ResultsThe research work was accomplished on the basis classification algorithms including training and test datsets along with well obtained characterized data. The classification process categorized the Alzheimer's disease in dataset and provides a better results. The feature relevance analysis displays the different important characteristics which are intended for better classification system. The random tree forms the classification rule to attain a zero error value.
ConclusionsThe experiment is projected to prove the efficiency of the presentation of numerous classifiers to the Alzheimer's disease and dataset used in it. This help the patient to treat at the right time.
Introduction:One in four people who attend hospital for physical health needs will have a mental health problem. the figures for patients over the age of 65 are significantly higher with 60% requiring mental health care during their hospital stay. (No Health without Mental Health, Academy of Medical Royal Colleges 2009).Psychiatric co-morbidity affecting older people admitted to general hospitals is an independent predictor of poor outcome, including, increased mortality, length of stay, loss of independent function and discharge to care homes (Royal College of Psychiatrists, 2005).Objectives:To evaluate the quality of delivery of inpatient liaison psychiatry service to Mid Essex Hospitals.Aims:To examine the referral pattern and reasons for referral.To assess the timeliness of response and the effect of the consultation on the duration of stay.To introduce measures to ensure better practice in the future.Methods:All referrals to Old Age liaison psychiatry consultation service from August 2010 to February 2011 were identified from the computer database.50 patients were randomly selected and their medical and psychiatric notes were analysed.Information ‘s including Patient demographics, referring team, medical reason for admission, duration of stay, referral reason, clinical diagnosis, medical comorbidities, Psychiatric comorbidities and management by the liaison psychiatry team were collected using an audit tool.Results:The results have been collected and is currently being statistically analysed. They would available in the next few weeks.
Rupture uterus is a gravid complication which is commonly seen post uterine surgery in perinatal women leading to maternal morbidity and fetal death. Common causes are previous caeserian section, obstructed labour , malpresentations, multipara women etc. Patient presents with pain, uterine bleeding, fetal distress, and even death of fetus. We did a retrospective study in our institute in which we collected data of previous 4 years. Incidence of rupture was 0.2%. Most common risk factor was previous caeserian section and other uterine surgery. Unscarred uterus ruptured most commonly due to obstructed labour, other causes were malpresentation, multipara women and induction of labour. Majority of fetuses can not be saved due to late arrival to hospital. 49 patient required obstetric hysterectomy and rest 53 uterus repaired with or without ligation. Other complications were extension of rupture, bladder injury and hemoperitonium. We concluded that scarred uterus need to monitor closely at term and promt transportation and diagnosis can improve fetomaternal outcome.
PPIUCD is preferably inserted within 10 minutes of placenta delivery, intracaesarean, or 48 hours of delivery. In India, 65 percent of women have unmet family planning needs. The goal of this prospective study was to assess the acceptability, safety, and expulsion rate of Cu T 380 after 6 weeks of insertion. The research was conducted at St. Stephen's Hospital in Delhi, a tertiary care facility, in the Department of Obstetrics and Gynecology. For a year, 150 patients of various ages were implanted with PPIUCD. Patients were monitored for 6 weeks to assess- 1) Expulsion rate 2) Safety within Within 6 weeks of insertion, there was no evidence of abdominal pain, foul-smelling vaginal discharge, bleeding, or perforation. 3). Removal reasons In our study, we found that the overall complication rate was 9.29 percent, with infection rate 0.7 percent, prolonged lochia rate 2.1 percent, persistent bleeding rate 3.6 percent, and pain abdomen 1.4 percent. The study's removal rate was 5.0 percent. The rate of expulsion was 2.86 percent. The satisfaction rate was 80%. Based on the findings of this study, we believe that postpartum IUCD should be widely used as a contraceptive.
Introduction: To study the effect of age, parity, mode of delivery and perinatal outcome in pregnant women with severe pre-eclampsia. Method: The study covers 2 year period, during which 480 patients with severe pre-eclampsia were selected, treated and delivered. The study was focussed on age, parity, mode of delivery and perinatal outcome including birth weight and frequency of stillbirths in severe pre-eclampsia patients. Result: In this study a high proportion (56.0%) was nulliparous women. Similarly, severe pre-eclampsia was encountered at a high percentage (45.5%) in women at the 20-24 years of their reproductive age, and maximum women with severe pre-eclampsia delivered at 37weeks or more (80%). Spontaneous vaginal deliveries were less frequent in women with severe pre-eclampsia (34.5%) as compared to cesarean (60.5%). Cesarean section was mostly done due to fetal distress(44.9%). The perinatal outcome with severe pre-eclampsia shows 5.5% of fetal demise, out of which stillbirths (2.5%) and IUD (3%). Conclusion: In our study we found a high proportion of severe preeclampsia cases occurring among nulliparous women and 20-24 years of age. There is also an increased incidence of cesarean section among the severe pre-eclampsia and were mostly due to fetal distress.
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