Mother Hospital is a multi-speciality hospital situated in Olari; near Thrissur, Kerala state, India. For more than two decades, Mother Hospital has developed unmatched trust with its patients on the basis of a strong foundation which includes best medical expertise and fast medical attention to critical patients. We are extremely proud that today, we serve patients from all walks of life and not only national but also international with multispecialty and super-specialty medical support through our well qualified and experienced team of doctors and supporting staff.. Our approach have always been with a human touch; which truly reflects the essence of our motto “a mothers touch to healthcare”. We have the best neonatal care center that is one of its kinds in the city.The hospital was founded in 1991 by Dr. Ali and Dr. Aysha Ali, with 15 doctors, 7 departments, 70 paramedical personnel and 100 beds. The hospitals 65 doctors, 30 departments and over 400 staff members with 300 beds and have facilities in Cardiology, Neurology, Urology, Nephrology, Gastroenterology, Gynaecology, Rheumatology, Paediatric surgery & Neonatology services..
Background: The COVID-19 pandemic caused by SARS-CoV-2 has affected millions of people around the world. Most cytochemical studies of cerebrospinal fluid (CSF) in patients infected with SARS-CoV-2 have shown abnormal results. The objective of the present investigation was to determine the physical, cytological, and chemical alterations of the CSF cytochemical examination of COVID-19 patients with neurological disorders in Peru. Methods: An observational and cross-sectional study was carried out at the Edgardo Rebagliati Martins Hospital. The study population consisted of 94 CSF samples obtained by lumbar puncture from inpatient patients. Likewise, the paired T-test and one-way ANOVA with the Bonferroni post-hoc test was used to determine the differences in the values of CSF biochemical markers. Results: The most frequent neurological disorders were encephalopathy (43%) and brain tumor (23%). The most relevant physical characteristics were cloudy and reddish fluids in the brain tumor and intracerebral hemorrhage; however, in encephalopathies, transparent-looking liquids were observed. CSF glucose from patients with encephalopathy (30%) and intracerebral hemorrhage (13%) had concentrations >70 mg/dL. Proteins >45mg/dl corresponded to 20% of patients with encephalopathy and 17% of patients with intracerebral hemorrhage and brain tumor. Likewise, no differences were found in glucose concentration between neurological disorders (p>0.05); however, differences in protein concentration were observed (p=0.001). Finally, among the cytological characteristics, it was found that patients with encephalopathy (33%) and brain tumor (20%) presented a leukocyte count <5 cells/ul. Conclusion: These findings suggest that the characteristics of CSF may differ depending on the type of neurological complication experienced by patients with COVID-19.
In this paper, we propose a unified version for survival models that includes zero-inflation and cure rate proportions, and allows different distributions for the unknown competitive causes. Our model has as particular cases several usual cure rate survival models.
BACKGROUND Various studies have documented gender differences in the management and outcomes of acute myocardial infarction (AMI) in developed countries. Gender differences in the management of AMI in India is not known. OBJECTIVES To document the gender differences in the management and outcomes of AMI in India. METHODS The current study was a nationwide retrospective, multicenter, cross-sectional study including all consecutive AMI patients admitted from 15th March to 15th June in the year 2020 using a historical control of all cases of AMI admitted during the corresponding period in the year 2019. RESULTS There were only 9018 females (21.6%) among the 41832 patients with AMI in the study. Females were older and were more likely to present with non ST-elevation MI than men (41.6% vs. 33.2%). Significantly fewer number of females underwent primary percutaneous coronary intervention (29.5% vs 31.2% p value <0.001), thrombolysis (32.9% vs 34.7%, p value<0.001), pharmaco-invasive therapy (18.6% vs 20.7% p value 0.001). Females had higher in- hospital mortality (7.07%vs 4.07%, p <0.001), length of hospital stay (3.9±2.98 days vs 3.8±2.88 days, p <0.001) and complications of AMI [cardiogenic shock (8.6% vs 6.3%), mechanical complications (4.6% vs 3.8%), heart failure (13.9%vs 11.7%) and malignant arrhythmias (3.4%vs2.8%)] than males. CONCLUSIONS Differences between gender in the presentation, management, and outcomes of acute MI are prevalent in India. Women with acute MI presented at older age, had higher in-hospital mortality and complications, and received revascularization therapy less often compared to men.
The objectives of this study were to determine the main indications for CT-guided lumbar infiltrations, to list the clinical picture post-CT-guided lumbar infiltration and to describe the intensity of pain post-CT-guided lumbar infiltration in the radiology department. This was a descriptive study to be collected prospectively over a period of seven months from June 2023 to December 2023 relating to CT-guided lumbar infiltration in the radiology and medical imaging department of the Mother Hospital. Child “Luxembourg”. It focused on patients aged 20 to 80 years and over, admitted and having performed a CT-guided infiltration in our department during the period. We glued 50 patients during our study. The 40-59 age group was the most common, at 54%. There is a male predominance with a sex ratio equal to 1.08. The maximum number of patients came from the neurology department (78%). Patients without medical care were the most represented, i.e. 60%. 64% of our patients have not had any infiltration in the last six months. Patients with pain lasting less than 6 months were the most represented, i.e. 40%. The level of pain intensity increasing between 5-7 (severe pain) was the most represented, i.e. 58%. The visual analog scale after three months was estimated between 1-3 and was the most represented, i.e. 70%. The visual analog scale (VAS) estimated between 3-5 after one month was the most represented, i.e. 66%. Discopathy represented 47% followed by the combination of herniated disc and disc disease, i.e. 26.4%. The lesions were more localized at the L5-S1 level, i.e. 62%. Epidural infiltration was performed in 66% of our patients. The complication rate was 0% due to the strict hygiene conditions applied for each procedure. Infiltration is very important in the treatment of active disc disease. Our study demonstrates that epidural infiltrations can be an alternative in the overall management of inflammatory disc disease.
