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Introduction: The Physiological and Operative Severity Score for the en Umeration of Mortality and morbidity (POSSUM) has been proposed as a method for standardizing patient data so that direct comparisons can be made in spite of differing patterns of referral and population.Aims and objectives: To evaluate the efficacy of a scoring system for predicting the incidence of postoperative complications and mortality in patient undergoing Emergency Surgeries based on the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM).Material and Methods: This is a hospital based cross sectional study of all the cases that had undergone Emergency Surgery at Nepalgunj Medical College Teaching Hospital from the period of July 2014 to June 2015. The period of follow up was 30 days following the surgical procedure? A total of 100 emergency surgeries, as defined by the POSSUM scoring system criteria were studied. Predicted mortality and morbidity rates were calculated using the POSSUM equation by exponential analysis method. It was then compared with the actual outcomes. Observed: Expected Ratio (O:E) was calculated and difference detected by chi-square test. The risk factors as scored in the POSSUM criteria were noted.Results: Applying exponential analysis, an observed to expected ratio (O:E) for mortality of 0.44 was obtained, indicating significant 2 difference between the predicted and observed values (x =93.207, df 63, p=0.008). But, an observed to expected ratio (O:E) for 2 morbidity of 1.01 was obtained and there was no significant difference between the predicted and observed values (x =76.295, df 71, p=0.312). It was found to be comparable to other studies. In all the risk factors studied, a positive correlation was found between deaths and post-operative complications with higher POSSUM scores.Conclusion: POSSUM scoring system could accurately predict overall morbidity while it over predicted the overall mortality. POSSUM scoring system serves as a good predictor of post-operative outcome in major general surgical procedures and was applicable even in our setup and be used for comparing various treatment modalities and assessing the quality of care provided. JNGMC Vol. 14 No. 2 December 2016,   page: 2-7

Background: To find out the prevalence of vitamin D deficiency in patients hospitalised in two tertiary care centres for various ailments in Eastern Bihar and North Bengal. Methods: Hospitalised patients in MGM Medical College, Kishanganj, Bihar and Medical North Bengal Clinic, Siliguri, West Bengal (Jan 2014 to Dec 2014) who underwent blood sampling for vitamin D estimation in their work up for various ailments were included in the study. Result: Out of 108 patients, 65 were female and 43 were male in the age group ranging from 1 month to 85 years. Maximum number of patients was in the age group of 41 to 60 years. Seventy two percent patients had low vitamin D levels with 54.63% having frank deficiency and 17.59% had insufficient levels. Diabetes mellitus and/or hypertension were the most common diseases associated with hypovitaminosis D followed by diseases of respiratory system. Conclusion: Vitamin D deficiency was seen in 72 % of the subjects with female preponderance. No age was spared as the age of the subjects ranged from 1 month to 85 years with majority in the 41 to 60 years age group. Among subjects with hypovitaminosis D, diabetes mellitus and /or hypertension were the most commonly encountered diseases.