scholarly journals Clinical profile and treatment outcome of patients with spontaneous pneumothorax

Author(s):  
Shivaji V. Patil ◽  
Rajendra V. Bhagwat ◽  
Rajsinh V. Mohite ◽  
Shailesh S. Barphe

Background: The burden of Spontaneous Pneumothorax has been recorded as alarming health problem in medical sciences and is adversely influenced by environmental factors. Objectives of the study were to determine the incidence of spontaneous pneumothorax and to assess the clinical profile and outcome of patients of spontaneous pneumothorax admitted in Government tertiary health care centre.Methods: A hospital based cross-sectional study was conducted in year 2014-15 in the department of Pulmonary Medicine, Government Medical College, Miraj, Maharashtra, India. A total of 2142 patients were admitted with chest complaints during study period were enrolled as study subjects, of which 50 were diagnosed as spontaneous pneumothorax and treated as cases under study. The data were elicited by utilizing structured proforma includes clinical and outcome indicators of Spontaneous Pneumothorax. Qualitative information was computed in tabular and graphical form and analyzed into frequency percentage.Results: Incidence rate of Spontaneous Pneumothorax was 2.33% with higher proportion of cases were belonged male gender (78%) as compared to female (22%). Maximum cases were found in age group, 25-34 years with case ratio of 1:4 for Primary to secondary Spontaneous Pneumothorax. The most common lung disease in secondary spontaneous pneumothorax observed was tuberculosis. Max. 48% cases showed full expansion of lungs followed by 32% with partial expansion with an intervention of appropriate line of management.Conclusions: Tuberculosis is the common cause for secondary spontaneous pneumothorax in India and it should be looked for, in all cases of spontaneous pneumothorax.

2021 ◽  
Vol 59 (235) ◽  
Author(s):  
Nitasha Sharma ◽  
Chet Kant Bhusal ◽  
Sandip Subedi ◽  
Rajeshwar Reddy Kasarla

Introduction: Sudden outbreak of COVID-19 pandemic has affected the educational system worldwide, forced the medical colleges to close due to lock down, and disrupted the classroom face-to-face teaching process. As a result, medical colleges shifted to an online mode of teaching. The aim of this study is to find out the perception towards online classes during COVID-19 lockdown period among MBBS and BDS students at a medical college of Nepal. Methods: This was a descriptive cross-sectional study carried out at Universal College of Medical Sciences and Teaching Hospital among first and second year Bachelor in Medicine, Bachelor of Surgery and Bachelor in dental surgery students from 1st June 2020 to 30th August 2020. Ethical approval was taken from Institutional Review Committee of Universal College of Medical Sciences and Teaching Hospital (IRC UCMS, Ref: UCMS/IRC/025/20). Convenient sampling method was used. Semi-structured questionnaire was used. Statistical Package for Social Sciences 22 was used for analysis and frequency and percentage was calculated. Results: One hundred fifty six (73.93%) students were enjoying online learning only to some extent, 135 (63.98%) felt online class not equally effective as face-to-face teaching. The students had disturbance during online classes as internet disturbance 168 (79.60%), and electricity problem 47 (22.3%). Similarly, many students 155 (73.50%) felt external disturbance, headache 26 (12.3%), and eye strain 26 (12.3%). Conclusions: Most of the students suffered from disturbances during online classes probably because of internet and electricity problem. When compulsory to conduct online classes, students felt that not more than three online classes per day should be conducted to avoid eye strain and headache.


