scholarly journals Study of coagulation profile in malaria

2020 ◽  
Vol 6 (8) ◽  
pp. 459-465
Author(s):  
Dr. Vibha K Patel ◽  
◽  
Dr. Nirali Kalpesh Shah ◽  
Dr. Anjali Deepak Goyal ◽  
Dr. Cherry Kalpesh Shah ◽  
...  
Keyword(s):  
Platelet Count ◽  
Tertiary Care ◽  
Major Health Problem ◽  
Major Health ◽  
Coagulation Parameters ◽  
Significant Difference ◽  
Prospective Comparative Study ◽  
The Difference ◽  
Level Of Significance ◽  
And Control

Background: Malaria is a major health problem in many parts of India. Several factors have beenattributed to increased morbidity and mortality in malaria with altered hematological andcoagulation parameters. This study was conducted to compare the coagulation parameters ofmalaria cases with those of the healthy carriers. Aims and objectives: To evaluate coagulationabnormalities in patients of malaria and to study the difference in coagulation parameters betweenmalaria patients and healthy controls and to determine the level of significance of the difference.Materials and methodology: This prospective comparative study of 300 patients with laboratorydiagnosed malaria patients (cases) and 300 healthy individuals (controls) was carried out in theDepartment of Pathology in a tertiary care, V. S. General Hospital, Ahmedabad. Result: Comparisonof platelet count, PT, and aPTT between case groups and control groups was statistically significant(p<0.001). Conclusion: There is a significant difference between the platelet count, PT, and aPTTvalues of the two groups. This indicates that in patients with malaria, there is an activation ofintrinsic and extrinsic pathways of coagulation.

scholarly journals Evaluation of coagulation parameters in patients with parathyroid adenoma

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Murat Alay ◽  
Berrak Mermit Ercek ◽  
Gulcin Miyase Sonmez ◽  
Aysegul Sakin ◽  
Rifki Ucler ◽  
...  
Keyword(s):  
Parathyroid Adenoma ◽  
Patient Group ◽  
Protein S ◽  
Control Group ◽  
Control Groups ◽  
Coagulation Parameters ◽  
Significant Difference ◽  
The Mean ◽  
The Difference ◽  
And Control

Abstract Parathyroid adenoma is responsible for 80–85% of cases of primary hyperparathyroidism. Increased fibrinogen levels in patients with adenoma may increase the risk of atherosclerosis and cardiovascular events. The aim of this study was to investigate the relationship between coagulation parameters and parathyroid adenoma. A prospective study included 28 female patients with parathyroid adenoma aged 40–88 years and 27 age-matched healthy controls. The coagulation parameters were assessed for each participant. The mean ages of the patient and control groups were 57.7 ± 10.9 and 53.3 ± 9.31 years, respectively. The mean level of protein S activity was 65.79 ± 13.78 in the patient group and 77.00 ± 15.72 in the control group, and the difference was statistically significant (p = 0.013). The mean fibrinogen levels of the patient and control groups were 338.78 ± 63.87 mg/dL and 304.30 ± 45.67 mg/dL, respectively, and a significant difference was found (p = 0.041). However, no significant difference was evident between the two groups with regard to the D-dimer (p = 0.238), aPTT (p = 0.645), INR (p = 0.406), protein C (p = 0.076), and AT-III (p = 0.180) levels. A positive correlation was observed between adenoma volume and fibrinogen in the patient group (r = 0.711, p = 0.001). The protein S levels were lower and the fibrinogen levels higher in the patients with parathyroid adenoma.

scholarly journals Evaluating the Difference between Virtual and Paper-Based Clinical Cases in Family Medicine Undergraduate Education

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Zalika Klemenc-Ketis ◽  
Branka Cagran ◽  
Dejan Dinevski
Keyword(s):  
Family Medicine ◽  
Virtual Patient ◽  
Educational Outcome ◽  
Factual Knowledge ◽  
Virtual Patients ◽  
Multiple Choice Questions ◽  
Significant Difference ◽  
The Difference ◽  
And Control ◽  
Clinical Cases

