scholarly journals Hospital based study of demography and clinical picture of vernal keratoconjunctivitis

2017 ◽  
Vol 6 (1) ◽  
pp. 65 ◽  
Author(s):  
Maneesha Sethi ◽  
Ridham Nanda ◽  
Amarjeet Singh Bali ◽  
P. Sadhotra
Keyword(s):  
Mixed Type ◽  
Clinical Presentation ◽  
Signs And Symptoms ◽  
Vernal Keratoconjunctivitis ◽  
Female Ratio ◽  
Northern India ◽  
Department Of Ophthalmology ◽  
Male Female Ratio ◽  
History Of ◽  
Ocular Morbidity

Background: Vernal Keratoconjunctivitis (VKC) is common cause of ocular morbidity in children living in tropical countries. Its diagnosis is based on signs and symptoms of the disease. The study was undertaken to stress upon the demography and clinical presentation of VKC.Methods: Retrospective pre-formed proforma of 155 patients of VKC, who were detected at random in the out - patient department of ophthalmology, ASCOMS, Jammu from May 2016 to April 2017, were analyzed.Results: Mean age at presentation was 10.31 years +4.05. The Male: Female ratio was 4.96:1. Majority of patients reported in the month of May. Mixed type of VKC was predominant. Personal or family history of allergy was seen in 5.8% of patients. Itching (100%) was commonest symptom and palpaberal papillae were commonest sign seen in 78.70% of patients.Conclusions: Clinical pattern of VKC seen in hot and dry climate of Northern India is like that seen in other parts of country.

Demographic and Clinical Profile of Vernal Keratoconjunctivitis in Teaching Hospital, Kurnool

2021 ◽  
Vol 8 (2) ◽  
pp. 976-980
Author(s):  
Radhika R ◽  
◽  
Pushpa Latha M ◽  
Keyword(s):  
Family History ◽  
Severe Disease ◽  
Signs And Symptoms ◽  
Clinical Profile ◽  
Vernal Keratoconjunctivitis ◽  
Female Ratio ◽  
Young Males ◽  
Male Female Ratio ◽  
History Of ◽  
Key Words Allergy

Introduction: To describe socio - demographic and clinical profile of patients with vernal keratoconjunctivitis (VKC) and to assess the compliance of patients to the treatment of vernal keratoconjunctivitis. Materials and methods: Prospective study of 100 patients with VKC was done. Purposive sampling of 100 Patients with signs and symptoms of VKC were taken, who satisfy inclusion and exclusion criteria. Treatment was given depending on grade of disease. Results: Out of 100 patients 66 were Males and 33 were Females. Mean age at presentation was 9.4 years and 2 patients presented at the age of 28 and 30 year and 60% patients from rural area, 40% from urban. Family history of allergies was noted in 7% patient. History of chronic perennial disease was seen in 57% patients. Mixed form of VKC was seen in 66%, limbal form in 18% and palpebral form in 16%. 47% had mild and 10% had severe disease. Conclusion: VKC is a bilateral disease affects most commonly young males between ages of 6 to 10 years. Male: female ratio of 2:1. Association of family history of allergic disorders are less. For persistent severe disease needs frequent follow-up. KEY WORDS: Allergy, Compliance, Papillae, and Vernal Keratoconjunctivitis.

scholarly journals An epidemiological profile of brucellosis in Tabuk Province, Saudi Arabia

2001 ◽  
Vol 7 (4-5) ◽  
pp. 791-798 ◽  
Author(s):  
K. E. Elbeltagy
Keyword(s):  
Saudi Arabia ◽  
Brucella Melitensis ◽  
Signs And Symptoms ◽  
Raw Milk ◽  
Female Ratio ◽  
Agglutination Titre ◽  
Male Female Ratio ◽  
History Of ◽  
Epidemiological Profile ◽  
Milk Ingestion

