scholarly journals A clinicopathological study of vernal conjunctivitis in urban and rural areas of Eastern India: A hospital based study

2018 ◽  
Vol 6 (3) ◽  
pp. 966
Author(s):  
Suman Adhikari ◽  
Asok Kumar Naskar ◽  
Samarendra Kabasi ◽  
Sujata Deb ◽  
R. K. Deb ◽  
...  
Keyword(s):  
Rural Areas ◽  
Vernal Keratoconjunctivitis ◽  
Treatment Groups ◽  
Medical College ◽  
Biopsy Specimens ◽  
Number Of Patients ◽  
Department Of Ophthalmology ◽  
Conjunctival Biopsy ◽  
Urban And Rural Areas ◽  
Vernal Conjunctivitis

Background: Vernal keratoconjunctivitis (VKC) is a relatively rare, chronic form of ocular allergy that can potentially cause severe visual complications.Methods: The present study was carried out amongst the patients suffering from vernal conjunctivitis and attending the Outpatient Department of Ophthalmology of Mata Gujri Memorial Medical College & Lions Seva Kendra Hospital, Kishanganj (Bihar). The conjunctiva and cornea were examined for any complication of the disease. The patients were categorized into two treatment groups, each group treated with one topical drug. As the total number of patients in the study was 100, each treatment group consisted of 50 patients, one group of patients was treated with 0.05% azelastine eye drop and the other group treated with 2% sodium cromoglycate eye drop.Results: Greater incidence during the period from March to June (59%) and the highest number in the month of May (18%). Of the 100 patients in the study group, the largest group of 89 patients presented with limbal vernal conjunctivitis; 7 patients presented with palpebral vernal conjunctivitis and 4 patients suffered from a mixed type (both limbal and palpebral) type of the disease.Conclusions: Examination of the conjunctival biopsy specimens of the patients showed chronic nonspecific inflammatory reaction, mostly confined to the subepithelial region. Patients in both groups showed dramatic results of the treatment proving the efficacy of steroids. 

scholarly journals Acid violence: a burning issue in Bangladesh

2014 ◽  
Vol 7 (1) ◽  
pp. 12-15 ◽  
Author(s):  
Gulshan Ara Akhter ◽  
Farzana Islam
Keyword(s):  
Older Women ◽  
Rural Areas ◽  
Public Awareness ◽  
College Hospital ◽  
Young Females ◽  
Medical College ◽  
Land Dispute ◽  
One Stop ◽  
Urban And Rural Areas

Acid violence is a barbaric form of violence in Bangladesh. Acid violence also called acid throwing or vitriolage, is defined as the act of throwing of strong corrosives on face and body of a person with the intention of causing permanent disfiguration, intense pain, scarring and sometimes blindness. All of these injuries are considered as ‘grievous hurt’ under section 320 of B.P.C (Bangladesh Penal Code). For the last few years it is on the rise in both urban and rural areas of Bangladesh. The perpetrators are mostly men and adolescent boys. The overwhelming majority of the victims are women and many of them are girls and young females. Recently, however, there have been acid attacks on children, older women and also men. These attacks are often the result of family and land dispute, dowry demands or a desire for revenge due to failure in love affairs or marriage proposals. It is considered as one of the extreme forms of repression and violation of women’s right. This review article is aimed to focus on the present situation of this barbaric act of vengeance against women and young adolescent girls with regard to frequency, causes, long term consequences and creating public awareness on the issue by tightly regulating the sale and transport of acid as well as enacting harsher penalties for perpetrators. Data collection is based on information from Dhaka Medical College hospital, One Stop Crisis Center (OCC), Acid Survivors’ Foundation, Naripokkho Action Aid and several Dhaka based organizations. DOI: http://dx.doi.org/10.3329/imcj.v7i1.17744 Ibrahim Med. Coll. J. 2013; 7(1): 18-20

scholarly journals Boston keratoprosthesis type 1 - indication, complication and visual outcomes