Introduction. A “virtual patient” is defined as a computer program which simulates real patients’ cases. The aim of this study was to determine whether the inclusion of virtual patients affects the level of factual knowledge of family medicine students at the undergraduate level. Methods. This was a case-controlled prospective study. The students were randomly divided into experimental (EG: N=51) and control (CG: N=48) groups. The students in the EG were asked to practice diagnosis using virtual patients instead of the paper-based clinical cases which were solved by the students in the CG. The main observed variable in the study was knowledge of family medicine, determined by 50 multiple choice questions (MCQs) about knowledge of family medicine. Results. There were no statistically significant differences in the groups’ initial knowledge. At the final assessment of knowledge, there were no statistically significant differences between the groups, but there was a statistically significant difference between their initial and final knowledge. Conclusions. The study showed that adding virtual patient cases to the curriculum, instead of paper clinical cases, did not affect the level of factual knowledge about family medicine. Virtual patients can be used, but a significant educational outcome is not expected.

Bovine trypanosomosis in Gimbi district of Western Oromia, Ethiopia

2010 ◽  
Vol 60 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Ashenafi Hagos ◽  
Hailu Yacob ◽  
Asoke Basu ◽  
Degneh Efrem
Keyword(s):  
Sea Level ◽  
Rainy Season ◽  
Age Groups ◽  
Trypanosoma Congolense ◽  
Dry Season ◽  
Major Health Problem ◽  
Major Health ◽  
Glossina Morsitans Submorsitans ◽  
Bovine Trypanosomosis ◽  
Significant Difference

AbstractA study on the epidemiology of bovine trypanosomosis was conducted from September 2006 to April 2007 in six villages of the Gimbi district in west Wollega zone of Ethiopia. The prevalence of the disease, the apparent densities and distribution of tsetse and other biting flies in two seasons, the dry and rainy, were determined. The results of a questionnaire survey from 80 farmers revealed that trypanosomosis was a major health problem affecting animals and impeding agricultural activities.A total of 568 blood samples were collected from randomly selected animals (280 animals in rainy and 288 in dry season) and revealed the presence of Trypanosoma congolense Broden, 1904 and T. vivax Zieman, 1905 in the area. Trypanosoma congolense was the dominant species that accounted for 66.2% of the infections. The mean packed cell volume (PCV) concentrations were 22.77% (95% CI =19.99-21.55) in parasitaemic and 25.25% (95% CI=24.88-25.61) in aparasitaemic animals with a significant difference (P<0.005). There was a significant (P<0.012) difference in trypanosome infection between age groups of cattle, being higher in adults. The overall prevalence of trypanosomosis was 12.5%, while the disease prevalence was higher during the rainy season (15 %) than the dry season (10.1%). In three villages of lowland areas (below 1600 meter above sea level), a higher prevalence was recorded 20.9% and 7.9% as compared to three villages of midland areas (≥ 1600 meter above sea level) 11.8% and 8.3% in late rainy and dry season, respectively.A fly-survey was conducted by using 80 monoconical pyramidal traps and revealed that two tsetse species, namely Glossina morsitans submorsitans Newstead and Glossina tachinoides Westwood were found along with other biting flies (Tabanus, Haematopota and Stomoxys species). Higher numerical catches of Glossina were recorded in late rainy season and the apparent density was positively correlated (r=0.5171) with the prevalence of infection.

A Comparative Study of Endoscopic Coblation Adenoidectomy and Regular Curettage Adenoidectomy in a Tertiary Care Hospital in Kerala

2021 ◽  
Vol 8 (41) ◽  
pp. 3559-3566
Author(s):  
Abdul Salam R. T. ◽  
Shahul Hameed A. ◽  
Meera Rajan
Keyword(s):  
Blood Loss ◽  
Comparative Study ◽  
Tertiary Care ◽  
Operation Time ◽  
Care Hospital ◽  
Adenoid Tissue ◽  
Significant Difference ◽  
Tube Function ◽  
Prospective Comparative Study ◽  
The Mean

