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Singh, K.
- Drugs Prescribing Pattern in A Tertiary Care Hospital in Central India - Madhya Pradesh in Years 2013- 14
Authors
1 Department of Pharmacology, IN
2 Department of Physiology, IN
3 PG. 3rd Year Student, Department of Pharmacology, S.s. Medical College, Rewa, MP, IN
4 PG.2nd Year Student, Integral Institute of Medical Science&research, Lucknow, UP., IN
Source
The Indian Practitioner, Vol 67, No 11 (2014), Pagination: 674-680Abstract
Irrational prescription of drugs is a common occurrence in clinical practice. The aim of the study is to assess the prescription pattern of drugs at the Outpatient Department of a tertiary care SGM Hospital, Central India, Madhya Pradesh. 3587 prescriptions were randomly collected from OPDs departments and were analysed according to the WHO/INRUD indicators. Results of this study show that the maximum patients - 43.57% attending OPD belonged to 33-42 age group, and maximum - 34.54% prescriptions were from the Department of Medicine. Nutritional supplements (25.83%), NSAIDs (25.43%), antibiotics (22.19%) and GIT drugs (18.75%) were the most commonly prescribed groups. Maximum (96.88%) drugs were prescribed by generic names. The average number of drugs per prescriptions was 3.11, most (36.71 %) of the prescriptions had 4 drugs, injectable drugs were used in 8.83% prescriptions, while fixed dose combinations were used in 33.43% prescriptions. Prescription rationality in this study is poor in terms of polypharmacy, and excessive use of nutritional supplements.Keywords
Drugs, Prescriptions, Rational / Irrational, WHO, Polypharmacy
- Frequency and Distribution of ABO and Rh (Factor) Blood Groups Among Medical Students of Central India, Rewa, Madhya Pradesh
Authors
1 Department of Physiology, S.S. Medical College, Rewa, (Mp) - 486001, IN
2 Department of Pharmacology, S.S. Medical College, Rewa, (Mp) - 486001, IN
3 Department of Medicine, S.S. Medical College, Rewa, (Mp) - 486001, IN
Source
The Indian Practitioner, Vol 68, No 1 (2015), Pagination: 19-23Abstract
This study was conducted in the department of Physiology at S.S. Medical College, Rewa, MP with the aim to determine the frequency and distribution of "A, B, AB, O and Rh" blood groups among medical students and link them to blood groups related diseases. Students were enrolled between December 2012 and March 2013. A total 223 students were enrolled; blood samples were collected by finger prick method. A drop of anti-sera A, B, and anti D were added to a drop of blood on clean and fresh glass slides and mixed well with glass rod. Of these 223 students, 137 were males and 86 were females. Result shows that blood group B was the most predominant (39.46%) followed by O (29.59%), A (20.62%) and AB (10.31%). Of them 95.06% were Rh positive blood group. Group B was the commonest blood group in both male and female students 37.95% and 41.86% respectively; Rh group (antigen) was positive (+ve) in 93.43% of males and 97.67% females. In this study we concluded that group 'B' is the commonest blood groups among both male (37.95%) and female (41.86%) medical students.Keywords
Blood groups, ABO, Rhesus factor, Medical Students.- Chorea: A Rare Presentation of Vivax Malaria
Authors
1 HOD Dept. of Medicine, SSMC, Rewa M.P, IN
Source
The Indian Practitioner, Vol 68, No 4 (2015), Pagination: 43-44Abstract
Malaria is now being reported with unusual manifestations because of increasing resistance, indiscriminate use of antimalarial drugs and development of immunity. Chorea is one of the rare complication of falciparum malaria. In this case, a 28 year old male presented with fever, splenomegaly and with choreiform movement. Peripheral smear was positive for vivax malaria.- Laparoscopic Cholecystectomy in Complicated Acute Cholecystitis : Risk Factors and Outcome
Authors
1 Dayanand Medical College & Hospital, Ludhiana, Punjab, IN
Source
The Indian Practitioner, Vol 68, No 5 (2015), Pagination: 25-29Abstract
Introduction: Complicated acute cholecystitis (AC) due to gangrene, perforation, emphysema or empyema of gall bladder is associated with increased post operative morbidity and mortality rates. The aim of this study is to determine the risk factors and outcome of complicated AC.
Methods: A total of 50 patients of acute cholecystitis who underwent laparoscopic cholecystectomy were prospectively studied and the risk factors associated with the development of complicated AC were investigated. The outcome of laparoscopic cholecystectomy was compared between patients of complicated and uncomplicated AC. The data obtained was analysed.
Results: On multivariate analysis, old age, diabetes mellitus (DM), hypertension (HT), male sex and raised total leucocyte count (TLC) (13.81 ± 6.95) were predictive risk factors for complicated acute cholecystitis. Mean operative time and hospital stay was longer in complicated AC patients as compared with uncomplicated AC. There was no significant difference in conversion rates, post operative TLC, wound infection or bile duct injuries between the two. However, post operative fever was significantly present in patients of complicated AC.
Conclusion: Various preoperative risk factors for complicated acute cholecystitis are old age, DM, HT, raised TLC and male sex. Outcome of laparoscopic cholecystectomy in patients of complicated acute cholecystitis lead to increase in mean operative time and total length of hospital stay.
Keywords
Acute Cholecystitis, Laparoscopic Cholecystectomy, Complicated.- The Clinical and Microbiological Study of Patients with Pyodermas
Authors
1 Department of Skin & V.D. Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, IN