GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 11
    Online Resource
    Online Resource
    Evaluation of outcome following paracervical infiltration with or without saline and adrenaline during vaginal hysterectomy
    Medip Academy ; 2017
    In:  International Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 6, No. 5 ( 2017-04-27), p. 1942-
    Details
    In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Medip Academy, Vol. 6, No. 5 ( 2017-04-27), p. 1942-
    Abstract: Background: Paracervical infiltration is used in vaginal hysterectomy to facilitate dissection. Use of paracervical infiltration however can be associated with local ischemia and infection. We did a study to find out its benefits during vaginal hysterectomy.Methods: It was a prospective case control study. Patients were divided into two groups. In the first group, no paracervical infiltration was given. In the second group paracervical infiltration was given before hysterectomy. The operating time, blood loss and postoperative infection were noted in each group.Results: The operating time was slightly higher in vaginal hysterectomy group without infiltration (p=0.025) The operating time in laparoscopic assisted vaginal hysterectomy group was not significant (p=0.0296). There was significant difference in Hemoglobin after surgery in both groups (p value 0.614 for vaginal hysterectomy and 0.173 for laparoscopic assisted vaginal hysterectomy). There was no case of infection in both groups.Conclusions: From our study, we concluded that paracervical infiltration offers no distinctive advantage during vaginal hysterectomy or laparoscopic assisted vaginal hysterectomy. 
    Type of Medium: Online Resource
    ISSN: 2320-1789 , 2320-1770
    URL: Article
    DOI: 10.18203/2320-1770.ijrcog20171953
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2017
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 12
    Online Resource
    Online Resource
    Successful maternal and fetal outcome in patients with Takayasu arteritis: two case reports of Type I and Type IV in stage 2
    Medip Academy ; 2018
    In:  International Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 7, No. 2 ( 2018-01-23), p. 759-
    Details
    In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Medip Academy, Vol. 7, No. 2 ( 2018-01-23), p. 759-
    Abstract: Takayasu's arteritis, is a rare, chronic, idiopathic, inflammatory disease of the large arteries, primarily involves the aorta, its main branches as well as the coronary and pulmonary arteries. It is mostly seen among women with child bearing age group (80%). During pregnancy, the increased intravascular volume impair circulation and exacerbate aortic regurgitation, hypertension, and congestive heart failure. Hypertension is one of the serious complication that can develop, leading to intrauterine growth restriction, maternal heart failure, and fetal haemorrhage and during postpartum period.
    Type of Medium: Online Resource
    ISSN: 2320-1789 , 2320-1770
    URL: Article
    DOI: 10.18203/2320-1770.ijrcog20180210
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2018
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 13
    Online Resource
    Online Resource
    Cervical traction: a simple step ahead in the prevention of postpartum hemorrhage
    Medip Academy ; 2019
    In:  International Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 8, No. 8 ( 2019-07-26), p. 3174-
    Details
    In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Medip Academy, Vol. 8, No. 8 ( 2019-07-26), p. 3174-
    Abstract: Background: Postpartum hemorrhage is the most common preventable cause of maternal mortality in developing countries. The present study aimed to examine the impact of cervical traction technique in reducing the amount of postpartum blood loss and rate of PPH.Methods: This was a case-control, pilot study conducted in a tertiary hospital between June 2017 to June 2018. A total of 200 singletons, low-risk pregnant females, undergoing normal vaginal delivery, were enrolled in this study. Subjects showing a high risk for PPH were excluded. Patients were randomized as case group (n=100) and control group (n=100). The case group received sustained traction for 90 seconds to anterior and posterior lip of the cervix with active management of the third stage of labor, whereas the control group received routine active management of the third stage of labor. All subjects were followed up for 6 hours post-delivery. The amount of blood loss, hematocrit and hemoglobin post-delivery were compared between both groups.Results: The mean blood loss (ml), decrease in hemoglobin (g/L) and decrease in hematocrit post-delivery in cases were significantly low compared to controls (207±37.6 versus 340±49, P 〈 0.01), (0.78±0.2 versus 1.4±0.3, P=0.03) and (1.7±0.2 versus 3.5±0.2, P 〈 0.01). PPH occurred in 7 of 200 (3.5%) patients. The difference in the number of PPH was not significant (5/100; 5% versus 2/100; 2% P=0.2). There were no complications reported due to cervical traction.Conclusions: Cervical traction is a simple and safe maneuver to reduce the amount of postpartum blood loss. Larger RCT is recommended to investigate the reduction in PPH rate.
