A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Srinivasa, B. S.
- Patients Perceptions and Response about Government Hospitals in Hassan District
Authors
1 Department of Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka, IN
2 Department of Paediatrics, Hassan Institute of Medical Sciences, Hassan, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 87-92Abstract
Assessment of the quality of health care services in government hospital may be enhanced by including patient perceptions as well as quality care. Patients are more and more quality conscious than before. Patients' perceptions about public health services seem to have been largely improved by government medical college. The important reasons to visit government hospitals are availability of qualified doctors 24x7 services, to avail govt health&welfare schemes, geographical proximity, less charges, recommendation by their friends or relatives. Good infrastructure, service quality of doctors&paramedical staff might instil more confidence in patients with regard to choice of government hospitals.Keywords
Patients, Perception, Health Care Services, Satisfaction
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- A Study of Prevalence, Risk Factors and Clinical Profile of Neonatal Hypoglycemia
Authors
1 Hassan Institute of Medical Sciences, Hassan, Karnataka 573201, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 210-213Abstract
Objectives: The objectives of the study was to know the prevalence of neonatal hypoglycemia, clinical presentation and the various risk factors resulting in hypoglycemia.
Method: Babies born in our hospital were screened for hypoglycemia. Babies having hypoglycemia at birth and babies with risk factors for hypoglycemia were included in our study. These babies were monitored for hypoglycemia by using glucose strips and confirmed by laboratory method for the first 72hrs and these babies were also observed for clinical presentation. Data collected was statistically analysed by using 't' test.
Results: The prevalence of neonatal hypoglycemia was 9.4% in our hospital with male to female ratio was 1.46:1. Study shown percentage of hypoglycemia is more common in infant of diabetic mother and in birth asphyxia (06.59% each) followed by meconium aspiration syndrome babies (04.30%). Hypoglycemia was more in Cesarean born babies 57.14% than other modes. Hypoglycemia was observed in significant number during first 24hours of life and symptomatic cases were only 36.27%. In Clinical presentation respiratory distress was the commonest symptom followed by jitteriness, lethargy; seizures and combination of all these symptoms were in large number. Hypoglycemia was common in preterm babies 54.94%. Hypoglycemia in intrauterine growth retardation babies was significant number 63%, off these asymmetrical intrauterine growth retarded babies were71.42%. Neonatal hypoglycemia by laboratory(GOP)method was only 37.30%.
Conclusion: Hypoglycemia is a common metabolic disorder in neonatal period leading to brain dysfunction causing significant neonatal morbidity and mortality, it has to be evaluated and intervened early.
Keywords
Clinical Profile, Neonatal HypoglycemiaReferences
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- A Study of Transvaginal Ultrasound in Asherman Syndrome
Authors
1 Hassan Institute of Medical Sciences, Hassan, Karnataka, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 217-219Abstract
Objective: To determine the accuracy of transvaginal ultrasound in evaluation of uterine sonomorphology in nongestational amenorrhoea following curettage producers (Asherman Syndrome).
Methodology: The study population comprised all adult females in reproductive age group who presented with amenorrhea following a curettage procedure. Those with positive serum BHCG, and raised serum prolactin were excluded. Transabdominal (TAS) as well as transvaginal ultrasound (TVS) scan was carried out in all patients. Hystero-salpingography (HSG) was done in nearly all patients. Age, parity, indication for referral and curettage, duration of amenorrhea, frequency of curettage and previous menstrual and obstetric history, were obtained. Transvaginal scan findings were recorded and compared with HSG. Two patients came for a follow up after adhesionolysis.
Results: There were 17 patients in all with a mean age of 28.6 years, mean parity of 4.5 and mean amenorrhea duration of 5.5 months. Sixteen were primarily referred for evaluation of amenorrhea. Twelve had history of previous pelvic infection, 8 had previous menstrual irregularity and 15 had abortions. Repeat curettage was done in 09 patients. Trans abdominal ultrasound was positive in only one patient and transvaginal ultrasound was positive in all cases. Findings on the later examination included normal to thickened endometrium with heterogeneous echo texture, irregular outline, non-shadowing echogenic foci and sparse sub-endometrial vascularity. Calcification at endo-/myometrium junction was seen in one case on both techniques. The sensitivity of TVUS in diagnosing intra uterine adhesions was 92%, specificity 100%, positive predictive value 100% and negative predictive value 92%.
Conclusion: Transvaginal ultrasound shows accurate and specific uterine sono-morphologic features in traumatic amenorrhea and can be used as a reliable screening test.
Keywords
Asherman Syndrome, Amenorrhea, Curettage, Intrauterine Adhesions, Endometrium, Transvaginal UltrasoundReferences
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- Relevance of 3D X-Ray Imaging for Electronic Packages and Printed Circuit Boards
Authors
1 Spacecrafts Reliability and Quality Area, U R Rao Satellite Centre, Bengaluru, IN