Assessment Of Clinical Postings in Community Medicine at A Medical College in Western India-A Focus Group Discussion with Teachers

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Electrocardiographic And Echocardiographic Profile of Dilated Cardiomyopathy Patients Attending Tertiary Care Hospital in Vadodara

Background: Dilated cardiomyopathy is one of the important causes of congestive heart failure and attributes to 25% of all cases of CHF. Moreover, in majority of cases with DCM, no specific etiology is known. The increasing incidence of DCM is also associated with sig- nificant morbidity and mortality. So, the current study aimed at un- derstanding the electrocardiographic and   echocardiographic profile of DCM patients coming to tertiary care hospital in Vadodara. Methods: A descriptive cross sectional study was conducted among 180 patients with dilated cardiomyopathy from the year 2011 to 2014. ECG and 2D Echocardiography was done among all these patients using standard techniques. The data entry and analysis was done in Microsoft excel sheet. Results: Among the 180 study participants having DCM, almost all patients showed changes in ECG and 2D Echocardiography.  The most common ECG changes observed were ST-T changes (93.8%) followed by sinus tachycardia (63.3%). The most common 2D Echo findings observed were left ventricular diastolic dimension > 5.2cm (93%) followed by left ventricular systolic dimension >3.9cm (91%) and reduced left ventricular contractility (85%). Conclusion: Regular echochardiographic and electrocardiographic screening of patients with dilated cardiomyopathy is very important to identify and prevent complications among them

Socio-Demographic and Anthropometric Profile of Diabetic Patients Attending Diabetes Clinic in Tertiary Care Hospital of Central Gujarat

Background: With a rise in non communicable diseases in India, di- abetes has been a modern epidemic showing a rising trend in Gujarat also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in Central Gujarat. The large proportion of patients presenting with this condition prompted us to look at the profile of such patients. Methods: This was a descriptive hospital-record based cross sectional study involving a total of 167 diabetic patients enrolled in the di- abetes clinic from November 2014 to December 2014. The data was entered and then analyzed in Microsoft excel sheet. Results: Among the 167 study participants, we found that 85 were males and 82 were females. It was more common among those above age of 60 years followed by 51-60 years. Almost 60% had uncon- trolled diabetes. Nearly 60% of the diabetic patients were hyperten- sive. Almost 3/4th of the patients had high waist hip ratio and 21% patients were obese. Conclusion: The diabetic patients presenting to this tertiary care hospital belong to both genders and are from lower socioeconomic strata and having limited education in their geriatric age group. There is high proportion of obesity and hypertension among them

Feeding Practices by Mothers Having Children Under 6 Months of Age – A Community Based Study in Urban Slum Areas of Vadodara City

Background: Inspite of rise in institutional deliveries, early initia- tion of breastfeeding and exclusive breastfeeding (EBF) remains an area of concern especially in urban slums. This study was done to assess the current feeding practices of mothers having children under 6 months of age residing in urban slums of study city and to identify the predictors of EBF. Methods: This cross-sectional study was conducted in urban  slums of the study city, Gujarat from July 2016 to December 2016. A total of 210 mothers were selected using cluster sampling meth- od. Primary variables studied were initiation of breastfeeding, fre- quency of breastfeeding in 24 hrs, EBF and other food given. Mul- tiple logistic regression analysis was carried out to find the factors associated with EBF. Results: Forty five percent of the mothers initiated breastfeeding within one hour of birth. 76.7% mothers had given EBF. The pre- dictors for EBF found on multivariate analysis were male child (AOR: 2.2, 95% CI: 1.1-4.5) and prior information about breastfeed- ing received by the mothers (AOR: 2.7, 95% CI: 1.3-5.9). Conclusion: Although the prevalence of EBF was high, the fre- quency of feeding in 24 hours was low among many mothers. EBF was seen more in children whose mothers received prior infor- mation about breastfeeding

Isolation Of Vibrio Cholera O1 During an Outbreak of Acute Gastroenteritis In Dahod District, Gujarat

Background: Epidemics of cholera caused by Vibrio cholerae O1 or O139 have been reported from different parts of India. It is necessary to investigate Acute Gastroenteritis cases for the presence of V. Cholerae by stool sample analysis in the reference laboratory. Objectives: To analyze stool samples for the presence of V. cholerae and subtypes in confirmed cases of cholera during an outbreak of Acute Gastroenteritis. Materials and Methods: During an outbreak of Acute Gastroenteritis, total 171 stool samples and 5 water samples were collected by local health authorities and sent to the Microbiology Department, Medical College, Baroda for the analysis. Results: Out of total 171 stool samples, 46 stool samples were found positive (27%) for V. cholerae O1 biotype El Tor, serotype Ogawa as a sole pathogen. Highest positivity (50%) was found in age group of 0-15 years. Positivity rate was same among both the genders. Water samples showed presence of coliform bacilli with high MPN (most probable number) count. Faecal coliform was also found in both the water samples. Conclusion: V. cholerae O1 biotype El Tor, serotype Ogawa was confirmed as a sole pathogen in stool samples confirm the cholera outbreak and water contamination was supported by the presence of Faecal coliform organisms in water samples