionals and Health Educators, 2022-06) Bhalodiya, N; Dalsaniya, J; Dave, R; Dhruva, G.
Background:Head and neck lesions are commonly encountered in patients across all age groups. This region encompass a multitude of congenital, inflammatory or neoplastic lesions.To study different Head and neck lesions, find out frequency of benign and malignant head and neck lesions, histopathological appearance, compare and correlate the various histopathological Head and Neck lesions in relations to age, gender, and site of distribution at P. D. U. Medical College & Hospital, Rajkot, Gujarat, India. Material And Methods:Received specimens were fixed in 10% formalin overnight, processed, blocks were made and sectioning was done and stained with Harris Haematoxylin and Eosin stain in histopathology laboratory. Result:Total 1531 cases were studied during the periodof 1stAugust 2019 to 31stJuly 2021. Out of 1531 cases 991 were males and 550 females respectively. The most affected age group was 41-60 years. Most common anatomical site affected was Nose and Paranasal sinuses. This study include Infectious diseases as a leading cause of Head and Neck lesions because it includes period of Covid Pandemic with most common infection was Mucormyosis. Conclusion:We concluded that site specific data is helpful in evaluating common and rare lesions of head and neck and it also give idea about which site affects more frequently. We also concluded that period during which study is conducted is having huge impact on result.
Comparative Study Of Carrying Angle Between Dominant And Non-Dominant Limb In Normal Young Girls
(Association of Health Professionals and Health Educators, 2022-06) Manju, Kumari; Kirti, Mishra.
Background:The angle subtended by the long axis of the arm and the long axis of forearm in the frontal plane when the elbow is fully extended and the forearm is supinated. Normal degree of Carrying angle is 5 ?-15 ? but in females it is varies on 5 ?-18 ?. The apparent difference in gender may be because of increased joint laxity in females permitting a greater degree of extension. Comparative study of carrying angle between dominant and non-dominant limb in normal young girls. This study aimed comparison of between dominant and non-dominant limb data obtained by clinical method in 18 –20 years normal young girls.Material And Methods:Carrying angle was measured in 141 students of girls in manual method with goniometer.Result:In girls carrying angle dominant limbwas greater than non-dominant limb in girls.Conclusion:The study we conducted there is no significance difference in carrying angle among females in both dominant and non-dominant limb in young girls.
Study Of Maternal Near Miss Events At The Tertiary Care Hospital
(Association of Health Professionals and Health Educators, 2022-06) Mandaliya, M; Patel, A; Shah, D; Shah, R
Background:A maternal near miss case is defined as a “a woman who nearly died but survived a complication that occurred during pregnancy,child birth or within 42 days of termination of pregnancy”1.MMR is defined as ratio of number of maternal deaths per 1000 live births. All pregnant women deserve a good quality of care especially Emergency Obstetric Care including proper infrastructure, human resources that can detect and manage such complications earliest. The objective of this study was to evaluate the causes of maternal near miss cases, various management modalities performed and maternal and fetal outcome in near miss cases. Material And Methods:A retrospective study was carried out in obstetrics and gynaecology department of SCL municipal general hospital, Ahmedabad for identification of MNM as per MNM-R operational guidelines (2014) in a tertiary care hospital from August 2020 to March 2022. Result:Total deliveries during our study period were 9266 out of which 535 number of patients developed complications, 75 patients ended up becoming near miss cases and 30 maternal mortalities were observed.Hypertensive disorders (38.6%) followed by severe anemia (18.6%) and haemorrhage (13.3%) were the commonest underlying causes leading to MNM. More than one management modality was followed in one case. 25% of patients required blood transfusion. Out of which 11 patients required massive blood transfusion (>5 units of blood) and 16% of patients required blood products along with blood resulting from either severe anemia or altered coagulopathy (DIC). 69.3% of patients required ICU stay of <5 days and majority of patients required hospital stay of 9-14 days.63.6% of patients required ICU stay of 1-4 days.Live birth rate was 82.6%.Conclusion:Maternal health is the direct indicator of prevailing health status in a country. Reduction in maternal mortality is one of the targets of MILLENIUM DEVELOPMENT GOALS13for 2015 but in spite of full efforts by all the health care professionals, it still remains a challenge in developing countries.There should be prompt and proper management of high-risk groups by frequent antenatal visits. Aggressive management of each complication and close monitoring of women in labour, decision making in mode and time of termination of pregnancy are important to prevent further complications.
