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Volume-14 (2015);
No. 1 (Jan-Mar)
Published on Apr 10, 2015
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2015;1:1
Original Article |
Mahore RK, Dixit S, Bansal SB, Yesikar V, Mehta N, Parmar S.
A Study to Assess the Association of Aseptic Practices Being Followed and its Effect on the Overall Outcome of Selected Special Care Newborn Units (SCNUs) of Madhya Pradesh at Different Levels. |
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Abstract: The neonatal mortality rate in India is high and stagnant. Special Care Newborn Units (SCNUs) have been set up at different levels of Health Care Delivery System to provide quality newborn-care services in several hospitals to meet this challenge. Many units are located in the districts where the burden of neonatal deaths is high, and access to special newborn care is poor. The study was conducted to assess the functioning of SCNUs in six centers of India. The evaluation was based on an analysis of secondary data from the six units that had been functioning for at least three year. A cross-sectional survey was also conducted to assess the availability of Quality care and Aseptic practices implemented at different levels of SNCUs. Descriptive statistics were used for analyzing the inputs (Quality care and aseptic practices) and outcomes (morbidity and mortality). The rate of mortality among admitted neonates was taken as the key outcome variable to assess the performance of the units. Chi-square test was used for analyzing the trend of case-fatality rate over a period of 3 years considering the first year of operationalization as the base. Correlation coefficients were estimated to understand the possible association of case-fatality rate with factors, such as bed:doctor ratio, bed:nurse ratio, average duration of stay, and bed occupancy rate, and the asepsis score was determined. The rates of admission increased from a median of 16.7 per 100 deliveries in 2012 to 19.5 per 100 deliveries in 2014. The case-fatality rate shows progressive decline in all the units in Last 3 years. Proportional mortality due to sepsis and low birthweight (LBW) declined significantly over two years (LBW <2.5 kg). The major reasons for admission and the major causes of deaths were birth asphyxia, sepsis, and LBW/prematurity. The units had a varying nurse:bed ratio (1:1-1:2.14). The bed occupancy rate ranged from 83% to 121% (median 115%), and the average duration of stay ranged from three days to 8 days (median 5 days). It is possible to set up and manage quality SCNUs and improve the survival of newborns with LBW and sepsis in developing countries, although several challenges relating to human resources, maintenance of equipment, and maintenance of asepsis remain.
Key words: Cross-sectional studies, Neonatal mortality, Newborn care, Performance evaluation, Aseptic practices |
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This Article |
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2015;1:2
Original Article |
Ghosh U, Maity D, Santra D, Koley A, Khan H, Roy A.
Maternal Death Due to Eclampsia in Various Seasons in a Tertiary Centre in Eastern Part of India: A Three Year Retrospective Study. |
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Abstract: Background: Eclampsia is a complication of pregnancy induced hypertension and one of the leading contributor of maternal mortality and morbidity. It is more prevalent in developing countries. Literature suggests seasonal variation of incidence of eclampsia, being in winter and in monsoon in this part of this country. This study was conducted to assess the variation of mortality rate due to eclampsia during various seasons. and to know the causes if any for higher mortality due to eclampsia in a particular season. Method: This study is a retrospective cohort study, spanning 3 years, from July 2011 to May 2014, in a tertiary centre in eastern India using hospital database and weather parameters available in print and electronic media. Result: Total deaths due to eclampsia was 26 in this study period. Highest fatality rate occurred in monsoon (July to October), followed by summer and then in winter (November to February), 11, 8 and 7 respectively. Conclusion: There is variation in mortality rate due to eclampsia in various seasons. Larger studies are needed to validate this finding.
Key words: Eclampsia, Mortality, Seasonal variations. |
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This Article |
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2015;1:3
Case Report |
Bellad AV, Shrinivas B, Arif M, Suhas.
A Rare Case of Wernicke’s Encephalopathy Due to Hyperemesis Gravidarum. |
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Abstract: A young pregnant woman with hyperemesis gravidarum presented to casualty with ataxia, confusion and diplopia. Examination revealed nystagmus and bilateral retinal haemorrhages. Characteristic brain MRI findings and rapid response to thiamine was suggestive of Wernicke’s encephalopathy due to hyperemesis gravidarum. Wernicke’s encephalopathy is a potentially reversible condition caused by thiamine deficiency. It is usually suspected in the setting of chronic alcoholosim and might not be recognised when associated with other conditions. A high index of suspicion is required since lack or delay of treatment may lead to high morbidity and mortality.
Key words: Wernicke’s Encephalopathy, Hyperemesis gravidarum, Thiamine deficiency. |
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This Article |
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2015;1:4
Case Report |
Kamble BB, Jain S, Gupta M, Singh P.
A Rare Case of Neonatal Aural Myiasis in a 17 days Old Neonate. |
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Abstract: We are presenting a rare case of aural myaisis in a 17 day old healthly neonate from India with no predisposing ear complaints or any other systemic illness.
Key words: Maggots, Myaisis, Neonate, Aural |
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This Article |
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2015;1:5
Case Report |
Raina R, Kaushik M, Mahajan SK, Sondhi S, Banayal V, Sharma JB.
Sinking Brain: Unusual Cause of Orthostatic Headache. |
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Abstract: We report a case presenting with an orthostatic headache. Brain magnetic resonance imaging (MRI) revealed typical pachymeningeal enhancement. CT myelography revealed leakage at the thoracic level. Patient was successfully treated by lumbar epidural blood patch (EBP).
Key words: Maggots, Myaisis, Neonate, Aural. |
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2015;1:6
Case Report |
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This Article |
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2015;1:7
Case Report |
Kamath MM, DSouza S, Sharma T.
Ocular complications in Hansen’s Disease. |
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Abstract: We report a case of lagophthalmos in a migrant Worker with Hansen’s Disease with Type I reaction. The case suggests that maintenance of the infection pool by migrant labourers in Karnataka is a serious threat to the target of leprosy elimination
Key words: Leprosy, Lagophthalmos, Dry eye. |
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This Article |
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