Congenital Defects of the Vomer

2000 ◽  
Vol 109 (5) ◽  
pp. 497-499 ◽  
Author(s):  
Mitsuhiro Mohri ◽  
Mutsuo Amatsu
Keyword(s):  
Infectious Disease ◽  
Drug Abuse ◽  
Nasal Septum ◽  
Past History ◽  
University Hospital ◽  
Ossification Center ◽  
Congenital Defects ◽  
Nasal Surgery ◽  
History Of ◽  
Nasal Trauma

Six cases of congenital defect of the vomer, a rare nasal anomaly, are reported. All 6 patients visited Kobe University Hospital with other complaints, and the anomaly was incidentally detected. In all cases, the nasal septum showed a defect at the posteroinferior portion that appeared to coincide with the location of the vomer. None of the patients had a past history of nasal trauma, nasal surgery, drug abuse, or infectious disease. This anomaly may be attributable to an embryological disorder based on an immature ossification center of the vomer.

scholarly journals Awareness regarding pulmonary tuberculosis among the middle aged adults of the selected community

2018 ◽  
Vol 8 (4) ◽  
pp. 27-33
Author(s):  
Nisha Khatri ◽  
Babita Thapa
Keyword(s):  
Infectious Disease ◽  
Pulmonary Tuberculosis ◽  
Past History ◽  
Positive Family History ◽  
Signs And Symptoms ◽  
Structured Interview ◽  
History Of ◽  
Community People ◽  
Almost All ◽  
Middle Aged Adults

Tuberculosis is a highly contagious infectious disease worldwide. Tuberculosis causes ill-health among millions of people each year and ranks as the second leading cause of death from an infectious disease worldwide. A descriptive exploratory study design was conducted among 106 middle adulthood Community people of Saptakoshi Municipality of Saptari District, between 2074/06/3 to 2074/06/1 using non-probability purposive sampling method, and data was collected using semi-structured interview schedule. More than half of the respondents (62.3%) were of the age group 40-49 years, nearly half (50.9%) were Female. Near about one fifth (19%) of the respondents had positive family history of tuberculosis. Majority of the respondents (98.1%) stated cause of tuberculosis as bacteria. Almost all the respondents were aware about the signs and symptoms of tuberculosis. Only 12.3% of the respondents were aware about DOTS Programme. A significant association (p=0.037) was revealed between level of awareness and Past history of previous exposure to Pulmonary Tuberculosis

scholarly journals Clinical Profile of Idiopathic Epistaxis in a Hospital

2012 ◽  
Vol 52 (188) ◽  
Author(s):  
R Bhatta
Keyword(s):  
Nasal Septum ◽  
Past History ◽  
Demographic Data ◽  
Winter Season ◽  
Clinical Profile ◽  
Deviated Nasal Septum ◽  
Bleeding Point ◽  
History Of ◽  
Time Of Presentation ◽  
Idiopathic Epistaxis

Introduction: Epistaxis is a common otolaryngological emergency but most of the cases are idiopathic. This study was done to assess clinical profile in patients with idiopathic epistaxis.  Methods: Patients presenting in ENT outpatient department or emergency with epistaxis and no definite cause were selected. Patients demographic data, present and past history was recorded. All patients underwent anterior rhinoscopy and rigid nasal endoscopy.  Results: There were 142 patients with epistaxis without definite cause. Age ranged from 11 to 84 years with mean 32.8 years. Approximately two-third were male. Bleeding from right side was seen in 64 (45.0%) patients. Past history of bleeding was given by 79 (55.6%) patients and out of them 60 (75.9) % had bleeding from same side. Presentation was mostly in months of January to March. Bleeding point was seen in 65 patients. Most of them (37/65) was in Little’s area. Deviated nasal septum was seen in 102 patients. More than half of patients with unilateral bleeding were having bleeding from convex side of deviation. Blood pressure was found to be equal or more than 140/90 mm Hg in 55 (38.7%) patients at the time of presentation. Antihypertensive was required in less than half of these patients.  Conclusion: Idiopathic epistaxis is common in male, in winter season and in right side and from nasal septum. Hypertension may be found at presentation but most of them don’t need antihypertensive. Keywords: deviated nasal septum; epistaxis; hypertension.

