scholarly journals 772 Surgery for Bullous Lung Disease

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
B Mohamed ◽  
S Awad Ahmed ◽  
H Hussein ◽  
M E A Ahmed
Keyword(s):  
Lung Disease ◽  
Respiratory Disease ◽  
Posterolateral Thoracotomy ◽  
Cross Sectional ◽  
Duration Of Symptoms ◽  
History Of ◽  
Muscle Sparing ◽  
Bilateral Lung ◽  
The Given ◽  
Symptoms And Signs

Abstract Aim The aim of this study to assess the surgical presentation and outcome for bullous lung disease in Sudanese patients. Method A cross sectional hospital based descriptive retrospective study. Procedures were conducted at Al-Shaab Teaching Hospital Sudan during the period from November 2009 to September 2012. Results 11 patients had lung bullae in the given period. Smoking does not play an important role in the development of bullae in healthy young adults in our patients. Vanishing Lung syndrome (VLS) was seen in 18% of patients without history of smoking. The patients presenting in the fifth decade of life constituted (36.3%) of total number. symptoms of presentation were chest pain and SOB and half of them (45.5%) had exertional dyspnoea. The duration of symptoms before presentation was more than 2 months. Asthma was the only respiratory disease associated seen in 45%. HBV and HTN were the most associated diseases seen in 27% and 18% respectively without significant findings in the history. The diagnosis was made by highresolution CT. Chest in all patients. Bullectomy was done to majority of patients. Muscle sparing thoracotomy is the standard approach (Posterolateral Thoracotomy). improved regarding symptoms and signs (90.9%) and) and no death reported. Conclusions Bullous lung disease with bilateral lung involvement is common in our patients. However, there was no association between lung bullae and smoking in our population. lt's associated with other respiratory disease. The outcome was excellent, and no death was reported. To prevent the miss diagnosis we need sensitive and noninvasive investigation tools.

scholarly journals Analysis of the Behaviour of Immunoglobulin G Antibodies in Children and Adults Convalescing From Severe Acute Respiratory Syndrome-Coronavirus-2 Infection

2021 ◽  
Vol 9 ◽  
Author(s):  
Horacio Márquez-González ◽  
Briceida López-Martínez ◽  
Israel Parra-Ortega ◽  
Daniela de la Rosa-Zamboni ◽  
Marcela Salazar-García ◽  
...  
Keyword(s):  
Clinical History ◽  
Paediatric Population ◽  
Adult Patients ◽  
Igg Antibodies ◽  
Sample Collection ◽  
Rt Pcr ◽  
Cross Sectional ◽  
Duration Of Symptoms ◽  
Paediatric Hospital ◽  
History Of

The pandemic caused by SARS CoV-2 (COVID-19) has affected millions of people since 2020. There are clinical differences and in mortality between the adult and paediatric population. Recently, the immune response through the development of antibodies has gained relevance due to the risk of reinfection and vaccines' development.Objective: Was to compare the association of clinical history and the clinical presentation of the disease with the development of IgG antibodies against SARS-CoV-2 in paediatric and adult patients with a history of positive reverse transcriptase-polymerase chain reaction (RT-PCR) results.Methods: Cross-sectional observational study carried out in a Paediatric Hospital in Mexico City included patients under 18 years of age and health personnel with positive RT-PCR for COVID-19 comparing antibody expression. The development of specific IgG antibodies was measured, the presence of comorbidities, duration, and severity of symptoms was determined.Results: Sixty-one subjects (20 < 18 years and 41 > 18 years) were analysed. The median sample collection was 3 weeks. There were no differences in the expression of specific antibodies; no differences were shown according to the symptoms' severity. A positive correlation (r = 0.77) was demonstrated between the duration of symptoms and antibody levels.Conclusions: In conclusion, there is a clear association between the duration of the symptoms associated with SARS-CoV-2 infection and the IgG units generated in paediatric and adult patients convalescing from COVID-19.

