bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intravenous Iron Therapy versus Oral Iron in Postpartum Patients in Rural Area
Authors: Inamdar SA , Verma Sunayana 
Published: June 2011

ABSTRACTObjectivesThe aim of this study is to evaluate the efficiency and safety of intravenous iron sucrose complex and comparison with oral iron therapy in postpartum period in rural area.Materials and methodsIt is a prospective, randomized, hospital-based clinical study carried out in over 150 patients, having Hb < 8 mg/dl after 24 hours of delivery. 600 to 800 mg iron sucrose has been given in divided doses, 200 mg on alternate day in 100 ml of normal saline to half of the patients whereas rest of the patients given 200 mg bd dose of ferrous sulphate by oral route for one month. Data was collected after 1st, 2nd, 3rd and 4th week for the hemoglobin estimation and assessment of the impact of intravenous iron sucrose treatment on the postpartum parameters.ResultsThe mean Hb was significantly increased in the intravenous iron sucrose group in 7 days (7.42 ± 1.04 gm/dl to 9.8 ± 0.76 gm/dl) of treatment but there was no change observed in mean Hb in the patients treated with oral ferrous sulphate. Women treated with intravenous iron sucrose has shown significantly higher Hb on day 7, day 15 and day 30 as compared to the women those were treated with oral iron (p < 0.0001).ConclusionOverall intravenous iron sucrose appears to be an effective mode of treatment in postpartum patients with no serious side effects and associated with faster recovery in shorter duration of hospital stay than oral iron treatment.
A Study of Serum Homocysteine Levels during Normal Pregnancy and Pre-eclampsia
Authors: Ghike Sunita , Jain Sheela , Kumare Bhavna , Gupta Madhur , Shembekar Chaitnya 
Published: June 2011

ABSTRACT
Elevated plasma homocysteine level is a risk factor for vascular problems, including atherosclerosis and arterial thrombosis. Hyperhomocysteinemia during pregnancy causes endothelial dysfunction as a result of increased oxidative stress. The ultimate results are vasculopathy and platelet dysfunction.
The aim of the study was to find the association of the homocysteine levels in pre-eclampsia and normal pregnancy and to know, if there exists any correlation between serum homocysteine levels and severity of PET.

Study design
Prospective case control study

Study place
Women attending antenatal OPD or admitted in antenatal ward of Department of Obstetrics and Gynecology, NKPSIMS.

Study duration
1 March 2010 to 1 September 2010 Study population and sample size

Group 1
30 pregnant normotensive healthy women, GA 28 to 42 weeks and fulfilling inclusion criteria.

Group 2
30 pregnant women, GA 32 to 42 weeks with pre-eclamptic toxemia (mild and severe) and meeting inclusion criteria.
30 pre-eclamptic women were matched with 30 normotensive women of same gestational age.

Results
Mean level of homocysteine was significantly raised in pre-eclamptic women than in control group.
The rise in mean serum homocysteine level was more in women with severe PET as compared to those with mild PET, though not statistically significant. The women in pre-eclamptic group having increased homocysteine levels showed increased incidence of IUGR, IUD, still birth and abruptio placenta and increased incidence of cesarean section.

Conclusion
It is concluded from our study that serum homocysteine levels were significantly elevated in women with PET compared with control group and strong correlation may exist between serum homocysteine levels and severity of pre-eclampsia.
Anemia during Pregnancy: Most Preventable yet most Prevalent
Authors: Joshi Sulabha , Ghike Sunita , Bhalerao Anuja , Kawthalkar Anjali 
Published: June 2011

ABSTRACT

Objective
To study the relationship between maternal hemoglobin and maternal and perinatal outcomes in a cohort of 1200 women, and to highlight the importance of antenatal care to improve maternal health, maternal and fetal outcome.

Method
All singleton pregnancies delivering at NKPSIMS, from January 2009 to December 2009 that fulfilled the required criteria were included.

Results
Out of 1200 women, 787 were anemic (67.2%) < 11 gm of Hb and 413 were nonanemic. Perinatal outcome included preterm delivery, birth weight, intrauterine growth restriction, perinatal death, low Apgar scores and intrauterine fetal death. Risk of preterm and low birth weight among anemic women was 4.2 times and 1.8 times more than nonanemic women. The neonates of anemic women had 1.8 times more risk of low Apgar scores at 1 minute. Among anemic women there was 2.4 times greater risk of intrauterine fetal death than nonanemic women. The women with anemia had 2.5 times higher incidence of PPH than nonanemic women. Puerperal complications were 2.5 times more in anemic women than nonanemic women.

