scholarly journals Study of seizures among pediatric age group (0-12 years) in tertiary health care center of a district of Maharashtra, India

2017 ◽  
Vol 4 (2) ◽  
pp. 512
Author(s):  
Saleem Hussain Miyan Tambe ◽  
Ismail Ali Farukh Ali Inamdar ◽  
Nasir Abdul Bari ◽  
Arvind Nilkanthrao Chavan
Keyword(s):  
Care Center ◽  
Age At Onset ◽  
Age Group ◽  
Neonatal Seizures ◽  
Female Ratio ◽  
Term Neonates ◽  
Clinical Criteria ◽  
Health Care Center ◽  
Pediatric Age Group ◽  
Female Male Female

Background: Seizures represent the most distinctive signal of neurological disease in the newborn period and these convulsive phenomena are the most frequent of the overt manifestation of neonatal neurological disorders. Recognition and classification of seizures remain problematic; particularly when pediatricians rely only on clinical criteria. The objective of this study was to study the incidence of pediatrics (0-12 years) seizures. To study the etiology and pattern of seizures.Methods: 326 Subjects who had seizures were included in the study. Relevant history was ascertained from a patient’s parents or a reliable relative or attendant, medical records and the referring physicians note, specifically from mother in case of neonatal seizures i.e. age at onset of seizures, seizure activity with special emphasis on occurrence of 1st seizures, duration of seizures, number and type of seizures, associated autonomic changes, medications required to control seizures, response time to medications, and possible causes for determination of etiology. A detailed antenatal, natal and postnatal history was taken.Results: Out of 326 study subjects 117 (35.89%) were in neonatal age group, of which 75 (64.10%) and 42 (35.90%) were male and female respectively and 209 (64.11%) were beyond neonatal age, out of which 125 (59.8%) were male and 84 (40.2%) female. out of 117 neonatal seizures, 75 (64.10%) neonates were male and 42 (35.90%) were female. Male: Female ratio was 1.79:1. The seizures were common in male neonates. Subtle seizures were the commonest type of seizures observed both in term and preterm neonates.Conclusions: The various types of seizure were compared with the preterm and term neonates and it was found statistically significant (X2 = 5.06 d.f. = 4, p<0.05). The various causes of seizure were compared with the preterm and term neonates and it was found statistically significant (X2= 17.42 d.f. = 6 p<0.05).

scholarly journals A PROSPECTIVE STUDY ON SEIZURES AMONG PEDIATRIC AGE GROUP IN TERTIARY CARE HOSPITAL

2020 ◽  
pp. 63-64
Author(s):  
Srenivas. A ◽  
Sathiya Suresh
Keyword(s):  
Tertiary Care ◽  
Age At Onset ◽  
Preterm Neonates ◽  
Care Hospital ◽  
Age Group ◽  
Neonatal Seizures ◽  
Female Ratio ◽  
Pediatric Age Group ◽  
Female Male Female ◽  
A Prospective Study

Seizures represent signal of neurological disease in the newborn period and these convulsive phenomena are the most frequent of the overt manifestation of neonatal neurological disorders.. The objective of this study was to study the incidence of pediatrics (0-12 years) seizures. To study the etiology and pattern of seizures. Methods: 200 Subjects who had seizures were included in the study. Relevant history was ascertained from a patient’s parents or a reliable relative or attendant, medical records and the referring physicians note, specifically from mother in case of neonatal seizures i.e. age at onset of seizures, seizure activity with special emphasis on occurrence of 1st seizures, duration of seizures, number and type of seizures, associated autonomic changes, medications required to control seizures, response time to medications, and possible causes for determination of etiology. A detailed antenatal, natal and postnatal history was taken. Results: Out of 200 study subjects 35.89% were in neonatal age group, of which 64.10% and 35.90% were male and female respectively and 64.11%. out of neonatal seizures, 64.10% neonates were male and 35.90% were female. Male: Female ratio was 1.79:1. The seizures were common in male neonates. Subtle seizures were the commonest type of seizures observed both in term and preterm neonates. Conclusions: The various types of seizure were compared with the preterm and term neonates and it was found statistically significant

scholarly journals Pattern of skin disorders among pediatric age group cases attending a tertiary health care center

