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Search Results: 1 - 10 of 200757 matches for " Satyajit P. Gavhane "
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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.
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
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.
PREGNANCY OUTCOME FOLLOWING CERVICAL ENCERCLAGE OPERATION
Vidyadhar B Bangal,Satyajit P Gavhane,Gayatri K Khanvelkar,Neha A Patil
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i4.397
Abstract: Background -Recurrent second trimester abortions and premature deliveries, continue to be two of the main problems of modern obstetrics and perinatal medicine . Cervical incompetency or insufficiency is defined asa€ the inability of the uterine cervix to retain a pregnancy in the absence of contractions or labor. Cervical encerclage is considered as a simple but useful minor surgical procedure for improving the fetal salvage in proven cases of cervical incompetence. Material and Methods-A prospective analytical study was carried out at tertiary care teaching hospital for a period of seven years. Sixty cases of bad obstetrical history (repeated abortions, preterm labour) with previous pregnancy losses probably due to cervical incompetence were included in the study .These cases were subjected to cervical encerclage operation at various gestational periods. Results- Out of total fifty cases, who underwent McDonalda€ s procedure, 2 women had abortion , 11 had preterm labour and 37 women reached to term. Out of the ten cases, who underwent Wurma€ s procedure,1 women had abortion ,2 had preterm deliveries and 7 women reached to term. In the present study, the average interval from cerclage to delivery was 95 days. It was observed that the fetal salvage rate was unsatisfactory in women having short cervix with open internal os before cervical encerclage operation. Infant salvage rate in this study was 51.07% before and 84% after encerclage operation. Conclusion-Cervical encerclage done in properly selected cases, results in improvement in fetal salvage up to eighty percent.
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
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.
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.
PREGNANCY OUTCOME FOLLOWING CERVICAL ENCERCLAGE OPERATION
Vidyadhar B Bangal,Satyajit P Gavhane,Gayatri K Khanvelkar,Neha A Patil
International Journal of Biomedical Research , 2012, DOI: 10.7439/ijbr.v3i4.397
Abstract: Background -Recurrent second trimester abortions and premature deliveries, continue to be two of the main problems of modern obstetrics and perinatal medicine . Cervical incompetency or insufficiency is defined as“the inability of the uterine cervix to retain a pregnancy in the absence of contractions or labor. Cervical encerclage is considered as a simple but useful minor surgical procedure for improving the fetal salvage in proven cases of cervical incompetence. Material and Methods-A prospective analytical study was carried out at tertiary care teaching hospital for a period of seven years. Sixty cases of bad obstetrical history (repeated abortions, preterm labour) with previous pregnancy losses probably due to cervical incompetence were included in the study .These cases were subjected to cervical encerclage operation at various gestational periods. Results- Out of total fifty cases, who underwent McDonald’s procedure, 2 women had abortion , 11 had preterm labour and 37 women reached to term. Out of the ten cases, who underwent Wurm’s procedure,1 women had abortion ,2 had preterm deliveries and 7 women reached to term. In the present study, the average interval from cerclage to delivery was 95 days. It was observed that the fetal salvage rate was unsatisfactory in women having short cervix with open internal os before cervical encerclage operation. Infant salvage rate in this study was 51.07% before and 84% after encerclage operation. Conclusion-Cervical encerclage done in properly selected cases, results in improvement in fetal salvage up to eighty percent.
UMBILICAL CORD TWISTS CAUSING INTRAUTERINE FETAL DEMISE OF A MONOZYGOTIC CO-TWIN
Vidyadhar B Bangal,Kunaal K. Shinde,Satyajit P. Gavhane,Rajiv M. Chandaliya
International Journal of Biomedical and Advance Research , 2013, DOI: 10.7439/ijbar.v4i3.931
Abstract: Monozygotic twin gestation is associated with adverse perinatal outcome.Umbilical cord related accidents are more common with monoamniotic twin gestations.Twisting of umbilical cord results into sudden death of a co- twin in multifetal gestation.Cord accidents occur suddenly and unexpectedly.A case of fetal demise of co-twin due to multiple twists at the fetal end of the umbilical cord in 34 weeks of monochorionic dizygotic twin gestation is reported.She underwent elective caesarean section with favorable outcome in surviving twin.
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