All 137 brucellosis cases occurring in Tabuk Province, Saudi Arabia in 1997 were studied retrospectively. Brucella agglutination titre of > or = 1/80, or rising titre plus history of typical signs and symptoms were considered evidence of infection. The incidence rate was 34/100, 000, mean age 33.8 +/- 13.9 years [range: 3-72 years] and male: female ratio 1.8: 1. There were 63.5% of cases rurally resident, 58.4% kept animals at home or elsewhere, 27.0% worked with animals and/or on farms, and 88.3% reported a history of raw milk ingestion. The most common infecting agents were Brucella melitensis, B. abortus and B. suis. Splenomegaly and hepatomegaly were detected in 25.5% and 22.6% of cases respectively.

Evaluation of Results of Anterior Cervical Discectomy Fusion (ACDF) by Cervical Cage with Bone Graft for the Treatment of Single Level Cervical Spondylotic Myelopathy

2019 ◽  
Vol 2 (2) ◽  
pp. 12-18
Author(s):  
R Chowdhury ◽  
D Mishra ◽  
S Batajoo ◽  
M Shrestha
Keyword(s):  
Bone Graft ◽  
Clinical Examination ◽  
Cervical Spondylotic Myelopathy ◽  
Anterior Cervical Discectomy ◽  
Female Ratio ◽  
Cervical Discectomy ◽  
Single Level ◽  
Male Female Ratio ◽  
History Of ◽  
Anterior Cervical Discectomy Fusion

Background: Cervical spondylotic myelopathy (CSM) is a common spinal cord disorder that develops in elderly people. Anterior cervical decompression and fusion (ACDF) is an effective and reliable procedure for the treatment of CSM. Objective: To find out the results of ACDF by cervical cage with bone graft for the treatment of single level cervical spondylotic myelopathy. Methods: This prospective observational study was conducted in the Department of Orthopedics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, over a period of two years from March 2015 to August 2017. Forty patients with cervical spondylotic myelopathy were diagnosed on the basis of presenting complains, clinical examination and investigations and were enrolled in this study. The history of the patients was collected, clinical examination was done and relevant investigations were done for each patient. In this study, Nurick grading and VAS scale were used for evaluation of the result. Result: Male gender was predominant in this study; male-female ratio was 2.63:1. Mean age of the patients was 45.9 ± 9.1 years within the range of 30-65 years. Both sides were affected in 14 (35.0%) cases, only right side was affected in 15 (37.5%) cases and only left side was affected in 11 (27.5%) cases. Involved disc spaces were C3/4 (10.0%), C4/5 (22.5%), C5/6 (42.5%) and C6/7 (25.0%). Transientdysphagia was observed in 2 (5.0%), transient para paresis in 1 (2.5.0%), wound infection in 1(2.5.0%) case and damage to the dura was observed in 1 (2.5.0%) case. Signs of fusion were observed in 10 (25.0%) cases after 3 months, 30 (75.0%) cases after 6 months and in all patients after 12months. The result was found to be excellent in 35 (87.5%) and good in 5 (12.5%) cases. Conclusion: Anterior cervical discectomy and fusion by cervical cage with bone graft is an effective procedure for management of CSM.

scholarly journals Incidence of Orofacial Clefts in Kumasi, Ghana

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
P. Agbenorku ◽  
M. Yore ◽  
K. A. Danso ◽  
C. Turpin
Keyword(s):  
Cleft Palate ◽  
Congenital Anomalies ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Orofacial Clefts ◽  
Female Ratio ◽  
Live Births ◽  
Male Female Ratio ◽  
Cleft Lip Palate ◽  
History Of