2020 ◽  
Vol 6 (4) ◽  
pp. 511
Author(s):  
Shahul Hameed G. ◽  
Karthik Raja S.
Keyword(s):  
Skin Diseases ◽  
Care Center ◽  
Tertiary Care ◽  
Care Hospital ◽  
Age Group ◽  
Pediatric Age ◽  
Skin Disorders ◽  
College Hospital ◽  
Health Care Center ◽  
Pediatric Age Group

<p class="abstract"><strong>Background:</strong> Skin diseases among the pediatric age group people are more common and it contributes to significant burden to health sectors. Also, the pattern of skin diseases changes consistently with reference to place and time. Hence the present study was conducted to assess the pattern of skin diseases in pediatric age group patients attending a tertiary care hospital.</p><p class="abstract"><strong>Methods:</strong> The cross-sectional study was conducted by the department of Dermatology, Venereology and Leprosy at Sri Muthukumaran Medical College Hospital and Research Institute, among the pediatric age group patients attending the outpatient department, during the month of October to December 2019. A total of 412 pediatric age group patients with skin disorder were included in the study. The study was conducted using a proforma with the clinical history and diagnosis of the participants. Data was entered in Microsoft excel and data analysis was done using SPSS version 17.<strong></strong></p><p class="abstract"><strong>Results:</strong> The common skin disorders reported in this study includes infections (34.7%) followed by dermatitis (32.3%), infestations (11.4%), miliaria (8.3%), popular urticaria (7.5%) and urticaria (6.1%). Among the infections fungal, bacterial and viral pathogens contributes to 16.3%, 10.9% and 7.5% of cases, respectively. Also 11.2% of cases were found to be infested with scabies (9.2%) and pediculosis (2.2%).</p><p class="abstract"><strong>Conclusions:</strong> Skin disorders in the pediatric age group are common and showing increasing trend. Hence health education of the parents and the school children about good nutrition, hygiene practices, and proper hydration of skin can be promoting in order to reduce the burden of skin disorders.</p>

scholarly journals Demographic and histopathologic profile of pediatric brain tumors: A hospital-based study

2015 ◽  
Vol 04 (03) ◽  
pp. 146-148
Author(s):  
Harshil C. Shah ◽  
Bhushan P. Ubhale ◽  
Jaimin K. Shah
Keyword(s):  
Brain Tumors ◽  
Care Center ◽  
Pediatric Brain Tumors ◽  
Population Based ◽  
World Health ◽  
Anatomical Site ◽  
Age Group ◽  
Female Ratio ◽  
Health Care Center ◽  
Pediatric Brain

Abstract Background: Very few hospital-based or population-based studies are published in the context to the epidemiologic profile of pediatric brain tumors (PBTs) in India and Indian subcontinent. Aim: To study the demographic and histopathologic profile of PBTs according to World Health Organization 2007 classification in a single tertiary health care center in India. Materials and Methods: Data regarding age, gender, topography, and histopathology of 76 pediatric patients (0–19 years) with brain tumors operated over a period of 24 months (January-2012 to December-2013) was collected retrospectively and analyzed using EpiInfo 7. Chi-square test and test of proportions (Z-test) were used wherever necessary. Results: PBTs were more common in males (55.3%) as compared to females (44.7%) with male to female ratio of 1.23:1. Mean age was 10.69 years. Frequency of tumors was higher in childhood age group (65.8%) when compared to adolescent age group (34.2%). The most common anatomical site was cerebellum (39.5%), followed by hemispheres (22.4%). Supratentorial tumors (52.6%) were predominant than infratentorial tumors (47.4%). Astrocytomas (40.8%) and embryonal tumors (29.0%) were the most common histological types almost contributing more than 2/3rd of all tumors. Craniopharyngiomas (11.8%) and ependymomas (6.6%) were the third and fourth most common tumors, respectively. Conclusion: Astrocytomas and medulloblastomas are the most common tumors among children and adolescents in our region, which needs special attention from the neurosurgical department of our institute. Demographic and histopathologic profile of cohort in the present study do not differ substantially from that found in other hospital-based and population-based studies except for slight higher frequency of craniopharyngiomas.