2020 ◽  
Vol 7 (5) ◽  
pp. 1117
Author(s):  
Arup Ratan Mondal ◽  
Ch Shyamsunder Singh ◽  
Moirangthem Meenakshi Devi ◽  
Cindy Laishram ◽  
T. Kambiakdik

Background: Wheezing is common throughout infancy and childhood except in the neonatal period where it is relatively rare. By 10 years of age, about 19% of children experience wheezing with an average onset at 3 years of age. This study was aimed to identify the diverse factors associated with wheezing in children aged 2 months to 60 months and to study clinical profile along with short term outcome of the same.Methods: It was a hospital based cross-sectional study carried out in the Department of Paediatrics, Regional Institute of Medical Sciences Hospital (RIMS), Imphal, Manipur. The Study population consisted of randomly selected 131 children aged 2 months to 60 months who were admitted in Paediatrics ward with the symptom of wheezing.Results: Authors found that age below 12 months, male sex, low socioeconomic conditions and artificial breastfeeding practices were important risk factors for wheeze.Conclusions: Wheezing is accountable for a high demand of medical consultations and emergency care services with relatively high rates of hospitalization. Along with ARI, it plays an important role in infant mortality. In Manipur, it is being observed that increasing number of children with wheezing are attended by paediatricians in ED, OPD and ward, thereby proving an added burden to the younger age group. Therefore proper health education and counselling of parents, promotion of exclusive breast feeding and improvement of socioeconomic status can play a vital role in preventing occurrence of wheeze among the children.


2019 ◽  
Vol 8 (2) ◽  
pp. 53-56
Author(s):  
Krishna Dhungana ◽  
Dipesh Shakya ◽  
Rabindra Shrestha ◽  
Sabnam Bhatta ◽  
Sabbu Maharjan

Background: Seizure is a common clinical condition. It represents a majority of patients visiting neurology OPD as well as inpatient department in Kathmandu Medical College Teaching Hospital. While the number of patients with seizure is increasing in Nepal, data on the clinical profile of patients with seizure is scarce. Thus, this study aims to find out the relative frequency of seizure in different age and sex groups. It also aims to find out the common causes of seizure in our Nepalese population. Materials and Methods: A descriptive cross sectional study was carried out in patients attending outpatient and inpatient of Neurology department of Kathmandu Medical College Teaching Hospital between periods of July 2018 to December 2018. Demographic characteristics, radiographic findings, EEG findings and drugs taken by patients were recorded according to the proforma. Results: Data from one hundred patients were collected and analyzed. Most of the patients were less than 41 years of age. Most of the patients were male. The prime cause of seizure was found to be neurocysticercosis (25%). Majority of the patients were on monotherapy. Conclusion: Our data regarding the frequency of seizure in different age and sex groups is comparable to data in South East Asia region whilst, different from the western data. In our population, neurocysticercosiswas the most common cause of seizures. Also, most seizures were controlled with monotherapy.


2017 ◽  
Vol 16 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Ayesha Ahmad ◽  
Arifa Anwar Elahi ◽  
Aruna Nigam ◽  
Rohan Kapoor

Objectives: To evaluate the response to mentoring amongst medical students after introduction of a structured mentorship programme.Methods: This was a cross sectional study conducted at Hamdard Institute of Medical Sciences and Research, [HIMSR] New Delhi. A pre validated confidential questionnaire, designed as both open and closed ended questions was utilised to obtain responses from a sample size of 300 students, both males and females. Our questionnaire solicited the following information: clarity of the concept to the mentee, duration of being involved in the programme, preferred mentoring model, comments on intended benefits and those obtained, frequency of meetings, forms of communication used and preferred place of interaction. All students in 1st, 2nd and 3rd year at HIMSR who agreed to participate in the study were included.Results: A total of 231 students returned their questionnaire, making the response rate of 77%. Different forms of communication were being used, of which personal meeting was most frequent. Both males and females were contacting their mentors in person. Majority of students preferred the mentorship model to be 1:1 and faculty members as mentors instead of senior students. Most of the students wanted the relationship to be mutual on both the sides, with both mentors and mentees having a say in the allocation process. There was no preference to gender for most of the students.Conclusions: The mentorship programme found good acceptance with medical students.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.29-34


