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Background: The aim was to analyze the clinical and socio-demographic profile of children with hearing impairment who had undergone cochlear implant surgery in a tertiary care centre in central India.Methods: This was a retrospective study conducted in Department of Pediatrics, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh during the period from January 2014 to December 2017 to find out clinical and socio-demographic profile of cochlear implant patient.Results: A total of 114 patients have been operated via posterior tympanotomy (MPTA) approach at present centre. Out of which 61(54%) were males and 53(47%) were females with a mean average age 5 years and 11 months. The number of patients with right ear defect were 107 (93%) whereas with left ear were as low as 7 (6%).' Most of the patients with cochlear disease were from lower socio-economic class and was not highly educated who lived in rented or kachcha houses. They were mostly living in big families with limited space with minimum earnings. 90% of the total patients had normal siblings with no deafness and only family had previous deaf child whose male baby was operated.Conclusions: Present study highlights that problem of hearing impairment is prevalent in population. Although treatment for this condition is freely available under Government scheme, but lack of awareness results in late presentation to facilities. There is a need to spread awareness amongst the population and regular screening at birth.
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Background: Rotavirus and Adenovirus is considered to be an important cause of diarrhoea in under five children and the data is very scarce due to decrease testing. This study was done to estimate the incidence, clinical profile and laboratory features among under five children with diarrhoea.Methods: A prospective interventional study was conducted in Chirayu Medical College, Bhopal on children aged between 6 months - 5 years hospitalized with acute non-bloody diarrhea with 30 children in each group.Results: Total 328 children were included in the study out of which 216 were males and 112 were females with a male:female ratio 1.9:1. 92(28%) patients were positive for rotavirus out of which 64(19.5%) were males and 28(8.5%) were females in present study.Conclusions: Rotavirus infection is one of the common etiological agents responsible for diarrohea. Rotavirus infection results in disease burden with morbidity and mortality in children and vaccination is the only control measure to decrease the incidence and mortality in children.
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Background: Intestinal stoma is an opening for fecal diversion. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it. Methods: This is a prospective study was carried out in a surgical unit of Hamidia Hospital, Gandhi Medical College, Bhopal from January, 2012 to December,2012. Data was collected by meticulous history taking including age, gender, indication, type of stoma, type of surgery, careful clinical examination, appropriate operative findings and follow up of the cases. The results were collected, analyzed and compared with other studies. Results: A total of 100 patients were evaluated age ranged between 12- 85 years (50.5 ± 29.01 years) Male to female ratio was 7:3. Of the 100 patients 97 were admitted in emergency while 3 in out-patient department. The most common type of stoma made was loop ileostomy (64%) followed by sigmoid colostomy (11%) and transverse loop colostomy (9%). Main indication for a stoma formation was enteric perforation (38%) followed by Koch’s abdomen (18%). Of the various complications encountered with intestinal stoma, peristomal skin irritation (36%) was the most consistent complication followed by laparotomy wound infection (13%). Conclusions: Inspite of vast exposure of general surgeons towards stoma formation the complications are inevitable. Early detection of complication and its timely management is the keystone.