2017 ◽  
Vol 5 (5) ◽  
pp. 1903
Author(s):  
Kritika Raina ◽  
Alka Gupta
Keyword(s):  
Poor Prognosis ◽  
Corneal Neovascularization ◽  
Corneal Graft ◽  
Retention Rates ◽  
Type I ◽  
Medical College ◽  
Number Of Patients ◽  
Department Of Ophthalmology ◽  
End Stage

Background: Diseases affecting the cornea are a major cause of blindness all over the world, second only to cataract in overall importance. In India, there are approximately 6.8 million people who have corneal blindness with vision less than 6/60 in at least one eye, and of these, about 1 million have bilateral corneal blindness.Methods: The study was conducted in upgraded department of ophthalmology, L.L.R.M. Medical College, Meerut, India from January 2014 to June 2015. It was prospective interventional study. Included those patients who have Failed corneal graft with poor prognosis for further grafting, multiple corneal graft failure, having nearly total corneal neovascularization, vision less than 6/60 with associated other complications in better eye and no vision in opposite eye and Healed Chemical burn and those patients who has end stage glaucoma or RD (retinal detachment), defective perceptions and projection of light and not willing for the procedure.Results: A total of 20 patients were enrolled for the study which were followed up and assessed over 12 months. It was observed that maximum number of patients were in the age group of 41-60 years (45%) and in the >60 years group are minimum (20%). Among these 14 cases (70%) were male and 6 cases (30%) were female.Conclusions: The Boston type 1 keratoprosthesis provides visual recovery for eyes with multiple PK failures or with poor prognosis for primary PK, showing excellent retention rates. Most of the cases had a significant improvement in vision after Boston type I KPro implantation.

scholarly journals Necessity of strengthening neurology services in Nepal

2015 ◽  
Vol 5 (2) ◽  
pp. 50
Author(s):  
R M Piryani ◽  
R S Poudel
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Head Injuries ◽  
College Teaching ◽  
Limiting Factor ◽  
Infrastructure Development ◽  
Traffic Pattern ◽  
Medical College ◽  
Age Related ◽  
Number Of Patients

Dear Editor,Stroke, head injuries and epilepsy are common neurological problems reported worldwide including Nepal. Nepal also bears the burden of nervous system infection such as meningitis, cerebral malaria, Japanese B encephalitis. The average life expectancy of Nepalese population has increased noticeably in the last twelve years; hence it may lead to increase in age related neurological conditions such as dementia, Parkinson disease. Because of poor road condition, rapidly increasing number of two- wheelers, disorganized traffic pattern, and lack of driving discipline in Nepal, motor vehicles accidents are on rise, so the head injuries too. The accompanied person along for the ride on two- wheel vehicles are not required to wear helmet and passengers in four wheelers avoid using safety belts are at risk. Moreover, the implementation of legislation to prevent driving in drunken state is limited.Presently some of the government hospitals, private medical college teaching hospitals and corporate sector hospitals located in urban areas provide neurological services. However, a large number of patients of sub-urban and rural areas having common neurological aliments have limited access. Ignorance, illiteracy, limited resources, negative attitude, discrimination, faith on traditional healers and weak economical status may be the limiting factor to access. Establishing neurological services network with public private partnership and use of latest technology may improve care and delivery of neurological services in country. At the same time government need to 1) motivate, encourage and facilitate young doctors to get training in neurosurgery and neuromedicine, 2) invest in infrastructure development, 3) create awareness among public especially of suburban and rural areas and 4) promote research.These approaches may improve quality of care and service delivery.SincerelyDr. Rano Mal Piryani- Prof of Medicine and Medical Education, Chitwan Medical CollegeMr. Ramesh Sharma Poudel- Pharmacist, Pharmacy, Chitwan Medical College Teaching Hospital

scholarly journals A comparative study on health seeking behaviour of parents towards their child’s illness in rural and urban field practice area of a medical college

2019 ◽  
Vol 6 (8) ◽  
pp. 3413
Author(s):  
Kalyan Chakravarthy Burra ◽  
Chandrashekhar Varaprasadrao Dimmala
Keyword(s):  
Rural Areas ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Government Hospital ◽  
Health Seeking ◽  
Cross Sectional ◽  
Medical College ◽  
Rural And Urban ◽  
Field Practice ◽  
Urban And Rural Areas

