Peripartum hysterectomy: prospective observational study in a tertiary care centre of north India

Background: Emergency peripartum hysterectomy is a vital surgical procedure performed at the time of vaginal or caesarean delivery or in the immediate postpartum period in cases of intractable postpartum haemorrhage unresponsive to other conservative measures. Such hemorrhage may be due to atonic uterus, uterine trauma, coagulation disorders, abnormal placentation, not treatable by conservative measures. Methods: This study was conducted for a time period of 1.5 years from March 2016 to September 2017, in the department of Obstetrics and Gynecology, GMC Srinagar, Jammu and Kashmir, India. All such patients in our hospital were included in this study. The incidence, risk factors, age, parity, gestational age, indications for performing hystrectomy, pre and post-operative complications were studied. Results: The incidence was 3.2/1000 deliveries. The average age of the patients in our study was 31.18±2.80 years. Most patients were delivered at gestation of 37-38 weeks (61.17%). Among the patients undergoing peripartum hysterectomy 87.38% had caesarean delivery and 12.62% had vaginal delivery. The commonest indication of peripartum hystrectomy in our study was abnormal placentation (67.96%) with accreta accounting for most of these cases (53.40%). Conclusions: The incidence of peripartum hystrectomy in our centre has increased with time, which can be accounted by increase in the rate of caesarean sections over time which has led to the emergence of morbidly adherent placentation as the commonest risk factor for peripartum hysterectomy

Drug utilization study in patients of hypertension in tertiary care hospital

Background: Hypertension is the most common modifiable risk factor for cardiovascular diseases, stroke and renal failure. Drug utilization research facilitates the rational use of drugs and provides an insight into the pattern of drug use. As such, the present study was conducted to assess the prescribing patterns of antihypertensive agents and to observe the disparity between the recommended and actual practices for pharmacological management of hypertension at a tertiary care hospital.Methods: A prospective, observational and cross-sectional study was conducted in Department of Pharmacology in collaboration with Department of Medicine in a tertiary healthcare hospital. As per inclusion criteria, patients with hypertension visiting Medicine OPD from 1st October 2018 to 31st December 2018 were enrolled in the study.Results: A total of 390 prescriptions were collected. It was observed that majority of the study patients were female (53.84%) and were >60 years of age. Average number of drugs prescribed per prescription was 4.18. Multiple drug regimen (67.69%) was the mainstay therapy in our study. Prevalence of two drug combination was the highest (46.92%) followed by monotherapy (32.3%). Calcium channel blockers (CCBs) (amlodipine) was the most frequently prescribed class in monotherapy (19.23%). In two drug regimens, the combination of CCB with angiotensin-converting enzyme inhibitors (ACEIs) (combination of amlodipine and enalapril) was prescribed the most (28.46%) whereas prescription of combination of ACEI, beta-blocker (BB) and CCB (enalapril, atenolol and amlodipine combination) was the highest (13.84%) in three drug regimens.Conclusions: The prescription pattern of antihypertensive drugs was found to be rational and mainly in accordance with Joint National Committee VIII guidelines. All the drugs were prescribed by their generic names which suggests awareness among prescribers regarding WHO policies for generic prescribing

Assimilation of IRS-P4 (MSMR) meteorological data in the NCMRWF global data assimilation system

Oceansat-1 was successfully launched by India in 1999, with two payloads, namely Multi-frequency Scanning Microwave Radiometer (MSMR) and Ocean Color Monitor (OCM) to study the biological and physical parameters of the ocean. The MSMR sensor is configured as an eight-channel radiometer using four frequencies with dual polarization. The MSMR data at 75 km resolution from the Oceansat-I have been assimilated in the National Centre for Medium Range Weather Forecasting (NCMRWF) data assimilation forecast system. The operational analysis and forecast system at NCMRWF is based on a T80L18 global spectral model and Spectral Statistical Interpolation (SSI) scheme for data analysis. The impact of the MSMR data is seen globally, however it is significant over the oceanic region where conventional data are rare. The dry-nature of the control analyses have been removed by utilizing the MSMR data. Therefore, the total precipitable water data from MSMR has been identified as a very crucial parameter in this study. The impact of surface wind speed from MSMR is to increase easterlies over the tropical Indian Ocean. Shifting of the positions of westerly troughs and ridges in the south Indian Ocean has contributed to reduction of temperature to around 30‡S

Emotional Intelligence And Personality Traits As Predictors Of Life Satisfaction: A Study Of Adolescents, Adults And Aged Persons

The present study examined the extent to which Emotional Intelligence and Personality traits predict Life Satisfaction. Secondly, the study investigated the association between i) Emotional Intelligence & Life Satisfaction ii) Personality traits & Life Satisfaction among three different populations -Adolescents (100), Adults (102) and Aged (100). The mean age of the adolescent, adult and aged participant group was 17.28, 28 and 61.45 respectively. All the three participant groups were chosen from different areas of district, Srinagar by using purposive sampling method. Emotional Intelligence and Personality traits were the predictor variables while Life Satisfaction was the criterion variable in the present study. Instruments used were SWLS (Diener et al, 1985), NEO-FFI-3 (Costa & McCrae, 1992) and MEII (Mangal & Mangal, 2004). Descriptive statistics and multiple regression analysis revealed that various factors of emotional intelligence were positively correlated with life satisfaction whereas most of the personality traits showed significant (both positive and negative) correlations with life satisfaction in all the three participant groups. The present study indicated that some of the Emotional Intelligence (EI) factors emerged as the significant predictors of life satisfaction whereas among the personality traits Conscientiousness (C) and Neuroticism (N) emerged as the significant predictors of life satisfaction in the adolescent and aged participant groups respectively

Digital Trajectories to Care in First-Episode Psychosis.

OBJECTIVE::The emphasis on reducing the duration of untreated psychosis (DUP) has highlighted complex barriers to accessing appropriate services. Internet and social media use by individuals with first-episode psychosis (FEP) was examined to explore how these platforms might be used to facilitate treatment initiation. METHODS::Participants ages 15-35 were interviewed with the Pathways to Care for Psychosis Questionnaire, an 81-item instrument designed to explore online activity during symptom emergence. RESULTS::Of 112 participants, 90% used the Internet and social media daily. The Internet was listed as the most used resource (62%) for information while symptoms were emerging. A minority (19%) shared concerns via social media, and 76% responded favorably to the possibility of receiving online mental health support. CONCLUSIONS::The Internet and social media were part of daily life for participants with FEP. Activity continued throughout the DUP, offering the prospect of earlier intervention. Participants expressed positive attitudes toward Internet-based outreach and engagement efforts

'You were quiet - I did all the marching': Research processes involved in hearing the voices of South Asian girls

This article is available open access through the publisher’s website at the link below. Copyright @ 2011 A B Academic Publishers.This article provides insights into the outcomes of reflection following two interview approaches used to explore narratives of the lived, individual experiences of South-Asian girls living in West London. In attempting to illuminate and re-present the cultural experiences as told by these girls, the choice of interview approach became critical in allowing the voices to be effectively heard (Rogers, 2005). This article therefore considers how a semi-structured interview approach offered valuable insights into the girls' experiences but became constraining for both researcher and participant in unveiling the complexity and depth of their lives. These constraints emerged through reflection by both participants and researcher. As a result of reflexivity during the research process, the researcher moved towards the use of research conversations during the second phase of the study. Ultimately the study revealed how the girls felt empowered by the opportunity to narrate their individual experiences and tell of their lives. In narrating their reflections on being part of the research, there was a clear recognition that the process facilitated the articulation of new voices and ‘multi-voicedness’ (Moen, 2006