Thanjavur Medical College and Hospital

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A Prospective Study on Road Traffic Accidents and Their Pattern of Injury admitted to Thanjavur Medical College
and Hospital

A Prospective Study on Road Traffic Accidents and Their Pattern of Injury admitted to Thanjavur Medical College and Hospital

comprised of all road traffic accident cases reporting to Thanjavur Medical College and Hospital causality in the above period. All patients were screened for the inclusion criteria and all those who met these inclusion criteria, were enrolled in the study after obtaining their due informed consent to take part in the study. All these patient had AR/FIR entry entered. The researcher interviewed all the consented victims and relevant information pertaining to the accident were recorded . A pre-tested trauma proforma was used in collecting these information, either in the Emergency and Triage ward or in the surgical wards of Thanjavur medical college and hospital.

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A Study on prevalence and characteristics of Hepatitis B or/and Hepatitis C co-infection in patients with HIV in Thanjavur Medical College and Hospital

A Study on prevalence and characteristics of Hepatitis B or/and Hepatitis C co-infection in patients with HIV in Thanjavur Medical College and Hospital

I owe my sincere and grateful acknowledgement to my beloved chief, teacher and guide Prof. Dr. C. Paranthakan M.D., Professor of General Medicine who inspired me to take this topic of “A STUDY ON PREVALENCE AND CHARACTERISTICS OF HEPATITIS B OR/AND HEPATITIS C CO- INFECTION IN PATIENTS WITH HIV IN THANJAVUR MEDICAL COLLEGE AND HOSPITAL ”. I extend my grateful acknowledgement to my teachers, Dr. HEMA AKILANDESHWARI M.D., Asst. Prof. of General Medicine ,and Dr.KALPANA DGO.,

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Chronic pancreatitis and its management in Thanjavur Medical College Hospital

Chronic pancreatitis and its management in Thanjavur Medical College Hospital

Although the morphological changes in tropical pancreatitis resembles those of calcific chronic pancreatitis due to alcohol, alcohol is not implicated etiologically. Tropical pancreatitis is characterised by recurrent abdominal pain beginning in childhood, adolescence, or early adult life, and by pancreatic calciflcation, exocrine pancreatic insufficiency and insulin-dependent diabetes mellitus. Whereas earlier hospital-based studies from India showed a male predominance, more recent community - based studies showed a female preponderance of 1.8:1. Pancreatic cancer is said to develop in 2.7 - 8.3% of cases. One study from India suggests that the relative risk of developing pancreatic cancer is 100. When cancer develops in patients with chronic pancreatitis,it does so at a relatively early age, the average age of onset in this series being 45.6 years.

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Clinical study and management of ureteric calculi  in Thanjavur Medical College Hospital

Clinical study and management of ureteric calculi in Thanjavur Medical College Hospital

have CT density below 1000 HU, and calcium phosphate typically have densities greater than 1000 HU .Beyond this gross range, the overlap of values precludes any more exact determination of stone composition by CT density. Most ureteral stones are generally resistant to medical dissolution therapy. However, in moderately symptomatic or asymptomatic patients with an incomplete obstruction due to a uric acid stone, urine pH manipulation may be attempted as part of a conservative treatment approach. In the majority of patients , with calcium based ureteral stones the exact composition is rarely known. Moreover ,the responsiveness to SWL varies even among patients with chemically similar stones . Urine pH manipulation should also be considered for the patient who does not desire or cannot medically tolerate anaesthesia for ESWL or ureteroscopy and who is thought to harbor a uric acid stone.

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Analytical Study of Obstructive Jaundice in Thanjavur Medical College

Analytical Study of Obstructive Jaundice in Thanjavur Medical College

After admission to TMCH Hospital, a detailed clinical history and examination of the patient was done. Relevant investigations were undertaken to make a diagnosis. Patients were assessed preoperatively for the fitness for surgery and later subjected to curative or palliative surgery depending on the stage of the disease and general condition of the patient. The resected tissue was subjected to histopathological examination. Postoperatively, patients’ condition was assessed and complications were documented. Photographic documentation has been done wherever possible. Inclusion criteria

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Seroprevalence of Hepatitis B Surface Antigen and Antibodies to Hepatitis C in patients Attending Tertiary Care Hospital and their Molecular Characterization