scholarly journals Treatment Seeking Behavior for COVID-19 Symptoms and Its Related Factors Among Northern Iranian Population: A Cross-sectional Study

2020 ◽  
Author(s):  
Farahnaz Joukar ◽  
Mehrnaz Asgharnezhad ◽  
Mohammadreza Naghipour ◽  
Fariborz Mansour-Ghanaei ◽  
Saman Maroufizadeh ◽  
...  
Keyword(s):  
Respiratory Disease ◽  
Cross Sectional Study ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Patient Reported ◽  
Seeking Behavior ◽  
History Of ◽  
Professional Treatment

Abstract Background: This study was conducted to investigate the treatment seeking behavior for COVID-19 symptoms among northern Iranian population and its related factors.Methods: This hospital-based cross-sectional study was conducted to investigate the treatment seeking behavior for COVID-19 symptoms and its related factors in 602 confirmed COVID-19 cases for a period of 2 months between March and May 2020 in Guilan at the onset of the corona epidemic in Iran. Results: Professional treatment-seeking was observed in 18.6% of patients and most of patient reported home remedies (50.3%) and self-medication (31.1%) as first reaction to COVID-19 symptoms. The multivariate logistic regression analyses revealed that patients with breathing difficulties symptom and history of respiratory disease had greater odds professional treatment of seeking respectively (adjusted odds ratio (OR) =1.6, P=0.03, (OR) =3.3, P =0.001). Conclusions: Roughly half of symptomatic COVID-19 patient reported home remedies as first treatment-seeking behaviors and only breathing difficulties symptom and past history of respiratory disease were identified as an independent predictor of professional treatment–seeking. However, we found no more professional treatment -seeking behaviors among elderly, diabetic, hypertensive and obese patients, while there were at risk of severe illness and death from COVID-19 infections. Thus, behavior change interventions in population with underling disease (including diabetes, hypertension and obesity) and older age is crucial to improve professional treatment -seeking behaviors.

scholarly journals Relationship Between Residential Loction and Family’s Asthma History with Night Cough in Children

2018 ◽  
Vol 10 (2) ◽  
pp. 231
Author(s):  
Agni Amurbatami Manggali
Keyword(s):  
Respiratory Disease ◽  
Air Pollutants ◽  
International Study ◽  
Cross Sectional ◽  
The Road ◽  
Indoor Plants ◽  
History Of ◽  
Asthma And Allergy ◽  
The Relationship ◽  
Bahasa Indonesia

Generally, children spend most of their time at home. In that way, the condition of their home will really affect their health. Children living in beside roadway may be exposed to emission of vehicles passing by the road and enter the house through the ventilation. Whereas, children are vulnerable of getting respiratory disease due to inhaling poluted air continously. The objective of this study is to analyze the relationship between living in house beside roadway and night cough in children. The sample of study was the students aged 6–7 years from SDN Babatan IV Surabaya and SDN Sumur Welut III Surabaya. Data collecting was done using cross-sectional method by filling out questionnaires interviewed to the parents of study sample. The questionaires used was International Study of Asthma and Allergy in Childhood (ISAAC) which had already translated to bahasa Indonesia and modified. Children who experienced night cough without flu was 26.15%. Children living in the roadside was 13.85%. Asthma history was had by 4.61% of children and 12.31% of their parents. Relationships were found between night cough and house in roadside (P = 0.045), asthma history of children (P = 0.016), and asthma history of parents (P = 0.003). This study conclude that distance between house and roadway is a significant modifier for night cough without flu in children. Recommendations that can be given through this study are conducting allergy examination for children and adding facilities to absorb air pollutants in houses located beside roadway such as indoor plants or screen for ventilation.

scholarly journals A clinico-epidemiological study of polymorphic light eruption in a tertiary care centre in Salem: a region of South India