scholarly journals Tracheal Rhinosporidiosis

2015 ◽  
Vol 20 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Md Anwar Hossain ◽  
Kamrul Hassan Tarafder ◽  
Sheikh Hasanur Rahman ◽  
Tawfiqur Rahman ◽  
Abdullah Al Mamun ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Respiratory Tract ◽  
Respiratory Distress ◽  
General Anaesthesia ◽  
Past History ◽  
Bronchial Tree ◽  
History Of Surgery ◽  
Rhinosporidium Seeberi ◽  
History Of

Rhinosporidiosis is a chronic granulomatous infectious disease caused by rhinosporidium seeberi that usually affects the nasal mucosa and ocular conjunctiva. Involvement of trachea ad bronchial tree is extremely rare. Few cases (8) have been reported in literature. We report a case of tracheal rhinosporidiosis that presented with stridor and haemoptysis with past history of surgery for recurrent rhinosporidiosis of nose and nasopharynx. Complete endoscopic excision and cauterization of base was done under general anaesthesia. No recurrent was observed for last 9 months of follow up. Tracheo-bronchial involvement by rhinosporidiosis should be suspected when a known case of rhinosporidiosis involving uper respiratory tract presents with respiratory distress and/or haempostysis. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22016 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 39-42

scholarly journals Predominance of fetal malformations among pregnant women: A multi-centric observational study

2021 ◽  
Vol 4 (2) ◽  
pp. 055-059
Author(s):  
Sayed Sayed Mohamed ◽  
Khalifa Ahmed Khedr ◽  
Abd Allah Shehata Nesreen Abd El Fattah ◽  
AM Eweis Mohamed ◽  
M Shawky Sherwet
Keyword(s):  
Observational Study ◽  
Pregnant Women ◽  
Congenital Anomalies ◽  
Prospective Observational Study ◽  
Past History ◽  
University Hospital ◽  
Fetal Anomalies ◽  
Fetal Medicine ◽  
Fetal Malformations ◽  
History Of

Objective: To observe the predominance of fetal anomalies in pregnant women in a multi-centric setting. Methods: This prospective observational study included 20225 pregnant women who came for antenatal care in University Hospital and fetal medicine units from 2016 to 2019. Fetal anatomical scanning was done for all participants. Results: One hundred eighty-three cases had fetal congenital anomalies, yielding a prevalence of around 0.9%. Third of cases had positive consanguinity, this increased in cases of skeletal and thoracic anomalies. The presence of past history of anomalies was evident in 8.2% mostly with skeletal and heart anomalies. History of drug intake was only verified in 1.6% of cases. Sixty-three women out of 183 (34.4%) were diagnosed to have anomalies in fetal nervous system. Conclusion: Prenatal diagnosis are recommended for early detection of congenital anomalies and counselling.

scholarly journals Dupilumab-associated ocular surface disease: presentation, management and long-term sequelae

Eye ◽  
2021 ◽  
Author(s):  
Magdalena Z. Popiela ◽  
Ramez Barbara ◽  
Andrew M. J. Turnbull ◽  
Emma Corden ◽  
Beatriz Suarez Martinez-Falero ◽  
...  
Keyword(s):  
Ocular Surface ◽  
Past History ◽  
University Hospital ◽  
Ocular Surface Disease ◽  
Prior History ◽  
Topical Steroids ◽  
Long Term Effects ◽  
Skin Changes ◽  
History Of

Abstract Objectives To determine the presenting features of ocular surface disease in patients with atopic dermatitis (AD) treated with dupilumab at a tertiary, university hospital. To establish the need for treatment of dupilumab-associated ocular surface disease and report any long-term effects on the ocular surface. Methods A retrospective analysis of consecutive patients treated with dupilumab for AD between January 2017 and August 2019 was undertaken. Data were collected on demographics, incidence and type of ocular disease features, natural history and treatment. Results A total of 50% (14/28) patients developed ocular symptoms with a mean time of onset of 6.75 (±6.1) weeks from starting dupilumab. Of these, 69% (9/13) were diagnosed with conjunctivitis associated with cicatrisation in two patients and periorbital skin changes in four. Of these nine, four had prior history of atopic keratoconjunctivitis. All were treated with topical steroids; two required additional ciclosporin drops. In all, 67% (6/9) patients went on to have on-going ocular inflammation requiring maintenance drops at a mean of 16 (±6.9) months of follow-up. All patients had improvement in their AD severity; only one patient discontinued dupilumab due to ocular side effects. Conclusion The rate of dupilumab-associated ocular surface disease was 32%. Periorbital skin changes and conjunctival cicatrisation were noted in association with conjunctivitis. Ocular surface disease improved on topical steroids and ciclosporin but 67% of patients needed on-going treatment. Close liaison with an ophthalmologist should be considered in those patients who develop conjunctivitis or have a past history of severe ocular surface disease.