Seroprevalence of Hepatitis B Surface Antigen and Antibodies to Hepatitis C in patients Attending Tertiary Care Hospital and their Molecular Characterization

The study was conducted at Thanjavur Medical College Hospital;Thanjavur over a period of October 2014 to July 2015.The aim of the study is to determine theseroprevalence of hepatitis B surface antigen and antibodies to hepatitis C in patients attending tertiary care hospital and molecular characterization for both HBV and HCV. Serum samples were collected from 194 samples. All these samples were initially tested for hepatitis B surface antigen and antibodies to hepatitis C by Elisa. Molecular detection method was done for the positive samples by real time PCR assay. Serum samples were stored at -20 c until tested for molecular detection. Real time PCR was done for 13 samples, including both positive and negative for HBsAg. Out of 13 samples, 8 samples were positive by Elisa. One sample was positive for HBV DNA by Real-time PCR assay and this one positive sample was further processed for HBV genotyping. Similarly Real- time PCR was done for 8 samples including both positive and negative for anti HCV Ab. Out of 8 samples, 5 samples were for anti HCV Elisa. Three samples were positive for HCV RNA by real time PCR assay.All the three samples were further processed for HCV genotyping.

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The use of non absorbable mesh may lead to seroma, fistula and infection in short term and to foreign -body reaction, chronic inflammation, pain, paraesthesia, stiffness and mesh shrinkage as long term complications (11 -14) . Mesh properties (material, pore size, filament structure), mesh position (onlay, inlay, sublay, intraperitoneal), use of autodermal tissues and other factors (drainage, antibiotics) influence m esh safety. Long term safety and improved outcome of preperitoneal retro sublay technique of mesh placement has been shown in recen t trials (15-22). However there is no randomized controlled study for comparison and validation of this useful technique with the other commonly done onlay technique. This prospective study is meant to report the observations made on 109 consecutive cases of incisional hernia admitted and treatment at Thanjavur Medical college Hospital over a period of two and a half years between May 2006 and October 2008 and the comparison of short and long term ou tcomes between different open surgical techniques in a simple and complex incisional hernia repair and discuss it in the light of available literature.

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A study on Hypophosphatemia in critically ill patients in ICU  its incidence and predictors in Thanjavur Medical
College Hospital

A study on Hypophosphatemia in critically ill patients in ICU its incidence and predictors in Thanjavur Medical College Hospital

16. Schwartz A, Gurman G, Cohen G, Gilutz H, Brill S, Schily M, Gurevitch B, Shoenfeld Y conducted a study to evaluate a possible association between serum phosphate levels and the incidence of cardiac arrhythmias in the early stages of sepsis. It is a prospective, controlled study in the General Intensive Care Unit (GICU) of a university hospital. Sixteen patients with sepsis, but without any previous cardiac disease, were studied during their first 24 h in the GICU. Patients were connected to a continuous ECG recording device. Blood samples for serum phosphate level determinations were drawn during the first 6 h after admission to the unit. Ten of 16 patients had 21 episodes of atrial and ventricular arrhythmias in their course in hospital .

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Serum Visfatin: A Novel Marker in Chronic Kidney Disease

Serum Visfatin: A Novel Marker in Chronic Kidney Disease

I, Dr. S. SYED ALI FATHIMA hereby solemnly declare that the dissertation titled “SERUM VISFATIN –A NOVEL MARKER IN CHRONIC KIDNEY DISEASE” was done by me at Thanjavur Medical College and Hospital, Thanjavur under the Supervision and Guidance of my Professor and Head of the Department Dr.N.Sasivathanam,M.D( Bio).,DGO,. This dissertation is submitted to Tamil Nadu Dr. M.G.R Medical University, towards partial fulfillment of requirement for the award of M.D. Degree (Branch –XIII) in Biochemistry.

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Study of serum beta-trace protein in chronic kidney disease

Study of serum beta-trace protein in chronic kidney disease

I, Dr. R.SUSILA hereby solemnly declare that the dissertation title “STUDY OF SERUM BETA-TRACE PROTEIN IN CHRONIC KIDNEY DISEASE” was done by me at Thanjavur Medical College and Hospital, Thanjavur under the Supervision and Guidance of my Professor and Head of the Department Dr.N.Sasivathanam, M.D(Bio).,DGO. This dissertation is submitted to the Tamil Nadu Dr. M.G.R Medical University, towards partial fulfillment of requirement for the award of M.D. Degree (Branch –XIII) in Biochemistry.

