Ajay Gaur,¹ Ravi Ambey,² Anoop Sharma³

Associate Professor,¹ Assistant Professor,² Resident³

^1-3Department of Pediatrics, G.R. Medical College, Gwalior, MP, India.

Method

The modified PELOD scoring system consists of physical and laboratory variables representing six organ systems namely neurological, cardiovascular, renal, respiratory, hematological and hepatic system. The score was calculated for the subjects during first 24 hours of admission in PICU. Patients were then followed until they were discharged from PICU or deceased .In each organ system, the highest score in any variable accounted was taken as the score for that organ system. The sum total of the 6 scores for each organ system gives modified PELOD score (range 0-71) which was used for looking at the association between modified PELOD score and mortality.

Results

The risk of mortality varies directly with the modified PELOD score of the patients. In those patients whose modified PELOD score was <10, mortality was 10.4%, whereas in patients whose modified PELOD score was >10, mortality increased significantly to 46.4% (χ² = 12.000, P < 0.001).The mean (SD) modified PELOD score was considerably higher in those who died as compared to those who survived (16.25 (8.63) vs 7.68 (5.55); p<0.001).

Conclusion

The modified PELOD score can be used as a reliable prognostic predictor of mortality among PICU patients.

Bandkhadke G,¹ Salvi P,² Bhalerao A,³ Bhosale R,⁴ Chandanwale A⁵

Post Graduate Student,¹ Assistant Professor,² Associate Professor,³ Professor & Head,⁴ Dean⁵

^1-5Department of Obstetrics and Gynaecology, B J Government Medical College, Pune, India.

The Latin word ‘Adolescere’ means to grow to maturity. One fifth of the world population is between 10-19 yrs old and 85% of them live in developing countries. There are very few studies on prevalence and pattern of gynaecological health morbidities amongst late adolescent female patients.

Material Methods

It is a Prospective Observational Clinical Study in a Tertiary care Centre and Teaching Institute in Urban India. Variables observed were socio-demography, menstrual morbidities and knowledge about contraception, in study patients. Chi square test of significance was applied where relevent.

Results

Out of 120, maximum patients were unmarried from low socioeconomic, large (more than 4) family. The literacy rate was 70%. Out of 120 patients, maximum (34%) attained menarche at 12 years, 62% had regular cycles and most of them used homemade cloth for hygiene during menses. The commonest menstrual morbidity was dysmenorrhoea (73%). The commonest premenstrual symptom was pain in abdomen. Thirty four percent patients had moderate to severe anaemia. Forty percent girls had some knowledge about contraception and most of them acquired it from Television. The most known method of contraception was OC pills and all patients with the knowledge felt it is available at all hospitals and chemists.

Conclusion

Adolescent Reproductive and Sexual Health(ARSH) OPD services are needed at all women care centres as these group of patients need special attention for their complaints and focused care and counseling of these young patients would be a great investment for future health of them & their families and the society & nation as a large.

Pasupuleti BR,¹ Narra RK,² Kamraju SK,³ Jukuri NR,⁴ Sushmitha⁵

Professor,^1,3 Associate Professor,² Assistant Professor,⁴ Senior Resident⁵

^1-5Department of Radiodiagnosis, Katuri Medical College Guntur, Andhra Pradesh, India

This study was carried out on all clinically suspected cerebrovascular insufficiency cases referred for color Doppler of carotid arteries to the Radiology Department of Katuri Medical College and Hospital, Guntur from 2011 to 2013. Various Doppler parameters such as characteristics of plaque, degree of stenosis, peak systolic velocity ratio, end diastolic velocity (EDV) of internal carotid artery, EDV ratios were studied.

Results

Totally 90 cases of cerebrovascular accident studied, 58 (64%) were males and 32 (36%) were females. The majority of male patients belonged to age group of 51-60 years (37.8%) and females 61-70 years (37.5%). The risk factors included hypertension, smoking, diabetes mellitus, and ischemic heart disease. The patient’s clinical symptoms included hemiparesis, hemiplegia, transient ischemic attack and altered sensorium.

Conclusion

Color Doppler of carotid artery plays an important role in the identification of plaques and quantification of degree of stenosis and identification of “at risk” patients who may develop further stroke.