BACKGROUND An ideal surgery to remove hypertrophied adenoid mass should be safe, with less bleeding and operation time along with post-operative improvement in the eustachian tubal ventilation and normal respiration. It should also have low morbidity and mortality. Among the various methods described for its removal, the two commonly used methods are conventional cold curettage method and coblation technique. The purpose of this study was to collate the safety and efficacy of endoscopic coblation adenoidectomy with the conventional curettage adenoidectomy. METHODS A prospective comparative study with fifty patients was studied who underwent adenoidectomy. Twenty five patients underwent endoscopy assisted coblation adenoidectomy and twenty five patients underwent regular adenoidectomy by curettage. RESULTS Patients who underwent coblation adenoidectomy showed better results during follow up in terms of completeness of removal. 80 % of children undergoing regular adenoidectomy by curettage method showed remnant adenoid tissue in the nasopharynx at the end of the procedure. But it was 6 % among the children undergoing endoscopic assisted coblation adenoidectomy. The mean duration of operation was higher for endoscopic assisted coblation adenoidectomy which was significant statistically. The mean blood loss was 30.36 ml in regular curettage adenoidectomy; 10.6 ml with endoscopic coblation adenoidectomy. The grading of pain was significantly lower in endoscopic assisted coblation adenoidectomy. There was no significant difference between two groups in terms of eustachian tube function after surgery. CONCLUSIONS Coblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of completeness of removal, reduced blood loss, and lower post-operative pain grade. KEYWORDS Coblation, Adenoidectomy, Curettage, Haemorrhage and Complications

Abstract 14721: Impact of Covid-19 on Cardiology Consultation in Tertiary Care Hospital of a Developing Country

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
ghufran adnan ◽  
Osman Faheem ◽  
Maria Khan ◽  
Pirbhat Shams ◽  
Jamshed Ali
Keyword(s):  
Emergency Department ◽  
Tertiary Care ◽  
Reduction Rate ◽  
Care Hospital ◽  
Chi Square ◽  
Coronary Syndrome ◽  
Significant Difference ◽  
Drastic Increase ◽  
Chi Square Test ◽  
The Difference

Introduction: COVID-19 pandemic has overwhelmed the healthcare system of Pakistan. There has been observation regarding changes in pattern of patient presentation to emergency department (ED) for all diseases particularly cardiovascular. The aim of the study is to investigate these changes in cardiology consultations and compare pre-COVID-19 and COVID-19 era. Hypothesis: There is a significant difference in cardiology consultations during COVID era as compared to non-COVID era. Method: We collected data retrospectively of consecutive patients who visited emergency department (ED) during March-April 2019 (non-COVID era) and March-April 2020 (COVID era). Comparison has been made to quantify the differences in clinical characteristics, locality, admission, type, number, and reason of Cardiology consults generated. Results: We calculated the difference of 1351 patients between COVID and non-COVID era in terms of cardiology consults generated from Emergency department, using Chi-square test. Out of which 880 (59%) are male with mean age of 61(SD=15). Analysis shows pronounced augmentation in number of comorbidities [Hypertension(6%), Chronic kidney disease (6%), Diabetes (5%)] but there was 36% drop in total cardiology consultations and 43% reduction rate in patient’s ED visit from other cities during COVID era. There was 60% decrease in acute coronary syndrome presentation in COVID era, but fortuitously drastic increase (30%) in type II myocardial injury has been noted. Conclusion: There is a remarkable decline observed in patients presenting with cardiac manifestations during COVID era. Lack in timely care could have a pernicious impact on outcomes, global health care organizations should issue directions to adopt telemedicine services in underprivileged areas to provide timely care to cardiac patients.

scholarly journals Fuel and lubricant consumption in felling the young oak-hornbeam stands

2002 ◽  
pp. 59-66
Author(s):  
Vojislav Bajic ◽  
Milorad Danilovic
Keyword(s):  
Statistical Analysis ◽  
Analysis Of Variance ◽  
Unit Area ◽  
Function Form ◽  
Tree Diameter ◽  
Significant Difference ◽  
The Difference ◽  
Level Of Significance ◽  
Average Consumption