Conclusions
Regular patient education by imparting proper knowledge regarding iron-rich foods, food fortification, implementation of anemia prophylaxis program from adolescence, regular antenatal care from 1st trimester has a vital role in assessing and managing maternal anemia timely, and it directly affects the perinatal outcome. The patients with anemia have higher risk of having low birth weight, preterm birth and Intrauterine fetal death (Rawalmeds 2007,32:102:101:104).
Respiratory Function in Normal Singleton Pregnancy, Multifetal Gestation and Polyhydramnios
Authors: Kundu Susmita , Dasgupta Shyamal , Koppolu Gayetri , Ghosh Tarun Kumar , Mukherjee Amitava , Dasgupta Subhankar 
Published: June 2011

ABSTRACT

Study of respiratory functions of four groups of women
Nonpregnant, early pregnancy, singleton pregnancy at 36 weeks and twin/ polyhydramnios at 36 weeks reveal that inspiratory capacity (IC), tidal volume (TV) and expiratory reserve volume (ERV) in different group pairing have statistically significant difference. This is very important during the assessment of pregnant mother suffering from respiratory or cardiopulmonary disorder.

Objectives
This study aims to observe the additional demands placed on the maternal respiratory system in cases of advanced normal pregnancy or over distended uterus, like multifetal gestation and polyhydramnios, and whether the average Indian woman is able to cope with these respiratory changes.

Methods
Around 80 women were divided into four equal groups which included non-pregnant controls, normal early pregnancy (< 20 weeks), normal singleton pregnancy at 36 weeks and multifetal gestation/polyhydramnios, underwent spirometry for static lung volume measurement. The overall comparison was done by using the Kruskal-Wallis test whereas the individual comparison by Mann-Whitney test. Final statistical computing was performed with SPSS statistical package.

Results
The groups were comparable on the basis of age, height and hemoglobin levels. Comparisons of various groups show statistically significant difference in tidal volume, inspiratory capacity and expiratory reserve volume specially in advance pregnancy with control nonpregnant mothers without significant adverse effect on respiratory system.

Conclusions
Results of the study indicate that though there are significant respiratory functional changes, healthy women, even having twin/polyhydramnios, can tolerate this well. But this knowledge is very important to assess and to formulate management of pregnant women with respiratory or cardiopulmonary compromise.
Impact of HIV Positive Status on Reproductive Decision Making
Authors: Goswami Sebanti , Tibrewal Ranjana 
Published: June 2011

ABSTRACT

Objective
The purpose of this study was to investigate the various factors that influence pregnancy decisions in HIV positive women.

Methods
This was a prospective observational study conducted in the Department of Obstetrics and Gynecology, Medical College and Hospital, Kolkata. Around 65 pregnant women testing positive for HIV and receiving care at our antenatal clinic or opting for MTP were included. An interview was taken regarding factors influencing reproductive decision making.

Results
Around 13.9% of the patients underwent MTP and 86.1% continued their pregnancy. When asked about the reason of opting for MTP, a varied response was noted out of which the fear for vertical transmission and concern of stigma took the major share.

Conclusion
The counseling approach is to be proposed that advocates encouraging HIV-infected women to make reasoned and considered decisions concerning childbearing. Such an approach would require providers to discuss with women not only the medical facts relevant to vertical transmission but also many of the psychosocial issues relevant to the woman's interest in bearing a child. Moreover, the encounter would be contextualized to include discussion of issues unique to the woman's situation and other family considerations.
Role of O'sullivan's Test in Screening of Pregnant Women for Gestational Diabetes in Rural Area
Authors: Acharya Neema , Inamdar Anil 
Published: June 2011

ABSTRACT

Objective
To study the role of O'sullivan's test in screening of pregnant women for gestational diabetes in rural area.

Materials and methods
A total of 1000 antenatal patients were screened for gestational diabetes with 50 gm glucose test (O'sullivan's test), 1-hour plasma glucose value more than 130 gm/dl was considered screen positive who were subjected to 3-hour GTT.

Results
The incidence of gestational diabetes in our study was 0.5%, the maternal and fetal high-risk factors in these patients were PROM, hydromnios and birth weight more than 3.5 kg.