    Type of Medium: Online Resource
    ISSN: 2320-1789 , 2320-1770
    URL: Article
    DOI: 10.18203/2320-1770.ijrcog20193148
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2019
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 14
    Online Resource
    Online Resource
    Measles rubella campaign: coverage among slum children of Udupi municipality area in Karnataka
    Medip Academy ; 2018
    In:  International Journal Of Community Medicine And Public Health Vol. 5, No. 7 ( 2018-06-22), p. 3006-
    Details
    In: International Journal Of Community Medicine And Public Health, Medip Academy, Vol. 5, No. 7 ( 2018-06-22), p. 3006-
    Abstract: Background: Poor coverage of measles vaccine and shift in the age of incidence of rubella towards adolescents and young adults with low rubella vaccination coverage leads to outbreaks of congenital rubella syndrome and measles in India. Therefore the Government of India has decided to administer measles rubella vaccine to all children from 9 months to 15 years of age in campaign mode to eliminate measles and control rubella. The aims and objectives of the study were to assess the coverage of measles rubella vaccination among the slum children of Udupi Municipality area following the MR campaign.Methods: A community based cross sectional study was conducted for a period of one month among parents of beneficiary children in 312 households of the study population.Results: Study targeted 350 families in 14 localities of which 312 families were covered consisting 578 children. Amongst them 560 (97%) were immunized and 28 (5%) of them had minor side effects. Fever (89%) was the most common side effect. Among those who were not vaccinated 18 (3%) nearly half of them (44%) were not aware of ongoing campaign and 22% as per physician’s advice.Conclusions: In the present study, coverage of MR vaccine was 97% and 88.1% (275) of the families studied knew about the MR campaign while only 267 (85.6%) actually received the MR vaccine. 
    Type of Medium: Online Resource
    ISSN: 2394-6040 , 2394-6032
    URL: Article
    DOI: 10.18203/2394-6040.ijcmph20182638
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2018
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 15
    Online Resource
    Online Resource
    Utilization of maternal and child health services among migratory/slum dwellers in Udupi municipality area, Karnataka, India
    Medip Academy ; 2018
    In:  International Journal Of Community Medicine And Public Health Vol. 5, No. 9 ( 2018-08-24), p. 3835-
    Details
    In: International Journal Of Community Medicine And Public Health, Medip Academy, Vol. 5, No. 9 ( 2018-08-24), p. 3835-
    Abstract: Background: Irrespective of the tremendous efforts made by Government of India the utilization of MCH services continues to be very low among women belonging to lower socio economic status particularly among slum and migratory population. This significantly upsets country’s declining trend of maternal and infant mortality rate. Therefore a study was undertaken to assess the utilization of maternal and child health services among migratory/slum dwellers in a municipality area.Methods: A community based cross- sectional study was conducted for a period of one month among two hundred eligible women of the study population.Results: Study targeted 1200 households in 16 localities and we obtained information from 200 eligible mothers. Amongst them 74% availed antenatal services from government facilities and only 67% were registered in the first trimester. All mothers received antenatal services. Mother and child protection card was not received by 8.5% of women. 86.1% of them had institutional delivery. 13.9% of mothers delivered at home and 10% of the deliveries were unattended or assisted by friends and relatives. JSY benefits were not availed by 55% of the women.41.5% babies delivered had low birth weight. 14.7% of the children were either partially immunized or not immunized at all. Amongst women belonging to target couple 68% were not using any form of contraception.Conclusions: Utilization of Maternal and Child Health services among the migratory and slum dwellers living in the Municipality area is not satisfactory.
