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Search Results: 1 - 10 of 139079 matches for " Kunaal K Shinde "
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STUDY OF COURSE OF LABOUR BY USING MODIFIED WHO PARTOGRAPH
Kunaal K Shinde,Vidyadhar B Bangal,Rashmi K Singh
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i5.411
Abstract: Background: The modified WHO partograph is an inexpensive but valuable tool, that provides a continuous pictorial overview of progress of labor. It helps to detect the abnormal progress of labor. It guides the obstetrician to decide about the need for augmentation of labor and helps to recognize prolong labour before obstruction occurs. Objectives: The objectives were to study the course of normal and abnormal labour, to study various types of abnormalities of active phase of labour and to evaluate the maternal and perinatal outcome in normal and abnormal labour. Methods: A prospective hospital based observational study of 100 selected cases coming for delivery during January 2010 to Dec 2010 was done. Progress of Labor was assessed by the use of Modified WHO Partograph. Various parameters like duration of normal and abnormal labor, type of labor abnormalities, mode of delivery, need for augmentation etc. were studied. Results: The average duration of active stage was 5.5 hours in normal labor. Protracted active phase and secondary arrest of labor were the commonest active phase abnormalities observed. Problems like prolonged and obstructed labor were avoided by timely intervention in the form of caesarean section and instrumental delivery .Perinatal outcome was satisfactory. Conclusion: Routine use of partograph helps in early detection of abnormal course of labour. It assures the best possible maternal and perinatal outcome .It is suggested that every women in labour must be benefitted by this scientific approach of labour management i.e. with the use of Modified WHO partograph.
IMPORTANCE OF FOLLOW UP AND CONTRACEPTIVE COMPLIANCE TO ACHIEVE SUCCESSFUL PREGNANCY OUTCOME FOLLOWING TREATMENT OF GESTATIONAL CHORIOCARCINOMA
Vidyadhar B Bangal,Kunaal K Shinde,Sai K Borawake
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i5.393
Abstract: Choriocarcinoma is a highly malignant trophoblastic tumor that follows normal pregnancy,abortion or ectopic pregnancy. The risk is immeasurably greater following hydatidiform mole. We present a report of a young woman who developed gestational choriocarcinoma following repeated hydatidiform mole.After thorough assessment of risk factors, combination chemotherapy in the form of MAC-FAC regimen was given for six cycles. The woman showed good compliance for two years, regarding regular follow up, treatment and contraceptive advice. Patient became pregnant after two years of follow up and gave birth to a healthy baby.
REVIEW OF REASONS AND REMEDIAL MEASURES FOR BURNOUT DURING RESIDENCY PROGRAMME
Vidyadhar B Bangal,Kunaal K Shinde,Satyajit P Gavhane
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i8.695
Abstract: Burnout in health care professionals has gained significant attention over the last few decades. As a result of the intense emotional demands of the work environment, clinicians are particularly susceptible to developing burnout above and beyond usual workplace stress. Residency training, in particular, can cause a significant degree of burnout, leading to interference with individuals' ability. Overall, burnout is associated with a variety of negative consequences including depression, suicidal ideation, physical symptoms related to fatigue, risk of medical errors, and negative effects on patient safety. The purpose of this review is to provide medical educators and administrators with an overview of the factors that contribute to burnout, the impact of burnout, specialty wise variation, and suggestions for interventions to decrease burnout. Unlike medical institutions and the universities running postgraduate courses in developed countries, the importance of the post and the role of residency coordinator is underestimated in most of the medical schools in India. Residency coordinator has greater role to play between various key persons involved in residency training programme.
STRESS AT THE WORKPLACE DURING RESIDENCY TRAINING
Vidyadhar B Bangal,Kunaal K Shinde,Satyajit P Gavhane
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i9.718
Abstract: Residency period during postgraduate training in medical profession is well known for physical and mental stress . There are many situational, professional, and personal sources of stress, which the author reviews: heavy work- load, sleep deprivation, difficult patients, poor learning environments, relocation issues, isolation and social problems, financial concerns, cultural issues, information overload, and career planning issues. Stress can also originate from gender-related issues and issues related to spouses and family members. The author also describes less commonly documented sources of stress ,which is observed in residents who perform marginally and in some cases should not have been passed on from medical school, or who are studying specialties not compatible with their skills and personalities, or who foster severe interpersonal problems on the job. Common effects of stress include frequent absenteeism ,minor health problems, anxiety, depression, obsessive compulsive trends, hostility, and alcohol and substance abuse. The author outlines essential elements of an assistance program, states how important such problems can be in saving both residents and their institutions needless difficulties and costs, and presents important issues for the consideration of all involved in residents' training. Purpose of this article is to provide an overview gathered from the extensive literature, of the various stressors resident face; and to discuss assistance to residents and make recommendations about the essential elements of an assistance program.
Gestational Choriocarcinoma of uterus with vaginal metastasis
Vidyadhar B Bangal,Kunaal K. Shinde,Satyajit P. Gavhane,Rashmi K. Singh
International Journal of Biomedical and Advance Research , 2013, DOI: 10.7439/ijbar.v4i2.930
Abstract: Choriocarcinoma is a highly malignant tumour that arrise from trophoblastic tissue. It metastsize rapidly to vital organs including lungs and brain. It shows very good response to appropriately chosen chemotherapeutic regimen. A case of gestational choriocarcinoma with vaginal metastasis is reported. She responded very well to EMACO regime. Considering poor compliance for long term follow up, hysterectomy was done after 3 cycles of chemotherapy. She was disease free during three years of follow up.
