Study of maternal outcome in referral obstetric cases in a tertiary care centre.

Introduction: To identify the pattern of Obstetric referral to our hospital and the primary reasons for referral, so as to implement measures to reduce unnecessary referrals and to reduce maternal mortality and morbidity.

Method: All the referred cases for obstetrics indications above 20 weeks were analysed for cause of referral, their condition and outcome for a period of 6 months from January 2016 to June 2016.

Results: According to our study out of a total of 10172 delivered patients, 1014 (9.

A case report of presenting as cellulitis with multiple discharging sinuses.

Nocardia spp. are filamentous Gram positive bacteria that are ubiquitous soil saprophytes. The majority of nocardial infections occur in severely immunocompromised patients who are particularly susceptible to pulmonary disease and dissemination.

Clinical Evaluation of Febrile Thrombocytopenia in Western Rajasthan - a Hospital-based Study.

Unlabelled: A number of patients of febrile thrombocytopenia increase during monsoon and postmonsoon period. Diseases like dengue fever, malaria, chikungunya fever, etc. are responsible for the clustering of febrile thrombocytopenia cases during this period.

Comparison of efficacy of ultrasound-guided pectoral nerve block versus thoracic paravertebral block using levobupivacaine and dexamethasone for postoperative analgesia after modified radical mastectomy: A randomized controlled trial.

Background And Aims: Pectoral nerve (PecS II) block is the latest modality for providing postoperative analgesia after breast surgery. The present study was planned to compare the analgesic efficacy of thoracic paravertebral block (TPVB) and PecS II for postoperative analgesia after modified radical mastectomy (MRM).

Methods: A total of 40 female patients undergoing radical mastectomy were randomly allocated into two groups ( = 20).

Determination of antifungal minimum inhibitory concentration and its clinical correlation among treatment failure cases of dermatophytosis.

Introduction: Dermatophytes are most common infectious agents causing superficial mycosis worldwide. A number of topical as well as systemic antifungal drugs are available for treatment of dermatophytosis. Superficial mycosis caused by dermatophytes can be easily treated by topical or oral antifungal drugs, but in the course of time, an increased number of treatment failure cases are appearing.

How I do it? Endoscopic discectomy using a new trocar "Endospine Plus" for lumbar prolapsed intervertebral disc.

Background: Endoscopic spine surgery is a promising minimally invasive technique and use of trocars like Metrx (Neurosurgery 51(5):S129-36, 2002), Destandau (Neurol Res 21:39-42, 1999), and Easy go (Acta Neurochir (Wien) 151:1027‑33, 2009) has revolutionized this field. However, the steep learning curve makes this procedure elusive to many parts of the world.

Methods: The authors describe the technique of pure endoscopic discectomy using a specialized trocar devised by the senior author "Endospine Plus" which makes the technique easy to learn along with the advantages and complications of the procedure.

Bronchiectasis in India: results from the European Multicentre Bronchiectasis Audit and Research Collaboration (EMBARC) and Respiratory Research Network of India Registry.

Background: Bronchiectasis is a common but neglected chronic lung disease. Most epidemiological data are limited to cohorts from Europe and the USA, with few data from low-income and middle-income countries. We therefore aimed to describe the characteristics, severity of disease, microbiology, and treatment of patients with bronchiectasis in India.

Safety and Efficacy of Intra-caesarean IUCD: A Prospective Study at a Tertiary Care Centre.

Objective: To assess the safety and efficacy of postpartum IUCD in caesarean section patients.

Methods: This prospective observational study included 200 women, who gave informed consent for postpartum intrauterine contraceptive device (PPIUCD) insertion during caesarean section from January 2013 to May 2014. These patients were followed up at 6 weeks and 6 months.

Severe Thrombocytopenia in Dengue Fever and Vitamin B12 Level.

Objective: To document correlation between vitamin B12 deficiency and severity of thrombocytopenia, platelate recovery and duration of hospital stay in dengue fever patients.

Methods: This prospective observationl study was done in dengue fever patient with severe prolonged thrombocytopenia (<20,000 µl and > 2 days duration). Patient with underlying malignancy, hematological disorders, septicemia, or use of any drug which may cause thrombocytopenia, were excluded.

Correlation of D-Dimer Level with the Presence and Severity of Pulmonary Embolism on Computed Tomography Pulmonary Angiography.

Introduction: Early diagnosis of pulmonary embolism can reduce morbidity and motility. D-dimer is well known parameter having high negative prediction value. This study focused on role of D-dimer in early prediction of presence and severity of pulmonary embolism.

Ruptured Sinus of Valsalva Aneurysm with Subaortic Membrane causing Severe Left Ventricular Outflow Tract Obstruction.

Rupture sinus of Valsalva aneurysm (SVA) is an uncommonly encountered condition. It can present with wide range of manifestations from an asymptomatic murmur to cardiogenic shock. The case discussed in this report had a rare combination of ruptured SVA with subaortic membrane.

Quality of recovery and analgesia after total abdominal hysterectomy under general anesthesia: A randomized controlled trial of TAP block vs epidural analgesia vs parenteral medications.

Background And Aims: Parenteral analgesics and epidural analgesia are two standard options to treat postoperative pain after total abdominal hysterectomy (TAH). Fascial plane blocks such as transversus abdominis plane (TAP) block have gained popularity recently. However, effect of these analgesic regimens on quality of postoperative recovery (QoR) has not been studied.

Evaluation of airway care score as a criterion for extubation in patients admitted in neurosurgery intensive care unit.

Background And Aims: Early extubation in neurocritical patients has several potential benefits. Glasgow Coma Scale (GCS) is a crude measure of neurologic function in these patients and a low GCS score does not necessarily mean contraindication for extubation. Data on patients with neurosurgical or neurological pathology undergoing early extubation utilizing the airway score criteria is limited.

The estimation of minimum effective volume of 0.5% ropivacaine in ultrasound-guided interscalene brachial plexus nerve block: A clinical trial.

Background And Aims: Interscalene brachial plexus block (ISB) is the most commonly used mode of anesthesia for upper limb surgeries. Higher volume of local anesthetic used in ISB is associated with increased incidence of side effects, particularly phrenic nerve palsy. The aim of this study was to determine the minimum effective volume of 0.

Peer-assisted teaching method to foster learning physiological basis of electrocardiography among 1 year medical graduate students: An interventional study.

Introduction: In peer-assisted teaching (PAT) method, students are encouraged to prepare, organize, and construct their learning program under the guidance of a teacher. The objective of the present study is to assess the benefits and outcome of PAT on students' understanding and knowledge of one of the important and difficult topics, "physiological basis of electrocardiography (ECG)."

Methods: A nonrandomized, interventional study was carried out in the department of physiology.

Comparative Analysis of Liquid based and Conventional Cytology Smears in Fine Needle Aspirates from Breast Lesions.

Context: Liquid-based cytology (LBC) is being extensively used for the evaluation of both gynecological and non-gynecological specimens. Suspension of cells in monolayer makes better morphological assessment possible. Along with this, inherent morphological changes such as altered, reduced, or lost background material, fragmented cell clusters, smaller cell size, nucleolar prominence, etc.