A clinicopathological study and management of abdominal tuberculosis

Background: Tuberculosis is a major health problem in developing countries. Inspite of considerable advances, abdominal tuberculosis still continues to be of paramount health issue in India, owing to its vague and non-specific presentation challenging the therapeutic skills of present day surgeon. Surgical intervention was frequently used in the past for diagnosis is not necessary and is reserved for complications like obstruction, perforation, fistula, or a mass which does not resolve with medical therapy.Methods: 30 patients admitted in Department of Surgery satisfying the inclusion criteria from November 2015 to October 2017. Patients were selected on a prospective basis.Results: In this study out of 30 patients, 16 patients were treated conservatively with anti- tubercular therapy (ATT) alone and 14 patients underwent surgical treatment. Out of 14 patients, 5 patients were operated on emergency basis and 9 were operated electively. Of the 5 emergency cases, 2 patients underwent resection anastomosis of small bowel, 1 patient underwent adhesiolysis, and 3 patients with hollow viscus perforation underwent perforation closure with peritoneal drainage.Conclusions: Tuberculosis has become a resurgent global problem with increasing numbers of extrapulmonary manifestations, non-specific features of abdominal tuberculosis result in difficulty in establishing a diagnosis, hence prompt initiation of treatment that can be either medical management or a surgical procedure is important to prevent morbidity and mortality associated with it.

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INCIDENCE OF ABDOMINAL TUBERCULOSIS IN PATIENTS PRESENTING WITH PAIN ABDOMEN

10.36106/ijsr/9500509 ◽

2021 ◽

pp. 13-15

Author(s):

Pankaj Prasad Verma ◽

Manjar Ali ◽

Sanjay Singh ◽

Vinay Pratap

Keyword(s):

Health Care Services ◽

Abdominal Tuberculosis ◽

Morbidity And Mortality ◽

Medical Sciences ◽

Major Health Problem ◽

Major Health ◽

Care Services ◽

Abdominal Symptoms ◽

Pain Abdomen ◽

Considerable Morbidity

Tuberculosis is a major health problem worldwide and in India continues to be responsible for considerable morbidity and mortality despite tremendous effort made in diagnosis, prophylaxis and therapy. The disease may involve any system of body but abdomen is one of the commonest site of involvement after lungs. This study is carrying to nd out Incidence of Abdominal Tuberculosis in patients of pain abdomen presenting as acute/chronic cases. The present study was carried out in the Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, from April 2018 to September 2019. The total number of cases selected disease remains early detection. A continual awareness on the part of the clinician of the possibility of abdominal Tuberculosis in many patients with obscure abdominal symptoms should avoid errors and aid in the detection of a condition, which if treated early, not only produces remarkable remission and relief on the part of for this study was 1800. According to the presentation, the patients were clinically divided into 2 broad groups: those who were admitted as acute emergencies and those who came with a chronic presentation. From these two groups 100 cases were fall in our inclusion criteria. Of these 100 patients, most were in their third or fourth decades of life, and females were approx two times more commonly affected as their male counterparts, maintaining an approximate ratio of 1.86:1. Thus we had a 5.55 % incidence of abdominal Tuberculosis in this series. The development of cheap and efcient procedures for early diagnosis remains one of the practical problems to battle this disease, because the only way to decrease morbidity and mortality of this the patients but also takes unnecessary burden off the health care services.

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A case of abdominal tuberculosis: a challenging diagnosis

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20192552 ◽

2019 ◽

Vol 7 (6) ◽

pp. 2497

Author(s):

Siraveni Thirupathi ◽

Chinnaiyan P. ◽

Sujeetha Chandrababu

Keyword(s):

Developing Countries ◽

Small Bowel ◽

Abdominal Tuberculosis ◽

Human Race ◽

Major Health Problem ◽

Major Health ◽

Extra Pulmonary Tuberculosis ◽

It Impacts ◽

Long Time ◽

Extra Pulmonary

Tuberculosis continues to intimidate the human race since traditional for an extremely long time not only due to its effects as a medical ailment, but also it impacts as a social and economic burden. Tuberculosis is a major health problem in developing countries. Abdominal tuberculosis is most common extra pulmonary tuberculosis. Tuberculosis can suspect in endemic countries like India, and can have various presentations and complications, it can mislead the diagnosis. Here, this case it involves small bowel, large bowel and peritoneum with different presentation.

