scholarly journals Prevalence of fistula-in-ano in patients attending tertiary care institute of Gujarat: a cross-sectional study

2019 ◽  
Vol 6 (7) ◽  
pp. 2449
Author(s):  
Akhilesh G. Sukhlecha
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Cross Sectional ◽  
Fistula In Ano ◽  
External Opening ◽  
Care Institute ◽  
Envelope Method

Background: Present research was done to study the evidence, etiology signs, symptoms, pathogenesis and management and follow up of the patient for a period of 6 months after surgery.Methods: This was a clinical study of fistula in ano done at medical institute for the period of 1 year. 50 cases, clinically diagnosed, fistula in ano were selected randomly utilizing the closed envelope method and studied. Clinical examination including per rectal and proctoscopic was done in required patients. Patients were treated with fistulectomy or fistulotomy for fistulae. Patients were followed up for a period of 3 months to 1 year.Results: In this present series, 44% of patients were in the age group of 31-40 years. 70% of patients were, discharging wound was the presenting the complaint. 20% of patients with pain and swelling around the anal region. In the study of 50 cases were randomly selected patients of fistula in ano, 84% of them had only one external opening, while 10% had 2 external opening and another 6% had more than 2 openings, hence fistula in ano with a single external opening is commonest in occurrence.Conclusions: On the basis of observations, we can conclude that early diagnosis and appropriate management is the key to success. It not only reduces the complications but also improve the quality of life among these patients.

scholarly journals Study of the magnitude of premenstrual syndrome in a tertiary care institute in Pondicherry, India

2019 ◽  
Vol 8 (6) ◽  
pp. 2188
Author(s):  
Jessy Varghese ◽  
Vijaya Koothan ◽  
V. Sujaritha
Keyword(s):  
Weight Gain ◽  
Medical Students ◽  
Premenstrual Syndrome ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Endocrine Disorders ◽  
Cross Sectional ◽  
Abdominal Bloating ◽  
Care Institute

Background: Premenstrual syndrome is cyclical physical and behavioural symptoms that appear in days preceding menstruation and interfere with work or life style followed by a symptom free interval. The common affective and somatic symptoms seen are mood swings, irritability, anxiety, breast tenderness, weight gain and abdominal bloating. The present study was done to detect premenstrual syndrome and encourage students to seek treatment which would improve quality of life both socially and academically.Methods: A cross-sectional study was conducted over a period of three months from November 2018 to January 2019 among medical students in a tertiary care institute in Pondicherry. A detailed questionnaire regarding premenstrual symptoms and screening for depression was obtained from all study subjects. Diagnosis of premenstrual syndrome was done if there were at least one affective symptom like mood swings, insomnia, anxiety and one somatic symptom like abdominal bloating, breast complaints and weight gain.Results: Total of 207 students were screened out of whom 155 (74.87%) students were found to have premenstrual syndrome. 41 students did not have the same, 11 students were excluded as they were having endocrine disorders like polycystic ovarian syndrome and thyroid abnormalities. 60.6% had mild 38.4% moderate 4.5% had severe premenstrual syndrome. Commonest symptoms were mood swings 81.9% followed by anxiety 80% and fatigue 71.6% breast complaints and joint pains were seen in 71% equally so also abdominal bloating and weight gain which was seen in 67%. Depression was found in 52.9% of the students.Conclusions: Premenstrual syndrome is prevalent among medical students commonly and detecting it and encouraging students to seek treatment will help them perform better socially and academically.

scholarly journals Breast cancer; awareness of breast cancer, self-breast examination and its practice in educated women

2021 ◽  
Vol 8 (6) ◽  
pp. 1809
Author(s):  
Lisha Suraj ◽  
Pallavi Sanjay Kadam
Keyword(s):  
Breast Cancer ◽  
Early Stage ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Cancer Awareness ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Care Institute ◽  
Main Medium

Background: The incidence of breast cancer in India is showing an increasing trend and more patients are diagnosed with breast cancer at a younger age. The prognosis of breast cancer is better when it is diagnosed at an early stage and proper treatment started early. Breast self-examination (BSE) remains as an important inexpensive tool which help in detecting any breast abnormality and diagnosing breast cancer, especially in Indian scenario. This survey was conducted among the young ladies working or studying in a tertiary care centre in Mumbai to assess the awareness about breast cancer, BSE and its practice in educated women.   Methods: This is a cross sectional study conducted among 553 females studying and working in a tertiary care institute at Mumbai. A questionnaire was prepared and response was noted down and analysed statistically.Results: According to our study even the educated women working in medical institute were not completely aware of the BSE, its practice and its importance in day-to-day life.Conclusions: The awareness  about breast cancer among students and staff  was found to be  good  in this  health care institute but most of them are not aware of proper method  and interval of BSE. The main medium of information was audiovisual. The awareness programmes need to be more for encouraging people to do a BSE and take an early medical help.

Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

2020 ◽  
Vol 26 (1) ◽  
pp. 31-36
Author(s):  
Md Zakaria Sarkar ◽  
AHM Ferdows Nur ◽  
Utpal Kumar Dutta ◽  
Muhammad Rafiqul Islam ◽  
Debabrota Roy ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cross Sectional Study ◽  
Surgical Trauma ◽  
Group 14 ◽  
Progressive Hearing Loss ◽  
Cross Sectional ◽  
Hearing Gain ◽  
Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

A retrospective analysis of congenital anomalies in congenital hypothyroidism

2020 ◽  
Vol 33 (9) ◽  
pp. 1147-1153
Author(s):  
Fatima Ali Mazahir ◽  
Manal Mustafa Khadora
Keyword(s):  
United Arab Emirates ◽  
Congenital Hypothyroidism ◽  
Clinical Laboratory ◽  
Tertiary Care ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
High Rate ◽  
Lingual Thyroid ◽  
Cross Sectional

AbstractObjectivesWe evaluated the spectrum of diseases accompanying congenital hypothyroidism (CH) in the United Arab Emirates and compared them with internationally studied patterns.MethodsThe presented retrospective cross-sectional study took place in two government tertiary care centres. In total, 204 patients with a confirmed diagnosis of CH and a minimum period of follow-up of 1 year were included. Patients with Down syndrome, infants born at <35 weeks of gestation, and babies with TORCH (Toxoplasma gondii, Other viruses [HIV, measles, etc.], Rubella, Cytomegalovirus, and Herpes simplex) infections were subsequently excluded from the study.ResultsOf the subjects with CH, 39% had associated extrathyroidal anomalies (ETAs); among these, 25% had a single anomaly. A significant proportion of Arab males were affected by CH as compared to other ethnic groups. Dyshormonogenesis was the commonest aetiological cause (55%) of CH. Males with an ectopic lingual thyroid gland had significant ETAs as compared to females of the same cohort. The most common ETAs were congenital heart disease (16%), followed by urogenital tract anomalies (14%).ConclusionsDetection of a high rate and variability of ETAs associated with CH necessitates the formulation of a structured screening programme including appropriate clinical, laboratory, and imaging tools to detect ETAs at an earlier stage.

scholarly journals A Spectrum of Ophthalmic Diseases in a Tertiary Care Hospital in Peshawar, KPK; a 10-Year Retrospective Study

2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Muhammad Rafiq Afridi Khalid Saifullah Baig Omer Nasim, Salman Khan
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Data Bank ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ocular Disorders ◽  
Systemic Condition

Correspondence to: Omer Nasim Ophthalmology Unit Rehman Medical Institute (RMI), Peshawar Email: [email protected] Purpose: To assess the frequency of different eye morbidities in the patients presenting at a tertiary care Hospital in Peshawar. Study Design: Cross sectional study. Place and Duration of Study: Ophthalmology unit of Rehman Medical Institute (RMI), Peshawar from February 2004 to month of March 2014. Material & Methods: This research involved accessing the data bank kept by the Hospital. All ocular morbidities seen during the study period was included in the study while those who presented with the diseases of the eye due to some other systemic condition were excluded. Patients were categorized according to their gender and year of admission. The age categories were divided into 5 groups, 0-20, 21-40, 41-60, 61-80, 81-100 years’ category. The data collected was analyzed using MS Excel 2013. Results: A total of 1869 patients were examined out of which 49.92% were male and 50.07% were female. The ocular examination revealed that out of the 1869 patients, 57.30% of the patients suffered from Cataract, 4.86% patients suffered from Pterygium, 4.76% suffered from Strabismus, 1.65% patients suffered from Glaucoma and the remaining 31.43% suffered from various spectrum of diseases. Female preponderance was more than males in the sense of general morbidity of ocular disorders.

scholarly journals Predictors of health-related quality of life among patients with diabetes on follow-up at Nekemte specialised Hospital, Western Ethiopia: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036106
Author(s):  
Bikila Regassa Feyisa ◽  
Mekdes Tigistu Yilma ◽  
Belachew Etana Tolessa
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Patients With Diabetes ◽  
Related Quality ◽  
Health Related ◽  
Western Ethiopia

ObjectiveTo assess health-related quality of life (HRQoL) and its predictors among patients with diabetes on follow-up at Nekemte Specialised Hospital in Western Ethiopia.Design, setting and participantsThis facility-based cross sectional study was conducted among 224 patients with diabetes mellitus (types I and II) on follow-up at one of the public hospitals in western Ethiopia. Respondents were selected by systematic random sampling and interviewed with the aid of a questionnaire.Main outcome measuredHRQoL was measured by using the Medical outcomes study 36-item Short Form (SF-36) Health Survey from 15 April to 5 June 2019. A structured questionnaire was used for data collection from participants selected by systematic random sampling. Multiple linear regression was used for the final model.ResultA total of 215 patients with diabetes consented and completed the study, giving a response rate of 96%. The mean score of the overall HRQoL of the study participants was 50.3±18.1. The highest mean score was obtained in the physical functioning domain and the lowest mean score in the general health domain. Age, education status, history of smoking, feeling of stigmatisation and body mass index were inversely associated with the overall HRQoL. Gender (male), marital status (currently married), absence of comorbidity and absence of chronic complications related to diabetes mellitus were positively associated with overall HRQoL.ConclusionThe overall HRQoL of patients with diabetes on follow-up at the study area was found to be moderate. General health, mental health, bodily pain and vitality were the most affected domains. Both the mental and physical components need to be considered when caring for the patients with diabetes on follow-up beyond provision of treatment.

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