Background: The attitude of parents towards their children’s health and illness is an important factor with regards to child’s overall development. In most developing countries, the health of the children is strongly dependent on parental healthcare behavior. This current study mainly looks into these aspects.Methods: A community based cross sectional study involving urban and rural area field practice areas of a medical college in the study period of November 2016-January 2017 with a sample size of 100 families each having children in urban and rural areas have been fixed purposively. House to house survey done by simple random method using pretested semi structured interview schedules.Results: Around 55% of rural parents took treatment from RMP (quacks) with 55% of urban counterparts opting for wait and watch method. Only 8% of respondents from both areas too their children to a pediatrician. About 12% of urban area went to government hospital and none from rural utilized government hospital facilities.Conclusions: Large proportions of respondents did not seek appropriate medical care for childhood illnesses. 

scholarly journals Sociodemographic profile of pterygium patients attending Government Medical College, Jammu, Jammu and Kashmir- a study from North India

2017 ◽  
Vol 5 (4) ◽  
pp. 1384
Author(s):  
Angli Manhas ◽  
Dinesh Gupta ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas
Keyword(s):  
Rural Areas ◽  
Prospective Observational Study ◽  
Sociodemographic Factors ◽  
North India ◽  
Government Medical College ◽  
Jammu And Kashmir ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
Sociodemographic Profile ◽  
The Right

Background: Pterygium is a fibrovascular wing or triangular shaped tissue that develops from the conjunctiva and encroaches on to the cornea.Methods: This prospective observational study was conducted at postgraduate department of Ophthalmology of GMC Jammu, Jammu and Kashmir, India. A total of 90 pterygium patients were selected to analyze various sociodemographic factors especially age, sex, residence, occupation, position etc. on the occurrence of this problem.Results: In the present study, out of 90 pterygium patients, 40% were in the age of 31-40 years followed by 24.44% in 41-50years, 60% were males whereas 66.67% belong to rural areas. The incidence was found to be maximum among farmers 35.56% followed by labourers 20%. The right eye was involved in 55.56% cases while majority 97.78% cases of pterygium were nasal. Progressive pterygium was found in 80% while 20% reported with atrophic pterygium.Conclusions: People who work outdoors are subjected to involuntary U.V. B exposure, dust. Workers must be aware of this and they must take appropriate precautions like wearing protective photochromatic glasses, caps etc.

scholarly journals Screening for various non communicable diseases: a community based multi-diagnostic mega camp approach study from Raichur, Karnataka

2021 ◽  
Author(s):  
Amruth Reddy S. ◽  
Sai Anurag Reddy A. ◽  
Anant A. Takalkar
Keyword(s):  
Rural Areas ◽  
Research Centre ◽  
Healthy Population ◽  
Community Based ◽  
College Hospital ◽  
Middle Income ◽  
Medical College ◽  
Middle Income Countries ◽  
Urban And Rural Areas ◽  
Rural Part

Background: The 77% of all non-communicable illnesses (NCDs) deaths are in low-and middle-income countries. Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.3 million), respiratory diseases (4.1 million), and diabetes (1.5 million). These 4 groups of diseases account for over 80% of all premature NCD deaths. Objective was to study prevalence of NCDs and its trends with respect to age and gender.Methods: The present community based descriptive observational study was conducted at Navodaya medical college hospital and research centre, Raichur that caters Urban and rural area of Raichur. The 4063 apparently healthy population from urban and rural part of Raichur were screened during the multi diagnostic mega camp at urban and rural areas around Raichur during the period of January to September 2021. Results: Prevalence of diabetes in our study was 46.3%, hypertension 45.3%, cataract 46.3% and COPD as 20.7%. Prevalence of diabetes was more in 41-60 years i.e., 41.6%.  Prevalence of hypertension was more in 41-50 years i.e., 25.3%. Prevalence of diabetes was more in males i.e., 54.1%. Prevalence of hypertension was more in males i.e., 50.8%.Conclusions: Prevalence of all NCDs was more in above 40 years and more in males except COPD.

scholarly journals Clinical Characteristics of Vulnerable Populations Hospitalized and Diagnosed with COVID‑19 during Second Wave in Buenos Aires, Argentina.