TWISTING OF THE UMBILICAL CORD CAUSING INTRAUTERINE FETAL DEATH
Vidyadhar B Bangal,Kunaal K Shinde,Satyajit P Gavhane,S K Borawake
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i8.697
Abstract: Umbilical cord accident(UCA) is an emergency situation , as it threatens fetal wellbeing and or results into fetal jeopardy. Cord prolapse , cord compression, cord entanglement ,true knot formation , thrombosis and rupture of cord blood vessels are some of the known cord related causes of stillbirths .Twisting of the umbilical cord occurs less often than above mentioned cord accidents. Twisting of the umbilical cord leads to obstruction in the flow of blood in umbilical cord vessels leading to acute placental insufficiency and sudden fetal death. A rare case of full term pregnancy with multiple twists of the umbilical cord, leading to intrauterine fetal death is presented in this case report .The antenatal diagnosis, predisposing factors and preventive measures are discussed in the end
INTRAUTERINE FETAL DEMISE OF CO-TWIN IN MULTIFETAL PREGNANCY
Kunaal Shinde,Vidyadhar B Bangal,Sai K Borawake,Rashmi K Singh
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i1.258
Abstract: Intrauterine twin gestation with demise of one of the foetuses pose anxiety in the mind of obstetrician, patient and the relatives. It is an uncommon complication of uniovular twins having monochorionic placenta. Fetal demise in the first half of pregnancy does not have adverse effect on the mother. Surviving co-twin is at risk of development of growth restriction, cerebral encephalomalacia and microcephaly. We present a case of 32 weeks of twin gestation with intrauterine fetal demise of one baby with hypofibrinogenemia and gestational hypertension. She was successfully managed with good maternal and fetal outcome.
Breast carcinoma in women- A rising threat
Vidyadhar B Bangal,Kunaal K. Shinde,Satyajit P. Gavhane,Rashmi K. Singh
International Journal of Biomedical and Advance Research , 2013, DOI: 10.7439/ijbar.v4i2.902
Abstract: Breast cancer continues to be the commonest cancers among women all over the world.Incidence is more in developed countries as compared to underdeveloped countries.Life style changes ,late marriages,genetic predisposition and unopposed action of oestrogen have been documented to be the risk factors.Infilterating ductal carcinomas form the most common pathological type. Diagnostic modalities like sonomamography,fine needle aspiration and histopathology of breast tumours help in the detection of breast carcinoma.Self breast examination and regular preventive check ups by trained health workers have helped in early diagnosis of cancers in developed countries.Ignorance,reluctance in examining own breasts and inadequate screening facilities are responsible for diagnosis in late inoperable stages in underdeveloped world.Early diagnosis and prompt treatment in the form of surgery,chemotherapy or radiation therapy can result into reduction in breast cancer related mortality.
INTRAUTERINE FETAL DEMISE OF CO-TWIN IN MULTIFETAL PREGNANCY
Kunaal Shinde,Vidyadhar B Bangal,Sai K Borawake,Rashmi K Singh
International Journal of Biomedical Research , 2012, DOI: 10.7439/ijbr.v3i1.258
Abstract: Intrauterine twin gestation with demise of one of the foetuses pose anxiety in the mind of obstetrician, patient and the relatives. It is an uncommon complication of uniovular twins having monochorionic placenta. Fetal demise in the first half of pregnancy does not have adverse effect on the mother. Surviving co-twin is at risk of development of growth restriction, cerebral encephalomalacia and microcephaly. We present a case of 32 weeks of twin gestation with intrauterine fetal demise of one baby with hypofibrinogenemia and gestational hypertension. She was successfully managed with good maternal and fetal outcome.
MISCARRIAGE FOLLOWING TWIN TO TWIN TRANSFUSION SYNDROME -A CASE REPORT
Vidyadhar B Bangal,Kunaal K Shinde,Satyajit P Gavhane,Devendra N. Khairnar
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i8.712
Abstract: The twin-to-twin transfusion syndrome (TTTS) is a severe complication of monochorionic twin pregnancies, caused by inter-twin transfusion of blood from one fetus (the donor) towards the other fetus (the recipient) through placental anastomoses. Twin to twin transfusion complicates about 15-30% of monochorionic twin gestations and is responsible for 17% of the perinatal mortality in multiple pregnancies. The donor twin become anemic, hypovolemic and looses amniotic fluid where as the recipient becomes plethoric, hypervolemic and gains excess amniotic fluid .Both fetuses are at risk due to adverse hemodynamic changes following abnormal vascular communication . Severe TTTS has a 60-100% fetal or neonatal mortality rate. Mild-to-moderate TTTS is frequently associated with premature delivery. Fetal demise of one twin is associated with neurologic sequelae in 25% of surviving twins. We report a rare case of twin to twin transfusion syndrome in a primigravida ,who fulfilled the diagnostic criterias of the condition .Patient had miscarriage at 27 weeks of gestation due to severe uteroplacental insufficiency.Aetio-pathology ,hemodynamic alterations ,diagnostic modalities ,management options and prognosis is discussed in the report.
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