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Gambaran Komplikasi Otitis Media Supuratif Kronis Tipe Bahaya di RSUP Dr. M. Djamil Padang Tahun 2017-2019

Jurnal Ilmu Kesehatan Indonesia ◽

10.25077/jikesi.v1i3.111 ◽

2021 ◽

Vol 1 (3) ◽

pp. 393-402

Author(s):

Lucinda Patesia Amada Rumadas ◽

Jacky Munilson ◽

Dian Pertiwi

Keyword(s):

Mortality Rate ◽

Otitis Media ◽

Secondary Data ◽

Descriptive Study ◽

Age Group ◽

Inclusion Criteria ◽

Suppurative Otitis Media ◽

Major Health Problem ◽

Major Health ◽

Intracranial Complications

Background. Atticoantral type of Chronic Suppurative Otitis Media (CSOM) becomes a major health problem in developing countries. This condition has potential to be hard becaused complications that occur. Objective. This objectives of this study was to decribe atticoantral type complications CSOM at Dr M Djamil Hospital Padang years 2017-2019. Methode: This was a descriptive study using secondary data from medical record of patients diagnosed with atticoantral type CSOM at Dr M Djamil Hospital Padang periode 2017-2019. This study involved outpatients and inpatient with total subject 242 who qualify inclusion criteria. Sampling technic used total sampling technic Results. There are 242 cases atticoantral CSOM with the most age group years ˃10-20 and more men than woman. The Incidence of complications was founded to be 9,1% with the most intracranial complications age group years ˃20-30, while the most age group in intratemporal complications were years ˃10-20 and more experienced by men than women. Mortality rate was found 9,1% in intrakranial complications and no cases mortality rate in intratemporal complication. Conclusion. The incidence of compliations CSOM atticoantral type in RSUP Dr M Djamil still quite high.

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Useful Medicinal Plants for Vision Impairment in Traditional Iranian Medicine

10.31661/gmj.v8i0.1285 ◽

2019 ◽

Vol 8 ◽

pp. 1285

Author(s):

Jamshid Shayanfar ◽

Hassan Ghasemi ◽

Seyed Saeed Esmaili ◽

Fatemeh Alijaniha ◽

Ali Davati

Keyword(s):

Medicinal Plants ◽

Traditional Medicine ◽

Vision Impairment ◽

Major Health Problem ◽

Major Health ◽

The Past ◽

Traditional Iranian Medicine ◽

The World ◽

Single List ◽

Effective Drugs

Vision impairment is an important general health issue that imposes many costs on governments and the health system every year. Despite the decline in infectious eye diseases, which has reduced the vision impairment and blindness over the past two decades, vision impairment is still a major health problem in some parts of the world. In traditional medicine books, visual weakness is referred to as “any disturbance in the act of seeing”. Many medicinal herbs have been mentioned in books of Traditional Iranian medicine (TIM) for the management of vision impairment. The aim of this study is to review the medicinal plants mentioned in TIM, which are considered effective for the treatment of vision impairment or its enhancement. In this library-based study, medicinal plants effective in the treatment of vision impairment were searched using 6 valid sources of traditional medicine, including Makhzan ol-Adawiya, The Canon of Medicine, Tuhfat al-Momenin, Al-Abniyah An Haqaiq al-adwiya, Al-Shamil Fi al-Sana’at al-tebiyah, and Ekhtiarate Badiee. This was done in 10 steps (finding keywords, searching for resources, preparing a single list, finding synonyms, classifying, reviewing, extracting plants from compositions, summarizing, scoring and sorting based on the obtained score). A total of 89 medicinal plants were extracted, most of which had a hot and dry temperament. Based on the obtained score, 12 plants got the highest scores (10 and above). The extracted plants can be the basis for further clinical studies to make new effective drugs for the prevention and treatment of vision impairment.[GMJ.2019;8:e1285]

