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Abstract: Introduction.. Preterm birth is leading cause of newborn death and the second leading cause of death after pneumonia in children under five years.The vaginally administered progesterone has become the most widely effective alternative in preventing preterm birth 2. Oral Micronized Progesterone,Micronizing is a process designed to increase the half-life of progesterone and reduce its destruction in the gastrointestinal tract. Micronization decreases particle size and enhances the dissolution of progesterone4,5.In fact, the Cochrane survey concludes: "Further trials are still required to assess the optimal timing, mode of administration and dose of administration of progesterone therapy" 3. Thus, the current situation with the oral route is not that of a proven absence of value, but.......
Keywords: PRETERM,OMP,PROGESTERONE,MICRONISED,NEONATAL OUTCOME,BIRTH WEIGHT.
[1]. .Romero R, Yeo L, Chaemsaithong P, Chaiworapongsa T, Hassan SS. Progesterone to prevent spontaneous preterm birth. Semin Fetal Neonatal Med. 2014; 19: 15– 26.
[2]. Romero R, Conde-Agudelo A, El-Refaie W, Rode L, Brizot ML, Cetingoz E, et al. Vaginal progesterone decreases preterm birth and neonatal morbidity and mortality in women with a twin gestation and a short cervix: an updated meta-analysis of individual patient data. Ultrasound Obstet Gynecol. 2017; 49: 303– 14.
[3]. Dodd JM, Jones L, Flenady V, Cincotta R, Crowther CA. Prenatal administration of progesterone for preventing preterm birth in women considered to be at risk of preterm birth. Cochrane Database Syst Rev. 2013;( 7): CD004947.
[4]. Hargrove JT, Maxson WS, Wentz AC. Absorption of oral progesterone is influenced by vehicle and particle size. Am J Obstet Gynecol 1989;161(4):948-51.
[5]. Simon JA, Robinson DE, Andrews MC, Hildebrand JR 3d, Rocci ML, Blake RE, et al. The absorption of oral micronized progesterone: the effect of food, dose proportionality, and comparison with intramuscular progesterone. Fertil Steril 1993;60(1):26–33.
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Paper Type | : | Research Paper |
Title | : | Fetomaternal Outcome in Gestational Diabetes Mellitus |
Country | : | India |
Authors | : | Dr Girija Malavalli Kempasiddaiah || Dr Gayithri M R |
: | 10.9790/0853-2104140810 |
Abstract: Background: Gestational diabetes mellitus means hyperglycemia in pregnancy. It is "carbohydrate intolerance with onset or first recognition during pregnancy". In recent times there is increasing prevalence of pregnancies complicated by gestational diabetes mellitus. The prevalence is higher in the Indian population 16.5%
Aims &Objectives: To study the maternal and fetal outcome in gestational diabetes mellitus
Materials &Methods: 40 patients diagnosed with GDM were enrolled in this study after giving 75g GCT as per DIPSI guidelines. All these women were followed till delivery with fetal outcome also........
Key words: LSCS, PRETERM, PROM, IUD, DIPSI
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Paper Type | : | Research Paper |
Title | : | A Study on Awareneess of CPR in the General Population of Delhi NCR |
Country | : | India |
Authors | : | Dr harmeet singh || Dr hk chopra |
: | 10.9790/0853-2104141117 |
Abstract: About 4,280 people per 1 lakh population are getting cardiac arrest per year in the India . Every minute 112 people are succumbing to cardiac arrest. This is a very big problem. Almost 80 to 82 per cent cardiac arrest happens outside hospital. With each minute the chances of survival decreases by 7 to 10 minutes. If we don't immediately give CPR, the patient will have brain injury. In some countries, with increasing practice of CPR it has been found that 40-60 per cent people could be saved. Since time is important, any layman can manually start a heart with a skill which can be learned with a practice of 5-10 minutes and can save a life. For this purpose studying Awareness of CPR in the General Population may be useful. This study was conducted among the general population of Delhi NCR from 2019 to 2022 for 200 participants . Participants were categorized on........
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Abstract: Background: Acute onset fever with altered mentation is a common problem encountered by the physician practicing in tropical countries. Central nervous system (CNS) infections are the most common cause resulting in fever with altered mentation in children. Aim: In this study, we have tried to analyse the clinic-etiological spectrum of acute febrile encephalopathy in adult patients in Bundelkhand region and the outcome of the patients of different etiological profile. Setting and design: This study is a hospital based cross-sectional observational study conducted in M.L.B Medical College, Jhansi (U.P.). The study includes all acute febrile encephalopathy patients coming to Emergency Department, M.L.B. Medical College........