Background. Cleft lip and cleft palate are among the most common orofacial congenital anomalies. This study is to establish Orofacial Clefts Database for Kumasi, Ghana, with a view to extend it to other cities in future to obtain a national orofacial anomaly database. Methods. A descriptive prospective survey was carried out at eleven selected health facilities in Kumasi. Results. The total number of live births recorded was 27,449. Orofacial anomalies recorded were 36, giving an incidence of 1.31/1000 live births or 1 in 763 live births. The mean maternal age of cleft lip/palate babies was 29.85 years (range 18–40 years). The male : female ratio for the orofacial anomalies babies was 1.3 : 1; the male : female ratio was 0.5 : 1 in the cleft lip group, 1.3 : 1 in the cleft lip and palate group, and 4 : 1 in the cleft palate group. The majority of clefts were unilateral (69.4%, n=25), with females (n=14) outnumbering males (n=11). A family history of cleft was recorded with five babies (13.9%). Associated congenital anomalies were recorded in seven (19.4%) cleft lips and/or palates. Conclusion. The incidence of 1 in 763 live births found in this study indicates that cleft lip/palate is a common congenital anomaly in Kumasi.

scholarly journals FEMORAL NECK FRACTURE;

2018 ◽  
Vol 21 (05) ◽  
pp. 874-878
Author(s):  
Muhammad Ayub Laghari ◽  
Muhammad Khan Pahore ◽  
Imran Khan Maher ◽  
Muhammad Saeed Arain
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Femoral Neck Fracture ◽  
Deep Infection ◽  
Neurological Deficits ◽  
Superficial Infection ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Neck Fracture ◽  
History Of

Objective: Objective of this study determines the outcome of unipolarhemiarthoplasty in elderly patients with femoral neck fracture at Liaquat University HospitalHyderabad/ Jamshoro. Materials and methods: Total 50 elderly patients were included in thestudy with femoral neck fracture and all the cases were selected from accident, emergency andOPD. All the patients with the history of pregnancy, those patients who were unfit for anesthesia,malignancy, neurological deficits of lower extremity, rheumatoid arthritis and Parkinson’sdisease regarding with systemically disease were excluded from the study. All the patientsunder went surgical hemiarthoplasty treatment with Austin moor-femoral head prosthesia. In thelast all postoperative complications, functional outcome and mortality were noted on proforma.Results: Total 50 patients were included in the study. Mean age of this study was mean±SD64.98±4.13. Females were found in majority with male/ female ratio 1:1.27. Post operative painwas noted in the 50% of the cases and out of them severe pain was noted only in 4% of thecases. Superficial infection was seen in 4% of the cases and deep infection was not found inthe cases and death was occurred in 10% of the patients. On the outcome, excellent resultswere found in the 44.44% of the study participants, good and fair results were seen in 26.66%and 20% respectively, while poor results were seen in 8.88% of the patients. Conclusions: Itis concluded that unipolar hemiarthoplasty is of the reliable procedure by use of Austin-moorfemoral head prosthesia for the treatment of femoral neck fracture in elderly.

INNV-43. MORE THAN WHAT MEETS THE EYE: ETMR AN UNDER RECOGNISED ATYPICAL BRAINSTEM PRIMARY. A RARE BRAIN TUMOR CONSORTIUM (RBTC) STUDY

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi114-vi115
Author(s):  
Sara Khan ◽  
Palma Solano-Paez ◽  
Jordan R Hansford ◽  
Mei Lu ◽  
Salma Al-karmi ◽  
...  
Keyword(s):  
Tumor Resection ◽  
Signs And Symptoms ◽  
Pediatric Brain Tumors ◽  
Female Ratio ◽  
Dismal Prognosis ◽  
History Of ◽  
Cranial Neuropathies ◽  
Intensified Chemotherapy ◽  
Male To Female