    Type of Medium: Online Resource
    ISSN: 2394-6040 , 2394-6032
    URL: Article
    DOI: 10.18203/2394-6040.ijcmph20183393
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2018
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 16
    Online Resource
    Online Resource
    Efficacy of platelet rich plasma in chronic leg ulcers: a prospective randomized controlled study
    Medip Academy ; 2020
    In:  International Journal of Research in Dermatology Vol. 7, No. 1 ( 2020-12-24), p. 78-
    Details
    In: International Journal of Research in Dermatology, Medip Academy, Vol. 7, No. 1 ( 2020-12-24), p. 78-
    Abstract: 〈 p class="abstract" 〉 〈 strong 〉 Background: 〈 /strong 〉 Chronic wounds affect approximately 1-2% of the population in Europe and the United States. Platelet rich plasma (PRP) has emerged as an effective, inexpensive, minimally invasive treatment modality for chronic leg ulcers. Objective of the study was to evaluate the efficacy of PRP, and to compare the effectiveness of PRP to regular antiseptic dressing in the management of chronic leg ulcers. 〈 /p 〉 〈 p class="abstract" 〉 〈 strong 〉 Methods: 〈 /strong 〉 A hundred patients with chronic leg ulcers of more than 6 weeks duration were randomized into two groups (PRP and conventional dressing group). Patients in the PRP group received weekly intradermal injections of PRP to the wound in addition to conventional daily dressings till complete healing of the ulcers or up to a maximum of 6 weekly PRP sessions. Percentage of improvement in the area and volume of the ulcers were recorded. Patients were followed up at 1 month post PRP treatment. 〈 /p 〉 〈 p class="abstract" 〉 〈 strong 〉 Results: 〈 /strong 〉 The mean reduction in the area of the ulcers at the end of 6 weeks was 66.39% in the PRP group and 28.6% in the control group. The mean reduction in volume of the ulcers at the end of 6 weeks was 71.80% and 37.88% in the case and control group respectively. At the end of 1 month post treatment follow-up, 74% and 10% of the ulcers treated with PRP and with conventional dressing respectively showed complete healing. 〈 /p 〉 〈 p class="abstract" 〉 〈 strong 〉 Conclusions: 〈 /strong 〉 Leg ulcers treated with PRP showed a significantly higher reduction in the area and volume of the ulcers compared to ulcers treated with conventional moist dressing. 〈 /p 〉
    Type of Medium: Online Resource
    ISSN: 2455-4529
    URL: Article
    DOI: 10.18203/issn.2455-4529.IntJResDermatol20205600
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2020
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 17
    Online Resource
    Online Resource
    Clinico-bacteriological study of diabetic foot ulcer and its management based on Wagner’s classification and HbA1c as an indicator for duration of antibiotic therapy in a tertiary hospital in Sullia
    Medip Academy ; 2021
    In:  International Surgery Journal Vol. 8, No. 7 ( 2021-06-28), p. 2098-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 8, No. 7 ( 2021-06-28), p. 2098-
    Abstract: Background: Diabetic foot ulcer is a serious and common complication of diabetes mellitus. 12%–25% have a risk of developing a foot ulcer during their lifetime. Diabetic neuropathy and micro- or macro-ischemia are the two main risk factors that cause diabetic foot ulcer.Methods: A cross sectional study was conducted in dept of general surgery, KVGMCH between 1st November 2019 and 30th August 2020 among 90 pts with diabetic foot ulcers, selected by systematic random sampling methods. Considering prevalence of DFU, among the diabetic pts as 8.8%, the sample size was estimated to be 90 using the formula 4pq/L2, with absolute error as 6%. Patients will be managed conservatively with antibiotics like aminoglycosides, cephalosporins, penicillin derivatives and dressings and if needed surgical interventions will be performed.Results: Maximum number of pts had HbA1c levels of 〉 8% and they accounted for 35.55%. Almost 98% of the patients had neuropathy, 50% of them had signs of ischemia and 80% had infection. Maximum number of patients (58.88%) presented with diabetic ulcers belonging to Class 2 of Wagners classification. The most commonly isolated P. aeruginosa was sensitive to colistin, imipenem and amikacin. Most diabetics with HbA1C levels 〉 8, had mean antibiotic duration of 19.04±4.65 days.Conclusions: Prevention is the best treatment. Wagner’s classification helps in correlating appropriate treatment to proper grade of lesion with better outcome. Effective glycemic control and education are of key importance for decreasing diabetic foot disease.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20212714
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2021
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 18
    Online Resource
    Online Resource
    Assessment of bowel vascularity using indocyanine green fluorescence in incarcerated hernia
    Medip Academy ; 2021
    In:  International Surgery Journal Vol. 8, No. 9 ( 2021-08-27), p. 2834-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 8, No. 9 ( 2021-08-27), p. 2834-