2011 ◽  
Vol 18 (02) ◽  
pp. 167-173
Author(s):  
TAHSEEN KAZMI ◽  
BEENISH SHAH ◽  
MASOOD UL HAQ ◽  
Syed Shahjee Husain ◽  
Tabbasum Zehra

Introduction: Breast feeding provides complete and balanced nutrition to the baby. The survey done in 1995 by health ministry, Pakistan reported that although 94 % of the children were ever breastfed, only less than 16 % of the children were exclusively breastfed. Objective: To assess the knowledge, attitude and practices regarding breastfeeding among undergraduate students of medical colleges of Karachi. Materials and Methods: Data Source: Female medical students from Clinical and preclinical years. Study Design: Cross sectional study. Setting: Liaquat National Medical College (LNMC) and Sir Syed College of Medical Sciences (SSCMS), Karachi. Period of study: 3 months. Material and Methods: Total 222 female students filled a multiple choice semi-structured questionnaire. Results: Out of total 222 female students 32.9% were in pre-clinical group while 67.1% were in clinical group. It was observed that educational level of the student was strongly associated with the knowledge regarding initiation of breastfeeding and age till which exclusive breastfeeding should be continued (p=0.000). Clinical group had more knowledge regarding colostrums as compare to the pre-clinical group (p=0.000). Conclusions: A significant difference was found between preclinical and clinical students regarding the knowledge of breastfeeding. In this study most students were from clinical level of undergraduate medical education which made them more aware regarding the significance of breastfeeding. 


Author(s):  
M. Manjunath ◽  
L. M. Manuja ◽  
B. R. Harish

Background: Rabies is a zoonotic disease that is caused by a virus and is always fatal which can be prevented by timely and appropriate post exposure prophylaxis. The large number of deaths due to rabies can be attributed to the fact that in spite of availability of effective vaccination against rabies, people are unaware of various aspects of rabies and its prevention. Hence this study was conducted to assess the knowledge regarding rabies and its prevention among first year medical students.Methods: This descriptive cross sectional study was conducted among first year medical students of Mandya Institute of Medical Sciences, Mandya. The data was collected using pretested semi-structured questionnaire and analysed using descriptive statistics.Results: Of the total 80 students who were included, 90.0% knew that rabies is a disease caused by a virus. All of them knew that dogs transmit rabies. 96.3% were aware of the mode of transmission. 30.0% answered that rabies can be transmitted by scratch. 25% had the wrong perception that rabid person can present with epileptic features. 28.8% had given correct answer regarding the number of doses of vaccination. 86.3% knew that rabies can be prevented by vaccinating animal.Conclusions: Majority of the students had incomplete knowledge about rabies and its cause and mode of transmission and unaware of post exposure prophylaxis. 


2017 ◽  
Vol 5 (1) ◽  
pp. 5-7
Author(s):  
Rishi Bhatta ◽  
M. Pyakurel

Objectives: Oral submucous fibrosis (OSMF) is an insidious precancerous disease mostly seen in the Southeast Asia. This paper aims to study on clinical profile of patients with OSMFMaterial and Methods: This cross sectional study was done in department of ENT and HNS, Nepalgunj Medical College and Teaching Hospital. In outpatient department patients with OSMF were ask to fill up a questionnaire that included identification of patient, occupation, their symptoms and habit of taking betel quid or paan, gutkha, etc. Oral cavity was examined and lesion along with its extent and severity was noted. Intra lesional steroid and antioxidant and physiotherapy were main stay of treatment.Results: There were total 136 patients (98 male and 38 female) from 15th Dec 2013 to 15th Jan 2015. Age of patient ranged from 16 years to 53 years and average being 25.6years. Most common preparation taken was gutkha 131(96.3%) followed by betel nut, betel quid etc. Only 24(17.6%) were taking these preparations for less than 1 year. Common presenting complaints were difficulty in opening mouth followed by burning sensation and dryness of mouth. Clinically, the extent of fibrous band was found to be more commonly involving soft palate, pillars and buccal mucosa. Isolated involvement of different region of oropharynx or oral cavity was less common. Correlation of grade of trismus and average duration of taking these different preparations was highly significant. (p=0.008)Conclusions: Oral submucous fibrosis is commonly associated with intake of gutkha having dose dependent relationship with trismus. Further studies are required why only a small fraction of those using betel quid develop the disease.  