scholarly journals A clinico-etiological study of dermatoses in pediatric age group in tertiary health care center in South Gujarat region

2015 ◽  
Vol 60 (6) ◽  
pp. 635 ◽  
Author(s):  
SugatA Jawade ◽  
VishalS Chugh ◽  
SnehaK Gohil ◽  
AmitS Mistry ◽  
DipakD Umrigar
Keyword(s):  
Health Care ◽  
Care Center ◽  
Age Group ◽  
Pediatric Age ◽  
Health Care Center ◽  
Pediatric Age Group ◽  
Etiological Study

scholarly journals Ocular Trauma in Pediatric Age Group at a Tertiary Eye Care Center in Central Maharashtra, India

2020 ◽  
Vol Volume 14 ◽  
pp. 1003-1009 ◽  
Author(s):  
Ashok Hukumchand Madan ◽  
Rajesh Subhash Joshi ◽  
Preeti Dasharath Wadekar
Keyword(s):  
Ocular Trauma ◽  
Care Center ◽  
Age Group ◽  
Pediatric Age ◽  
Eye Care ◽  
Pediatric Age Group

scholarly journals Diagnosis and Management of Hoarseness in Developing Country

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Shuaib Kayode Aremu ◽  
Waheed Atilade Adegbiji ◽  
Clement Nwawolo ◽  
Oyebanji Anthony Olajuyin ◽  
Fatai Olatoke
Keyword(s):  
Laryngopharyngeal Reflux ◽  
Care Center ◽  
Predisposing Factors ◽  
Common Symptom ◽  
Upper Respiratory Tract ◽  
Specialist Care ◽  
Tertiary Institution ◽  
Female Ratio ◽  
Health Care Center ◽  
Tract Infections

Background: Hoarseness/dysphonia of voice is the most common symptom of laryngeal disorder regardless of its pathology.This study aimed at determining the sociodemographic profile, aetiology, predisposing factors, clinical profile and management of hoarseness.Materials and Methods: This study was a prospective study carried out on all patients who presented hoarseness of voice via the Ear, Nose, and the Throat at the department of a tertiary institution in Nigeria.The study was carried out between October 2015 to September 2017. Data were obtained from patients who gave consent by using pre tested interviewer assisted questionnaire. All the data obtained were analyzed using SPSS version 16.0.Results: Prevalence of hoarseness was 2.4%. There were 58.4% males with male to female ratio being 1.5:1. Housewives were involved 27.6%, Singers 21.5%, Teachers 17.3%, and Clergy 13.1%.  Main causes were 96.3% organic causes and 2.8% neurological causes. Common organic causes were 36.4% acute laryngitis, 30.8% chronic laryngitis, and 15.0% vocal nodules.Main predisposing factors were Upper respiratory tract infections 50.5%, Voice abuse 33.6%, and Laryngopharyngeal reflux 29.4%. Commonest duration of the hoarseness prior to presentation were >12 months in 29.4% and 6–9 months in 27.1%.  Main clinical features were hoarseness 78.5%, catarrh/cold 73.4%, sensation of lump in the throat 62.6%, and cough 55.6%. Prior medications before presentation to otorhinolaryngologist were local herb 84.6%, over the counter medication 48.6%, and health care center 38.3%. Specialist care was conservative/medical treatment 77.6%, surgical intervention 20.1%, and referral 2.3%.Conclusion: Prevalence of hoarseness of voice was high with associated presentation to the specialist. Organic causes are the commonest with predominant inflammatory origin. Laryngeal neoplasm with associated malignancy was significant in a numbers of patients.

