Online ISSN: 2515-8260

Keywords : Tertiary care hospital

A Comparative Study On Labour Progression After Elective Induction Of Labour Vs. Spontaneous Progression Of Labour In Primigravidae At Term At A Tertiary Care Hospital

Dr. L Santhilatha, Dr. J Devi, Dr. B Nissy Jacintha, Dr. P Renuka, .Dr. R Namratha

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 3910-3928

Background: In modern obstetrics, inducing labor is a routine practice. The National Centre for Health Statistics' data show that over the past ten years. The reasons behind this increase in the induction rate are intricate and multifaceted. The majority of the signs for induction of labor have not changed.
Methods: Cross-sectional comparative research in a hospital. There were two groups in the research population. In spontaneous labor, 100 primigravidae women at term were admitted to MGMH. 100 ladies were admitted for labor induction. The research was carried out in the Modern Government Maternity Hospital in Petlaburj, India. This research was carried out between October 2020 and October 2022.
Results: To the best of our knowledge, this is one of the first studies to compare the outcomes for mothers and newborns in primigravida who underwent both induced and natural labor. The study's key strength is the inclusion of a sufficient number of pregnant women in a representative sample, which boosted the study's power and made it more generalizable to settings with similar conditions. The chance of errors was decreased by using specialized software for data collecting and processing.
Conclusion: This can be accomplished by carefully assessing the maternal and fetal conditions and validating the pertinent indicators. Additionally, proactive planning and diligent monitoring should be used to lower the number of induced labor women who need to be admitted to the NICU.

Using modified DECAF Score in mortality prediction in acute exacerbation of COPD patients presenting to emergency department in a tertiary care hospital

Dr. Shashank Singh Bhardwaj, Dr. Arjit Bose, Dr. Komal Thakur,Dr. Priya Singh, Dr. Debraj Jash, Dr. Kishen Goel

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2827-2839

Background: Chronic obstructive pulmonary disease (COPD) is a prominent cause of illness and mortality on
a global scale. In 2019, it was predicted to rank as the sixth largest cause of mortality. COPD is one of the
most prevalent non-communicable illnesses in the field of pulmonology. The DECAF score
(Dyspnea, Eosinopenia, Consolidation, Acidemia, and Atrial Fibrillation) is a risk stratification tool for
patients with AECOPD that can be used at the bedside to guide treatment, such as hospital at home for
low-risk patients. The purpose of this study is to predict the in-hospital mortality in acute exacerbation of
COPD patients with modified DECAF scores. Modified DECAF score includes Dyspnea,
Eosinopenia, Consolidation, Acidemia and Frequency of Hospitalization.
Material and Methods: A total of 50 patients attending Emergency Medicine Department with Acute
Exacerbation of COPD were recruited to this hospital based observational study. This study was conducted
at the Department of Emergency medicine & Pulmonary medicine, at APOLLO GLENEAGLES HOSPITALS, Kolkata.
Results: COPD was more prevalent in the age groups of 41-50 years (28%) and 61-70 years (28%) followed
by those having age between 51-60 years (22%). Majority of the COPD patients were males (88%) compared
to (12%) females. Majority of the COPD patients were males (88%) compared to (12%) females.
Most common co-morbid condition associated with COPD washypertension (16%) followed by
IHD (8%), pulmonary hypertension (6%) and diabetes mellitus (4%). Out of 50 patients with COPD,
11 (22%) had previous history of AECOPD, 38 (76%) were regular user of inhaler, 33 (66%) had
history of influenza vaccination, 16 (32%) had Pneumococcal Vaccination and 2 (4%) patients had
COVID-19 pneumonia. Out of 50 patients, 24 (48%) had Dyspnea (eMRCD) score
of 5a whereas 26 (52%) had Dyspnea (eMRCD) score of 5b as well as 7 (14%) had Eosinopenia
 (<50 cells/mm3) and 20 (40%) had Consolidation.
Conclusion: We conclude that the Modified DECAF score is both sensitive and specific in predicting
in-hospital mortality in AECOPD patients. Modified DECAF is a simple tool that predicts mortality
that incorporates routinely available indices. It effectively stratifies COPD patients admitted with
acute exacerbations into mortality risk categories.

“Breast cancer trends in a Tertiary Care Teaching Institute of South India”

Dr. M Bala Vikas Kumar; Dr. Venkat Rao Boinapally

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 313-318

Introduction: The Incidence of breast cancer has been found to increase gradually especially among younger women. This could be due to two reasons first is it may be reflecting the true incidence of the tendency of younger women to develop breast cancer or second could be due to increasing awareness and availability of modern screening methods which has led to the detection of cancers in early ages. Methods: We in this cross-sectional study screened n=125 women for breast cancer at RVM Institute of Medical Sciences, Mulugu, Telangana from January 2019 to Dec 2019. A total of n=120 cases were screened for breast cancer. Results: Out of n=125 women screened n=21 cases were detected with breast cancers.The incidence rate was calculated as 21%.Out of the total n=21 cases, n=7(33.33%) cases were found to malignant, n=14(66.67%) cases were benign lesions. Among the malignant lesions diagnosed the Invasive duct cell carcinoma was found in 71.43% of out of the total n = 7 cases of malignancy. In non-neoplastic lesions out of n=14 cases, fibroadenoma was diagnosed in 38.09% cases, followed by proliferative breast disease with atypia 14.28% and Phyllods in 9.52% cases. Conclusion: There is an urgent need for organized breast cancer screening programs especially in rural areas. A multidisciplinary approach is required to create awareness, screening, detection, and treatment. This can help reduce the incidence and mortality in cases of breast cancers.


Dr. Lokesh Mukut Vaishnav; Dr. Ashok Mehendale

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2066-2074

Background : A serious threat to both general and medical community is the proper collection and proper dumping of the Bio-medical Waste. In India, 1.87 lakh healthcare facilities with 17.01 lakh beds generates 519 tonnes of biomedical waste every day, Central Pollution Control Board (CPCB). There are Healthcare Facilities (HCF) that still handle and accumulate such wastes inappropriately without understanding its hazardous repercussions on environment and human society. Study is attributed to awareness and negligence related issues. It covers a wide spectrum of information required for Healthcare Facilities (HCF) in regards to modifications in Bio-Medical Waste Management Rules, 2016’ (BMWM2016) from year 2016 till November 2019 and rules amended in view of the COVID-19 pandemic. Aim : Effectiveness of Training Program on awareness among Nursing Staff, Lab Technicians and Sanitary Workers regarding Bio-medical Waste management at a Tertiary Care Hospital in Central India.
Methodology : Interventional Study will be implicated from September 2020 to December 2022 in Acharya Vinoba Bhave Rural Hospital (AVBRH) Tertiary Care Hospital, Sawangi, Wardha, Central India by the Post Graduate Student. Assessment of awareness will be 
done by distributing a set of questionnaires and then training the Healthcare Personnel (HCP), regarding Bio-Medical Waste Management based upon direct observation in the workplace. A total of 422 Nurses, Lab Technicians and Sanitary Workers will be enrolled as study participants. The Study participants will be demonstrated regarding proper standards of Bio-Medical Waste management.
Expected Outcomes/Results and Conclusion : Data will be analyzed and appropriate statistical tests will contemplate the results of stud