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Prevalence ofSchistosoma mansoniinfection in Ethiopia: A systematic review and meta-analysis

10.1101/610113 ◽

2019 ◽

Author(s):

Siraj Hussen ◽

Demissie Assegu ◽

Techalew Shimelis

Keyword(s):

Systematic Review ◽

Health Problem ◽

Rural Areas ◽

Meta Analysis ◽

Open Water ◽

Cochrane Library ◽

Major Health Problem ◽

Major Health ◽

The Past ◽

Pooled Prevalence

AbstractBackgroundSchistosomiasis is the most predominant helminthic infection in tropics and subtropics mainly in sub-Saharan African countries including Ethiopia.S. mansoniinfection is still becoming a public health problem since the risk of reinfection and recurrent disease remain, even in areas with high treatment coverage. There is no summarized data regarding prevalence ofS. mansoniinfection in Ethiopia. Therefore, this review was done to determine the pooled prevalence ofS. mansoniinfection in Ethiopia.MethodsThe PRISMA guidelines protocol was followed to perform the systematic review and meta-analysis. Published studies from January 1999 to September 1 2018 were searched in Medline, PubMed, Google scholar, HINARI and Cochrane Library. The study search terms were: “prevalence”, “incidence”, “schistosomiasis” “Bilharziasis”, “Ethiopia”. The heterogeneity of studies was assessed using Cochran’s Q test and I2test statistics. Publication bias was assessed by Egger’s test.ResultsEighty four studies were included in this review and meta–analysis. The pooled prevalence ofS. mansoniamong Ethiopian population was 18.7% (95%CI: 14.7-23.5). Southern regions of Ethiopia had a higherS.mansoniprevalence of 33.6% 995% CI: 20.2-50.4).S.mansoniwas higher in rural areas and among males with a pooled prevalence, 20.8% (95% CI: 14.2-29.4) and 29.4% (95%CI: 23.2-36.6), respectively. Similarly, the prevalence ofS.mansonihave been increased over the past 15 years.ConclusionThe review showed a moderate prevalence ofS.mansoniinfection in Ethiopia and disease is still a major health problem. Therefore, integrated control approach could be implemented to reduce the burden of this parasite in Ethiopia. Interventions leading to reduction of open water sources exposure to reduce schistosomiasis transmission, strengthen of deworming program, giving appropriate health education on the risk of schistosomal infection and transmission should be applied.Author SummaryUnderstanding summarized data regarding prevalence ofS. mansoniinfection in Ethiopia is essential to inform decisions on appropriate control strategies for schistosomiasis. We searched Published studies from January 1999 to September 1 2018 from Medline, PubMed, Google scholar, HINARI and Cochrane Library. Eighty four studies were included in this review and meta–analysis. The limit of language was English and the limit of study group was human. The pooled prevalence ofS. mansoniamong Ethiopian population was 18.7%. Southern regions of Ethiopia had a higherS.mansoniprevalence and the parasite was higher in rural areas and among males. The prevalence ofS.mansonihave been increased over the past 15 years. Our review showed a moderate prevalence ofS.mansoniinfection in Ethiopia and disease is still a major health problem. Therefore, appropriate controlling approach could be implemented. Interventions leading to reduction of open water sources, strengthen of deworming program, and giving appropriate health education should be applied.

