330 research outputs found

    A case of bladder diverticulum simulating ovarian cyst during pregnancy

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    33 year old female G3P2+0 at 32 weeks of gestation was admitted in labour room with the complain of pain abdomen and difficulty in passing urine. On examination vitals were stable. Abdominal examination there was cystic swelling in suprapubic region extending up to umbilical region. Uterus was 32 week size. Report of USG from peripheral centre showed ovarian cyst. We made a provisional diagnosis of twisted ovarian cyst. Exploratory laparotomy was done there was no ovarian cyst and bladder diverticulum was present. Urologist called and first he aspirated fluid and it was urine. Then while separating the swelling from uterus bladder opened and resected the diverticulum. Bladder was sutured. Abdomen was closed. Patient went into preterm labour and delivered vaginally single live female of 2.1 kg weight. Postoperative period was uneventful. Patient was lost in follow up

    Successful outcome of pregnancy in RHD with severe MS, severe pulmonary artery hypertension, moderate MR/TR/AR and mild AR

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    Rheumatic heart disease with severe Pulmonary Arterial Hypertension (PAH) in pregnancy is a grave situation, present with high maternal morbidity and mortality. In this case report, we describe our successful management of such a case which was even more difficult in combination with sever mitral stenosis, severe pulmonary artery hypertension and mild to moderate MR/TR. This patient got her diagnosis late in pregnancy, beyond the time at which a therapeutic termination could not have been performed

    Application of turmeric dye in the coating of Triphala guggle ayurvedic tablet

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    The aim of present work was to extract a yellow colour dye from turmeric rhizome (Curcuma longa) and to use it in the coating of triphala guggle ayurvedic (abbreviated as TGA) tablets. For coating of the TGA tablets the work was completed into two parts- in the first part extraction of dye from turmeric rhizome was carried out and in the second part extracted dye was used to coat the TGA-tablets. The dye extract was used in two forms for dyeing the tablets - firstly as liquid turmeric dye extract (LTDE) and secondly as powdered turmeric dye extract (PTDE). The optimum extraction conditions were settled after studying the effect of solvent, stirring time and temperature on the extraction of dye. The solvents used are water, ethanol and water- ethanol mixture. It was observed that the optimum extraction conditions for turmeric dye extraction were 600c and 75 min stirring time with ethanol as solvent but from industrial point of view it is more economical to use ethanol–water (1:1) mixture for extraction. The extracted LTDE and PTDE were used to coat the TGA tablets. The results showed that the tablet coated with LTDE faded just in 30 days while PTDE coated tablets remained stable up to 40 days. Thus, present coating was suitable for coating the TGA tablets but the environmental factors like temperature and humidity influenced the stability of the coating a lot. The suitability of coating was studied by determining some physico- chemical parameters like average weight, diameter, thickness, friability, disintegration time and loss on drying of LTDE and PTDE coated tablets. The results were within the permissible limit of Indian Pharmacopea and other pharmacopeia. Therefore, coating of tablets with LTDE and PTDE both were found to be suitable for coating the TGA tablet

    A survey of awareness of Pap smear and cervical cancer vaccine among women at tertiary care centre in Eastern Uttar Pradesh India

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    Background: Cervical cancer is very common in developing countries. In Uttar Pradesh the literacy rate of women is low as compared to other states of India. Poverty is very high. Most women report with advance stage of cervical cancer. It can be prevented by early screening with Pap smear. Aim of our study is to know about the awareness of Pap smear and cervical cancer vaccine among women attending a tertiary hospital in Eastern part of Uttar Pradesh India.Methods: A questionnaire based study is done on 1500 patients attending the OPD and admitted in ward over a period of one year.Results: To our surprise only 12.06% women were aware of Pap screening test. Only 6.13% women were aware of cervical cancer vaccine. The awareness about both Pap test and cervical cancer vaccine was present in only 5.2% only. The education of the women and socioeconomic status also play an important role. The awareness among rural women was significantly less as compared to urban women.Conclusions: The awareness about Pap test and cervical cancer vaccine was very low specially in women staying in rural area. So if we really wanted to reduce cervical cancer then we have to increase the awareness among women by media, camps etc

    An Innovative Approach for Online Food Order Management System

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    Restaurants are one of the favorite premises. An online food ordering is a integrated process in fast food Restaurants to offer choice of food from menu, cooked and served or packaged hot to satisfy customer to immediately make orders on their ownselves. Customers can also call the restaurant to pack in advance or to deliver the food item but sometimes restaurants run out of certain items. The existing system lacks the feature to use Remote GPS tracker such that restaurant managers are auto updated about the location of the customer before reaching the restaurant. We propose a complete system to easily manage online menu where items update as per the availability of food and prices. The Customer views the products, register and place the order. The system administrator adds and manages user accounts and the Manager manages product and orders. The Kitchen meal deliverable deals with pending deliveries .The proposed system is developed using Android platform which is open source software and built in data connection modules. It also decreases labour rates to replace mobile phones to book order and table unlike employees who come to take order and payments .In advent of food consumption problems like obesity, overeating etc. ,he proposed system will show food items with nutrition based searches showing ingredients of the food items