Based on the elements of statistical analysis on the dependence of fuel and lubricant consumption on tree diameter, it was assessed that with the increase of tree diameter, the fuel and lubricant consumption in the young oak and hornbeam stands decreases significantly, both in clear felling and in thinning and that the function form Y=exp(a+b x X?1) is the best description of the correlation The consumption of fuel compared to lubricant consumption is almost double, which agrees with the results of the previous studies. Average consumption of fuel and lubricant is 17.43 mL x tree?1, on the plots 20.27 mL x tree?1, average consumption of lubricant per tree on skid roads is 9.4 mL x tree?1, on the plots 11 mL x tree?1. The higher consumption of fuel and lubricant on the plots with selective thinning is the consequence of the longer time needed for the conversion per tree, compared to that in clear felling The consumption of fuel per unit area on the skid roads (clear felling) is 22.9 L x ha?1, on the plots (selective thinning) 7.6 L x ha?1. The consumption of lubricant on the skid roads is 13.3 L x ha?1, on the plots 4.29 L x ha?1. The higher consumption of fuel and lubricant per unit area on the skid roads is due to the difference in the number of trees per unit area Based on the results of the analysis of variance, it was found out that between fuel and lubricant consumption in selective thinning and in felling the trees along tractor skid roads there is no statistically significant difference at the level of significance of 95%. So, for practical purposes, the unique norms of consumption can be established for the stands similar to those in which the study was performed.

scholarly journals Correlation of Platelet Count and Hematocrit Levels to the Severity of Dengue Hemmoraghic Fever Patients at RSD dr. Soebandi Jember

2021 ◽  
Vol 7 (3) ◽  
pp. 156
Author(s):  
Salma Naqiyyah Tirtadevi ◽  
Rini Riyanti ◽  
Desie Dwi Wisudanti
Keyword(s):  
Platelet Count ◽  
Negative Correlation ◽  
Predictive Value ◽  
Medical Records ◽  
Secondary Data ◽  
Significant Negative Correlation ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Major Health

Dengue hemorraghic fever (DHF) is an infectious disease caused by the dengue virus and It is still be a major health problem in Southeast Asia, especially in Indonesia. Kabupaten Jember is still categorized as a dengue endemic area with its disease development expanding from year to year. This study aims to determine the correlation of platelet count and hematocrit levels to the severity of DHF patients at RSD dr. Soebandi Jember, as well as knowing whether the platelet count and hematocrit levels can be used as a predictive value for the severity of DHF patients at RSD dr. Soebandi Jember. This study used an observational analytic study with a cross-sectional study design. The data of this study used secondary data from the medical records of DHF patients at RSD dr. Soebandi Jember. The results of this study with a total of 68 samples showed that there was a significant negative correlation between the platelet count to the severity of DHF patients (p = 0,000, r = -0,487). The hematocrit levels showed an insignificant and negative correlation to the severity of DHF patients (p = 0,658, r = -0,055). The platelet count can be used as a predictive value for the severity of DHF patients. Keywords: DHF, platelet count, hematocrit levels, severity of DHF patients  

Effects of Mindfulness-Based Psychoeducation on the Internalized Stigmatization Level of Patients With Schizophrenia

2018 ◽  
Vol 29 (7) ◽  
pp. 496-503 ◽  
Author(s):  
Emine Yılmaz ◽  
Funda Kavak
Keyword(s):  
Health Centers ◽  
Control Group ◽  
Community Mental Health Centers ◽  
Control Groups ◽  
Face To Face ◽  
Significant Difference ◽  
The Difference ◽  
Mental Health Centers ◽  
And Control ◽  
Experimental Group

The aim of this study was to determine the effects of mindfulness-based psychoeducation on internalized stigma in patients with schizophrenia. The patients were recruited from the community mental health centers. This quasiexperimental study was conducted using pretests and posttests with a control group. The participants were 69 patients with schizophrenia; 34 were part of the experimental group and 35 were part of the control group. The patients in the experimental group participated 2 days a week for 6 weeks in a total of 12 sessions which were given in the form of face-to-face group training. The difference between the scale mean posttest scores of the patients in the experimental and control groups was found to be statistically significant ( p < .05). In the intragroup comparisons, a significant difference was found between the stigma mean scores in the experimental group ( p < .05). It was concluded that mindfulness-based psychoeducation was effective in reducing stigma in patients with schizophrenia.