Haematological Profile In HIV Infected Patients With Comparison To CD4 Count
(Association of Health Professionals and Health Educators, 2022-06) Kothari, R; Bhalara, R; Dave, R; Dhruva, G.
Background:To study various hematological parameters in HIV positive patients, to determine CD4+T lymphocyte counts in HIV positivepatients, to compare hematological parameters in patients onART.Material And Methods:Hematological profile was done using HORIBA PENTRA XLR Hematology Analyzer and slides stained in Field stains & Leishmanstain with CD4 Count was done using Partex Flow Cytometer. Result:Most commonly 54% cases are presented with Anaemia Followed by 11% cases with leukocytosis and 5% cases with thrombocytopenia. In anemias commonest is hypochromic microcyticanaemiaseen in 61% ofanaemiacases, followed by 37% patients with normochromic normocytic anemia. Conclusion:Anemiais the most common abnormality followed by leukocytosis followed by thrombocytopenia and leucopenia. Within the spectrum of all Anaemia Hypochromic Microcyticanaemiais the commonest.
Role Of Ultrasonography In Diagnosis Of Various Biliary System Pathologies
(Association of Health Professionals and Health Educators, 2022-06) Gohel, S; Bhatt, C; Shah, S; Babaria, H.
Background:Discuss the role of ultrasound in detecting various gallbladder and biliary tract pathologies in patients presenting as right upper quadrant/epigastric pain/obstructive jaundice especially in emergency situations and demonstrating the incidence of various gallbladder and biliary tract pathologies. Material And Methods:A retrospective observational study of 85 patients having upper abdominal/epigastric pain/obstructive jaundice was carried out at SVP Hospital, ahmedabad. Ultrasound was performed by using MINDRAY RESONA 6 machine. Both curvilinear and linear probes were used for the scanning.Result:The study included 85 patients with 50 female patients and 35 male patients.Most common pathology found was gallbladder calculus (47%). Female gender (72.5%) wasmore prone for having gallstones than male gender (27.5%). Gallstones were commonly associated with diffuse wall thickening and most common pathology associated with diffuse wall thickening was acute calculus and acalculous cholecystitis with both havinga frequency of 30 % each. Gallstones were found a common risk factor for gallbladder perforation as well as gallbladder malignancy. Common pathologies presenting with obstructive jaundice were CBD stones and CBD stricture in which distal CBD was the commonest site for the stones (39%) as well as stricture (50%).In paediatric age group presenting with jaundice common pathologies were choledochal cyst and biliary atresia.Conclusion:Ultrasound is a non-invasive, least expensive,highly sensitive imaging modality and free from radiation for the assessment of the gallbladder and biliary tree pathologies especially in emergency situations
Analysis Of Completeness Of Blood Vacuume Tube Filling At A Clinical Laboratory Attached To Tertiary Care Center, A Cross Sectional Study
(Association of Health Professionals and Health Educators, 2022-06) Patel, C; Saxena, P; Karbhari, N.
Background:Overfilled and under filled tube are most important cause of pre-analytical error and failure to complete requested examination in sample. The study was performed to analyse relationship betweentime of receiving of sample, location of sample, type of vacuum tube, method of collection, total volume required in a patient and volume incompleteness.Material And Methods:The study involved collection and patient samples data, i.e. receiving time of sample, place of collection, type of vacuum tube, blood collection method, total volume required in a patient, measurement of volume before processing. Average incompleteness of vacuum tube was calculated and average relationship between incompleteness and these parameters done.Result:Average incompleteness in OPD samples is better than Non-OPD samples. Averageincompleteness is better during 9 am to 12 am than early morning hour s. Incompleteness with relation to vacuum tube type is in general Plain > (EDTA/Fluoride) > Citrate. Average incompleteness better in sample collected with vacuum tube needle with holder than use of syringe. Average incompleteness increases as total volume required in a patient increases.Conclusion:Dedicated phlebotomist and use of vacuum tube needle with holder is required to bring overall improvement in completeness of blood collection.

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