2017 ◽  
Vol 3 (1) ◽  
pp. 113
Author(s):  
Eby Chacko ◽  
Seethalakshmi Ganga Vellaisamy ◽  
Kannan Gopalan ◽  
Govindarajan Nanjappachetty
Keyword(s):  
Tertiary Care ◽  
Positive Family History ◽  
Study Data ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Polymorphic Light Eruption ◽  
Plaque Type ◽  
History Of ◽  
Study Population ◽  
Symptoms And Signs

<p><strong> </strong><strong>Introduction: </strong>Polymorphic light eruption (PMLE) is an acquired photodermatosis characterized by a polymorphic eruption ranging from papulovesicular lesions to large plaques. The prevalence of PMLE varies from 5% to 15% in various studies across the world and<strong> </strong>in India it is 0.56%.</p><p><strong>Objective: </strong>The present study was conducted to study the clinical pattern and to assess the epidemiological aspects of polymorphic light eruption.</p><p><strong>Material and Method: </strong>A cross sectional prospective study was conducted in Dermatology OPD between April 2015 and June 2016. A total of 100 patients with symptoms and signs of PMLE were included in the study. Data were coded and analyzed.</p><p><strong>Results:</strong> Majority of the cases in our study were in the age group of 21 - 30 years (36%). It was more common in females (82%) when compared with males (18%). Occupation of most of the patients (29%) was farmers in our study population. Positive family history of PMLE was seen in 11% of the study population. The commonest form was the papular type (46%) and the second most common type was plaque type (17%). Regarding the distribution of lesions, about  51%  of  our study subjects had polymorphic lesions confined to only one area of their body mostly forearm (25%) followed by face (12%).</p><p><strong>Conclusion:</strong> The prevalence of PMLE was 1.34% in our study population. Pruritus was the presenting complaint in most of the cases and the rash was mainly seen in areas exposed to sunlight.</p>

scholarly journals Prediction of Treatment Failure and Compliance in Patients with Tuberculosis

2020 ◽  
Author(s):  
Hyeon-Kyoung Koo ◽  
Jinsoo Min ◽  
Hyung Woo Kim ◽  
Joosun Lee ◽  
Ju Sang Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Treatment Failure ◽  
Lung Disease ◽  
Treatment Success ◽  
Multivariable Analysis ◽  
Previous History ◽  
Treatment Compliance ◽  
Poor Compliance ◽  
Cross Sectional ◽  
History Of

Abstract Background To improve treatment outcomes for tuberculosis (TB) , efforts to reduce treatment failure are necessary. The aim of our study was to describe the characteristics of subjects who had failed treatment of tuberculosis and identify the risk factors for treatment failure and poor compliance using national data. Methods A multicenter cross-sectional study was performed on tuberculosis subjects whose final outcome was reported as treatment failure during 2015-2017. The same number of subjects with treatment success during the same study period were randomly selected for comparison. Demographics, microbiological, radiographic, and clinical data were collected based on in-depth interviews by TB nurse specialists at all Public Private Mix (PPM) participating hospitals in South Korea. Results A total of 52 tuberculosis patients with treatment failure were enrolled. In a multivariable analysis, the presence of diabetes, previous history of tuberculosis, and cavity were identified as risk factors for treatment failure; and Medicaid support was a favorable factor for treatment success (area under the curve [AUC]: 0.79). Age, low body mass index (BMI), presence of diabetes, preexisting lung disease, positive sputum acid-fast bacilli (AFB) smear result, and the presence of multidrug-resistant tuberculosis ( MDR-TB) were significantly associated with presence of cavities. Younger age, lower BMI and previous history of TB were associated with poor compliance during treatment (AUC: 0.76). Conclusion To reduce treatment failure, careful evaluation of the presence of diabetes, previous TB history, underlying lung disease, cavity, results of sputum AFB smears, and socioeconomic status are needed. To enhance treatment compliance, more attention should be paid to younger patients with lower BMIs during follow-up.

scholarly journals Significance of descriptive symptoms and signs and clinical parameters as predictors of neuropathic cancer pain