2022 ◽  
Author(s):  
Silvia Kochen ◽  
Alejandro Yacobitti ◽  
Lisandro Otero ◽  
Valeria Doldan Arruabarrena ◽  
Florencia del Marmol ◽  
...  
Keyword(s):  
Vulnerable Populations ◽  
Rural Areas ◽  
Buenos Aires ◽  
Medical Condition ◽  
Intensive Therapy ◽  
Health Centers ◽  
Levels Of Care ◽  
Number Of Patients ◽  
Urban And Rural Areas ◽  
Second Wave

Abstract There are a few in Argentina publications regarding the presentation of patients with COVID-19 requiring hospitalized and emergency care in vulnerable populations that compares the first and second wave, and it has few reports in developing countries. The objective is to determine whether in the care of vulnerable patients, to succeed against COVID-19, multiple public health tools and interventions necessary to minimize morbidity and mortality. The study is a prospective cohort investigation of 3028 patients during second wave with lab-confirmed COVID-19, who required any of the Health Centers response from April 1, 2021, to June 30, 2021. In a previous publication, our group analyzed the situation of hospitalized patients during the first wave in the same region, "Southeast Network" (SN), Buenos Aires Metropolitan Area (AMBA). SN with 1.8 million inhabitants residing in urban and rural areas. A total of 14 health centers with different levels of care complexity provide care to patients in the region. The information of each patient with COVID-19 evaluated by SN, was incorporated in an Epidemiological Dashboard. The investigation was designed and reported with consideration of observational studies in epidemiology. A total of 57.9% patients were men, and the mean age (SD) was 52.1 (13.5) years. Sixty four percent patients with pre-existing diseases, most frequent hypertension and diabetes, but diabetes, obesity, and cardiovascular disease presented higher risk. A total of 24.7% were hospitalized in Intensive Therapy Unit. The mortality of the cohort was 22.9%. Mortality was higher for patients aged 65 or more, and for those had some pre-existing disease. But, it was a slightly more than double that in the first wave, it is possible mainly due to the fact that more than doubled of patients in Second wave required hospitalization in ITU, compared to First wave. The patients presented greater severity of their medical condition at the time of their hospitalization. These findings were similar to those reported by other authors. Another possible cause of the high number of patients in the period studied is due to the fact that most of the hospitalized population had not been vaccinated. The health system was able to respond to the demand.

Efficacy of Supratarsal Triamcinolone Injection versus Dexamethasone in Recalcitrant Vernal Keratoconjunctivitis

2021 ◽  
Vol 15 (10) ◽  
pp. 2590-2592
Author(s):  
Muhammad Amin ◽  
Abdul Bari Kakar ◽  
Chakar Tajwidi ◽  
Nesr Farooq ◽  
Hafiz Waqar Ahmad Ghauri ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Randomized Study ◽  
High Rate ◽  
Vernal Keratoconjunctivitis ◽  
Conjunctival Hyperemia ◽  
Medical College ◽  
Group I ◽  
Department Of Ophthalmology ◽  
Triamcinolone Injection ◽  
Group Ii

Aim: To determine the effectiveness of supratarsal triamcinolone injection versus dexamethasone in recalcitrant vernal keratoconjunctivitis. Study Design: Prospective/randomized study Place and Duration of Study: Department of Ophthalmology, Lorallai Medical College, Loralai from 1st October 2020 to 31st March 2021. Methods: Fifty patients (100 eyes) of both genders and age between 12-40 years were enrolled. Detailed demographics of enrolled cases age, sex and body mass index were recorded after taking informed written consent. All patients had recalcitrant vernal keratoconjunctivitis. Patients were equally divided into 2-groups. Group I had 25 patients and received 20mg of supratarsal triamcinolone injection in both eyes and group II with 25 patients received 2mg of dexamethasone in their eyes. Postoperative effectiveness, complications and recurrence of disease was observed and compared among both groups. Results: There were 15 (60%) males and 10 (40%) females in group I with mean age 18.14±6.34 years while in group II, 15 (60%) males and 10 (40%) females with mean age was 17.68±4.54 years. Palprebral vernal keratoconjunctivitis was found in 36 eyes (10 patients of group I and 8 patients of group II) and Mixed vernal keratoconjunctivitis in 64 eyes (15 patients of group I and 17 patients of group II). Symptoms were itching,photophobia, lacrimation and pain. Conjunctival hyperemia, giant papillae and limbal infiltrate were the most common signs observed. Post operatively effectiveness among group I and II was (100% vs 92%) without any complication. Recurrence rate of vernal keratoconjunctivitis in group I was lower 4% as compared to group II 10%. Conclusion: The use of supratarsal triamcinolone injection in patients of recalcitrant vernal keratoconjunctivitis was effective and safest method as compared to dexamethasone in terms of less recurrence and high rate of efficacy. Keywords: Supratarsal triamcinolone, Dexamethasone, Vernal keratoconjunctivitis, Effectiveness, Recurrence