Key words: acute febrile encephalopathy; tubercular meningitis; septic associated encephalopathy; cerebrospinal fluid polymerase chain reaction
[1]. Bhalla A, Suri V, Varma S, Sharma N, Mahi S, Singh P, et al. Acute febrile encephalopathy in adults from Northwest India. J Emerg Trauma Shock 2010;3:220-4.
[2]. Roos KL, Wilson MR, Tyler KL. Encephalitis. In: Loscalzo J, Fauci A, Kasper D, Hauser S, Longo D, Jameson J. eds. Harrison's Principles of Internal Medicine 21e. McGraw Hill; 2021.
[3]. Glaser, C.A., Gilliam, S., Schnurr, D., et al., 2003. California Encephalitis Project, 1998-2000. In search of encephalitis etiologies: diagnostic challenges in the California Encephalitis Project, 1998-2000. Clin Infect Dis 36, 731-742
[4]. Glaser, C.A., Honamand, S., Anderson, C.J., et al., 2006. Beyond viruses: clinical profiles and etiologies associated with encephalitis. Clin Infect Dis 43, 1565-1577.
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Abstract: Introduction: In today's era cost of health care is of growing importance and it is important to recognize patients at increased risk of post-operative morbidity and mortality and to find interventions to reduce the risk. Hence, there is a need of an objective prognostic tool to assess the post-operative outcome of patients, than the subjective gut feeling of surgeons. The surgical Apgar score (SAS) is a simple score that uses intraoperative information on hemodynamics and blood loss of patient to predict post-operative morbidity and mortality. Score on a scale of 0-10 calculated from three parameters collected during the operative procedure, lowest heart rate (HR), lowest mean arterial pressure (MAP), and estimated blood loss.......
Key words: Estimated blood loss, Mean arterial pressure, Surgical Apgar score
[1]. Gawande AA, Kwaan MR, Regenbogen SE, Lipsitz SA, Zinner MJ. An Apgar score for surgery. J Am CollSurg 2007;204:201-8.
[2]. Regenbogen SE, Ehrenfeld JM, Lipsitz SR, Greenberg CC, Hutter MM, Gawande AA. Utility of the surgical Apgar score: Validation in 4119 patients. Arch Surg 2009;144:30-6.
[3]. Regenbogen SE, Lancaster TR, Lipsitz SR, Greenberg CC, Hutter MM, Gawande A, et al. Does the surgical Apgar score measure intraoperative performance? Ann Surg 2008;248:320-8.
[4]. Mak PH, Campbell RC, Irwin MG; American Society of Anesthesiologists. The ASA physical status classification: Inter-observer consistency. American Society of Anesthesiologists. Anaesth Intensive Care 2002;30:633-40.
[5]. Brooks MJ, Sutton R, Sarin S. Comparison of Surgical risk score, POSSUM and p-POSSUM in higher-risk surgical patients. Br J Surg 2005;92:1288-92.
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Abstract: The popularity of lasers in esthetic periodontal therapy and implant practice has increased tremendously in the last few years due to their innovative technology and versatility. Presently, a range of laser systems is being used in various soft and hard tissue procedures. Among them, diode lasers, carbon dioxide (CO2), neodymium-doped: yttrium-Garnet (Nd:YAG), erbium-doped: yttrium-aluminium Garnet (Er:YAG) are frequently used. It has various applications in esthetic dentistry. This includes surgical and non-surgical procedures; like operculectomy, gingival depigmentation, gingivectomy, growth excision, and many other procedures. Lasers are used in various implantology procedures.......
Key Word: Dental lasers, Esthetics, LANAP, Implant dentistry, Periodontal therapy, soft tissue lasers.
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Abstract: Background: CT guided interventional procedures are the most preferred procedures in thoracic lesions. Thoracic interventions like CT guided fine needle aspiration cytology and core biopsy are minimally invasive procedures. Methods: This is a hospital based observational study of CT guided interventional procedures in patients with thoracic lesions diagnosed by imaging methods like chest radiograph, CT or MRI scans. These patients were referred to the department of radiodiagnosis for CT guided thoracic interventions from the chest medicine department and other clinical departments of our Hospital AIIMS New Delhi. The duration of the study is for a period of two years.........
Keywords: CT Guided, FNAC, TTNB
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[2]. Sanjay T. Image guided biopsy procedures. Indian journal of medical and pediatric oncology 2007; 28(2): 5-6.
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[4]. Pan CY. Ultrasound-guided transthoracic biopsy of the chest. Radiol Clin North Am 2000; 38(2):323-331.
[5]. Mullar DA, Carraso CH, Katz RL. FNAB: The role of immediate cytological assessment. AJR 1986; 147:155-158.