Conclusion
O'sullivan's test is a cost-effective method of screening of diabetes in pregnancy which is associated with increased maternal and perinatal morbidity.
Variants of Leiomyoma: Histomorphological Study of Tumors of Myometrium
Authors: Manjula K , Rao Kadam Satyanarayana , Chandrasekhar HR 
Published: June 2011

ABSTRACT

Objectives
To study the histomorphological features of variants of leiomyomas of myometrium in our institution from hysterectomy and myomectomy specimens.

Methods
In this prospective study, 1,845 hysterectomy and myomectomy specimens collected over a period of two years were studied. A detailed gross and microscopic examination of tumors of myometrium were made after fixing and staining the specimen with routine H&E.

Results
Neoplastic lesions of the myometrium were diagnosed in 441 (23.90%) of the total 1,845 specimens. Benign tumors were diagnosed in 440 cases, and all the benign tumors were leiomyomas except one case of adenomyoma. Leiomyoma was the most common tumor of the myometrium constituting 99.54%. Usual leiomyoma constituted for 95.45% and variants of leiomyomas were 4.55%. Malignant tumor of the myometrium was diagnosed in one hysterectomy specimen out of 1,845 specimens.

Conclusion
Variants of leiomyomas were relatively less, but it is important to differentiate them from malignant neoplasms of the myometrium, as they have good prognosis. Tumor size, nature of margin, presence or absence of vascular invasion, coagulative necrosis and cytological atypia are the most important histological features for differentiation.
Undergraduate Teaching Curriculum in Obstetrics and Gynecology
Authors: Singh Manpreet , Grover Namita , Vaid NB 
Published: June 2011

ABSTRACT

Background
Evaluation of teaching curriculum is extremely logical and is firmly recommended as a part of teaching-learning process. The utility of feedback from students to evaluate a teaching curriculum cannot be overemphasized.

Aim
The present study was conducted to evaluate the effectivity of undergraduate teaching curriculum in obstetrics and gynecology.

Materials and methods
We attempted to seek view point of a batch of 100 students in 9th semester to evaluate the effectivity of undergraduate teaching curriculum in obstetrics and gynecology through a pertinent and simple questionnaire.

Results and conclusion
Out of a batch of 100 students, there were 91 respondents. Majority of them were satisfied with lecture taking but desired that lectures be taken by senior faculty. Four most difficult topics to understand were related to labor followed by malignancies, operative procedures and dysfunctional uterine bleeding respectively. Shockingly, 91.20% students had not conducted even a single delivery, and 10.98% were yet to witness a cesarean section. A meager 2.19% devoted maximum time to study obstetrics and gynecology. Since this study involved a single batch of students, after obtaining further feedback from other batches, larger database will be assessed, and inferences used to evaluate the undergraduate teaching program.
Postmenopausal Infiltrating Desmoid Tumor: A Rare Postoperative Complication
Authors: Patil Neelamma , Sajjan GR , Vallabh Tejaswini , Korbu Jyoti , Aggarwal Shilpi 
Published: June 2011

ABSTRACT
Postoperative desmoid tumors in postmenopausal women is a rare condition. Desmoid tumors are unusual soft tissue benign tumors that arise from musculoaponeurotic tissues. They also have ingrowing tendencies to intestines causing unusual clinical presentation. Recent surgical intervention is known in such cases. FNAC is not contributory due to hypocellularity. CT pelvis, abdomen is helpful. Surgical treatment is usually required. Case report is of this unusual condition in our practice.
Unilateral Twin Ectopic Pregnancy (Diamniotic-Dichorionic): A Rare Case
Authors: Ghike Sunita , Somalwar S , Mitra Kajal , Kulkarni Sayali , Ladikar Mugdha , Baisakhiya Niraj , Sabharwal Glossy 
Published: June 2011

ABSTRACT
Unilateral twin ectopic is a rare condition. Only 100 cases reported till date in the literature. A 34-year-old woman having secondary infertility reported to emergency with amenorrhea of one and half months and pain in abdomen. Her urine pregnancy test was positive and ultrasonography showed multiple (twin) ectopic gestational sacs in left adenexa. Color Doppler showed ring of fire sign encircling both the gestational sacs suggestive of twin ectopic pregnancy (diamniotic-dichorionic) in left adenexa. Exploratory laparotomy confirmed the diagnosis.
A Rare Case of Synchronous Genital Carcinoma Involving the Endocervix and Bilateral Fallopian Tubes
Authors: Swarup Asha , Manjunath RL , Sudha HM 
Published: June 2011

