Background: India contributes to 25% of neonatal mortality around the world. In developing countries neonatal mortality is quite high despite of advances in perinatal and neonatal care. The establishment of Special Newborn Care Units (SNCU) has been quite essential in reducing the neonatal morbidity and mortality. This study was conducted to assess the outcome of SNCU at a newly commissioned tertiary care teaching hospital at Nellore District, Andhra Pradesh. Aim of this study the morbidity and mortality patterns in an SNCU at tertiary care teaching hospital.Methods: It was a Retrospective, Hospital based, Descriptive study which was done among neonates admitted to SNCU, Nellore District, Andhra Pradesh for a period of 1 year (January 2015-December 2015). All the neonates admitted to SNCU, Nellore District, Andhra Pradesh during the study period were included in the study. Data was recorded in a predesigned semi-structured proforma. the data was entered into excel-sheet and analyzed using SPSS software version 21.Results: A total of 1015 babies were included in the study. Almost half 592(58.32%) were born in this hospital(inborn) and 423(41.67%) babies were referred from peripheral hospitals and nursing homes (out born). about 3/4th 767(75.5%) of babies were admitted in the first 24 hours of life. Almost half (53.4%) of the study group were male and 46.6% were female. The chief causes of admission in SNCU were Respiratory Distress Syndrome (40.2%) followed by birth asphyxia (19.1%), sepsis (13.3%), Neonatal Jaundice (9.9%) and prematurity (6.6%). In our study 63.0% patients were discharged, 19.3% had left hospital against medical advice, 10.1% died and 7.6% were referred to other institutions for specialized treatment.Conclusion: Respiratory Distress Syndrome, neonatal sepsis, neonatal hyperbilirubinemia, and HIE as the major causes of morbidity. Low Birth Weight and prematurity were the commonest contributors of death, therefore, attempts to prolong the pregnancy each week might improve the neonatal outcome considerably.

BACKGROUNDThe increasing global prevalence of nephrolithiasis continues to burden the health care delivery systems of developing nations. Percutaneous Nephrolithotomy (PCNL) is considered the standard treatment for many types of calculi. This study focuses on the complications of PCNL in private practice setting at a peripheral center using the modified Clavien system and role of Guy 's stone score as a predictor of stone free rate and complications.

Background: Suicide is one of the ten major causes of death in India. Intentional self-harm is also associated with long term risk for repeated attempts as well as death by suicide. Individuals differ in the degree to which risk and protective factors affect their propensity for engaging in suicidal behaviours. The present study seeks to explore about suicidal intent among the self-harm attempters.Methods: This was a hospital based cross-sectional study and includes both male and female patients attending the psychiatric outpatient department of government general hospital, Nellore. After obtaining the informed consent, the necessary data was obtained by a semi-structured interview schedule.Results: Descriptive analysis of the cases showed that those aged less than 30 years (49.3%), unmarried (52.0%), female subjects (52.0%), urban residents (51.3%) and those belonging to nuclear families (60.6%) were commonly involved. Organo-phosphorus poisoning was the commonly used method (30%). The psychological problems were the most common reason (40.0%) for attempting suicide. Mode of attempt, type of stress, existing physical illness and past psychiatric illness influenced the suicidal attempts.Conclusions: Gender specific differences were noted with regard to mode of attempt, type of stressors, physical illness, and past psychiatric illness. Young age groups are vulnerable for suicide. Identifying risk factors helps to design interventions to prevent further attempts.

Background: Suicide is one of the ten major causes of death in India. Intentional self-harm is also associated with long term risk for repeated attempts as well as death by suicide. Individuals differ in the degree to which risk and protective factors affect their propensity for engaging in suicidal behaviors. The present study seeks to explore about suicidal intent among the self-harm attempters.Methods: This was a hospital based cross-sectional study and includes both male and female patients attending the psychiatric outpatient department. After obtaining the informed consent and socio-demographic information, they were evaluated with semi-structured proforma.Results: Descriptive analysis of the cases shows that 56 (46.6%) of age group between 31-40 years are commonly affected. Among the study subjects 79 (65.8%) attempters had no psychiatric illness for attempt and 41 (34.2%) subjects with past psychiatric illness, OP poisoning being the common method in 40 (33.3%) of attempters. In this study 80 (66.6%) of people did not have co-morbid conditions, drug dependency (alcohol dependence) was 20 (16.6%) and others are 20 (16.6%).Conclusions: The suicidal attempts are more in females than males and it is also common in nuclear families, rural areas and individuals with past psychological problems. In this study suicidal attempts were more common among the people not suffering any other co morbid condition.