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Search Results: 1 - 10 of 462252 matches for " Purushottam A. Giri "
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Otorhinolaryngological disorders in a geriatric population: A study from a rural tertiary care hospital in India
Purushottam A. Giri
Australasian Medical Journal , 2010,
Abstract: India is now an “ageing nation”. It has already entered the third stage i.e. the late expanding phase of demographic cycle. This expansion is attributed to the decreasing fertility and mortality rates due to the availability of better health care services. Health problems of geriatric people cause dependency and depression which when added to otorhinolaryngological problems, makes social interaction difficult. This study suggests that hearing loss is the most common geriatric otorhinolaryngological problem in this age group.
Internship: A Transition From A Medical Student To A Doctor
Purushottam A Giri,Gaurav Singh Parhar
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i10.725
Abstract: The internship, a transition from a medical student to a doctor, is a period of one year after passing the final year exam of MBBS, where an intern works in various departments in a hospital. Doing so exposes them to the practical aspects of things they have studied during the four and a half year MBBS course. As a part of the physician’s team taking care of the patients s/he absorbs the skills to approach and management of the patients under direct supervision of their seniors. This also helps the intern to explore his/her field of interest to pursue in future. Thus this one year period is very important phase of the life of a doctor, but as five fingers aren’t alike this crucial experience is different for everyone. Some interns neglect it intentionally by bunking the duties while some are unfortunate enough due to lack of proper guidance.
Socio-Demographic Determinants and Morbidity Profile of People Engaged in Bag Making Occupation in an Urban Slum of Mumbai, India
Purushottam A Giri, Pawan V Meshram, Abhiram M Kasbe
National Journal of Community Medicine , 2012,
Abstract: Background: Bag making is a kind of occupation which comes under unorganized sector. An occupation is always associated with some risk which can account to health hazard. Bag makers are also not an exception to this rule. Objectives: A present study was conducted to assess the socio-demographic determinants and morbidity profile among bag makers. Material and methods: A cross-sectional study was carried out in the field practice area (cheetah camp urban health centre) of the T. N. Medical College, Mumbai during the period of March 2008 to August 2009. A total 800 bag makers from cheetah camp area were interviewed and examined. A pre-tested interview tool was used to collect necessary information such as clinical history, socio-demographic profile, clinical examination findings and investigations performed. Results were analysed using Statistical Package of Social Sciences (SPSS) version -17.0. Results: In the present study, out of the 800 study participants taken in to consideration, 95.9% were males and 4.1% were females. Musculoskeletal problems were most predominant, seen in 76.3% participants followed by skin problems (40.9%), while 30.3% participants presented with gastrointestinal and 17.3% with respiratory ailment. Thirty three percent workers had ocular morbidity and injuries were observed in 26.3% workers including minor injuries such as cuts and abrasions. Conclusion: In this study, large proportion of workers suffered from work related symptomatic morbidities mainly of musculoskeletal problems, followed by skin, eye, gastrointestinal and respiratory problems. Bag makers should be educated regarding their work related health hazards so that they are detected at the earliest and proper treatment can be initiated.
MEDICAL TOURISM IN INDIA: A NEW AVENUE
Anand N. Badwe,Purushottam A Giri,Ramchandra G. Latti
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i3.337
Abstract: Medical tourism is attracting attention of travelers from all over the globe. It combines a travel at ease and availing medical health care facility at low cost as per travelera€ s own choice. World class medical health care is available in some of the Asian countries, such as India, Philippines and Singapore etc. Medical tourism has become one of the major industries in recent times. Medical Tourism India (Health Tourism India) is a developing concept whereby people from world over visit India for their medical and relaxation needs. Most common treatments are heart surgery, knee transplant, cosmetic surgery and dental care. The reason India is a favourable destination is because of it's infrastructure and technology in which is in par with developed countries. India has some of the best hospitals and treatment centers in the world with the best facilities.
MATERNAL AND FOETAL OUTCOME IN PREGNANCY INDUCED HYPERTENSION: A STUDY FROM RURAL TERTIARY CARE TEACHING HOSPITAL IN INDIA
Vidyadhar B Bangal,Purushottam A. Giri,Aditi S. Mahajan
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v2i12.204
Abstract: Background: Preeclampsia and eclampsia have been recognized as clinical entities since the times of Hippocrates. Pregnancy induced hypertension (PIH) is one of the commonest disorders associated with the increased risk of maternal and fetal complications. It is reported in the world literature that the incidence of eclampsia is on the decline, but still a menace in developing countries. Objectives: To study the maternal and foetal outcome in pregnancy induced hypertension. Material and Methods: A prospective randomized study was carried out from February 2009 to January 2010 in the Department of Obstetrics and Gynecology of Pravara Rural Hospital, Loni, India. A total of 100 pregnant women with PIH were enrolled in the study. A pre-tested interview tool was used to collect necessary information such as detailed history, clinical examination findings and investigations performed. Results were analysed using SPSS 13.0 Results: In the present study, the overall incidence of PIH was 8.96%, which includes preeclampsia in 7.26% and eclampsia in 1.70%. Preterm labour was the commonest maternal obstetrical complication observed in 18% of mild PIH and 48% of severe PIH cases. Prematurity was the commonest foetal complication seen in 17.99%, 47.62% and 52.63% of mild PIH, severe PIH and Eclampsia cases respectively. Conclusion: Pregnancy induced hypertension is a common medical disorder seen associated with pregnancy in the rural population, especially among young primigravidas, who remain unregistered during pregnancy. Maternal and fetal morbidity and mortality can be reduced by early recognition and institutional management.