scholarly journals Intraseptal Mucocele as a Long-term Complication of Revision Septorhinoplasty: A Case Report and Review of a Rare Entity

2019 ◽  
Vol 10 ◽  
pp. 215265671984532
Author(s):  
Jordan W. Rawl ◽  
Nicholas A. Rossi ◽  
Mohamad R. Chaaban ◽  
Paul Brindley
Keyword(s):  
Cystic Degeneration ◽  
Cystic Lesions ◽  
Rare Entity ◽  
Nasal Surgery ◽  
Presenting Symptoms ◽  
History Of ◽  
Nasal Trauma ◽  
Sinus Ostium ◽  
Sinus Mucosa

Paranasal sinus mucoceles are benign, expansive, cystic lesions which arise from retention of mucus secretions. They arise primarily in the setting of cystic degeneration of the sinus mucosa or secondarily in the setting of obstruction of the sinus ostium due to mucosal trauma or chronic inflammation. Septal mucoceles are rare. Only 10 cases to our knowledge have previously been reported. Patients are exclusively male, in their middle years, usually with a history of nasal trauma or nasal surgery. Nasal obstruction followed by headache present for 3 months to a year are the most common presenting symptoms. Here, we present a case of septal mucocele with dystrophic bone formation in a 57-year-old man arising 35 years after open septorhinoplasty treated successfully with total excision via an endoscopic, endoseptal approach. A review of the available literature was conducted to provide a consolidated update on diagnosis and management.

scholarly journals Missed Registration of Disease Codes for Pediatric Anaphylaxis at the Emergency Department

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Byungho Choi ◽  
Sun Hyu Kim ◽  
Hyeji Lee
Keyword(s):  
Emergency Department ◽  
Pediatric Patients ◽  
Past History ◽  
Gastrointestinal Symptoms ◽  
University Hospital ◽  
Future Research ◽  
Hospital Emergency ◽  
Steroid Use ◽  
History Of ◽  
The University

Background. It is important to register anaphylaxis codes correctly to study the exact prevalence of anaphylaxis. The purpose of this study was to analyze the clinical characteristics and disease codes of inaccurately registered groups in pediatric anaphylaxis patients. Methods. This study reviewed the medical records of all pediatric patients who presented to the university hospital emergency department over a 5-year period. Study subjects were divided into 2 groups: the accurate group, including those registered under anaphylaxis codes, and the inaccurate coding group, including those registered under other codes. Results. From a total of 79,676 pediatric patients, 184 (0.23%) had anaphylaxis. Of these, 23 (12.5%) and 161 (87.5%) patients were classified to the accurate and inaccurate coding groups, respectively. Average age, time from symptom onset to emergency department presentation, past history of allergy, and penicillin and cephalosporin as causes of anaphylaxis differed between the 2 groups. Cardiovascular (39.1% vs. 5.6%, p=0.001) and respiratory symptoms (65.2% vs. 42.2%, p=0.038) manifested more frequently in the accurate group, while gastrointestinal symptoms (68.3% vs. 26.1%, p=0.001) were more frequently observed in the inaccurate coding group. Fluid administration (82.6% vs. 28.0%, p=0.001), steroid use (60.9% vs. 23.0%, p=0.001), and epinephrine use (65.2% vs. 13.0% p=0.001) were more common treatments for anaphylaxis in the emergency department in the accurate group. Anaphylaxis patients with cardiovascular symptoms, steroid use, and epinephrine use were more likely to be accurately registered with anaphylaxis disease codes. Conclusions. In the case of pediatric anaphylaxis, more patients were registered inaccurately under other allergy-related codes and simple symptom codes, rather than under anaphylaxis codes. Therefore, future research on anaphylaxis should consider inaccurately registered anaphylactic patients, as shown in this study.

