ABSTRACT
Background: Maternal mortality is a vital index of the effectiveness of obstetric services prevailing in a country. The key to progress of a country lies in reducing its maternal morbidity and mortality, hence to give a better assessment of the problem a retrospective study on maternal mortality was carried out. An objective of the study was to find the cause and epidemiological factors for maternal mortality in a tertiary care hospital in western Maharashtra from January 2018 to August 2019.Methods: A retrospective, descriptive study done at tertiary care hospital in western Maharashtra from January 2018 to august 2019. Data was collected from medical records department and the study was conducted by reviewing the records of maternal death and scrutinizing for various aspects likely to be related to maternal death such as age, locality of residence, antenatal care, admission death time interval and cause of death.Results: during the study period 63 maternal deaths occurred and 75302 live births, Maternal Mortality Ratio were 83.66 per 1 lakh live birth. 46% of maternal deaths were in age group of 21-25 years, 87% of patients belonged to rural area, 74% belonged to lower socioeconomic status. 43% were unregistered patients, 43% had vaginal delivery, 73% had no free transportation, 68% were referred patients, 60% were referred from private hospitals, 48% of maternal death occurred <24 hours, 73% of maternal death were due to direct cause, 28% of maternal deaths were due to pre-eclampsia and its complications, 15.8% due to sepsis and 12.6% due to Postpartum hemorrhage.Conclusions: Being a tertiary care hospital, where patients are referred from periphery maternal mortality was found to be on higher side. Proper implementation of government policies with community participation along with strengthening of First Referral Unit (FRU) and Primary Health Centres can help to reduce maternal mortality.
ABSTRACT
Anal canal malignant melanoma is an uncommon malignancy. It is a highly aggressive tumor that tends to spread early in the course and present with distant metastasis. Due to the rarity of the condition, treatment is yet to be standardized. We report a case of a 47-y ear-old male patient who presented with the history of mass coming out of anus for 6 months, which was misdiagnosed as a case of hemorrhoids. Abdominoperineal resection was done based on tissue biopsy which suggested it to be a primary anal canal malignant melanoma. The diagnosis was later confirmed by histopathological and immunohistochemistry studies, which was strongly positive for HMB 45 AND Melan-A.
ABSTRACT
To evaluate the free radical scavenging activity of Flacourtia ramontchi L. The free radical scavenging activity of methanolic extract of Flacourtia ramontchi was studied using DPPH and nitric oxide scavenging assays. The methanolic extract of Flacourtia ramontchi showed concentration dependent free radical scavenging activity comparable to that of ascorbic acid, which was used as standard. IC[50] was found to be 55.30 micro g/ml and 102.73 micro g/ml in DPPH assay and NO radical scavenging assay respectively. The present study indicates that methanolic extract of Flacourtia ramontchi possesses good free radical scavenging activity
Subject(s)
Plants, Medicinal , Free Radical Scavengers , Methanol , Plant Extracts , Free RadicalsABSTRACT
The relationship between height and weight in young healthy Indian girls (8--18 years) was developed. It is concluded that the relationship of the form:log w = 0.98 h + 0.14 holds good to the data on height h (in metres) and weight w (in kilograms) for this group of subjects, the logarithm is taken to the base 10. The results of the present study show that Ehrenberg's equation of the form : log w = 0.8 h + 0.4 may not be extended upto the age of 18 years in young healthy Indian girls.