EFFECTS OF HEMOTOXIC SNAKE BITE ENVENOMATION  ON HAEMATOLOGICAL PARAMETERS VARIABILITY IN PREDICTING COMPLICATIONS

Background. Snake bite envenomation is a major public health problem in India with a high mortality rate. The major complications following a hemotoxic snake bite are disseminated intravascular coagulation (DIC), shock, acute kidney injury (AKI), acute respiratory distress syndrome (ARDS) and coagulopathy. The study explores a possible correlation of the haematological parameters studied to complications like DIC, AKI, acute renal failure (ARF), ARDS, shock and gastrointestinal (GI) bleed. Objective. The aim of the study was to find out the effect of snakebite envenomation on the major haematological parameters of the body in relation to complications. Methods. This cross-sectional study was conducted during a period of 18 months. 150 patients were included in the study after obtaining their informed consents. Data collection was done using a proforma. The study also compared clotting time (CT) by capillary tube method and whole blood clotting time at 20 minutes (WBCT20). SPSS software was used for statistical analysis. Results. Among the people with complications, the majority (52%) of participants had AKI, 26% of them requiring dialysis, 16.7% participants had GI bleed, 11.3% participants had shock and 10% participants had DIC. Conclusions. A prolonged bleeding time was found to be one of the most helpful haematological parameters in predicting shock and AKI. Clotting time by both capillary tube and WBCT20 methods were comparable in predicting complications. Objective: The objective of this study was to find the effect of snakebite envenomation on the major haematological parameters of the body. Material and method: This cross-sectional study was conducted over a period of 18months. A total of 150 patients were included in the study after obtaining informed consent. Data collection was done using a proforma. SPSS software was used for statistical analysis. Results: Among the people with complications, the majority (52%) of participants had AKI, followed by 26% participants who required Dialysis, 16.7% participants had GI bleed, 11.3% participants had the shock and 10% participants had DIC. Conclusion: A prolonged bleeding time was found to be one of the most helpful haematological parameters in predicting the shock and AKI.

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PERBANDINGAN DENYUT NADI ANTARA PENDUDUK YANG TINGGAL DI DATARAN TINGGI DAN DATARAN RENDAH

Jurnal e-Biomedik ◽

10.35790/ebm.2.2.2014.5233 ◽

2014 ◽

Vol 2 (2) ◽

Cited By ~ 1

Author(s):

Ivanny Kasenda ◽

Sylviah Marunduh ◽

Herlina Wungouw

Keyword(s):