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Faecal contamination on children's hands and environmental surfaces in primary schools in Leeds

Epidemiology and Infection ◽

10.1017/s0950268800058696 ◽

1995 ◽

Vol 115 (3) ◽

pp. 527-534 ◽

Cited By ~ 19

Author(s):

E. C. Kaltenthaler ◽

A. M. Elsworth ◽

M. S. Schweiger ◽

D. D. Mara ◽

D. A. Brauxholtz

Keyword(s):

Primary Schools ◽

Knowledge Score ◽

Major Health Problem ◽

Major Health ◽

Faecal Contamination ◽

The Past ◽

Environmental Surfaces ◽

High Deprivation ◽

The Uk ◽

Good Hygiene

SummaryGastro-intestinal diseases continue to be a major health problem in primary schools in the UK. This study, which took place in 20 primary schools in the Leeds area, investigated the presence of faecal indicator bacteria on children's hands and environmental surfaces. Faecal streptococci were used as an indicator of faecal contamination.A handwashing knowledge score was developed for each child. Those children with good hygiene knowledge had less faecal contamination on their hands (relative risk: 1·4. 95% CI = 1·09–1·81,P =0·005). Those schools with higher hand counts were more likely to have had a reported outbreak of gastroenteritis in the past. Values of the Townsend Deprivation Index, an indicator of deprivation, were compared with the hand results and those schools in high deprivation areas had higher hand counts. Of the swabs taken from surfaces in the toilet areas and classrooms, the carpets in the classrooms were the most frequently contaminated surfaces.

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Detection of Mycobacterium tuberculosis in smear negative sputum by PCR

Bangladesh Journal of Medical Microbiology ◽

10.3329/bjmm.v6i2.19368 ◽

2012 ◽

Vol 6 (2) ◽

pp. 2-6 ◽

Cited By ~ 1

Author(s):

Mohammad Jobayer ◽

SM Shamsuzzaman ◽

Kazi Zulfiquer Mamun

Keyword(s):

Mycobacterium Tuberculosis ◽

Pulmonary Tuberculosis ◽

Accurate Method ◽

Major Health Problem ◽

Major Health ◽

Tuberculosis Patients ◽

Diagnostic Potential ◽

Total Death ◽

Smear Negative ◽

Negative Sputum

Pulmonary tuberculosis is a major health problem in Bangladesh that is responsible for about 7% of total death in a year. This study was conducted to isolate and identify Mycobacterium tuberculosis from sputum and to evaluate the efficacy of PCR as a modern diagnostic tool, for diagnosis of pulmonary tuberculosis, especially in the smear negative cases. One hundred and fifty suspected pulmonary TB patients (male/ female: 97/53) were included in this study. Single morning sputum was collected from each patient and diagnostic potential of PCR was compared with staining and culture. Twenty five (16.7%) sputum were positive by ZN stained smear. Among 125 smear negative samples, 13 (10.4%) yielded growth in culture in LJ media and 21 (16.8%) samples were positive by PCR. The sensitivity and specificity of PCR in smear negative cases was 100% and 92.9% respectively. Mean detection time in PCR was 24 hours. PCR detected M. tuberculosis in 21 smear negative and 9 culture negative samples. For diagnosis of tuberculosis in smear negative cases, PCR directly from sputum was a very sensitive and accurate method. In conclusion, PCR may be done, especially in clinically suspected pulmonary tuberculosis patients who remain negative by conventional methods.DOI: http://dx.doi.org/10.3329/bjmm.v6i2.19368 Bangladesh J Med Microbiol 2012; 06(02): 2-6

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Prevention and Treatment of Early Childhood Caries (ECC)

Journal Of Medicine & Health ◽

10.28932/jmh.v1i3.525 ◽

2016 ◽

Vol 1 (3) ◽

Author(s):

Jeffrey .

