Ovarian hyperstimulation syndrome mimicking ovarian malignancy: a case report

Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication. In most cases, the clinical manifestations of OHSS are self-limited and OHSS resolves spontaneously within a few days, provided that appropriate supportive measures are taken. However, OHSS has been associated with substantial morbidity, principally acute respiratory distress, and fatal complications have been reported in patients with severe or critical OHSS

A study evaluating third trimester haemoglobin level as a predictor of feto-maternal outcome in pregnancy induced hypertension cases

Background: The aim of this study is to assess whether third trimester haemoglobin level can be used as a predictor of feto-maternal adverse outcomes in pregnancies complicated with PIH.Methods: This is an observational study in the Obstetrics and Gynaecology Department of IMS and SUM hospital, SOA university from July 2015 to December 2017. Institutional ethical committee permission obtained. All singleton pregnancies delivered during this period with PIH were included in the study. PIH and eclampsia was diagnosed as per ISSHP criteria. All chronic hypertension cases excluded. All were evaluated with haemoglobin level. They were divided into 3 groups depending upon haemoglobin level; low ( 13gm%) considering the WHO standard. Maternal complications observed were incidence of eclampsia, abruptio placentae, HELLP syndrome, PPH, neurological complications, ICU admissions and death. Fetal outcomes studied were NICU admission, stillbirth, incidence of prematurity and low birth weight. All these parameters were compared among 3 groups. Statistical analysis was done with SPSS 20 software using Yate’s corrected chi square test.Results: Incidence of eclampsia was significantly greater with both high (p13gm% in third trimester is associated with worst feto-maternal outcome whereas normal haemoglobin level (11-13gm%) is associated with least feto-maternal complications

Partial molar pregnancy associated with a normal appearing foetus: a case report and review of the literature

Partial molar pregnancy is a rare entity in which there is usually a triploid abnormal foetus associated with a large placenta with cystic changes. The incidence of a normal diploid foetus and a partial molar placenta is extremely rare. Here we report a case of partial molar pregnancy in which a normal appearing foetus with diploid karyotype coexist. In this case a 24yr old primigravida at 20 week 3days gestation presented with 3-4 episodes of vaginal bleeding and generalised swelling of body since one month. On evaluation she was found to have moderate anaemia, proteinuria, raised serum β hcg and USG showed a single live foetus with thickened cystic placenta covering the internal os. After counselling patient was put up for hysterotomy. The product of conception and placenta were sent for histopathology and karyotyping which confirmed partial hydatidiform mole with trisomy 21 foetus. Patient had uneventful post op period and was followed up with serial β hcg measurement which fell to undetectable levels within two months.

Isolation and characterization of organisms in high vaginal swab culture in preterm pregnancy (28-37 week)

Background: The study was performed to isolate, identify and determine the antibiotic sensitivity profile of the pathogens in the genital tract of preterm pregnant women (28 week- 37 week) gestation to the prevention of preterm delivery, pPROM, chorioamnionitis, neonatal, puerperal and maternal- foetal infections.Methods: The present perspective study in S. C. B. medical college, Cuttack was conducted in department of Obstetrics and Gynaecology from January 2014 to September 2015 in 100 patients with singleton pregnancy. The cases for study were selected randomly from the patients attending O and G OPD or admitted to the labour room or antenatal ward. Each of the patients was informed about the type, quality, and consequence of the study as well as their role in this particular participation. Valid consents were obtained from each patient who showed their cooperation. Under available aseptic conditions high vaginal swabs were collected with a commercially available collection and transport system for isolation of pathogens present in the genital tract of preterm pregnant women having gestational age 28 week-37 week. The samples were examined in the Department of Microbiology in S. C. B. medical college, Cuttack.Results: We have isolated the most common organism in preterm pregnancy is the E. coli amounting 34% followed by Candidial spp. 21%. Then comes Enterococci scoring 10%, then Staphylococci 8%, Gardenerella vaginalis 7%. Eventually Group B Streptococcus 5%. However, there is about more number of culture negative cases (no growth -24 %) according the department of Microbiology of this college. From the above study we got more number of aerobic vaginitis in contrast to bacterial vaginitis. The prevalence of pPROM was associated with E. coli i. e. 30%. Second are Enterococci having 20%. Candidial spp. Scores 18%. Gardenerella vaginalis takes 12%. However, organisms like Staphylococci and GBS comes last with a score of 6% and 2% respectively.Conclusions: As preterm birth is more associated with mother having genital infections. Our study awards the champion cup to the E. coli as it is associated with maximum number of preterm birth cases i.e. 30%. Candidial spp. comes with the number about 21% causing both symptomatic and asymptomatic infection. Enterococci and Staphylococci almost have same prevalence of preterm birth viz. 12%