Effect of Mother’s Employment on Aggression of Board Students

2021 ◽  
Vol 37 (1) ◽  
pp. 67-71
Author(s):  
Prachi Bhatt Deolal ◽  
Madhu Lata Nayal
Keyword(s):  
Personal Data ◽  
Total Sample ◽  
Female Adolescents ◽  
Male And Female ◽  
Male Adolescents ◽  
Significant Difference ◽  
Employed Mothers ◽  
The Difference ◽  
Level Of Significance ◽  
Aggression Level

The present study aimed to find out the difference in the aggression level of Board Students of employed and non-employed mothers. Total sample of 200 students was taken from five CBSE affiliated schools of Pithoragarh district (Uttarakhand). Personal data schedule along with the Aggression Scale was used to calculate the result. Aggression Scale used in the study was developed by Pal and Naqvi (2000) which comprised of 60 questions. Stratified Random Sampling was used to select the data and t-test was applied to calculate the level of significance. While compiling the results, significant difference was found between the male and female adolescents of 10th standard of employed mothers and even between the male and female adolescents of 12th standard of employed mothers. Male and female adolescents of 12th standard of non-employed mother have also shown significant difference on the level of aggression. In all the three cases Male adolescents have shown greater aggression than female adolescents.

Pollinator Insects and their Impact on Crop Yield of Mustard in Kusma, Parbat, Nepal

2019 ◽  
Vol 24 (2) ◽  
pp. 68-75
Author(s):  
Narayan Subedi ◽  
Indra Prasad Subedi
Keyword(s):  
Crop Yield ◽  
Fruit Set ◽  
Apis Cerana ◽  
Qualitative And Quantitative ◽  
Significant Difference ◽  
The Difference ◽  
Four Blocks ◽  
And Control ◽  
The Impact ◽  
Pod Length

The diversity of insect pollinators and their impact on crop yield of mustard were studied in Kusma, Parbat, Nepal from December 2018 to April 2019 in four blocks with each having 12 m2 areas. Two plots; treatment and control, were established in each block. Insect diversity was observed from 8 to 16 hrs, with the interval of an hour for three consecutive months (Jan-Feb). Eighty mustard plants were randomly selected, 40 from each plot just before flowering to find the impact of insect pollination on crop yield and these selected plants were examined for various qualitative and quantitative parameters. Altogether 16 species of pollinator insects belonging to five orders and nine families were recorded. Hymenoptera (36 %) was the most abundant order visiting mustard flowers followed by Diptera (34 %), Coleoptera (17 %), Lepidoptera (12 %) and Heteroptera (1 %). The most abundant family was Apidae (35.64 %), followed by Syrphidae (31.84 %). Apis cerana and Eristalis sp. were the most important pollinator insects of mustard. Seven species were found foraging both on pollen and nectar, four species foraging only on nectar and remaining five as casual visitors. The peak foraging activities of majority of the insects were observed between 12 hr to 14 hr. A significant difference was observed in the number of pods (59.80 ± 1.967 and 70.47 ± 2.431), fruit set (70.55 ± 1.362 and 80.94 ± 0.638), number of seeds per pods (16.70 ± 0.248 and 19.30 ± 0.330), diameter of seed (0.133 ± 0.2547 and 0.275 ± 0.0051) and weight of 100 dry seeds (0.33 ± 0.058 and 0.48 ± 0.023) in control and treatment plots whereas, the difference was non-significant in case of pod length between control and treatment plots (P=0.163).

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