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Search Results: 1 - 10 of 144349 matches for " Vidyadhar B Bangal "
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LIVING AND HEALTH CONDITIONS OF MIGRATORY SUGARCANE HARVEST WORKERS OF AHEMDNGAR DISTRICT IN MAHARASHTRA
K V Somasundaram,Vidyadhar B Bangal
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i2.287
Abstract: Background-Maharashtra being one of the developed states in India, is a hub for in-migration. Seasonal migration of agricultural workers during sugar cane harvesting season has been an established phenomena. Thousands of workers with their families come to Maharashtra for the period of approximately six months, starting from November each year. This migratory population faces various adversities of life. Agricultural workers face a large number of health problems, many of which arise from their work Material and Methods- Prospective observational study was carried out for the period of six months in the operational Zones of 3 Co-operative Sugar Processing Units. Results- Study revealed that the literacy rate among workers was extremely low. Majority belonged to lower socioeconomic class and from underprivileged section of the society. The housing and living conditions at work site were extremely poor. The nutritional status of the workers and their family members was unsatisfactory. Malnutrition, respiratory, musculoskeletal, dermatological, gastrointestinal diseases were very much prevalent. There was high prevalence of addictions and domestic violence among these workers. Overall reproductive health of males and female members was worrisome. Lack of antenatal care and unsafe delivery practices result in high maternal and perinatal morbidity and mortality. The immunization status of the children of these workers was unsatisfactory. Conclusion- A well defined policy, comprehensive approach, well coordinated actions and political will for social welfare and medical care, will help to improve the plight of migratory sugarcane harvest workers.
Review of Maternal and Fetal Outcome in Obstetric Emergencies reported to Tertiary Care Institution in Western India
Vidyadhar B Bangal,Sai K Borawake,Rajiv M Chandaliya
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i6.545
Abstract: Background- Obstetric emergencies can occur suddenly and unexpectedly They are associated with adverse maternal and perinatal outcome. Early identification of high risk pregnancies can reduce the obstetric emergencies .Study was carried out to find out the incidence ,nature and outcome of obstetric emergencies. Material and methods-Retrospective observational study of all obstetric emergencies admitted at tertiary care center over two years period was done. Results-Obstetric emergencies occurred more frequently during antenatal period (52%) than intra (32%)or postnatal period(16%).Hemorrhage and severe hypertension were the common emergencies during pregnancy, where as prolong labour ,obstructed labour and rupture uterus were common during intra natal period. Postpartum hemorrhag ,retained placenta and inversion of uterus and puerperal sepsis were common causes of emergencies during postnatal period. Maternal and perinatal mortality was significantly higher in obstetric emergency cases. Postpartum hemorrhage was the commonest direct cause and infective hepatitis was the commonest indirect cause for maternal deaths. Prematurity,low birth weight babies and birth asphyxia were responsible for 90 percent of perinatal deaths. Conclusion-Early registration , regular antenatal visits ,early identification and timely referral of high risk pregnancies can reduce the incidence of obstetric emergencies. Training of nurse midwives ,village health workers and doctors in early identification and treatment of common emergencies can reduce the maternal and perinatal morbidity and mortality.
COMPARATIVE STUDY OF INTRAVENOUS IRON SUCROSE VERSUS ORAL IRON THERAPY IN IRON DEFICIENCY ANEMIA DURING POSTPARTUM PERIOD
Prashant S. Kharde,Vidyadhar B Bangal,K. K. Panicker
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i4.426
Abstract: Background:- Iron deficiency is the principle cause for nutritional anemia. The aim of the study was to compare the efficacy of oral iron therapy with intravenous iron therapy in the treatment of iron deficiency anemia during postpartum periodMaterial and Methods:- A clinical observational studY.Results :-.On day 5 of the intravenous iron group , there was statistically significant increase in serum ferritin level from 11.47 +1.655 μg/l to 41.44 +6.500 μg/l (p value <0.01), and the ferritin level remained elevated on day 14 and day 40. There was significant increase in mean Hb level from 7.76+0.7137 g/dl to 10.78+0.7679 g/dl on day 40 (p value < 0.01) in oral iron group. There was increase in mean Hb level from7.47+0.7678 g/dl to 11.41+0.7908 g/dl on day 40 in injectable iron group ,which was statistically significant. (p value < 0.01) Intravenous iron sucrose did not result in any serious adverse reactions.Conclusion:- Intravenous iron sucrose administration increases the hemoglobin level and serum ferritin levels more rapidly ,without any serious adverse effect in comparison with oral ferrous sulphate in women with iron deficiency anemia in the postnatal period .
REACHING MATERNAL AND CHILD HEALTH MDGa€ S THROUGH A MULTI- SECTORAL APPROACH MODEL FOR HEALTH AND DEVELOPMENT IN RURAL INDIA
Somasundaram K. V.,Vidyadhar B Bangal,Ashok Patil,Prasanna Dhore
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i3.215
Abstract: Introduction- Antenatal care is an essential component of health care delivery system in pregnant women.It is the most effective and proven strategy for optimum pregnancy outcome. Large disparities still exist in providing pregnant women with antenatal care and skilled assistance during delivery. The national Family Health Survey(2006) revealed that,only 52 percent of women receive 3 antenatal contacts and 42 percent receive any postnatal care.Largest number of births in the world are reported from India per year (27 millions).Poor women in rural and remote areas are least likely to receive adequate care due to various adversities. Methodology- Multisectoral health and developmental project was implemented in 235 underserved and tribal villages of Ahmednagar district of Maharashtra,India for the period of four years(2006-2009).Two hundred sixty five trained female health volunteers( FHVs) and TBAa€ s received structured training and were equipped with disposable delivery kits(DDKs). The nine rural health centers(RHCs) and five mobile clinics(MCs) were established in the project area.A referal linkage was developed between villages and a tertiary care center. Results- Early ANC registration increased from 52% to 63% , full ANC coverage increased from 51 % to 78%, percentage of institutional deliveries increased from 40% to 74%,percentage of home deliveries attended by TBAs increased from 70% to 91% during the study period.MMR declined from 350 per 100,000 live births/650 in tribal areas to 117 per 100,000 live births/ in tribal areas).IMR declined from 80 per 1000 live births/110 in tribal areas) to 43 per 1000 live births/in tribal areas.
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.
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.
WARFARIN TOXICITY PRESENTING AS RUPTURED OVARIAN TUMOUR WITH HEMOPERITONEUM: A CASE REPORT
Vidyadhar B Bangal,Kunnal K Shinde,Sai K Borawake
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i3.334
Abstract: Warfarin, a coumarin derivative, is commonly used in prevention and treatment of thromboembolic events in various clinical situations. Although, a safe drug, its toxicity may result into intraperitoneal bleeding. Warfarin induced intraperitoneal bleeding is dose dependent and may have fatal outcome. A case is reported here, who presented with massive intraperitoneal haemorrhage secondary to warfarin toxicity. She had undergone mitral valve replacement six months before the episode. Clinical and imaging suggested a pelvic mass mimicking ruptured ovarian tumour. Her prothrombin time INR was 1.1 at the time of admission. Emergency laparotomy revealed a large organised blood clot in the pouch of Douglas extending to adnexal region, mimicking ruptured ovarian tumour. Warfarin was withdrawn for few days. Patient was transfused with fresh frozen plasma and fresh whole blood. Post operative recovery was uneventful. Warfarin in low dose was restarted for thromboembolic prophylaxis.
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.
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
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