Abstract 10% of all pediatric brain tumors arise in the brainstem. Amongst these gliomas are the most common while other entities are rare and infrequently described in the literature. In this study we investigated the prevalence of non-gliomatous tumors in the brainstem. Amongst the 1323 embryonal tumours received at the RBTC, we identified 17 cases of ETMRs (17/165) that presented as brainstem primaries. Previously grouped within CNS-PNETs, ETMR, is a new WHO diagnostic entity, characterized by C19MC alterations. ETMR is a disease of infancy, the clinical spectrum of which is poorly understood. ETMRs arise at multiple CNS locations including cerebrum being most common (60%,) followed by cerebellum (18%) and midline structures (6%); notably 10% were brainstem primaries, mimicking DIPG radiologically. All patients presented with a short history of progressive neurological symptoms, with most common signs and symptoms of cranial neuropathies, long tract signs and gait disturbance. Median age at diagnosis was 27 months (range 16-75months) with a male to female ratio of 0.9:1. Predominantly localized (M0-94%, M2-3 -6%) majority of patients underwent upfront biopsy or partial resection (15/17:88%), while complete tumor resection was achieved in 2 cases. All patients received heterogenous combination of chemotherapy with and without radiotherapy. Majority of patients progressed rapidly with median time to progression of 4 months and overall survival of < 13 months. The only long-term surviving patient had complete resection dose intensified chemotherapy and radiation (OS 202months). Primary ETMRs in the brainstem are under recognised entities and carry a dismal prognosis. Although rapidly progressive, prompt recognition, maximal resection and management with multimodal adjuvant therapy should be considered in cases with brainstem disease.

A CLINICOPATHOLOGICAL STUDY IN PATIENTS OF ACUTE APENDICITIS AND CORRELATION OF SYMPTOMS WITH DIFFERENT POSITIONS SEEN INTRAOPERATIVELY

2021 ◽  
pp. 25-29
Author(s):  
Sandip Kumar Ghosh ◽  
Ajay Halder ◽  
Arnab Mishra ◽  
Prabir Biswas
Keyword(s):  
Acute Appendicitis ◽  
Prospective Observational Study ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
Female Ratio ◽  
Medical College ◽  
Study Results ◽  
Male Female Ratio ◽  
Recurrent Appendicitis ◽  
Pelvic Position

INTRODUCTION: The appendix, another named vermiform appendix (from the Latin ward-appendix means “dangling” + “vermis”+ “form” i.e.-dangling worm-shaped thing) is a diverticulum of caecum and marks the beginning of the colon in the conuence of taenias. The appendix is posteromedially attached to the caecum, about 2cm below the ileocecal junction. Taking into account that often the appendix is a mobile structure, the medical 9 importance of its relative position has been questioned by some authors. In general, however some authors describe a signicant relationship between its location and sign and symptoms of acute appendicitis. OBJECTIVES:1.To study the commonest position of appendix seen intraoperatively among the patients with acute appendicitis present in Emergency and OPD of Burdwan Medical College. 2.To identify the commonest position responsible for of gangrenous appendix and appendicular perforation. 3.To identify various signs and symptoms according to their different anatomical position and correlation with intraoperative ndings MATERIALS AND METHODS: This is a Prospective Observational Study in Burdwan Medical college and hospital ,May 2019 to July 2020 on 100 patients. All willing patients in Emergency and OPD of BMCH with acute and recurrent appendicitis who underwent surgery are included in this study. RESULTS: rd th Appendicitis is commonest during 3 decade (43%) followed by 4 decade (36%).Appendicitis is slightly commoner in females with male: female ratio 1:2.4..The most common position of appendix in our study is pelvic position.

Prevalence of Sign and Symptoms of Temporomandibular Joint Disorders in Pakistani Population at Sheikhupura, Lahore: A Gender comparison

2021 ◽  
Vol 15 (8) ◽  
pp. 2166-2168
Author(s):  
Ashfaq-ur- Rahim ◽  
Muhammad Nauman ◽  
Sadiq Ali ◽  
Saima Ihsan ◽  
Tannaza Qayyum ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Orofacial Pain ◽  
Temporomandibular Disorder ◽  
Signs And Symptoms ◽  
Temporomandibular Joint Disorders ◽  
Female Ratio ◽  
Pakistani Population ◽  
Female Predominance ◽  
History Of

