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Introduction: The estimation of gestational age at birth is essential to differentiate between small for dates and truly preterm because of different rates of mortality and morbidity in these subgroups. We do come across many babies born to mothers with an unreliable menstrual history, irregular antenatal checkups and ultrasonography. So clinical examination of newborn becomes very important and an attempt was made in our study to see if Newballardscoring system can be used reliably to determine gestational age. The main aim of the study was to estimate gestational age of newborn using New Ballard score when no reliable maternal menstrual history, or the antenatal scan is available as in rural areas. Hence gestational age assessment based on physical and neuromuscular maturity is the only means available to stratify the newborn in to small for dates and truly premature as morbidity and mortality in these subgroups is different and to device treatment protocol accordingly. Material and methods: Babies born to mothers who had regular antenatal follow-ups at our hospital were selected for study. Expected date of delivery was calculated by first day of menstrual period and prenatal scan was done at different gestational ages is documented and post-natally New Ballard scoring is used to assess gestational age. Results: Statistical analysis was done by Karl Pearson coefficient of correlation. Mean and standard deviation was calculated and compared to main value. Conclusion: Regression analysis showed linear relationship of gestational age by Newballardscoring with gestational age by ultrasonography and last menstrual period indicating that we can use Newballardscoring system to assess gestational age at birth when no other means of knowing gestational age is available with the newborn.

Trauma accounts for one of the reason for majority of deaths in people younger than 45 years of age and is also a preventable cause of death. Ultra sonogram (US) of the abdomen appears to be a useful and important tool in diagnosis of any kind of injury to the abdominal organs due to BUT. Our aim of the present study was to assess the role of Ultrasonography in patients with BAT and record the findings and to perform CT in cases negative for US. Material and methods: A prospective study for 12 months was conducted by the department of Radiology among cases of Blunt abdominal trauma. Hemodynamically stable patients were performed Ultra sonogram, and computed tomography in cases inconclusive by US and in cases highly suspicious of abdominal injury. The statistical analysis was performed by using SPSS (Version 1.0).Chi-Square test was done to find the significant difference and 'p' value <0.05 was considered significant. Results: 548 patients with 368 males and 180 females, mean age of 34.42± 8.4 years were included. The average Injury severity score (ISS) was 17.9± 1.0 (Mean ± SD). US alone in 84.3% of cases and both US and CT in 15.7% of cases were done. 58 cases had US score <3 and 490 cases had US score > 3. US had a sensitivity of 94%, specificity of 100% and accuracy of 97% in detection of free fluid in peritoneum. Liver was the most common organ injured and observed in 348 cases (63.5%). Conclusion: Our study strongly suggests that CT scans should be followed by imperative US scans or in cases which are negative by US but clinically strongly suspicious of organ injury or damage. However accurate imaging diagnosis and hemodynamical stability are the main determinants that determine the strategy of management of cases of BAT.

comparison of glasgow coma score with computed tomographic findings in cases of traumatic brain injury-a two year experience at a tertiary care hospital.