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0252781
Author(s):  
Sun Kyung Baek ◽  
Sang Won Shin ◽  
Su-Jin Koh ◽  
Jung Han Kim ◽  
Hyo Jung Kim ◽  
...  
Keyword(s):  
Cancer Pain ◽  
Disease Duration ◽  
Young Patients ◽  
Stage Iv ◽  
Clinical Predictors ◽  
Cross Sectional ◽  
Korean Patients ◽  
History Of ◽  
Stage Iv Cancer ◽  
Symptoms And Signs

Purpose Evaluation of symptoms and signs for the management of neuropathic cancer pain (NCP) is challenging. This study aimed to identify clinical predictors of NCP and symptoms and signs most relevant of those in Korean patients. Methods This nationwide, descriptive, cross-sectional, multicenter, observational study included 2,003 cancer patients aged ≥20 years who reported a visual analog scale (VAS) score ≥1 for pain and provided informed consent for participation. The Douleur Neuropathic (DN4) questionnaire (score ≥4) was used to determine symptoms and signs as well as the presence of NCP. Results The prevalence of NCP was associated with age <65 years [OR, 1.57; 95% CI, 1.270–1.934], disease duration >6 months (OR, 1.57; 95% CI, 1.232–2.012), stage IV cancer (OR, 0.75; 95% CI, 0.593–0.955), history of chemotherapy (OR, 1.74; 95% CI, 1.225–2.472), and moderate-to-severe cancer pain (OR, 2.05; 95% CI, 1.671–2.524) after multivariate analysis. The most common descriptive symptoms of NCP were tingling, electric shock, and pins and needles. For NCP patients in the presence or absence of the clinical predictors, pins and needles (p = 0.001) and painful cold (p<0.001) symptoms were significantly frequent in patients with moderate-to-severe pain. Tingling, numbness, and touch hypoesthesia (p = 0.022, 0.033, 0.024, respectively) were more frequent in those with longer cancer duration and hyperesthesia (p = 0.024) was more frequent in young patients. Conclusion Age <65 years, disease duration >6 months, stage IV cancer, history of chemotherapy, and moderate-to-severe cancer pain, were identified as predictors of NCP. Some symptoms and signs of NCP were associated with these predictors. Further studies are warranted on the pathogenesis and management of NCP with respect to the symptoms and signs, and factors associated with pain severity in Korean patients.

scholarly journals Prediction of Treatment Failure and Compliance in Patients with Tuberculosis

2020 ◽  
Author(s):  
Hyeon-Kyoung Koo ◽  
Jinsoo Min ◽  
Hyung Woo Kim ◽  
Joosun Lee ◽  
Ju Sang Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Treatment Failure ◽  
Lung Disease ◽  
Treatment Success ◽  
Multivariable Analysis ◽  
Previous History ◽  
Treatment Compliance ◽  
Poor Compliance ◽  
Cross Sectional ◽  
History Of

Abstract Background: To improve treatment outcomes for tuberculosis (TB), efforts to reduce treatment failure are necessary. The aim of our study was to describe the characteristics of subjects who had failed treatment of tuberculosis and identify the risk factors for treatment failure and poor compliance using national data.Methods: A multicenter cross-sectional study was performed on tuberculosis subjects whose final outcome was reported as treatment failure during 2015-2017. The same number of subjects with treatment success during the same study period were randomly selected for comparison. Demographics, microbiological, radiographic, and clinical data were collected based on in-depth interviews by TB nurse specialists at all Public Private Mix (PPM) participating hospitals in South Korea. Results: A total of 52 tuberculosis patients with treatment failure were enrolled. In a multivariable analysis, the presence of diabetes, previous history of tuberculosis, and cavity were identified as risk factors for treatment failure; and Medicaid support was a favorable factor for treatment success (area under the curve [AUC]: 0.79). Age, low body mass index (BMI), presence of diabetes, preexisting lung disease, positive sputum acid-fast bacilli (AFB) smear result, and the presence of multidrug-resistant tuberculosis (MDR-TB) were significantly associated with presence of cavities. Younger age, lower BMI and previous history of TB were associated with poor compliance during treatment (AUC: 0.76). Conclusion: To reduce treatment failure, careful evaluation of the presence of diabetes, previous TB history, underlying lung disease, cavity, results of sputum AFB smears, and socioeconomic status are needed. To enhance treatment compliance, more attention should be paid to younger patients with lower BMIs during follow-up.