Keyword(s):

Early Childhood ◽

Health Problem ◽

Early Childhood Caries ◽

Health Providers ◽

Missing Teeth ◽

Optimal Basis ◽

Major Health Problem ◽

Major Health ◽

Childhood Caries

Early Childhood Caries (ECC) is a chronic disease that can be prevented. It commonlyaffects children involving in one or more decayed (with lesions or not) teeth, missing teeth (dueto caries), or teeth with fillings in children aged under 71 months. The disease is sometimesoverlooked, but this condition usually affects the general health of children. Early detection ofEarly Childhood Caries (ECC) can prevent problems which are harmful to children. Therefore,the ECC must be prevented and for teeth that have had dental caries they should be givenproper treatment so as not to worsen and affect the quality of life in children. Prevention of thisdisease is a significant component in any health program to prepare for the optimal basis forthe oral health of children. This condition will become a serious health problem if not handledproperly, and it is a major health problem for health providers throughout the world.Primarypreventive must be initiated since a woman getting pregnant.Keywords: Early Childhood Caries (ECC), prevention, treatment

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Salivary and Serum Biochemical Alterations in Patients with Acute Viral Hepatitis

Revista de Chimie ◽

10.37358/rc.18.3.6191 ◽

2018 ◽

Vol 69 (3) ◽

pp. 747-751 ◽

Cited By ~ 1

Author(s):

Daniela Gabriela Badita ◽

Iulia Ioana Stanescu ◽

Andra Balcangiu Stroescu ◽

Dan Piperea Sianu ◽

Daniela Miricescu ◽

...

Keyword(s):

Viral Hepatitis ◽

Hepatitis A ◽

Hepatitis A Virus ◽

World Population ◽

Major Health Problem ◽

Major Health ◽

Biochemical Alterations ◽

B Virus ◽

Serum Biochemical ◽

Viral Hepatitis A

Viral hepatitis represents a major health problem worldwide. Approximately 1.4 million people are infected with hepatitis A virus every year, although given that most of the cases evolve asymptomatically the real number could be even higher. At the same time, hepatitis B virus affects up to 30% of the world population and represents one of the main causes of cirrhosis and hepatocellular carcinoma. Thus, it is very important to understand the physiopathology of viral hepatitis A and B not only for the diagnosis, but also for the therapeutic protocol. The present research aimed to determine if HAV and HBV can alter serum and salivary levels of total protein and of 2 important electrolytes: calcium and potassium.

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Imaging of Bacteria: Is there Any Hope for the Future Based on Past Experience?

Current Pharmaceutical Design ◽

10.2174/1381612823666171122111558 ◽

2018 ◽

Vol 24 (7) ◽

pp. 772-786 ◽

Cited By ~ 4

Author(s):

Thomas Ebenhan ◽

Elena Lazzeri ◽

Olivier Gheysens

Keyword(s):

Clinical Practice ◽

Sterile Inflammation ◽

Ageing Population ◽

Major Health Problem ◽

Major Health ◽

Number Of Patients ◽

Implanted Medical Devices ◽

Neutropenic Patients ◽

Socio Economic Impact ◽

Made In

Infectious diseases remain a major health problem and cause of death worldwide. It is expected that the socio-economic impact will further intensify due to escalating resistance to antibiotics, an ageing population and an increase in the number of patients under immunosuppressive therapy and implanted medical devices. Even though radiolabeled probes and leukocytes are routinely used in clinical practice, it might still be difficult to distinguish sterile inflammation from inflammation caused by bacteria. Moreover, the majority of these probes are based on the attraction of leukocytes which may be hampered in neutropenic patients. Novel approaches that can be implemented in clinical practice and allow for swift diagnosis of infection by targeting the microorganism directly, are posing an attractive strategy. Here we review the current strategies to directly image bacteria using radionuclides and we provide an overview of the preclinical efforts to develop and validate new approaches. Indeed, significant progress has been made in the past years, but very few radiopharmaceuticals (that were promising in preclinical studies) have made it into clinical practice. We will discuss the challenges that remain to select good candidates for imaging agents targeting bacteria.

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