Background: Temporomandibular disorders have been considered as a common orofacial pain condition. The term temporomandibular pain dysfunction (TMPD) is used synonymously with myofacial pain dysfunction disorder/syndrome, temporomandibular disorder, craniomandibular disorder and many other terms. Objective: To evaluate the prevalence of signs and symptoms of temporo-mandibular joint disorder (TMD). Study Design: Descriptive cross-sectional study Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Faryal Dental College, Sheikhupura , Lahore, Pakistan from 1st February 2019 to 31st May 2021. Methodology: One hundred adolescents aged 15 to 60 years were enrolled. A detailed history about the chief complaint was taken and clinical examination was done. Temporomandibular joint examination performed included Auscultation for temporomandibular joint sounds like clicking and crepitus and palpation of both TMJs and associated muscles for evaluation of pain. Results: The most common signs of temporomandibular joint disorders were temporomandibular joint pain 78%, temporomandibular joint clicking 53% and trismus 29%. The most prevalent predisposing factors of temporomandibular joint disorders were parafunctional habits 40%, unknown factors 23% and history of road traffic accident/history of difficult extractions 9%. Male to female ratio showed female predominance (P = 0.001). Conclusion: Signs and symptoms of temporomandibular joint disorders were prevalent in Pakistani population with a clear female predominance. Key words: Temporomandibular disorders, Temporomandibular joint, Orofacial pain, Bruxism, Headache, Pain

Prevalencia de síntomas de enfermedades respiratorias obstructivas, asma y EPOC, en mayores de 18 años de la República de Panamá [Prevalence of symptoms of obstructive respiratory diseases, asthma and COPD, in subject over 18 years old in Panama]

2020 ◽  
Vol 42 (02) ◽  
Author(s):  
Lorena Itzel Noriega ◽  
Joel Méndez
Keyword(s):  
Emergency Services ◽  
Nationwide Survey ◽  
Chronic Obstructive ◽  
Shortness Of Breath ◽  
Obstructive Pulmonary Disease ◽  
Female Ratio ◽  
Previous Diagnosis ◽  
Male Female Ratio ◽  
Enfermedad Pulmonar Obstructiva Crónica ◽  
History Of

