Browsing by Author "Bhat, Sajad Ahmad"
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Item Clinical Profile and Outcome of Neonates with Hypernatremic Dehydration - A Tertiary Care Hospital based Study(International Society for Contemporary Medical Research, 2019-02) Bhat, Sajad Ahmad; Hassan, Zul Eidain; Tak, Shafat AhmadIntroduction: Neonatal hypernatremic dehydration is amedical emergency. Early diagnosis and appropriate treatmentis crucial for survival and better prognosis. However, diagnosisis often difficult due to apparent well being and dehydration isunderestimated. The aim of our study was to see the outcomeof neonates admitted with hypernatremic dehydration in ourhospitalMaterial and Methods: The study was conducted inneonatology of Postgraduate Department of Pediatrics, inGB Pant Hospital, an associated hospital of GovernmentMedical College Srinagar. It was a hospital based prospectiveobservational study conducted for 1 year, from March 2016to February 2017. A total of 67 neonates were enrolled in ourstudy.Results: The results showed mean age of presentation 18days, females were 37(55.5%), mean birth order was 1.6,44(65.7%) cases were from rural background,62 (92.5%) ofour cases were term babies, an average weight loss of 14.6%was found. There was a significant statistical relation in thepercentage of weight loss, incidence of shock, incidence ofAKI and sodium levels(p value<0.001).Conclusion: Women should be educated about theproper technique of breast feeding during prenatal visitsand after the delivery of the newborn. Mothers should beinformed about ‘ten steps of successful breast feeding’.All breast-fed infant should be weighed at least onceseveral days after dischargeItem Hospital based randomized prospective study outcomes in colorectal surgery after bowel preparation(Medip Academy, 2020-04) Bhat, Altaf Hussain; Mir, Gh Hussain; Bhat, Sajad Ahmad; Ali, MuzaffarBackground: Research of so many years from the procurable world data has shown that the reasons for most colorectal cancers occur due to change in life style the type of diet, smoking as well as the influence of the surrounding environment in which man lives and increasing age with only a minority of cases associated with genetic disorders. Colorectal cancer is the third most commonly diagnosed cancer. In the first half of the 20th century, mortality from colorectal surgery often exceeded 20%, mainly attributed to sepsis.Methods: The randomized prospective study was conducted on 202 colorectal cancer patients in the department of Colorectal division of General and Minimal Invasive surgery” Sher-i-Kashmir Institute of Medical Sciences, Srinagar.Results: Mean age of patients in Group 1 (with no mechanical bowel preparation (NMBP)) was 51±18.15 years while as same was 50±17.76 years for Group 2 (with mechanical bowel preparation (MBP)). Age range for Group 1 was 16-87 years and16-85 years for Group 2. Regarding outcomes, wound infections were 6.1% and 3.8% in Group 1 and Group 2 respectively. While disruption of anastomosis were 2.0% and 3.8% in group A and B respectively.Conclusions: Statistically no gross difference in terms of morbidity and mortality was found between the use of mechanical bowel preparation versus no use of mechanical bowel preparation in elective colorectal surgery. Elective Colorectal Surgery can safely be performed without enduring MBP in it as it does not possess any sorts of benefits.