scholarly journals Hyperglycaemia in newly diagnosed pulmonary tuberculosis patients: a cross-sectional study of the Agona District Hospital

2021 ◽  
Vol 1 (2) ◽  
pp. 50-58
Author(s):  
Richard K.D. Ephraim
Keyword(s):  
Diabetes Mellitus ◽  
Pulmonary Tuberculosis ◽  
Cross Sectional Study ◽  
Newly Diagnosed ◽  
Sectional Study ◽  
Cross Sectional ◽  
Duration Of Symptoms ◽  
Tuberculosis Patients ◽  
Increased Risk ◽  
History Of

Background: Diabetes mellitus is an important risk factor associated with tuberculosis (TB). This study investigated the prevalence and determinants of hyperglycemia among newly diagnosed pulmonary tuberculosis patients in the Agona Swedru Municipality. Method: A hospital-based cross-sectional study was conducted from December 2015 to April 2016. One hundred (100) newly diagnosed pulmonary tuberculosis patients at the Agona Swedru Municipal Hospital (ASMH) were enrolled for the study. Socio-demographic, clinical and anthropometric measurements were collected and fasting blood glucose (FBG) measured using standard protocols. Data was analyzed using Statistical Package for Social Sciences (SPSS) software version 20.0. Result: Of the 100 participants, 26% had hyperglycemia. The significant factors associated with increased risk of hyperglycemia among participants were history of diabetes mellitus (OR = 8.17, p= 0.004), severity of infection (OR = 23.64, p < 0.001) and duration of symptoms (OR= 2.63, p= 0.042). Conclusion: Hyperglycemia was common among newly diagnosed pulmonary tuberculosis patients. History of diabetes mellitus, severity of infection, and duration of symptoms were the determinants of hyperglycemia in pulmonary tuberculosis. Regular screening of hyperglycemia is essential in the management of tuberculosis. Finally, further studies should be conducted on glucose levels among pulmonary tuberculosis patients using higher sample size to increase the understanding of the subject.

scholarly journals Jaundice, Renal Failure and Pulmonary Haemorrhage in a Canal Boat Owner

2007 ◽  
Vol 6 (1) ◽  
pp. 28-29
Author(s):  
A Lind ◽  
◽  
S Dawson ◽  
Charlotte Cannon ◽  
◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Pulmonary Haemorrhage ◽  
Cardiovascular Collapse ◽  
Notifiable Disease ◽  
Duration Of Symptoms ◽  
Subclinical Disease ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Symptoms And Signs

Leptospirosis is a rare notifiable disease with three major clinical manifestations: subclinical disease, a self limiting illness (90% cases) and Weil’s disease, a fulminant, life-threatening condition with renal and hepatic failure, haemorrhagic pneumonitis and cardiovascular collapse. Diagnosis is by the detection of IgM antibodies to leptospira produced 7 to 14 days after the onset of illness. It is important for acute physicians to consider this condition in their initial differential diagnosis since early treatment reduces the severity and duration of symptoms and hospital stay. A history of environmental or occupational exposure to animals or potentially infected water should raise suspicions of leptospirosis. This article aims to remind clinicians of the diagnosis and management of this condition. The typical symptoms and signs are illustrated by a recent case which presented to our department.

Suicidal Ideation Among Medical Students in Dammam, Saudi Arabia

Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Students ◽  
Suicidal Ideation ◽  
General Health Questionnaire ◽  
Cross Sectional Study ◽  
Eastern Province ◽  
Cross Sectional ◽  
The Past ◽  
Depression Subscale ◽  
History Of

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.

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