Author(s):  
Meenakshi B. ◽  
Shantaraman K. ◽  
Indhumathi M. ◽  
Arumugapandian S. Mohan

Background: Snake-bites are well-known common medical emergencies in many parts of the world. In India 46,000 people are dying every year from snakebites. However, the true scale of mortality and morbidity from snake-bite remains uncertain. This study analyses the clinical profile and outcomes of the snake bite poisoning in patients admitted to this centre.Methods: This cross sectional study analyses the data of 150patients admitted to the Intensive Medical Care Unit of Tirunelveli Medical College Hospital with the history of snake bite between April and September of 2015 as available in their case records.Results: In this study, 42.7% of the patients were in the age group of 18 to 40 years and 64% were males with rural: urban ratio of 2.3: 1. About 82.7% of bites were haematotoxic, 10.7% neurotoxic and the remaining nontoxic bites. About 54% patients recovered completely, 44% had some form of morbidity at discharge and mortality was 2%. Out of 136 patients who were treated with Anti-snake venom (ASV), 9.6% developed ADR. The common ADR was itching and hypotension followed by rigor, breathlessness and edema of lips and eyes.Conclusions: This study highlights the need for early treatment intervention post bite. Imparting health education about early pre-hospital management and transfer to the hospital will help in the prevention of deaths due to snakebite. Identification of the type of snake is essential to decide on the type of toxicity and method of treatment to be instituted.


2018 ◽  
Vol 16 (1) ◽  
pp. 32-36
Author(s):  
Dabal B. Dhami ◽  
Ankita Singh ◽  
Gaurav Jung Shah

Introduction: According to WHO, depression would be the second-most prevalent condition worldwide by 2020. The prevalence of depression is increasing in medical colleges because of stressful, competitive environment, long hours of trainings and studying. It is important for medical educators or teacher to know the magnitude of depression in students and factors causing it. The present study was carried to assess the prevalence of depression, use of antidepressant and to find out their stressors among preclinical students of Nepalgunj Medical College, Chisapani, Nepal. Aims and objective: To assess the prevalence of depression, use of antidepressant and to find out their most common stressor among preclinical students Materials and methods: The descriptive cross sectional study was carried in preclinical students of Nepalgunj Medical College, Chisapani, Nepal, The data was collected with questionnaires which comprised of personal data (age, sex, year of study, religion and home country) and Zung Depression Inventory scale was used to rate the depression. Results: Among 218 students, the prevalence of depression was 24.3%. Male students are highly depressed (16.5%) then female (7.8%). First year student are more depressed (26.5%) then second year (22.4%). The depression score of the preclinical medical student was 44.67± 5.68 (mean ±SD). Majority of the students (>50%) found on academic stress and 3.6% of the total students were on antidepressants Conclusion: As the prevalence of depression is high in medical students there is need for the counselling services to the students in the medical college to control this morbidity.


2021 ◽  
pp. 1-2
Author(s):  
Aiswarya Gopalakrishnan ◽  
Pramod Menon

It is challenging to diagnose and distinguish sinonasal masses as they can have varying clinical presentations. This study was done to see if sinonasal masses can be detected by clinical symptoms, signs and examination itself without resorting to investigations. This cross sectional study was conducted in the department of Otolaryngology, Government Medical College Thrissur, Kerala for a period of one year from December 2017 to December 2018. Total 104 cases were studied. Most of the sinonasal masses were identied by doing proper anterior and posterior rhinoscopy which don’t require much expertise to master. This can be considered only as a screening because any intervention should be preceded by radiological investigations and biopsy for a denitive management.


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