    Four years’ maternal mortality updates of a high referral burden teaching hospital of Eastern Uttar Pradesh, India

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    Background: Maternal mortality is still a major challenge in developing countries but in our hospital, it touches the extreme height of MMR. The target of the study is to assess the cause of maternal mortality at Sir Sunder Lal Hospital, Banaras Hindu University, Varanasi, India.Methods: Data collection was done from the patient maternal mortality records of hospital between 2013 to 2016. Study comprises only maternal mortality cases. Total 165 maternal deaths were included in this study.Results: Maternal mortality ratio is extremely high as compare to other studies. In an increasing trend, in the year 2015 MMR was highest. Moreover, we found direct causes accounted 77.5% of total maternal deaths Hypertensive disorders and eclampsia is the most frequent cause of deaths which represented 33.3%. We found a trend of increased MMR with Increased unbooked cases. 21.2% of total dead women couldn’t get beds in ICU because of not vacancy of beds and 18.8% of total women died due to non-affordability of ICU expenses.Conclusions: Our hospital is a high burden referral apex centre of eastern Utter Pradesh in India which experience mostly referred cases from the periphery. PPH and hypertensive disorder are two major causes which lead to deaths. Cardiovascular dysfunction is most accounted for deaths. Mostly patients were needed ventilatory support to survive but lack of separate ICU and improper antenatal visits leads to MMR higher. However, many other factors like ill-literacy, poor transportation, poor referral note, poor socio-demographic status should be dealt to incline the MMR.

    Spectacle adherence and barriers towards spectacle wear among primary school going children

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    Background: The aim of the study was to assess the spectacle adherence and barriers towards spectacle wear among primary school going children in the west UP. Methods: A cross-sectional, descriptive questionnaire-based study was conducted among the primary school going children in rural area of west UP. Spectacle was provided after the comprehensive eye examination, free of cost to the children those who required. An uninformed visit was planned after 3 months of initial examination to assess the compliance of spectacle wear and non-compliant subjects were questioned about the reasons for not wearing spectacle. Results: This study consists of total 158 children. In this study, majority of participants 88.61% were myopic having low degree of myopia being more common. Compliance rate towards the spectacle wear was high in males as compared to female children. Compliance rate was significantly varied with the age of participants. Myopic patients show more compliance than the hyperopic patients, it was insignificant while considering the severity of refractive error. The main cause for non-compliance towards spectacle was the cosmetic blemish. Conclusions: It has been found that the compliance rate towards the spectacle wear was not good enough even after distributing the spectacle free of cost to the children. Various factors including cosmetic blemish, parents and children perception for wearing spectacle and difficulties experienced by the children while wearing glasses were responsible for the non-compliance. The compliance rate can be increased by providing the education and training and Counselling to school teachers, children and their parents regarding the eye health

    Clinicosociodemographic profile of ruptured ectopic pregnancies at a tertiary care centre

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    Background: Rupture of an ectopic pregnancy remains the most dreaded complication of a pregnancy related event and is the commonest cause of maternal mortality in the first trimester of pregnancy. In the developing countries, the maternal death rate among patients admitted with ectopic pregnancy was found to be as high as one in ten. In addition to high risk for mortality, rupture of an ectopic pregnancy could affect future fertility of a woman. The objectives of this study are to analyse the sociodemographic and clinical characteristics and find out the incidence rate and risk factors associated with ruptured ectopic pregnancies in a tertiary care institution.Methods: This is a retrospective study and was conducted over a period of one year from September 2015 to September 2016 in Department of Obstetrics and Gynecology at Institute of Medical Sciences, BHU, Varanasi, India. It is a tertiary care centre getting referrals not only from nearby cities and hospitals but also from major cities of neighbour states. During this time frame a total of 2601 deliveries have taken place and 57 cases of ruptured ectopic pregnancies were reported. Data were collected in a preconceived format.Results: Total numbers of vaginal deliveries were 2601 during the study period. Out of which 63 (2.42%) were found to be ectopic pregnancies and 57 (1.99%) were diagnosed as ruptured ectopic pregnancies. Maximum number of patients (70.17%) were between 21 and 30 years of age. As far as parity is concerned only 12.29 % of patients were primigravida where as 70.71% patients were multigravida. Previous history of pelvic inflammatory disease was associated among maximum number of cases i.e 50.87% of total number of cases. Among other risk factors, previous abortions, previous ectopic pregnancies and history of infertility treatment were the prime ones. Maximum number of patients were from lower and lower middle class socioeconomic status. Ampullary type of Tubal ectopic pregnancies were found to be the commonest ones. Two cornual pregnancies and two ovarian pregnancies were also found in this series. In 85.97 % of patients the amount of hemoperitoneum was found to be more than 500 ml.Conclusions: There is high incidence rate of ectopic pregnancy and low rate of diagnosis before rupture occurs in developing nations as in our scenario. Pelvic inflammatory disease, Maternal education, socioeconomic status, parity and history of subfertilty are the risk factors associated with ruptured ectopic pregnancy. Effective efforts should be taken to encourage the level of education and improve the rate of diagnosis among health care providers before the occurrence of rupture
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