Maternal and perinatal outcome of eclampsia in a tertiary care centre

Background: Eclampsia is associated with devastating maternal and fetal complications. The main objective was to study the perinatal and maternal outcome and the causative factors for the mortality and morbidity in eclampsia patients admitted to this hospital and to explore the factors contributing to the alarming situation.Methods: 218 eclampsia cases admitted to the labour room in Department of Obstetrics & Gynaecology, SCB Medical College Cuttack, Odisha, India from Jan 2013 to Sept 2014 enrolled for the study.Results: In this study 218 eclampsia cases were studied. The incidence of eclampsia in S.C.B.MCH during study period was 1.39%. Most of the patients were primigravida accounting 83.48% out of which 74.31% were antepartum, 14.22% were intrapartum and 11.47% were postpartum. 44.04% of cases had no ANC and 40.36 irregular ANC. Occurrence of onset of eclampsia at <34 weeks GA 27.53%, 35-37 weeks 43.12 % and >38 weeks 29.35%. Most of patients were from rural area (97.50%) and having low socioeconomic status (83.94%) and illiterate. Out of 218 cases 46.33% patients had vaginal delivery, 3.21% patients had vaginal delivery with instrumentation.Conclusions: There is a need of proper antenatal care to prevent eclampsia and the need for intensive monitoring of women with eclampsia throughout hospitalization to improve both the maternal and perinatal outcome

Effect of Valsalva Maneuver on Pain Perception During Blood Sample Collection Among Patients

Background: Blood sample collection is the most frequent intrusive practise that hurts patients in hospital settings. A non-pharmacological and economical way to lessen pain during blood sample collection is the Valsalva Maneuver. Objectives; The aim of this study was to evaluate the effect of Valsalva Maneuver during blood sample collection. Methods: A quasi-experimental design (post-test only control group design). Self-structured questionnaire on Socio demographic information, clinical parameter and Wong baker face pain scale was used to observe the pain score of participants. The research population includes all the adult patients between the ages of 18 and 50 admitted in IPD. The sample size for the study comprises of 500 Participants who met the inclusion criteria. Purposive sampling technique was used to identify adult patients between the ages of 18 and 50 who were having blood sample collection admitted in IPD in IMS & SUM hospital, Bhubaneswar, Odisha. Results: The results revealed that there is significant reduction in pain during blood sample collection in experimental group with (p=0.000). No association was found between level pain and socio-demographic and clinical parameters. Discussion: The Valsalva manoeuvre is a non-invasive, non-pharmacological, and efficient way to lessen pain related to drawing blood samples. During the collection of blood samples, nurses should demonstrate the Valsalva manoeuvre to patients. In-service education programmes for nurses and students should be included by hospital administration in order to promote the non-pharmacological technique of pain alleviation during blood sample collection

Pregnancy in two patients of Glanzmann’s thrombasthenia: a rare case report

Glanzmann’s thrombasthenia (GT) is inherited platelet disorder with an autosomal recessive mode of inheritance. Though, quantitatively normal, the aggregation ability of platelets is reduced in this condition. Pregnancy and delivery are rare in these patients and have been associated with a high risk of severe postpartum hemorrhage. We describe two GT here 1st case was a primigravida, who was diagnosed to have GT 11 yrs back and was admitted as a term pregnancy which was terminated by elective caesarean section and was was successfully managed by platelet transfusion. 2nd case was a 24 year old lady got diagnosed as GT during the evaluation of frequent mucocutaneous bleed. Her antenatal management was like that of normal pregnancy. She was hospitalized 6 weeks prior to expected date of delivery. Elective LSCS (Lower Segment Caesarean Section) was done and was managed with 4 units of single donor platelet (SDP) without any other complication

Impacto de la justicia organizacional en el comportamiento organizacional de la ciudadanía: evidencia empírica a partir de las instituciones de educación superior