A STUDY TO COMPARE THE EFFICACY OF LOW DOSE MAGNESIUM SULPHATE (DHAKA) REGIME WITH PRITCHARD REGIME IN ECLAMPSIA
Vidyadhar B Bangal,Purushottam A. Giri,Satyajit P. Gavhane
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i1.218
Abstract: Background: Eclampsia is a hypertensive disorder related to pregnancy, in which there is occurrence of one or more generalized convulsions and or coma, in the absence of other neurologic conditions. It is a common obstetric emergency. Eclampsia is associated with elevated maternal and fetal morbidity and mortality. Objectives: To compare the efficacy of low dose magnesium sulphate (Dhaka) regime with Pritchard regime in Eclampsia. Material and Methods: A prospective randomized study of fifty eclampsia cases, treated with magnesium sulphate (25 each from low dose magnesium sulphate (Dhaka) regime and Pritchard regime) was carried out for one year i.e. January 2010 to December 2010 at Pravara Rural Hospital, Loni. Results were analysed using Statistical Package of Social Sciences (SPSS) 13.0. Results: In the present study, convulsions were controlled in 88% of eclampsia cases with low dose magnesium sulphate (Dhaka) regime. Two cases i.e. 8% had single episode of recurrence of convulsion, which was controlled by giving additional 2 grams of 20% magnesium sulphate intravenous single dose. Perinatal mortality in low dose magnesium sulphate (Dhaka) regime was lesser (24%) than Pritchard regime (32%). Conclusion: Low dose magnesium sulphate (Dhaka) regime was equally effective as Pritchard regime in control of eclamptic convulsions. There was no magnesium related toxicity with low dose magnesium sulphate (Dhaka) regime. Maternal and perinatal outcome was better in low dose magnesium sulphate (Dhaka) regime as compared to Pritchard regime. Key words: Low dose magnesium sulphate (Dhaka) regime, Pritchard regime, Eclampsia, Maternal and foetal outcome
MATERNAL AND FOETAL OUTCOME IN PREGNANCY INDUCED HYPERTENSION: A STUDY FROM RURAL TERTIARY CARE TEACHING HOSPITAL IN INDIA
Vidyadhar B Bangal,Purushottam A. Giri,Aditi S. Mahajan
International Journal of Biomedical Research , 2012, DOI: 10.7439/ijbr.v2i12.204
Abstract: Background: Preeclampsia and eclampsia have been recognized as clinical entities since the times of Hippocrates. Pregnancy induced hypertension (PIH) is one of the commonest disorders associated with the increased risk of maternal and fetal complications. It is reported in the world literature that the incidence of eclampsia is on the decline, but still a menace in developing countries. Objectives: To study the maternal and foetal outcome in pregnancy induced hypertension. Material and Methods: A prospective randomized study was carried out from February 2009 to January 2010 in the Department of Obstetrics and Gynecology of Pravara Rural Hospital, Loni, India. A total of 100 pregnant women with PIH were enrolled in the study. A pre-tested interview tool was used to collect necessary information such as detailed history, clinical examination findings and investigations performed. Results were analysed using SPSS 13.0 Results: In the present study, the overall incidence of PIH was 8.96%, which includes preeclampsia in 7.26% and eclampsia in 1.70%. Preterm labour was the commonest maternal obstetrical complication observed in 18% of mild PIH and 48% of severe PIH cases. Prematurity was the commonest foetal complication seen in 17.99%, 47.62% and 52.63% of mild PIH, severe PIH and Eclampsia cases respectively. Conclusion: Pregnancy induced hypertension is a common medical disorder seen associated with pregnancy in the rural population, especially among young primigravidas, who remain unregistered during pregnancy. Maternal and fetal morbidity and mortality can be reduced by early recognition and institutional management.