Cross Sectional Study ◽

Statistical Test ◽

The Body ◽

Analytic Method ◽

Sectional Study ◽

Mountain Area ◽

Cross Sectional ◽

The People ◽

Significant Difference ◽

The Difference

Abstract: The pulse is a pressure that is delivered in the form of a wave when the heart pumped up blood around the body. Pulse is determined by the elasticity of blood vessels. There are research showing the difference in pulse rate in the highlands and lowlands. This research aimed to determine the ratio between the pulse of the people that live in the highlands (mountain area) and lowlands (coastal area). This research is an analytic method using cross sectional study. The subjects of this research is 80 people living in the highlands and 80 people living in the lowlands. The subjects are 18-65 years, physically and mentally healthy and they have been living at the area for 5 years. The data were analyzed using non-parametric test Mann Whitney test. Based on the results of the Mann Whitney statistical test, it shows that there is a difference between the result of pulse measurement of the people living in the highlands and lowlands with asymp value. Sig. (2-tailed) α = 0:03 (α <0.05), which means that there are significant difference between highlands and lowlands. The result of this research can be concluded that there is a significant difference in the measurement of the pulse between people living in the highlands and lowlands. Keywords: Pulse, highlands, lowlands. Abstrak: Denyut nadi adalah suatu tekanan yang dihantarkan dalam bentuk gelombang saat darah dipompa jantung ke seluruh tubuh. Denyut nadi ditentukan oleh elastisitas pembuluh darah. Terdapat penelitian yang menunjukkan adanya perbedaan denyut nadi di dataran tinggi dan dataran rendah. Penelitian ini bertujuan untuk mengetahui perbandingan denyut nadi antara penduduk yang tinggal di dataran tinggi (daerah pegunungan) dan dataran rendah (daerah pesisir pantai). Jenis penelitian ini adalah bersifat metode analitik dengan pendekatan rancangan cross sectional study. Subjek dari penelitian ini adalah 80 orang yang tinggal di dataran tinggi dan 80 orang yang tinggal di dataran rendah. Subjek berumur 18- 65 tahun, sehat jasmani dan rohani serta tinggal menetap 5 tahun. Data di analisis menggunakan uji non parametrik yaitu uji Mann Whitney. Berdasarkan hasil uji statistik Mann Whitney menunjukkan bahwa ada perbedaan hasil pengukuran denyut nadi antara penduduk yang tinggal di dataran tinggi dan dataran rendah dengan nilai asymp. Sig. (2-tailed) α = 0.03(α < 0.05) yang berarti terdapat perbedaan yang bermakna antara dataran tinggi dan dataran rendah. Hasil penelitian ini dapat disimpulkan bahwa terdapat perbedaan yang bermakna pada pengukuran denyut nadi antara penduduk yang tinggal di dataran tinggi dan dataran rendah. Kata kunci denyut nadi, dataran tinggi, dataran rendah.

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Magnitude of Snake Bite and Drowing During Monsoon Flood in Two Districts of Bangladesh

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v7i1.31781 ◽

2017 ◽

Vol 7 (1) ◽

pp. 3-5

Author(s):

AM Selim Reza ◽

SM Nurul Islam ◽

Anirudha Ghosh ◽

Md Ridwanur Rahman ◽

MA Faiz ◽

...

Keyword(s):

District Hospital ◽

Population Data ◽

Cross Sectional Study ◽

Snake Bite ◽

Cross Sectional ◽

Private Hospitals ◽

Medical College ◽

Flood Season ◽

The People ◽

Study Population

Background: Snake bite and drowning is very common during the season of monsoon flood.Objective: The purpose of the present study was to see the magnitude of snake bite and drowning during monsoon flood season in two districts of Bangladesh.Methodology: This cross sectional study was conducted from May 2012 to October 2012 in the most commonly flood affected districts of Bangladesh which were Shirajgonj and Pabna. All the people living in these two districts were selected as study population. Data regarding snake bite and drowning were collected from existing health facilities at Upazila Health Complexes, district hospital, private hospitals, print media like local and national newspapers, Medical College Hospitals and police station.Result: A total number of 9 Upazila in Sirajgonj District and another 9 upazila in Pabna district were included in this study. In Sirajgonj district drowning reported were in 140 cases and snake bite was in 49 cases. Furthermore, among 49 cases of snake bite death was occurred in 7(14.3%) cases in Sirajgonj District. Interestingly Shahzadpur, Shirajgonj sadar and Ullapara were the most common reported Upazila for drowning cases which were 38(27.1%) cases, 21(15.0%) cases and 20(l4.3%) cases respectively. However, among these high prone drowning area, snake bite is reported less commonly and Kazipur was the highest reported area for snake bite which was 25(51.0%) cases. On the other hand, Pabna district drowning reported cases were in 58 and snake bite was in 62 cases. Furthermore, among 62 cases of snake bite death was occurred in 17(27.4%) cases. Sujanagar, Bera and Faridpur were the most common reported area for drowning which were 11, 10 and 9 cases respectively. However, Chatmohar was the most commonly reported by snake bite which was 20(32.3%) cases.Conclusion: Drowning is more commonly occurred in Sirajgonj district than Pabna. However, Pabna district is found a snake bite prone area.J Shaheed Suhrawardy Med Coll, 2015; 7(1):3-5

