Browsing by Author "Jamwal, Narita"

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    Acute subdural haematoma and its various aspects; A Clinical study
    (Society for Health Care & Research Development, 2019-05) Sabharwal, Sudhir; Jamwal, Narita
    Acute subdural hematoma is one of the most common types of intra cranial hematoma caused by trauma accounting for more than 20% severe head injuries and resulting in highest mortality. Various studies have been made to understand the consequences and surgical outcomes of SDH patients. Therefore, the present study was designed to evaluate the clinical spectrum and assess the outcome of surgery in SDH patients. Methods: Present study included 50 patients of both sexes from 1 to 70 years age group with head injury, diagnosed to have traumatic subdural haemorrhage. Clinical examination included pupillary anisocoria, hemodynamic status, extent of hematoma either focal or diffuse, midline shift, GCS, status of basal cisterns, blood pressure. All the patients included in the study underwent surgical procedure for the removal of haematoma. Results: There was 100% mortality rate in patients with bilaterally dilated pupils. Whereas, there was 24.13% and 5.5% mortality rate respectively in unilateral dilated and normal pupil patients. Most of the patient had GCS <8 (40%), followed by GCS 9-12 (34%) and GCS 13-15 (26%) at the time of admission in the hospital. Further, GCS <8, GCS 9-12and GCS 13-15 were found in 32%, 40% and 28% correspondingly in patients after resuscitation. Conclusion: Findings of present study showed that there was an inverse relation between interval between injury and surgery with prognosis, Greater the interval poor will be outcome of surgery. Basal cistern obliteration is a reliable marker of increased intra cranial pressure which is responsible for poor outcome. Further, hypotension is also one of the important factors affecting the outcome of surgery in SDH patients.
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    Association of primary dysmenorrhea with socio-economic status and education level in patients attending gynaecology OPD in a tertiary care centre: a questionnaire-based study
    (Medip Academy, 2024-06) Sethi, Nimrata; Puri, Sapna; Jamwal, Narita
    Background: Dysmenorrhea is defined as painful menstrual cramps of uterine origin which is often accompanied by low backache, nausea and vomiting, headache, or diarrhoea. Primary dysmenorrhea defines cyclic menstrual pain without an identifiable associated pathology.Methods: This cross-sectional study was conducted among patients attending gynaecology OPD of ASCOMS and Hospital. Data was collected using a pretested structured self-administered questionnaire. Aim was to study the association of primary dysmenorrhea with socio-economic status and educational status in patients attending gynaecology OPD in ASCOMS and hospital.Results: A total of 584 patients participated in the study with age between 20-40 years. 409 (70%) of the patents suffered from primary dysmenorrhea. Patients who belonged to upper socioeconomic status were 2.71 times more likely to experience primary dysmenorrhea as compared to those who belonged to lower socioeconomic class (AOR 2.71, 95% CI (1.41, 5.16)) and the result was found to be statistically significant. However, the educational status of the patient was not significantly associated with the prevalence of dysmenorrhea.Conclusions: Participants belonging to the upper socioeconomic status were found to be more severly affected with primary dysmenorrhea than those who belonged to the lower socioeconomic status. Thus, we conclude that primary dysmenorrhea can be considered as a psychosomatic disorder. It needs counselling and stress management education as a first line management rather than any pharmacological treatment.