ABSTRACT
A 53-year-old postmenopausal woman came with profuse watery discharge per vagina and underwent type III radical hysterectomy with pelvic lymph node dissection, as the biopsy from the cervical growth revealed papillary adenocarcinoma. She also received adjuvant combination chemotherapy as it was opined as synchronous genital carcinoma involving the endocervix and bilateral fallopian tubes, which is a rare and unique condition. Patient is on regular follow-up with no evidence of recurrent disease.
Effects of Aging on Nasal Mucociliary Clearance
Authors: Yadav Jyoti , Singh Jagat , Ranga Rupender K 
Published: June 2011

ABSTRACT
Nasal mucociliary clearance is a primary physiological defense mechanism of upper as well as lower respiratory tract, and thus maintains the state of health of the respiratory tract. Any disturbance in number or movement of cilia and change in character or amount of mucus production leads to an altered nasal mucociliary clearance. The present study was undertaken to study the effect of aging on nasal mucociliary clearance.
Nasal mucociliary clearance time was assessed in 240 normal subjects, 120 males and 120 females, which were divided in six groups, each comprising of one decade starting from 11 to 20 years. The mean nasal mucociliary clearance time ranged 7.34 to 14.48 minutes in males and 7.36 to 15.38 minutes in females in different groups (A-F). There was no statistical difference between males and females in each group (p > 0.05). The nasal mucociliary clearance time was not found to be increased till 5th decade (p = 0.05). However, the nasal mucociliary clearance time was found to be increased in 6th and 7th decades (group E&F) significantly (p 0.001), which was more marked in group F. This may explain the increased susceptibility of elderly to sinusitis chronic bronchitis, deep lung infections and increased incidence of pneumonia.
Varied Ophthalmic Presentations in Sphenoid Sinus Lesions
Authors: Aiyer RG , Gupta Rahul , Dhameja Prarthna S , Damania Virag , Sharma Abhishek , Prinja Sumit 
Published: June 2011

ABSTRACT
Sphenoid sinus lesions can present with a multitude of symptoms/signs including ophthalmic disturbances.
We describe a total of five patients, of which two had mucoceles and rest three had fungal infection. Ophthalmic symptoms/signs were the ones we were really interested in. We also present one case which had isolated sphenoid fungal sinus. We also give details of their presentation, investigations and treatment. Possible ocular manifestations of mucoceles and the diagnostic imaging techniques used are discussed. The treatment of mucoceles is reviewed. It is stressed that a team approach involving the ophthalmologist, otolaryngologist and radiologist is essential for accurate diagnosis and management.
Primary Nasal Tuberculosis
Authors: Mohindroo NK , Sharma DR , Chauhan Ishan , Mohindroo Shobha 
Published: June 2011

ABSTRACTTuberculosis of nose, nasopharynx and paranasal sinus is extremely rare even in countries with a high incidence of pulmonary disease. We present two cases of primary nasal tuberculosis managed in last three years in our department with 2500 to 3000 patient visits per month. One case simulated basal cell carcinoma while other case was an ATT defaulter. Both the cases were managed on RNTCP guidelines. Nasal tuberculosis needs high level of suspicion and is diagnosed with laboratory support.
Endoscopic Excision of Solitary Neurofibroma Arising from Posterior Nasal Septum
Authors: Kohli Parvinderjit Singh , Goel Kanu 
Published: June 2011

ABSTRACT
Neurogenic tumors form a very small percentage of all neoplastic lesions of the head and neck region. However, the head and neck region is by far the most common location for benign peripheral neural tumors. Several cases involving the nasal cavity and paranasal sinuses have been sporadically documented throughout the medical literature. We present a rare case of a solitary neurofibroma arising from the posterior nasal septum of a 37-year-old woman. En bloc surgical resection of the mass was achieved by endoscopic approach. This case highlights the importance of considering this clinical entity in the differential diagnosis when encountering a unilateral soft tissue mass in the nasal cavity and use of endoscopic technique in the management of such tumors.