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KAPASITAS VITAL PARU PADA PENDUDUK DATARAN TINGGI DESA RURUKAN TOMOHON

Jurnal e-Biomedik ◽

10.35790/ebm.3.1.2015.7420 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Juarfianti . ◽

Joice N. A. Engka ◽

Siantan Supit

Keyword(s):

Vital Capacity ◽

Normal Limit ◽

Cross Sectional Study ◽

The Body ◽

Normal Lung ◽

Adult Males ◽

Cross Sectional ◽

Lung Capacity ◽

The People ◽

Distribution Frequency

Abstract: Breath is inspiring air from outside and expiring air out of the body. Lung vital capacity is the maximum amount of air that can be expired from the lungs (approximately 4600 ml). The value of vital lung capacity of adult males is 20-25% higher than of adult females. Some studies have shown that there are many factors influencing the lung vital capacity. This study aimed to describe lung vital capacity among plateu population of Rurukan Tomohon village. This was a descriptive analytic cross sectional study. Subjects were 30 people, aged 20-70 years old, who lived in Rurukan plateu. The lung vital capacity was measured by using a spirometer. Data were processed and presented as distribution frequency tables. The results showed that the majority of respondents were over 40-50 years old (36.7%), housewives (46.7%), had index of obesity I (50%), with the degree of restrictive lung vital capacity within normal limit (80%). Conclusion: Most of the people living in Rurukan plateau had normal lung vital capacity.Keywords: vital lung capacity, plateuAbstrak: Pernapasan adalah menghirup udara dari luar serta menghembuskan udara keluar dari tubuh. Kapasitas vital paru adalah jumlah udara maksimum yang dapat dikeluarkan dari paru (kira-kira 4600 ml). Nilai kapasitas vital paru pria dewasa lebih tinggi 20-25% daripada wanita dewasa. Sejumlah penelitian menunjukkan bahwa banyak faktor yang mempengaruhi kapasitas vital paru. Penelitian ini bertujuan untuk mengetahui gambaran kapasitas vital paru pada penduduk dataran tinggi desa Rurukan Tomohon. Jenis penelitian ini bersifat deskriptif analitik dengan rancangan potong lintang. Subjek penelitian terdiri dari 30 orang berusia 20-70 tahun yang tinggal di dataran tinggi. Data diperoleh melalui pengukuran kapasitas vital paru menggunakan spirometer. Data diolah dan disajikan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan bahwa mayoritas responden berusia >40-50 tahun (36,7%), pekerjaan ibu rumah tangga (46,7%), indeks massa tubuh obes I (50%), dan derajat restriktif kapasitas vital paru normal (80%). Simpulan: Sebagian besar penduduk dataran tinggi desa Rurukan mempunyai kapasitas vital paru normal.Kata kunci : kapasitas vital paru, dataran tinggi.

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Clinico-Epidemiological Profile, Health Care Utilization and Practices Regarding Snake Bite at Ilam District of Eastern Nepal

Birat Journal of Health Sciences ◽

10.3126/bjhs.v2i2.18522 ◽

2017 ◽

Vol 2 (2) ◽

pp. 179-183 ◽

Cited By ~ 2

Author(s):

Surya B Parajuli ◽

S Bhattarai ◽

IS Paudel ◽

P K Pokharel ◽

R B Rayamajhi ◽

...

Keyword(s):

