iosr-JDMS   Volume-18 ~ Issue-6 ~ June-2019

Abstract: Background: Double volume exchange transfusion is a cornerstone to prevent permanent brain damage in case of neonatal jaundice.. Several adverse effects have been reported in DVET done by conventional pull-push technique through umbilical vein (UVET) which do not occur when done by peripheral vessel (PVET). Aims: To compare the efficacy in decreasing serum bilirubin between UVET and PVET and to compare the adverse effects and relative safety between the two methods. Methodology: A randomizedcontrolled trial with 50 cases in each limb was carried out in Neonatology unit of Department of Paediatrics.....

Keywords Exchange transfusion, Neonatal jaundice, Peripheral vessel, serum bilirubin, efficacy

[1]. Jackson JC. Adverse events associated with exchange transfusion in healthy and ill newborns. Pediatrics : 1997; 99
[2]. Patra K, Storfer – Isser A, Siner B, Moore J, Hack H. Adverse events associated with neonatal exchange transfusions in the 1990s. J. Pediatrics .2004; 144(5); 626 – 631.
[3]. Sagi E, Eyat F, Armon Y, Asad I, Robinson M. Exchange transfusion in newborns via a peripheral astery and vein. Eur J. Pediatrics. 1981; 137.
[4]. Folk TF, So LY, Leung KW, Wong W, Fenq CS, Tsang SS. Use of peripheral vesels for exchange transfusion. Aschieves of Diseases in Chilhood, 1990; 65.
[5]. Merchant RH, Sakhalkar VS, Rajadhyaksha SB. Exchange transfusion via peripheral vessels. Indian Pediatrics 1992; 29 : 457 – 460..

Abstract: In 1969 it was demonstrated that myocardial ischemic injury after coronary artery occlusion is not fixed but can be influenced profoundly by altering the balance between myocardial oxygen supply and demand1. In experiments with occluded coronary arteries, the magnitude of ST segment elevation correlated well with subsequent depression of myocardial creatine kinase activity and with evidence of myocardial necrosis on histologic examination. The height of the ST segment elevation on ECG was, therefore, utilized as an index of the severity of ischemic injury2,3.......

[1]. Braunwald E, Covell JW, Maroko PR, Ross J, Jr. Effect of drugs and of counter pulsation on myocardial oxygen consumption: observations on the ischemic heart. Circulation 1969;39 Suppl 4:220–30.
[2]. Maroko PR, Kjekshus JK, Sobel BE, et al. Factors influencing infarct size following experimental coronary artery occlusions. Circulation 1971; 43:67–82.
[3]. Maroko PR, Libby P, Covell JW, Sobel BE, Ross J, Jr, Braunwald E. Precordial S-T segment elevation mapping: an atraumatic method for assessing alterations in the extent of myocardial ischemic injury. The effects of pharmacologic and hemodynamic interventions. Am J Cardiol 1972; 29:223–30.
[4]. Clemmensen P, Ohmann E, Sevilla D, et al. Changes in standard electrocardiographic ST-segment elevation predictive of successful reperfusion in acute myocardial infarction. Am J Cardiol 1990;66: 1407–11.
[5]. Barbash G, Roth A, Hod H, et al. Rapid resolution of ST elevation and prediction of clinical outcome in patients undergoing thrombolysis with alteplase (recombinant tissue-type plasminogen activator): results of the Israeli study of early intervention in myocardial infarction. Br Heart J 1990; 64:241–7.

Abstract: Antituberculosis drugs (ATT) results in adverse events leading to serious morbidity and discontinuation of drugs. Many ATT drugs cause eosinophilia but its correlation with adverse effects has not been well studied.OBJECTIVES: Primary: To study the correlation of first line ATT drugs induced peripheral eosinophilia with ATT induced other adverse effects. Secondary: To study the incidence of adverse effect and incidence of peripheral eosinophilia due to first line ATT drugs.METHODS: This is a prospective cohort study done at a tertiary care centre. Patients diagnosed with tuberculosis and started on first line ATT drugs were included in the study. Demographic...........

Keywords: Antituberculosis drugs, adverse effects, peripheral eosinophilia

[1]. Maher D, Chaulet P, Spinaci A, Havies A. Treatment of tuberculosis: Guidelines for national programmes. Geneva: World Health Organizations; 1997.
[2]. Hong kong Chest service/ British medical research council. Tubercle 1982; 63: 89-98.
[3]. Hong kong Chest service/ British medical research council. Am Rev Respir Dis1991; 143: 700-6.
[4]. Hong kong Chest service/ Tuberculosis research centre, Madras/ British medical research council. Am Rev Respir Dis 1989; 139: 871-6
[5]. Mungall IPF, Standing VF, "Eosinophilia caused by Rifampicin", Chest,74(3),1978,321-2

Abstract: Objective: Evaluation and characterization of MRI and PMRS findings of supratentorial mass lesions and to determine the role of MRI and MRI combined with PMRS in differentiating supratentorial neoplastic mass lesions from non neoplastic lesions. These findings were further correlated with histopath diagnosis. Material & Methods: 33 Patients of supratentorial mass lesions were evaluated. MRI including contrast enhanced MRI and Proton (1H) MRS was conducted on 1.5T superconductive unit (Magnetom "Vision") with single voxel multinuclear spectroscopic.....