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A new model for health care delivery

A new model for health care delivery

The medical school's core competencies may include intellectual expertise in research that has the potential to raise the profile and reputation of the entire healthcare organization and the commitment to teaching another generation of professionals. Both of these are absolute necessities for sustainability. The medical school should, however have a clear recognition of its purpose. Jim Col- lins, in an address at the 2006 American Association of Medical Colleges (AAMC) annual meeting suggested, "social sector organizations like the AAMC and academic medical centers should avoid thinking like businesses because financial performance is not a measure of suc- cess". "To thrive in an environment of high expectations and dwindling resources", Collins said, "academic medi- cine should stay true to its core values while adjusting its cultural and operating practices to societal change and confronting facts head-on without losing mission" [59]. The physicians, most commonly through a physician group plan provide the social responsibility, manpower, personal interface on the community and national aca- demic level, and most likely leadership. The physicians, particularly if well organized should have the ability to bring experience from interactions with patients, research- ers, and other health care providers to create an environ- ment consistent with the vision that they have helped to create. They provide the leadership for the culture of the organization.

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Robotic enucleation for pediatric insulinoma with MEN1 syndrome: a case report and literature review

Robotic enucleation for pediatric insulinoma with MEN1 syndrome: a case report and literature review

Case presentation: We present a case of a 9-year-old girl presenting with repeated loss of consciousness, concomitant with a pale face, palpitations, and convulsions, which had persisted for 2 years and had been aggravated during the previous 2 months. She was previously misdiagnosed with epilepsy in another hospital. We further examined her while she was hospitalized. By combining her medical history and imaging examination and lab test results, a diagnosis of insulinoma was confirmed. Sanger-directed sequencing on a peripheral blood sample revealed an MEN1 gene mutation, indicating pediatric insulinoma with MEN1 syndrome. The patient underwent minimally invasive insulinoma enucleation surgery under the Da Vinci robot-assisted system with intraoperative ultrasound (IOUS) connected. The surgery was successfully completed within 65 min, and the girl recovered well postoperatively and no longer experienced symptoms of hypoglycemia.

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FACTORS ASSOCIATED WITH LOWER BACK PAIN AMONG ADULT PATIENTS AT SELECTED HEALTH INSTITUTIONS IN ADAMA TOWN, ETHIOPIA

FACTORS ASSOCIATED WITH LOWER BACK PAIN AMONG ADULT PATIENTS AT SELECTED HEALTH INSTITUTIONS IN ADAMA TOWN, ETHIOPIA

Risk factors for Lower Back Pain are many and complex. In this matched case-control study, Age category, body mass index, during five working days; walking at least one day per week for 60 minutes and having arthritis at the time of the survey were the predictors of Lower Back Pain. The medical workforce and managers should give emphasis to one of the most Non-Communicable Diseases, LBP. Hospitals and health care providers need to give attention to aged, obese and physically inactive patients for the prevention and control of lower back pain. These findings have important implications for the development of health education or health promotion on back care. Further prospective studies on the influencing factors of LBP are required.

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Standardized patient methodology in mainland China: a nationwide survey

Standardized patient methodology in mainland China: a nationwide survey

In the responding medical centers, the median frequency of training for SPs was 12.9 times per year. The most frequent way of SP training was by giving lectures, with a median frequency of 8.1 times per year, followed by clinical practices (3.1 times per year) and video training (1.8 times per year). The well-trained SPs were certified to participate in medical education. Most of them were used to train medical students in medical history taking and physical examination during the pre-clinical stage. The SPs were used in areas including internal medicine (89.6%), surgery (79.2%) and pediatrics (56.3%). The SPs were employed in the initial visit scenario in over 90% of the centers. Meanwhile, other different scenarios, includ- ing return visit (33, 68.8%), patient education (21, 41.7%), telling bad news (14, 29.2%) and conversation with relatives (20, 41.7%) were also designed for ad- vanced medical education (Table 3). Although 40 (83.3%) centers agreed that it is very important or im- portant to apply SPs for physical examination, only a few centers (9, 18.8%) used that. Further, only 9 (18.8%) cen- ters considered it was feasible to apply female SPs for breast examination. The female: male SP ratio for rectal