PREVALENCE AND RELATED FACTORS OF POSTNATAL DEPRESSION IN HIV INFECTED WOMEN

2014 ◽  
pp. 140-152
Author(s):  
Manh Hoan Nguyen ◽  
Ngoc Thanh Cao
Keyword(s):  
Regression Analysis ◽  
Postpartum Depression ◽  
Hiv Infection ◽  
Postnatal Depression ◽  
Past History ◽  
Depression Scale ◽  
Multivariate Regression Analysis ◽  
Related Factors ◽  
History Of ◽  
History Of Depression

Background and Objective: HIV infection is also a cause of postpartum depression, however, in Vietnam, there has not yet the prevalence of postpartum depression in HIV infected women. The objective is to determine prevalence and related factors of postpartum depression in HIV infected women. Materials and Methods: From November 30th, 2012 to March 30th, 2014, a prospective cohort study is done at Dong Nai and Binh Duong province. The sample includes135 HIV infected women and 405 non infected women (ratio 1/3) who accepted to participate to the research. We used “Edinburgh Postnatal Depression Scale (EPDS) as a screening test when women hospitalized for delivery and 1 week, 6weeks postpartum. Mother who score EPDS ≥ 13 are likely to be suffering from depression. We exclude women who have EPDS ≥ 13 since just hospitalize. Data are collected by a structural questionaire. Results: At 6 weeks postpartum, prevalence of depression in HIV infected women is 61%, in the HIV non infected women is 8.7% (p < 0.001). There are statistical significant differences (p<0.05) between two groups for some factors: education, profession, income, past history of depression, child’s health, breast feeding. Logistical regression analysis determine these factors are related with depression: late diagnosis of HIV infection, child infected of HIV, feeling guilty of HIV infected and feeling guilty with their family. Multivariate regression analysis showed 4 factors are related with depression: HIV infection, living in the province, child’s health, past history of depression. Conclusion: Prevalence of postpartum depression in HIV infected women is 61.2%; risk of depression of postnatal HIV infected women is 6.4 times the risk of postnatal HIV non infected women, RR=6.4 (95% CI:4.3 – 9.4). Domestic women have lower risk than immigrant women from other province, RR=0.72 (95% CI:0.5 – 0.9). Past history of depression is a risk factor with RR=1.7 (95% CI:1.02 – 0.9. Women whose child is weak or die, RR=1.7(95% CI:0.9 – 3.1). Keywords: Postpartum depression, HIV-positive postpartum women

Nonlocal Gravity

2017 ◽  
Author(s):  
Bahram Mashhoon
Keyword(s):  
Gravitational Field ◽  
Gravitational Lensing ◽  
Past History ◽  
Lorentz Invariance ◽  
Minkowski Spacetime ◽  
Field Measurements ◽  
Local Principle ◽  
History Of ◽  
Expansion Of The Universe ◽  
Nearby Galaxies

A postulate of locality permeates through the special and general theories of relativity. First, Lorentz invariance is extended in a pointwise manner to actual, namely, accelerated observers in Minkowski spacetime. This hypothesis of locality is then employed crucially in Einstein’s local principle of equivalence to render observers pointwise inertial in a gravitational field. Field measurements are intrinsically nonlocal, however. To go beyond the locality postulate in Minkowski spacetime, the past history of the accelerated observer must be taken into account in accordance with the Bohr-Rosenfeld principle. The observer in general carries the memory of its past acceleration. The deep connection between inertia and gravitation suggests that gravity could be nonlocal as well and in nonlocal gravity the fading gravitational memory of past events must then be taken into account. Along this line of thought, a classical nonlocal generalization of Einstein’s theory of gravitation has recently been developed. In this nonlocal gravity (NLG) theory, the gravitational field is local, but satisfies a partial integro-differential field equation. A significant observational consequence of this theory is that the nonlocal aspect of gravity appears to simulate dark matter. The implications of NLG are explored in this book for gravitational lensing, gravitational radiation, the gravitational physics of the Solar System and the internal dynamics of nearby galaxies as well as clusters of galaxies. This approach is extended to nonlocal Newtonian cosmology, where the attraction of gravity fades with the expansion of the universe. Thus far only some of the consequences of NLG have been compared with observation.

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