Health Care ◽

Health Care Utilization ◽

Health Care Services ◽

First Aid ◽

Cross Sectional Study ◽

The Body ◽

Snake Bite ◽

Treatment Center ◽

Care Utilization ◽

Cross Sectional

IntroductionSnake bite is neglected problem of the rural agrarian society of the world. Nepal is one of the vulnerable countries of snakebite. The utilization of health care services and practices regarding snake bite is not known.ObjectiveThis objective of the study was to explore clinicoepidemiological profile, health care utilization and practices regarding snake bite at Ilam District of eastern Nepal.MethodologyThis was a cross-sectional study and conducted from th th 25 March to 25 May 2013 using a systematic random sampling of 300 people from communities of Ilam district. The data was collected after receiving informed consent. The collected data was entered into Microsoft excel and analysed by using SPSS.ResultsThe majority (76.7%) of the respondents had seen snakes in their locality. The major snake noticed was mountain pit viper (Ovophis monticola)- Grube (94.8%). Among respondents, 5.3% had a history of snake bite which was predominant among productive age of 15-39 years. The most common bitten part of the body was leg (56.3%). There was no any serious injuries and death. Treatment was done by different modalities such as by using local antidote (31.3%) at the bite site and by soap-clean water (25%). Sixty-nine percent of the snake bite victims utilized modern health care system. Charali snake bite management center, Jhapa was the major treatment center. Seven out of 10 had knowledge of using a tourniquet. After full recovery from a snake bite, 1 out of 5 had avoided milk due to their false belief.ConclusionActive age group was more victimized. The commonest bitten part was a leg. The knowledge of first aid of snake bite was not adequate and many were unaware of post snake bite practices. Reassurance, early first aid and timely transportation to health center save many victims of snake bite.Birat Journal of Health SciencesVol.2/No.1/Issue 2/ Jan - April 2017, page: 179-183

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Association between Short Hours of Sleep and Overweight/Obesity in Mexican Adolescent Population: A School-Based Cross-Sectional Study

Healthcare ◽

10.3390/healthcare9080939 ◽

2021 ◽

Vol 9 (8) ◽

pp. 939

Author(s):

Ana Fresan ◽

Alma Delia Genis-Mendoza ◽

María Lilia López-Narváez ◽

Tania Guadalupe Gómez-Peralta ◽

Daniela Georgina Aguilar-Velázquez ◽

...

Keyword(s):

Cross Sectional Study ◽

The Body ◽

Categorical Variables ◽

Continuous Variables ◽

Sectional Study ◽

Cross Sectional ◽

Obese Adolescent ◽

School Based ◽

Prevalence Of Obesity ◽

Mexican Adolescents

Background/Aim: Obesity in adolescents is increasing; as such, the aim of this study was to determine the prevalence of obesity in Mexican adolescents and examine its possible association with hours of sleep. Methods: A school-based cross-sectional study was carried out. This study included 863 adolescents aged between 11 and 16 years. The prevalence of obesity was estimated using the body mass index (BMI). The duration of sleep (and other information) was assessed by a self-reported questionnaire. The Cochran–Mantel–Hansel test for categorical variables and a general linear model for continuous variables were used to evaluate the interaction effect of BMI and sex with respect to sleeping and assessed activity conditions. Results: It was found that 47.6% of the adolescents were overweight/obese. Men were more frequently overweight/obese than women (52.6% vs. 41.8%, p = 0.002). Moreover, overweight/obese adolescents were younger and spent fewer daily hours watching television (p < 0.05). Men practiced sports more hours per week than women (p = 0.04). However, women spent more daily time on the internet (p = 0.05), and overweight/obese adolescent women slept fewer hours than overweight/obese men and adolescents with normal weight (p = 0.008). Conclusions: The development of strategies for the prevention of overweight/obesity and the improvement of sleep duration should include a gender perspective to improve health habits in Mexican adolescents.

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The importance of dysphagia screening and nutritional assessment in hospitalized patients

Einstein (São Paulo) ◽

10.1590/s1679-45082018ao4189 ◽

2018 ◽

Vol 16 (2) ◽

Cited By ~ 5

Author(s):

Patrícia Amaro Andrade ◽

Carolina Araújo dos Santos ◽

Heloísa Helena Firmino ◽

Carla de Oliveira Barbosa Rosa

Keyword(s):

Nutritional Status ◽

Global Assessment ◽

Assessment Tool ◽

Nutritional Assessment ◽

Cross Sectional Study ◽

Hospitalized Patients ◽

The Body ◽

Subjective Global Assessment ◽

Cross Sectional ◽

Knee Height

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

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The Accuracy of Broselow Tape Weight Estimate among Pediatric Population

BioMed Research International ◽

10.1155/2016/7042947 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 8

Author(s):

Turki M. AlHarbi ◽

Abdullaziz AlGarni ◽

Fasial AlGamdi ◽

Mona Jawish ◽

Tariq Ahmad Wani ◽

...