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An epidemiologic study on symptomatic pelvic organ prolapse in obese Chinese women: a population-based study in China

An epidemiologic study on symptomatic pelvic organ prolapse in obese Chinese women: a population-based study in China

This study obtained ethics approval from clinical trials.gov, http://www.chictr.org.cn. Number: ChiCTR-OCH-14004675. Approval in the form of written consent was obtained from all eligible participants. All eligible patients were invited to participate in the study, and those who agreed were given a written informed consent form to sign. Ethical approval for the research was sought and obtained from the Research Ethical Committee at the Peking Union Medical College Hospital in 2014. The study was conducted in accordance with the latest version of the Declaration of Helsinki.

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Study on Prevalence of sleep disorders among undergraduate medical students in teaching institution

Study on Prevalence of sleep disorders among undergraduate medical students in teaching institution

This is certified that the Dissertation entitled “ STUDY ON PREVALENCE OF SLEEP DISORDERS AMONG UNDERGRADUATE MEDICAL STUDENTS IN TEACHING INSTITUTION” is a bonafide record work done by Dr.S.MINATHUL MUFITHA in the department of psychiatry, Thanjavur Medical College, Thanjavur, during his Post Graduate Course, under my direct supervision and guidance. This is submitted as partial fulfilment for the requirement of M.D., Degree Examination - Branch XVIII (Psychiatry) to be held in May 2018 under The Tamil Nadu Dr. M.G.R. Medical University.

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A Study on Duodenal Ulcer Perforation

A Study on Duodenal Ulcer Perforation

Perforated gastric and duodenal ulcers were first reported in 1727 and 1746 respectively. It continues to account for 10% of the hospital admissions and occurs in 7-10 patients per year per 100,000 population. Although this emergency can occur at any age, it is important to be prepared for its management in an increasingly older population. The diagnosis will be difficult most often than a GIT problems, particularly neurological problem. Left undiagnosed and untreated, those patients will die due t continued loss of intra vascular fluid subsequently hypotension and shock.

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Defensive coping and quality of life in chronic kidney disease patient in a tertiary care centre: A cross sectional study

Defensive coping and quality of life in chronic kidney disease patient in a tertiary care centre: A cross sectional study

Items are rated on a 5- point scale of symptom distress, ranging from (1) “not at all” to (4) “extremely”. Items from each concept are summed and divided by the total number of responses on that concept with a range of 0 to 4 , where 4 indicates extreme psychological distress. The HSCL-25 inventory and its subscales have been widely used as screening tools for the initial and follow- up assessments of psychopathology in both psychiatric and medical patients. It has shown good internal consistency and convergent validity in several clinical studies at international level. (ANNEXURE-D).

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Prevalence of Metabolic Syndrome in CAD and CVA patients at Thanjavur Medical College

Prevalence of Metabolic Syndrome in CAD and CVA patients at Thanjavur Medical College

This is to certify that dissertation entitled 'Prevalence of Metabolic syndrome in CAD and CVA patients at Thanjavur Medical College' is the bonafide record of work done by Dr.S.SANGEETHAMEENA in the Department of General Medicine, Thanjavur Medical College, Thanjavur during her Post Graduate Course from 2006-2009. This is submitted as partial fulfillment for the requirement of M.D Degree Examinations - Branch I (General Medicine) to be held in March 2009.

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Study of Clinical and Functional Results of Abdominal Mesh Rectopexy for Complete Rectal Prolapse

Study of Clinical and Functional Results of Abdominal Mesh Rectopexy for Complete Rectal Prolapse

It was Billroth who at the end of the last century dreamed of strengthening the repair “if we would artificially produce tissues of the density and toughness of fascia, the secret of the radical cure of hernia would be discovered”. Artificial material was introduced in 1889 by Witzel, who used a mesh of silver wire for abdominal wall hernias; Busse in 1901 even used meshes of gold wire. In 1931 Fieschi proposed the implantation of rubber sponges. In 1940, Ogilvie published the use of cloth meshes of metallic wire to treat hernia patients. The triumphant progress of meshes had its beginning after World War II, with the development of synthetic polymers for medical purposes, particularly with the construction of the polyester mesh mersilene in 1954 and the polypropylene mesh Marlex in 1962.

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