Resumen <br />Antecedentes. La prevalencia de las enfermedades como asma y la enfermedad pulmonar obstructiva crónica (EPOC), es variable en diferentes países. En Panamá, contamos con datos de prevalencia de asma en población infantil, pero no de adultos asmáticos ni de EPOC. Metodología. Se realiza un estudio de prevalencia de síntomas respiratorios, mediante la aplicación de una encuesta a nivel nacional por vía telefónica y medios digitales. Se realizó un muestreo estratificado por provincias. Se calcularon frecuencias absolutas y relativas para las preguntas del cuestionario. Objetivo: Determinar la prevalencia de síntomas de asma y EPOC en mayores de 18 años en la República de Panamá. Resultados. En el primer semestre del 2019, se evaluaron 1,514 encuestas con relación hombre: mujer de 1:1. La prevalencia de diagnóstico previo de asma o EPOC fue del 15,8% IC (14,0-17,7), sibilancias en los últimos 12 meses el 14,4% IC (12,6-16,2), despertares nocturnos un 18,2% IC (16,2-20,1), disnea el 15,8% IC (14,0-17,7) y bronquitis con resfriados el 19,3% IC (17,2-21,2). El 11,6 % IC (10,1-13,3) utiliza alguna medicación para asma, y el 10,1% IC (8,6-11,6) afirmó haber utilizado servicios de cuarto de urgencias. Respondieron afirmativo a síntomas de rinitis el 37,6% IC (35,2-40,1), historia de tabaquismo el 17,1% IC (15,2-19,0), y exposición a biomasa el 16,8% IC (14,9-18,7). Conclusiones. Los síntomas de asma y EPOC más prevalentes fueron; opresión en el pecho o bronquitis con los resfriados, despertares nocturnos por falta de aire tos u opresión en el pecho y sibilancias en algún momento del día. Los síntomas de rinitis fueron los más prevalentes en los sujetos encuestados presentándose en más de un tercio de la muestra. Los antecedentes de tabaquismo, exposición pasiva al humo del tabaco y la exposición a humo de leña, también variaron según condición, pero en ninguno de los casos superó una quinta parte de los encuestados. El uso de medicamentos fue porcentualmente menor a la cantidad de sujetos que refirió haber recibido diagnóstico previo de asma o de EPOC. Uno de cada diez encuestados indicó haber visitado servicios de urgencias por pecho apretado, falta de aire o tos, en el último año. <br /><br />Abstract<br />Background. The prevalence of diseases such as asthma and chronic obstructive pulmonary disease (COPD), is variable in different countries. In Panama, we have data on the prevalence of asthma in children, but not in adults with asthma or COPD. Methodology. A study of prevalence of respiratory symptoms is carried out, through the application of a nationwide survey by telephone and digital means. A stratified sampling was carried out by provinces. Absolute and relative frequencies were calculated for the questions of the questionnaire. Objective: To determine the prevalence of asthma and COPD symptoms in subject over 18 years old in the Panama Republic. Results. In the first semesters of 2019, 1,514 surveys evaluated with a 1: 1 male: female ratio. The prevalence of previous diagnosis of asthma or COPD was 15.8% CI (14,0-17,7), wheezing in the last 12 months 14.4% CI (12,6-16,2), night awakenings 18.2% CI (16,2-20,1), dyspnea 15.8% CI (14,0-17,7) and bronchitis with colds 19.3% CI (17,2-21,2). 11.6% CI (10, 1-13,3) used some medication for asthma and 10.1% CI (8,6-11,6) stated that they had used emergency room services. 37.6% CI (35,2-40,1), a history of smoking 17.1% CI (15,2-19,0),and exposure to biomass 16.8% CI (14,9-18,7) responded affirmatively to symptoms of rhinitis. Conclusions. The most prevalent asthma and COPD symptoms were; tightness in the chest or bronchitis with colds, nighttime awakenings due to shortness of breath or tightness in the chest and wheezing at any time of the day. Rhinitis symptoms were the most prevalent in the surveyed subjects, appearing in more than a third of the sample.Smoking history, passive exposure to tobacco smoke, and exposure to wood smoke also varied by condition, but in none of the cases did it exceed a fifth of those surveyed. The use of medications was percentage lower than the number of subjects who reported having received a previous diagnosis of asthma or COPD. One in ten respondents has received emergency services for a tight chest, shortness of breath, or cough in the past year.<br /><br />

scholarly journals Pompe Disease Could Mimic Exam Findings of Amyloidosis: Two Rare Diagnoses Bona Fide

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Jithma P. Abeykoon ◽  
Narjust Duma ◽  
Jennifer A. Tracy ◽  
Margherita Milone ◽  
Ronald Go
Keyword(s):  
Pompe Disease ◽  
Clinical Presentation ◽  
Signs And Symptoms ◽  
Proximal Muscle ◽  
Wild Type ◽  
Physical Finding ◽  
Transthyretin Amyloidosis ◽  
Extensive Evaluation ◽  
History Of ◽  
Bona Fide

A 70-year-old female presented with a three-year history of evolving macroglossia causing dysphagia and dysarthria, with proximal muscle weakness. Given the classic physical finding of macroglossia, the patient underwent extensive evaluation for amyloidosis which proved to be negative apart from a bone marrow biopsy which stained positive for transthyretin without amino acid sequence abnormality, thus giving wild-type transthyretin amyloidosis. Since the wild-type transthyretin amyloidosis could not entirely explain her clinical presentation and evaluation, further studies were conducted in a sequential manner, thus leading to a diagnosis of Pompe disease explaining her presenting signs and symptoms including her macroglossia. Through this fascinating case, we attempt to highlight the approach for the diagnoses of two rare diseases in a patient by emphasizing the importance of having a broad differential diagnosis when presented with findings which may have been thought as pathognomonic for certain diseases.

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