RESUMO
Background: Population aging is both a medical as well as a social problem. The situation of the elderly still worsens when there is presence of chronic diseases, physical incapacity and financial stringency. An exceptional increase in the number and proportion of older adults in the country, rapid increase in nuclear families, and contemporary changes in psychosocial matrix and values often compel this segment of society to live alone or in old age homes. The objective of study was to know the medico-social profile of the inmates of an old age homes. Methods: A descriptive cross sectional study was conducted from January to December 2014 to assess the socio-demographic profile, pattern of morbidities and quality of life of elderly residing in old age homes. Total 4 old age homes and 203 elderly people were included in the study after taking verbal and written consent of the elderly people and permission from the managers of all the old age homes. A semi structured and pretested questionnaire was prepared to collect information on socio-demographic characteristics and morbidity pattern. Data was collected and analyzed by appropriate statistical software. Results: Around 65% of elderly people were in the age group of 65 to 79 years. 58% of the males and 39.1 % of the females were suffered from cataract, whereas 39.8 of the males and 39.1 % females were suffered from hypertension. Next common morbidity was diabetes present in 28.4 of the males and 18.3 % of the females followed by joint pain present in 20.5% of the males and 23.5% of the females. No significant difference was found among morbidities of the males and females (x2=2.85, p=0.35). 30.8% of the males and 28.75% of the females were hypertensive. Around 27% of the males and 36% of the females were obese and 18% of males and females were pre-obese according to BMI value. There was no significant difference in the BMI among males and females. Conclusions: The study highlighted a high prevalence of morbidity and health related problems in old age group.
RESUMO
Background: Ectopic pregnancy is assuming greater importance because of its increasing incidence and its impact on woman’s fertility. Objective: To study the clinical profile and management of ectopic pregnancies. Methods: This prospective study was conducted over one year from 1st January 2013 to 31st December 2013 for risk factors, mode of presentation, status at admission, diagnostic and treatment modalities and management of patients with ectopic pregnancy. Results: Over all mean rate of ectopic pregnancy has been found 11.41/1000 births. Out of total 52 cases 32 (64%) were referred while 20 (36%) were emergency cases. Out of 52 patients, 23 (44.23%) were from urban areas and 29 (55.77%) were from rural areas. Majority of the patients (51.97%) were in 26-30 years age groups. Gravida 3 had highest incidence (30.76%) of ectopic pregnancy. Maximum (50%) ectopic pregnancies were found in women with active married life of 5-10yrs. Out of total 52 cases, 44 (84.62%) were ruptured ectopic pregnancy cases. Ampulla was the most common site for tubal ectopic pregnancy (51.92%). Abdominal pain was the most common presenting symptoms (92.30%) followed by amenorrhoea in 84.61% cases. Majority of patients had history of infertility (42.30%) as a major risk factor. Laparoscopic management was done in 13 (25%) patients out of them lap. salpingectomy was done 9 (17.31% of total) and lap. Salpingostomy was done in 4 (7.69% of total) patients. Conclusion: Although ectopic pregnancy will never be completely prevented, but incidence can be reduced and much of the morbidity and mortalities can be minimised by prevention and efficacious diagnostic and interventional strategies aimed primarily at those women who are at high risk for the condition and taking precaution that woman who likely to become high risk are handled in such a way that the number of these high risk women are reduced.