scholarly journals CATARACT & OTHER CO MORBIDITIES – STUDY FROM NORTH INDIA.

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Rakesh Kumar ◽  
Angli Manhas ◽  
Rameshwar S Manhas ◽  
Dinesh Gupta ◽  
Aditi Gupta ◽  
...  
Keyword(s):  
Rural Areas ◽  
North India ◽  
Eye Care ◽  
Care Services ◽  
Number Of Patients ◽  
Co Morbidity ◽  
Department Of Ophthalmology ◽  
Medical Facilities ◽  
Systemic Examination ◽  
Eye Camps

Background: Rural areas are away from medical facilities & these areas catters more than 3/4th of Indian populations. Thus, eye care services need to be planned & executed in these areas. Aim: To determine the prevalence of other ocular and systemic co-morbidities among the camp selected cataract patients in rural areas. Methodology: The present observational study was conducted at postgraduate department of Ophthalmology of GMC Jammu & involved patients from various eye camps selected for ECCE (SICS with PC-IOL implantation surgery). Total of 84 patients were participated in the study. Detailed history was taken from the patient & relevant ocular & systemic examination was done.Routine investigations were also done. Results: The most frequently occuring systemic co-morbidities was hypertension i.e.36.9% followed by back pain in 32.1% in the present study. The ocular co-morbities other than cataract were diabetic retinopathy in 4.8%, glaucoma in 3.6% etc. Among other ocular co morbidity, optic atrophy, amblyopia, chorioretinal atrophy, macular scar etc were noted. Conclusion: From present study it has been concluded that large number of patients who came to seek ocular treatment in eye camps has systemic co morbidities also. Thus, other specialities should also be part of team of eye camp so that along with eye other comorbidities should also be treated. Key words: Cataract, Ocular co-morbidities, Systemic co-morbidities.

scholarly journals Clinical study of central serous chorioretinopathy presenting in a tertiary care centre

2019 ◽  
Vol 7 (11) ◽  
pp. 4200
Author(s):  
Ramamani Dalai ◽  
Rajashree Rout ◽  
Manjula Pradhan ◽  
Prasanta Kumar Nanda
Keyword(s):  
Central Serous Chorioretinopathy ◽  
Tertiary Care ◽  
Population Based ◽  
Tertiary Care Centre ◽  
Population Based Study ◽  
Medical College ◽  
Number Of Patients ◽  
Department Of Ophthalmology ◽  
Common Causes ◽  
The Common

Background: Central Serous chorioretinopathy (CSCR) is one of the common causes of visual handicap affecting young people of highly intellectual professionals at the peak of their career which can lead to irrecoverable loss of vision.Methods: The present prospective observational population-based study was conducted in the Department of Ophthalmology, S.C.B. Medical College, Cuttack, Odisha from October 2013 to September 2015. The total number of patients attended the Outpatient Department (OPD) during the study period were 1,83,199. Amongst which 123 patients diagnosed to have CSCR were selected for the present study.Results: Incidence of CSCR during in this study period was 0.06%. The age group most commonly affected was 31 to 40 years. Males were affected 7 times more commonly than females. Increased incidence was noticed in bank employees (21.1 %) and IT professionals (17.8%).Conclusions: There was increased incidence of the disease in people under stressful life condition.

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