    Abstract: Intra-operative assessment of bowel vascularity is often needed during emergent surgery. An objective test to determine the viability could reduce postoperative ischemic complications. Indocyanine green dye has been used for assessing bowel vascularity in colorectal surgery. The following study involving two patients demonstrates its use for assessing the viability of bowel in obstructed hernias after intraoperative intravenous injection. Stryker 1588 AIM laparoscopic setup was used for intraoperative fluorescence. In both cases, dusky areas were noted over the obstructed bowel segment on visual inspection. However, satisfactory fluorescence was seen after dye injection, and hence mesh repair was done without resecting the bowel. All the patients had a good post-operative recovery. Indocyanine green fluorescence may be a good modality to intraoperatively assess bowel vascularity.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20213630
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2021
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 19
    Online Resource
    Online Resource
    Comparison between paracervical and intracervical block before procedures on uterine cavity and cervical dilatation
    Medip Academy ; 2017
    In:  International Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 6, No. 8 ( 2017-07-26), p. 3252-
    Details
    In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Medip Academy, Vol. 6, No. 8 ( 2017-07-26), p. 3252-
    Abstract: Background: Procedures like dilatation and curettage and manual vacuum aspirations are one of the commonest procedures conducted in the outpatient Department of Obstetrics and Gynecology. Objective of present study was to find out whether intracervical block is as effective as paracervical block in patients undergoing cervical dilatation and procedures on uterine cavity.Methods: Patients undergoing dilatation and curettage or manual vacuum aspiration were given either paracevrical block or intracervical block. The pain during cervical dilatation and curettage or manual vacuum aspiration were assessed on a 10 cm visual analogue scale.Results: Mean visual analogue score during dilatation was comparable in both groups. Mean visual analogue score were comparable during dilatation in both groups before curettage or manual vacuum aspiration. Mean visual analogue scores during manual vacuum aspiration or curettage was also comparable with both groups. One patient had a serious side effect of convulsion during paracervical block.Conclusions: Intracervical block is preferable to paracervical block during procedures like cervical dilatation and on procedures on uterine cavity as intracervical block requires less technical precision than paracervical block.
    Type of Medium: Online Resource
    ISSN: 2320-1789 , 2320-1770
    URL: Article
    DOI: 10.18203/2320-1770.ijrcog20173082
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2017
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 20
    Online Resource
    Online Resource
    Is it worth preserving the uterus? unanticipated pathology in hysterectomy for pelvic organ prolapse (POP)
    Medip Academy ; 2018
    In:  International Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 7, No. 10 ( 2018-09-26), p. 4145-
    Details
    In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Medip Academy, Vol. 7, No. 10 ( 2018-09-26), p. 4145-
    Abstract: Background: In recent years concept of uterine conservation has been increasing at the time of surgical management of pelvic organ prolapse (POP). This study was intended to assess the risk of premalignant and malignant uterine/endometrial, and cervical pathology at the time of hysterectomy-based POP procedures, to better understand the risks of uterine conservation in the surgical treatment of POP in Indian setup.Methods: Patients who had undergone vaginal hysterectomy for POP in last five years were identified by medical record tracking using ICD-9 codes. Case records then were reviewed to collect patient characteristics and the final histopathological diagnosis of the hysterectomy specimen. Cases with premalignant or malignant uterine/endometrial or cervical pathology recognized prior to surgery were excluded.Results: A total of 573 women who underwent vaginal hysterectomy and pelvic floor repair for the sole indication of POP were included. On analyzing the histopathological diagnosis of the specimen obtained during surgery in 57.1% of cases the findings were consistent with the changes seen in cases of POP. Only 5.9 % of cases had cervical or endometrial pathologies who would have required treatment/follow up in future if the uterus was left in situ.Conclusions: The risk of missing a malignant and premalignant cervical or uterine pathology in women presenting with uterine prolapse is low if appropriate preoperative workup has been done. Uterine preservation in surgical management of POP could be considered an option.
    Type of Medium: Online Resource
    ISSN: 2320-1789 , 2320-1770
    URL: Article
    DOI: 10.18203/2320-1770.ijrcog20184143
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2018
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...