A Study on Morbidity Profile of Sewage Workers in Mumbai City
Purushottam A. Giri,Abhiram M. Kasbe,Radha Y. Aras
International Journal of Collaborative Research on Internal Medicine & Public Health , 2010,
Abstract: Background: Below each large city, there lies a network of many hundreds of kilometer of sewers, ranging from small pipes to large intercepting sewers. The job of being a sewermen entails several occupational hazards which pose a great danger to the health and wellbeing and life of the worker; a stark reminder of the importance of employers liability insurance. Sewage workers are exposed to accidental hazards and suffer from occupational lung diseases and upper respiratory tract infections, eye problems, gastrointestinal problems and musculoskeletal problems. Objectives: The present study was conducted to assess the morbidity profile and their prevalence among sewage workers in Mumbai city. Material and Methods: A Cross-sectional study was conducted from May 2005 to October 2005. A total of 150 sewage workers were interviewed and examined. A pre-tested interview tool was used to collect necessary information such as clinical history, socio-demographic profile, clinical examination findings and investigations performed. Results were analysed using Statistical Package of Social Sciences (SPSS) 13.0.Results: Eye problems were most predominant, seen in 70.6% workers followed by musculoskeletal problems (68.0%), while 58.0% workers presented with gastrointestinal and 52.6% with respiratory ailment, with obstructive pattern observed in 38 (48.1%) subjects being the major finding. Fifty two percent workers had skin problems and injuries were observed in 39 (26.0%) workers including minor injuries such as cuts, abrasions and lacerations.Conclusion: In this study, large proportion of workers suffered from work related symptomatic morbidities mainly of eye, respiratory, musculoskeletal system, gastrointestinal and skin.
A comparative study to assess the knowledge and practices regarding sexual health among the migrants and non-migrants in Mumbai city
Purushottam A. Giri,Santosh B. Shirol,Abhiram M. Kasbe
International Journal of Collaborative Research on Internal Medicine & Public Health , 2011,
Abstract: Background: Population movements of the scale currently experienced by developing countries have significant implications on the spread of sexually transmitted diseases (STDs) and HIV/AIDS. Mumbai is a large industrial city and has experienced large influx of migrants in the past two decades. The prevalence of multiple risk-traits among the migrants differs significantly by age, marital status, educational level, and living arrangements. Addressing sexual health also requires understanding and appreciation of sexuality, gender roles and power in designing and providing services.Objectives: The present study was conducted to assess the knowledge and practices regarding various aspects of sexual health among migrant & non-migrant in Mumbai city.Material and Methods: A Cross-sectional study was conducted from January 2007 to June 2007. It consists of 50 migrants and 50 non-migrants from each of the five zones of Mumbai city. A sample size of 250 migrants & 250 non-migrants from the five administrative zones of Mumbai was considered for the study were interviewed and examined. A semi structured interview schedule was piloted and used to collect necessary information such as clinical history, socio-demographic profile, sexual perceptions and practices, clinical examination and investigations were performed. Results were analysed using Statistical Package of Social Sciences (SPSS) version -13.0Results: In this study, about 57% migrants perceived that masturbation affects the health & well being; while relatively more non-migrants (69.2%). There was an unrestrained fascination towards consumption of alcohol in both the groups, as 131 (52.4%) migrants and 124 (49.6%) non-migrants were drinking alcohol. More than half of migrants (58.0%) and non-migrants (52.6%) had premarital penetrative vaginal sex with multiple partners.Conclusion: In the present study, friends followed by movies and television were main source of sexual knowledge among both migrants and non-migrants, with both groups aware of advantage of condom use in preventing HIV/STDs. More non-migrants had misconceptions about masturbation than migrants while both groups did not favor sex medicines.
3. A comparative study of outcome of labour induction with vaginal misoprostol versus intravenous oxytocin in premature rupture of membranes beyond 36 weeks of gestation
Vidyadhar B. Bangal,Purushottam A. Giri,Bhaumik G. Shah
International Journal of Pharmaceutical and Biomedical Research (IJPBR) , 2011,
Abstract: Induction of labour is indicated, when it is agreed that the fetus or mother will benefit with a higher probability of a healthy outcome, than if birth is delayed. Oxytocin is being used for decades for the purpose of labor induction in premature rupture of membranes (PROM). misoprostol (PgE1), a newer prostaglandin has shown promising results for the same purpose. The efficacy and safety of vaginal misoprostol and intravenous oxytocin for labor induction, in premature rupture of membranes beyond 36 weeks of gestation was evaluated and compared. A prospective randomized study of two hundred women (100 each from vaginal misoprostol group and intravenous oxytocin group) with premature rupture of the membranes beyond 36 weeks' of gestation, was carried out for two years at Pravara Rural Hospital, Loni. Results were analysed using Statistical Package of Social Sciences (SPSS) v13.0. Induction to delivery interval was significantly longer (p<0.05) in oxytocin group (7.17±1.20h in primigravidas and 6.06±1.09h in multigravidas) as compared to misoprostol group (6.61±1.06 h in primigravidas and 5.27±1.11 h in multigravidas). Mean induction delivery interval with misoprostol was 8.5h and with oxytocin was 9.3h. Labor induction with oxytocin infusion in PROM cases, beyond 36 weeks of gestation, in an unfavorable cervix was associated with higher rate of failed induction, longer duration of labor and higher rate of cesarean section, in comparison to those with vaginal misoprostol.
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