Abbreviations
Contrast enhanced computed tomography (CECT), Magnetic resonance imaging (MRI).
A Forgotten Nasogastric Tube
Authors: Reddy C Ekambar E , Kinshuck Andrew J , William Claire E 
Published: June 2011

ABSTRACT
Nasogastric tubes are commonly used in hospitals for both feeding and/or decompression of the upper gastrointestinal tract. We present a case of a forgotten nasogastric tube coincidentally found, four years after difficult removal, lodged in the nose and nasopharynx. We also describe the problems of knotted nasogastric tubes and different methods of removal.
Nasal Hirudiniasis: An Uncommon Cause of Unilateral Nasal Obstruction and Epistaxis
Authors: Thakar Alok , Verma Rohit , Sikka Kapil , Preetam C 
Published: June 2011

ABSTRACT
Leech infestations are known as hirudiniasis.1 Leeches are blood-sucking hermaphroditic parasites that vary in color and range in length from a few millimeters to half a meter. They enter the human body through drinking water, and localize on the mucosa of the upper aerodigestive tract.2 In this paper, we present a case with one month history of intermittent epistaxis and nasal obstruction. The cause was found to be a leech in the nose by means of endoscopic examination. We used an easy method to remove the parasite.
Adenomatoid Odontogenic Tumor of Maxillary Sinus
Authors: Gupta Kirti , Yadav Jagveer Singh , Mohindra Satyawati 
Published: June 2011

ABSTRACT
Adenomatoid odontogenic tumor (AOT) is an uncommon tumor of odontogenic origin, constituting only 3% of all odontogenic tumors. AOT is characterized histologically by the formation of duct-like structures with amyloid-like deposits.
An 18-year-old male presented with right chek swelling. CT scan revealed well-defined expansile heterogeneous mass with central hypodensity. Patient underwent excision of the mass by Caldwell-luc approach and histopathologically the diagnosis adenomatoid odontogenic tumor was made. Since it is a benign tumor, the treatment should consist of enucleation and curettage.
Rhinophyma: Excision and Reconstruction with Local Nasolabial Flap
Authors: Gajjar Yogesh , Parikh Rupa 
Published: June 2011

ABSTRACT
Rhinophyma is a rare disease which causes disfiguring soft tissue hypertrophy of the nose. Various medical and surgical treatment modalities have been proposed and tried with varying degree of success. We report a case where we adopted excision of the rhinophymatous tissue and reconstructed with the local nasolabial flap. The result was cosmetically good enough and the procedure technically simple.
Bilateral Nasal Polyp with Unilateral Pathology
Authors: Grover Mohnish , Charaya Kshitij 
Published: June 2011

ABSTRACT
The antrochoanal polyp or Killian's polyp is a benign, solitary lesion that affects mainly children and young adults. It is unilateral in occurrence though a few cases of bilateral antrochoanal polyps have also been reported.
We report a unilateral antrochoanal polyp extending to the opposite side, a presentation not mentioned in literature till date.
Rubber, 3. Synthetic Rubbers, Introduction and Overview
Authors: Threadingham Desmond , Obrecht Werner , Wieder Wolfgang , Wachholz Gerhard , Engehausen Rüdiger 
Published: May 2011

AbstractThe article contains sections titled:1.Introduction1.1.Market and Areas of Application1.2.Nomenclature and Classification1.3.Properties1.4.Production1.5.Producers2.Market, Producers, and Capacities2.1.Market2.2.Producers, Capacities and Capacity Utilization3.Market Requirements and Impact on Development of Synthetic Rubber4.Production Processes5.Ecological and Health Aspects5.1.Introduction5.2.Health Aspects5.2.1.Raw Materials5.2.2.Processing5.2.3.Use5.3.Environment5.4.Outlook
Rubber, 4. Emulsion Rubbers
Authors: Obrecht Werner , Lambert Jean‐Pierre , Happ Michael , Oppenheimer‐Stix Christiane , Dunn John , Krüger Ralf 
Published: May 2011

AbstractThe article contains sections titled:1.Emulsion Styrene ‐ Butadiene Rubber (E‐SBR)1.1.Properties, Grades, and Application1.2.Basic Chemistry and Production Processes1.3.Producers and Production Capacities2.Chloroprene Rubber (CR)2.1.Properties, Grades, and Applications2.2.Basic Chemistry and Production Processes2.3.Producers and Production Capacities3.Nitrile Rubber (NBR)3.1.Properties, Grades, and Applications3.2.Basic Chemistry and Production Processes3.3.Producers and Production Capacities4.Emulsion Polybutadiene (E‐BR)4.1.Properties and Applications4.2.Basic Chemistry and Production Processes4.3.Producers and Production Capacities5.Acrylate Rubber (ACM)5.1.Properties, Grades, and Applications5.2.Basic Chemistry and Production Processes5.3.Producers and Production Capacities6.Fluororubbers6.1.Chemical Composition and Properties6.2.Vulcanization6.3.Production Processes6.4.Producers, Production, Capacities, and Markets