Keyword(s):

Body Weight ◽

Pediatric Population ◽

Body Height ◽

Age Groups ◽

Cross Sectional Study ◽

The Body ◽

Accurate Estimation ◽

Cross Sectional ◽

Actual Weight ◽

Medical City

Objective.To determine the accuracy of the Broselow Tape (BT) versions 2007 and 2011 in estimating weight among pediatric population.Methods.A cross-sectional study was conducted at King Fahad Medical City and six schools across Riyadh province on 1–143-month-old children. BT 2007 and 2011 estimated weights were recorded. Both tapes via the child’s height produce an estimated weight, which was compared with the actual weight.Results.A total of 3537 children were recruited. The height (cm) of the subjects was97.7±24.1and the actual weight (kg) was16.07±8.9, whereas the estimated weight determined by BT 2007 was15.87±7.56and by BT 2011 was16.38±7.95. Across all the five age groups, correlation between actual weight and BT 2007 ranged between 0.702 and 0.788, while correlation between actual weight and BT 2011 ranged between 0.698 and 0.788. Correlation between BT 2007 and BT 2011 across all the five age groups ranged from 0.979 to 0.989. Accuracy of both the tape versions was adversely affected when age was >95 months and body weight was >26 kilograms.Conclusions.Our study showed that BT 2007 and 2011 provided accurate estimation of the body weight based on measured body height. However, 2011 version provided more precise estimate for weight.

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Demonstration of the relationship between MSD and online learning during the COVID-19 pandemic

Journal of Applied Research in Higher Education ◽

10.1108/jarhe-08-2020-0269 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Kochu Therisa Karingada ◽

Michael Sony

Keyword(s):

Online Learning ◽

Undergraduate Students ◽

Online Survey ◽

Cross Sectional Study ◽

The Body ◽

Body Parts ◽

Cross Sectional ◽

Content Type ◽

The Right ◽

Almost All

PurposeThe COVID-19 pandemic lockdown has caught many educational institutions by surprise and warranted an abrupt migration from offline to online learning. This has resulted in an education change, without any time for due consideration, as regards its impact on musculoskeletal disorders (MSD) on students. The purpose of this study is to investigate MSD related to online learning during the COVID-19 pandemic lockdown.Design/methodology/approachA cross-sectional study was conducted on undergraduate students in India. In total, 261 students participated in this online survey.FindingsThe study finds that around 80% of students have reported some symptom in the head, neck and eyes since they started online learning. In total, 58% have reported MSD symptom in the right shoulder and 56% in the right hand fingers. Besides, more than 40 % of students experienced some MSD symptoms, in almost all the body parts studied, due to online learning. Correlation analysis is conducted between time spent on online learning per day and MSD symptoms.Originality/valueThis is the first study conducted on MSD and online learning during COVID-19 pandemic.

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Comparative assessment of odontometric parameters for gender determination: A hospital based cross-sectional study

Indian Journal of Forensic and Community Medicine ◽

10.18231/j.ijfcm.2021.030 ◽

2021 ◽

Vol 8 (3) ◽

pp. 147-152

Author(s):

Mosmi Lomi ◽

Jonathan Daniel M

Keyword(s):

