Background: In recent years, there has been an epidemic of violence against health professional in many nations including India. The Indian Medical Association (IMA) has reported that 75% of doctors have faced physical or verbal violence during their lifetime. The objective of present study was to evaluate the medical student perspective on rising violence against doctors.Methods: This is a cross sectional questionnaire based study carried out at Sri Guru Ram Das Institute of medical Sciences and Research Amritsar. Undergraduate medical students from second year onwards, interns and post- graduate students of the institution were included in the study. Data was compiled and statistically analysed.Results: Total 497 medical students participated in the study. Among participants 327 (65.8%) were undergraduates, 106 (21.3%) were interns, 64 (12.9%) were postgraduate students 97.18% of students said that they were aware of rising incidents of violence against doctors. while 96% of participants said that they were concerned about the problem. For 86.1% students source of information of these incidents was social media. 82.5% participants said that doctors are at higher risk of being victim of violence than other profession. 89.1% of participants who had said that doctors are at higher risk of being victims of violence than other professions have said yes to the question that doctors need to be trained in martial arts. 70.2% said that these incidences would affect their future carrier choices. 60.8% Students said that certain specialties are more prone to receive violence than others. In response to an open-ended question which specialties are more prone, 83.6% participants had written surgical branches and obstetrics and gynecology.Conclusions: The study indicates that they find certain specialties more-risky and their inclination towards non- surgical branches for post-graduation.

Objective: The study evaluated the clinical course of a low-lying placenta, the outcome of a placenta previa with or without morbidly adherent placenta, and the association with previously reported risk factors. Materials and methods: A prospective descriptive study was conducted from December 2016 to May 2018 at a tertiary care hospital and medical institute on 66 cases of a sonographically diagnosed abnormal placental attachment at 20 or more than 20 weeks of gestation. We analyzed the potential risk factors and the respective outcomes of pregnancies with an abnormal placental attachment. Results: Of the 66 patients in the study, most of the patients (60.6%) were above the age of 30 years; the mean maternal age in the present study was 29.03 years. In this study, the rate of placental migration was 85% in patients without any history of a prior uterine surgery compared to 19.6% in patients with a history of a prior uterine surgery. The major outcome in our study was operative delivery (in 45 patients). A live birth was observed in 64 cases and 2 cases presented with an Intrauterine fetal demise. Of the 64 live born babies in the study, 14 (21.2%) were small for the gestational age and 50 (75.8%) were appropriate for the gestational age. Conclusion:Our study concluded that the most consistent risk factor of an abnormal placental attachment in pregnancy is scarred uterus. Abnormal placental attachment was associated with a higher operative delivery, hysterectomy, and blood transfusions.

Background: Diabetes mellitus is a disorder of carbohydrate metabolism. In India, about 50.9 million people suffer from diabetes, and this figure is likely to go up to 80 million by 2025, making it the 'diabetes capital' of the world. GDM develops due to an inability to compensate for physiological increase in insulin resistance that develops progressively throughout pregnancy as a consequence of multiple factors including placental hormones, increased caloric intake and reduced physical activity. Many studies report increased incidence of adverse foetal and maternal outcome in diabetic pregnancy.Methods: The present study is a retrospective cum prospective analysis carried out in SGRDIMSAR from 1st May 2015 to 30th April 2017. Patients with diabetic pregnancies who had delivery in our institution were included.Results: Total number of diabetic pregnancies during the study period were 76. Out of 76 patients 15 were PGDM and 61 were GDM. Maximum no of patients in PG group were in age group of 31-35 years, while in GDM group were upto 30 years of age. Gestational age at diagnosis in PGDM group is 13.42±1.2 weeks versus 29.62±4.53 weeks. Maximum patients (70.5%) in GDM group were managed by diet and exercise, while in PGDM group maximum patients (93.3%) needed insulin for glycemic control. Maternal complications were maximum in PGDM group. Most common complication was hypertensive disorders of pregnancy. Mean gestational age at delivery was 35.15±1.42 weeks and 37.06±1.29 weeks in PGDM and GDM respectively (p value= 0.00). 11.8% neonates had a birth weight of >4 kg (macrosomia). 77% of neonates in GDM group had an uneventful outcome.Conclusions: Considering rising incidence and magnitude of the problem and its complications, identification and treatment of diabetic pregnancy is the need of hour.