La justícia organitzativa sembla ser un component clau que condueix a assolir els objectius organitzatius i, com a resultat, augmenta el rendiment de l'organització. Els empleats que senten la justícia en el lloc de treball altament competitiu actual estan més propensos a contribuir més a la seva organització. Els empleats que consideren que la seva organització té un rendiment just tenen més probabilitats de mostrar un comportament de ciutadania. L'estudi actual pretén determinar el nivell de percepció de la justícia dels professors i el comportament extra-funcional a les institucions d'educació superior. Per investigar l'impacte de la justícia organitzativa en el comportament de la ciutadania organitzativa entre els professors d'institucions d'educació superior es desenvolupen diverses preguntes d'investigació: en primer lloc, quina influència té la justícia organitzativa (OJ) dels membres del professorat en el seu comportament de ciutadania organitzativa (OCB) cap a la institució? En segon lloc, hi ha alguna connexió important entre els constructes OJ i OCB? En l'estudi s’ha utilitzat el paquet estadístic per a les ciències socials (SPSS). En el treball s’apliquen l'alfa de Cronbach, l'anàlisi descriptiva i l'anàlisi de regressió múltiple. Segons les conclusions, el DO té una influència significativa en les dimensions de l'OCB. Representa que els empleats han de mostrar abnegació i pensar sempre pel benestar dels altres, actuar de manera positiva, no queixar-se mai i participar en el procés polític de l'organització.Organizational justice appears to be a key component that leads to attaining organizational goals and, as a result, increases organizational performance. Employees who feel fairness in today’s highly competitive workplace are more inclined to contribute more to their organization. Employees who feel their organization performs fairly are more likely to display citizenship behavior. The current study sought to ascertain the level of faculty members’ justice perception and extra-role behavior in higher education institutions. To investigate the impact of organizational justice on organizational citizenship behavior among faculty members of higher educational institutions, various research questions are developed: first, how much influence does faculty members’ Organizational Justice (OJ) have on their Organizational Citizenship Behavior (OCB) towards the institution? Second are there any important connections between the OJ and OCB constructs? Statistical Package for the Social Sciences (SPSS) was used in the study. Cronbach’s alpha, descriptive analysis and multiple regression analysis were applied in the study. According to the findings, OJ has a significant influence on the dimensions of OCB. It represents that the employees should exhibit selflessness and always thinks for the welfare of others, act in positive ways, never complain, and participate in the organization's political process.La justicia organizacional parece ser un componente clave que conduce al logro de las metas organizacionales y, como resultado, aumenta el desempeño organizacional. Los empleados que se sienten justos en el lugar de trabajo altamente competitivo de hoy están más inclinados a contribuir más a su organización. Los empleados que sienten que su organización se desempeña de manera justa tienen más probabilidades de mostrar un comportamiento ciudadano. El presente estudio intenta determinar el nivel de percepción de justicia y el comportamiento más allá de sus funciones de los profesores en instituciones de educación superior. Para investigar el impacto de la justicia organizacional en el comportamiento de ciudadanía organizacional entre los profesores de instituciones de educación superior, se desarrollan varias preguntas de investigación: primero, ¿Cuánta influencia tiene la Justicia Organizacional (OJ) de los profesores en su Comportamiento de Ciudadanía Organizacional (OCB) hacia la institución? En segundo lugar, ¿Existen conexiones importantes entre las construcciones OJ y OCB? En el estudio se ha utilizado el Paquete Estadístico para las Ciencias Sociales (SPSS). En el estudio se ha aplicado el alfa de Cronbach, el análisis descriptivo y el análisis de regresión múltiple. De acuerdo con los resultados, OJ tiene una influencia significativa en las dimensiones de OCB. Representa que los empleados deben mostrar desinterés y siempre pensar en el bienestar de los demás, actuar de manera positiva, no quejarse nunca y participar en el proceso político de la organización

Impact of Organizational Justice on Organizational Citizenship Behavior: empirical evidence from Higher Educational Institutions

Organizational justice appears to be a key component that leads to attaining organizational goals and, as a result, increases organizational performance. Employees who feel fairness in today’s highly competitive workplace are more inclined to contribute more to their organization. Employees who feel their organization performs fairly are more likely to display citizenship behavior. The current study sought to ascertain the level of faculty members’ justice perception and extra-role behavior in higher education institutions. To investigate the impact of organizational justice on organizational citizenship behavior among faculty members of higher educational institutions, various research questions are developed: first, how much influence does faculty members’ Organizational Justice (OJ) have on their Organizational Citizenship Behavior (OCB) towards the institution? Second are there any important connections between the OJ and OCB constructs? Statistical Package for the Social Sciences (SPSS) was used in the study. Cronbach’s alpha, descriptive analysis and multiple regression analysis were applied in the study. According to the findings, OJ has a significant influence on the dimensions of OCB. It represents that the employees should exhibit selflessness and always thinks for the welfare of others, act in positive ways, never complain, and participate in the organization's political process

Are delay ages at marriage increasing? Pre-marital sexual relation among youth people in the place of residence in India

Abstract Background Adolescent sexual and reproductive health is a major public health issue throughout the world. At the same time shifting of marriage are undergoing discernible changes in country like India. This paper attempts to examine the effect of delay age at marriage on the risks of pre-marital sexual intercourse for the youth people in the place of residence. Methods Data used in the present study is from various annual publications of Sample Registration System (SRS) and four round of National Family Health Survey, which was conducted in 2015–2016. The Kaplan–Meier life table technique and multivariate regression models are used to examine the premarital sex by the place of residence and marriage cohort. Results Findings of the study indicate that the reasons underlying delayed marriage differs between blow 21 years age group and 22–30 years age group. Multinomial analysis clearly shows education, wealth quintile and mass media are major controlling factors of delayed age at marriage. Residing in urban adolescent women who belonged to better economic family background and exposed to mass media had a higher probability to experience premarital sexual intercourse than the rural adolescent in delay age group. Conclusion The study concludes that the restorative the empowerment of youth especially for women and health care provider should consider a multidimensional approach for higher education among youth people and safe sexual behaviour in pre-marital sexual intercourse