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Abstract: Background: According to census 2011 urban population is 30 % of total Indian population. Population projection indicates that by 2015, about 40% of Indian population will be urban. In Meerut Slum population is 88% of total urban population. In Urban area the health care delivery system is not very defined and multiplicity of system exists. From The 9th five year plan, Government has started giving priority to urban health as well, but hardly any progress has been achieved in this area. Health care to urban poor is provided by Urban Health Post (UHP). There is no such kind of study till date, so this study planned to take a view on logistic available at UHP. Aim: To evaluate logistics......

Key Word: Urban, Census, Urban Health Post

[1]. Bhat P.N. Mari (2001). India Demographic Scenario, 2025, Population Research Centre, Institute of economic growth, Discussion paper no- 27/2001, New Delhi.
[2]. National Urban Health Mission, Programm implementation plan, Meerut City 2013-2014, Page 8
[3]. National Accreditation standard for Primary Urban Health Centre, first edition, National Accreditation Board For hospitals & Healthcare Providers.
[4]. Shekhar Chander, Ram F. (2005) National Report On Evaluation of Functioning of Urban Health Posts/ Urban Family Centers in India, International Institute for Population Sciences, Mumbai-400088, India
[5]. Evaluation of Functioning of Urban Health Posts and Urban Family Welfare Centers, Chhattisgarh, 2015, Population Research Centre.

Abstract: Obstructed hernias are the common cause of intestinal obstruction in our study, due to lack of awareness among rural population, followed by adhesions and bands, with pain abdomen as the most common presenting symptom. Majority of patients with intestinal obstruction needs surgical relief of obstruction Clinical, radiological and operative findings put together can bring about the best and accurate diagnosis of intestinal obstruction. Plain x ray is the single most important diagnostic tool for intestinal obstruction. Early recognition and aggressive treatment is needed to prevent gangrenous changes. Prognosis was poor in elderly patients. The most common cause of morbidity and mortality was septicemia, anastomotic leak, wound infection and pulmonary infection. Patients who presented with strangulation had poor outcome. In our study the most common cause of death was septicemia

Key Words: intestinal obstruction, obstructed hernia, strangulation, wound infection, septicaemia

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Abstract: Oral diseases have a persistent public health problem not only in India but also globally. Present study aims to determine the knowledge, perception and oral health status among patients attending in a rural Medical College of West Bengal. Present cross-sectional study was done among 202 General-OPD attendees in North Bengal Medical College. 57.4% of the study populations have knowledge of brushing once, that too only in the morning. 83.1% study populations were unaware about flossing of teeth. 44.05% had decayed teeth, 35.6% had missing teeth and 11.38% had filled teeth. 41% had average DMFT score where as 20% had poor or very poor. 61% of our study population had some form of dental morbidities. For raise the awareness regarding oral health among the people, more media campaigning should be necessary.

Key Words: Knowledge, Oral Health, DMFT

[1]. Lin S, Mauk A. Diseases in Rural India. Implementing Public Health Interventions in Developing Countries. 105-129.
[2]. Lateefat S, Musa OI, Kamaldeen AS, Muhammad AS, Saka OI. Determinants of Oral Hygiene Status Among Junior Secondary School Students In Ilorin West Local Government Area Of Nigeria. IOSR Journal of Pharmacy and Biological Sciences. 2012; 1: 44-48.
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[5]. Kwan SY, Petersen PE, Pine CM, Borutta A. Health-promoting schools: an opportunity for oral health promotion. Bulletin of the World Health Organization. 2005; 83: 677-685

Abstract: Introduction: Pain is one of mankind's oldest and most dreaded maladies. Despite increased knowledge and scientific advances, the diagnosis and effective treatment of pain remains one of the most formidable challenges with many difficulties and pitfalls. Materials and Methods: The present study titled "A comparative study of Ropivacaine and Clonidine with Bupivacaine and Clonidine in supraclavicular brachial plexus block" was carried out at Kamineni Institute of Medical Sciences, Narketpally, Nalgonda district, Telangana. It was a prospective and randomized study. Sixty patients of age group between........

Key Words: Pain, Ropivacaine, Clonidine, supraclavicular brachial plexus block, Bupivacaine

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