Sexual Dimorphism ◽

Cross Sectional Study ◽

Mean Value ◽

The Body ◽

Central Incisor ◽

Maxillary Canine ◽

Cross Sectional ◽

Mean Values ◽

Gender Determination ◽

Significant Difference

Determining gender is one of the most important procedure in forensics. Teeth are made of the most enduring mineralized tissues in the body, as such, they have an extraordinary resistance to putrefaction and the effects of external agents (physical, thermal, mechanical, chemical or biological) which makes them invaluable material for anthropological, genetic, odontologic and forensic examinations.i)To assess the degree of sexual dimorphism in maxillary canine using maxillary canine index, maxillary first molar and central incisor using mesiodistal (MD) and buccolingual/buccopalatal (BL) dimensions of the crown. ii) To determine the accuracy of maxillary canine index, first molar and central incisor dimensions (mesiodistal and buccolingual/buccopalatal) in determining sex.This study consisted of total 30 participants (males=15, females=15) of age group ranging from 20 to 35 yrs. Measurement of dimensions of selected teeth were performed on maxillary cast using digital Vernier caliper, resolution 0.01mm. Data thus obtained were analyzed statistically.The mean values of all the measurements in males were greater than females. There was statistical significant difference in mean value of bucco-lingual width of molar, mesiodistal width of canine (on left side, right side and average) and the inter-canine distance between males and females. The buccolingual width of molar showed the highest % of sexual dimorphism (5.33%) and the mesiodistal width of molar showed the least % of dimorphism (0.7%). Bucco-lingual width of molar posed the highest prediction accuracy for gender determination. We conclude that buccolingual width of maxillary first molar can be used to predict the gender when only teeth of maxillary arch are available for forensic examination.

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A Cross-Sectional Study to Compare Differences on Clinical and Laboratory Findings in Children with Seropositive and Seronegative Lupus

10.21203/rs.3.rs-1113288/v1 ◽

2021 ◽

Author(s):

Shima Salehi ◽

Rozita Hosseini Shamsabadi ◽

Hassan Otukesh ◽

Reza Shiari ◽

Monir Sharafi

Keyword(s):

Autoimmune Disease ◽

Disease Diagnosis ◽

Cross Sectional Study ◽

Rapid Identification ◽

The Body ◽

Musculoskeletal Symptoms ◽

Laboratory Findings ◽

Cross Sectional ◽

Significant Difference ◽

History Of

Abstract Background: Lupus is an inflammatory and autoimmune disease that involves various tissues and organs of the body. Identification of diagnostic elements to rapid identification of seronegative lupus cases is very important in order to prevent morbidity and progression of disease. This study aimed to compare clinical and laboratory findings of seropositive cases with seronegative lupus patients. Methods: This cross-sectional analytic study was performed on 43 children (17 seronegative and 26 seropositive) with lupus who were admitted to Ali Asghar Hospital during 2007-2017. Seropositive patients had anti-nuclear antibody (ANA) titration >1/80, while seronegative patients had ANA titration <1/80 (at the time of disease diagnosis). Clinical and laboratory findings were compared between two groups.Results: Serositis in patients with ANA- was significantly higher than ANA+ (41.17% vs. 23.07%; p = 0.042). ANA- group had higher autoimmune disease history than ANA+ group (42.85% vs. 15.0%; p = 0.041). The family history of the disease in the ANA- group was greater than ANA+ group (50% vs. 23.52%). The percentage of hypertensive patients in ANA- group was higher than ANA+ group (52.94% vs. 26.92%; p = 0.037). Neurologic symptoms in ANA+ and ANA- groups were 38.46% and 17.64%, respectively (p = 0.043). The frequency of patients with thrombocytopenia in ANA+ group was significantly greater than ANA- group (32% vs. 12.5%; p=0.041). There was no significant difference in other clinical and laboratory findings between two groups. Conclusion: Seronegative lupus patients had higher percentage of musculoskeletal symptoms, autoimmune disease history, familial history of disease, and hypertension, while neurological and thrombocytopenia symptoms were higher in seropositive patients compared to seronegative cases. Therefore, evaluation of these factors can be helpful to diagnosis of seronegative patients.

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