Association between TSH status and prevalence of miscarriages and stillbirth

Thyroid hormones play a significant role in normal human body growth. Abnormalities in thyroid stimulating hormone (TSH) levels can result in pregnancy loss due to miscarriages and intrauterine death (IUD). The objective of the study was to assess the levels of association of thyroid stimulating hormone with miscarriages and IUD. The descriptive study involving 110 samples between 18-40 years of age fulfilling inclusion criteria were sampled for TSH testing (2ml blood) after attaining their written informed consent. The mean age of participants was 29.49±4.26 year. The prevalence of hypothyroidism and hyperthyroidism was 3.64% and 2.73%, respectively. Complications like gestational hypertension, depression and oligomenorrhea were found prevalent in these females. Majority of females were taking high/low iodine than recommended iodine level (150mcg). This work shows that there is a significant association between pregnancy loss and disturbed TSH levels among pregnant females.

Risk factors of acute myocardial infarction in elderly and nonelderly patients: a comparative retrospective study done in a rural tertiary care centre of India

Background: Cardiovascular diseases are the most common diagnosis in the elderly, and the first cause of death in men and women over 60 years. It is not clear if the risk factors of acute myocardial infarction (AMI) are different in elderly and non-elderly people. The aim of this study was to compare the prevalence of risk factors of acute myocardial infarction between elderly and non-elderly patients who had been admitted to hospital for the first attack of acute myocardial infarction (AMI).Methods: A retrospective study was done in Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar from January 2017 to December 2017. Study population were all patients who were admitted due to AMI in medicine ward. Patients were selected as per World Health Organization guidelines. The patients were divided into two groups, non-elderly patients of <60 years and elderly patients of ≥60 years.Results: Among different risk factors, diabetes and hypertension were more common in elderly than their non-elderly counterparts, and male gender, smoking and family history of ischemic heart disease was more common in non-elderly patients than elderly ones.Conclusions: This study provide vital information on young AMI patients amongst the diverse population of north India and will help to guide the treating physicians and the health care system to adopt appropriate steps directed towards primary and secondary prevention of AMI in young patients of this region, especially smoking cessation, which is the commonest modifiable risk factor, in their most productive years of life.

Iodine Deficiency in School Children in Aligarh District, India.

We carried out this study to assess iodine deficiency disorders among school children of 6-12 years age group in Aligarh district of India. The prevalence of goiter was 5.2%. Median Urinary Iodine Excretion level was 150 µg/L; 22.5% of students had biochemical iodine deficiency. 50.4% households were consuming adequately iodized salt.

Nutritional Anemia in the Medical Students.

Background: Nutritional anaemia is very much prevalent and largely undiagnosed among students in Professional Institutes. Various socio-demographic characteristics like age, sex, social class, dietary habits, and infections are the etiological factors for nutritional anaemia. Objectives: To study the nutritional anaemia and its correlates among the MBBS. Medical Students of Rohilkhand Medical College and Hospital, Bareilly in Western U.P. Materials and Methods: The study was done on 100 MBBS students. Haemoglobin estimation was performed by Sahli’s Haemoglobinometer and observations were interpreted as per the WHO criteria. The data was analyzed by SPSS Statistical software. Results: In the present study on 100 Medical students, 32.0% students were anaemic, out of which 44.0% were girls and 20.0% boys. 25.0% students had mild anaemia. Majority (81.8%) of anaemic students were undernourished as per their Body Mass Index. Conclusions: Haemoglobin estimation of students at the time of entrance to Medical Colleges should be done. Iron and folic acid tablets and deworming drugs in therapeutic doses should be provided to anaemic students. The students should be motivated and educated to take balanced diet, rich in green leafy vegetables and fruits as nutritional anaemia is totally preventable.

Study of lung functions in smokers and non-smokers in rural India.

Smoking is a common habit prevalent in both the urban and rural areas in India. Smoking is a well-known risk factor for chronic obstructive pulmonary disease (COPD), a group of lung diseases that includes emphysema and chronic bronchitis. Pulmonary-function tests provide objective, quantifiable measures of lung function. The objective of the present study was to study and compare the pulmonary function tests among smokers and non-smokers in a rural area, to study the role of possible associated factors and relation of type, quantity and duration of smoking on the pulmonary function tests in Rural Maharashtra. The pulmonary function tests were assessed on computerized spirometer in 400 male subjects comprising of 200 smokers and 200 non smokers. Almost all the pulmonary function parameters were significantly reduced in smokers, more commonly in those aged 50 years and above. Obstructive pulmonary impairment was commonest among smokers. Thus by spirometry a spectrum of lung disorders may be detected at an early stage and subsequent morbidity can be minimized.

Hepatic hydatid cyst and omentoplasty

Hydatid cyst liver is a disease, which has been subjected to great diversity as far as the surgical treatment is concerned. A descriptive study was carried out to determine the results of omentoplasty in the management of hydatid cyst liver. A group of 23 patients were included in the study. 16 were adult males and 7 were adult females. Mean age of the patients was 36 years. Intra- operative assessment of the hydatid cyst liver showed 91.3% solitary cysts. Univesicular cysts were 43.3% and multivesicular cysts 52.1%. 86.9% cysts were located in the right lobe of liver. All were subjected to omentoplasty. Post-operatively 4.3% showed bile leakage and 17.3% wound infection. The bile leakage was managed conservatively and it regressed in 4 days. No haematoma or deep abscess was documented. Follow up of the patients showed significant clinical and radiological improvement