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Nashik, India

Giri R.R.,NDMVPS Medical College | Giri K.R.,Jn Medical College | Patel S.S.,Jn Medical College | Palandurkar K.M.,GAIMS Medical college
Research Journal of Pharmaceutical, Biological and Chemical Sciences

A study was undertaken to evaluate the effect of ethanolic extract of Terminalia arjuna Linn (AT) on the healing process of experimentally fractured tibia of rats. AT treated animals' revealed faster initiation of healing process than the control animals on radiological examination. Healing was almost complete within 4 weeks of fracture in the treated animals & remained incomplete in the control animals. Source

Mumbare S.S.,NDMVPS Medical College | Rege R.,NDMVPS Medical College
Indian Journal of Community Medicine

Background: Utilization of Ante natal care (ANC) services is poor in the tribal areas, causing increased maternal morbidity and mortality. Objective: This study was carried out to find out ANC services utilization, delivery practices and factors affecting them in a tribal area of North Maharashtra in Nashik district. Design: Cross-sectional study. Materials and Methods: The study was carried out in two tribal blocks of Nashik district. Cluster sampling technique was used. 210 mothers in the selected clusters, who had delivered within last 1 year, were interviewed. Information about the ANC services utilization and place of delivery was recorded. Relevant socio-demographic data were also collected. Results: Adequate ANC services utilization was found to be 64.76%. Home deliveries were 34.29% and home deliveries conducted by untrained persons were 15.24%. Conclusion: The utilization of ANC services and deliveries at health centers were significantly associated with education of the women and their spouses, and the socioeconomic status of the family. Main reasons for inadequate utilization of ANC services were financial, unawareness about ANC services, etc. Place of delivery was associated with the type of the family. Traditional practices were the most common reason for conducting the deliveries at home. Source

Mumbare S.S.,NDMVPS Medical College | Maindarkar G.,Government Medical College | Darade R.,Government Medical College | Yengl S.,Civil Hospital | And 2 more authors.
Indian Pediatrics

Objective: To study maternal risk factors associated with full term low birth weight (LBW) neonates. Design: Matched pair case control study. Setting: Multicenter study including 2 medical colleges and 1 civil hospital, between July 2009 to December 2009. Patients: Of 2382 neonates screened, 274 full term LBW babies (of 638) and 274 pair matched controls (of 1744) were included in the study. 364 LBW babies were excluded because of premature delivery/gestational age not known (314), unavailability of suitable matched controls (18), and insufficient data (32). Methods: Maternal factors including birth spacing, height, pre-delivery weight and pregnancy weight gain, age, parity, educational and economic status, type of family, antenatal care (ANC), maternal exposure to tobacco, hypertension and anemia were studied. Results: Birth spacing <36 months, maternal height ?145 cm, pre-delivery weight ?55 kg, pregnancy weight gain ?6 kg, exposure to tobacco, inadequate antenatal care, maternal hypertension, low socio-economic status, maternal anemia and less maternal education were associated with delivery of a low birth weight infants. Conditional logistic regression analysis showed that significant risk factors associated with low birth weight were inadequate ANC (OR-4.98, 95% CI-2.64 to 9.39), maternal weight before delivery ≤55 kg (OR-4.81, 95% CI-2.53 to 9.15) and height ≤145 cm (OR-4.13, 95% CI- 2.04 to 8.37). Conclusion: Maternal malnutrition, inadequate antenatal care and poor weight gain during pregnancy are significant predictors for delivery of a low birth weight neonate. Source

Chavan S.,NDMVPS Medical College | Mumbare S.,NDMVPS Medical College | Mane M.,NDMVPS Medical College
Biomedical Research

The Objectives were to compare the mean period of analgesia for intrathecal Midazolam 0.5 ml plus bupivacaine and bupivacaine alone and to monitor the side effects of intrathecal Midazolam (0.5 ml) plus bupivacaine and bupivacaine alone. A comparative study was carried out to evaluate the analgesic efficacy and side effects of intrathecal Midazolam along with 0.5% Bupivacaine in 80 ASA I and II patients, aged 16 - 60 years, undergoing surgeries below umbilicus, elective as well as emergency. They were randomly divided into two groups of 40 each (n=40). Group I (control): received Bupivacaine 0.5% heavy 3 ml + NS 0.5 ml and Group II (study): received Bupivacaine 0.5% heavy 3 ml + Midazolam 0.5 ml. All patients were haemodynamically stable and there were no serious side effects in any of the patients in both the groups. The mean duration of sensory analgesia in group I and II was 76.30 ± 6.05 minutes and 299.25 ± 15.75 minutes respectively. The difference in the mean duration of sensory analgesia in both the groups was statistically significant. (P < 0.01). Source

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