scholarly journals A OBSERVATIONAL STUDY CLINICAL, EPIDEMIOLOGICALAND ETIOLOGICAL PROFILE IN PEDIATRIC STATUS EPILEPTICUS IN A TERTIARY CARE CENTER IN WEST BENGAL

2020 ◽  
pp. 3-5
Author(s):  
Dipanjan Halder ◽  
Neha Karar ◽  
Sabyasachi Som ◽  
Debarshi Jana
Keyword(s):  
Status Epilepticus ◽  
West Bengal ◽  
Economic Status ◽  
Care Center ◽  
Tertiary Care ◽  
Pediatric Intensive Care ◽  
Lower Class ◽  
Age Group ◽  
Tertiary Care Center ◽  
Pediatric Age Group

INTRODUCTION: Status epilepticus (SE) is a medical and neurological emergency. The objectives of the study were to determine the clinical, etiological and epidemiological profile of SE in pediatric age group admitted to pediatric intensive care unit (PICU) in a tertiary care center at West Bengal. MATERIAL AND METHOD: An observational descriptive study, 108 children with age more than 28 days and upto 12 years presenting with SE were included in Department of Pediatric Medicine, R.G.Kar Medical College and Hospital, Kolkata from January 2016 to January 2017. RESULTS AND DISCUSSION: Test of proportion showed that the proportion of the patients in the age group 5-10 years (54.6%) were significantly higher than other age group (Z= 2.75; p=0.006). 11(10.2%) patient was with age<1 year. Acute Symptomatic (38.9%) was the commonest among the etiologies followed by Idiopathic (31.5%) which were significantly higher than other etiologies (Z=4.36;p<0.001). CONCLUSION: Patients with younger age are more vulnerable to develop SE. Most of the children belonged to lower class socio-economic status. Acute symptomatic is the most common etiology followed by idiopathic.Convulsive SE with generalized tonic clonic type of convulsion is the most common variety.

scholarly journals A study on clinical characteristics of herpes zoster in a tertiary care center

2017 ◽  
Vol 3 (1) ◽  
pp. 79
Author(s):  
Rachana R. ◽  
Shivaswamy K. N. ◽  
Anuradha H. V.
Keyword(s):  
Herpes Zoster ◽  
Clinical Characteristics ◽  
Care Center ◽  
Tertiary Care ◽  
Age Groups ◽  
Age Group ◽  
Female Ratio ◽  
Varicella Zoster ◽  
Medical College ◽  
Male To Female

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Herpes zoster (HZ), also known as shingles, derived from the Latin word Cingulum, for “girdle”. This is because a common presentation of HZ involves a unilateral rash that can wrap around the waist or torso like a girdle. HZ results due to reactivation of an earlier latent infection with the varicella zoster virus (VZV) in dorsal root ganglia. It occurs at all age groups, common over 60 years of age. It is estimated that in non-immune populations, approximately 15 cases per 1000 people occur per year. The objective of the study was to study the clinical characteristics in patients with uncomplicated herpes zoster.</span></p><p class="abstract"><strong>Methods:</strong> A total of 72 patients attending dermatology OPD at Ramaiah medical college between June 2013 to September 2014 were recruited after obtaining informed consent. A detailed history regarding onset of rash, pain, progression, duration and distribution of the lesions were recorded. Demographic information including age, sex, and any other co morbidities noted. Tzanck smear and serology for HIV was done where-ever necessary.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Of the 72 patients, females outnumbered males [M=35(48.61%), F=37 (51.39%)] with male to female ratio of 0.9 to 1. The mean age of presentation was 58±18 years. Majority of the patients (54%) were in the age group of 51 to 70 years followed by 31-50 years (25%). Least number of cases (9%) was in the age group of 21 to 30 years. Of the 72 subjects, thoracic involvement was noted in 30.6%, followed by lumbar (22%), and trigeminal (16%). Cervical (4%) and sacral (2%) involvement was the least. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Herpes zoster commonly occurs in old age and the presenting symptom being pain and burning sensation. Thoracic dermatome is the commonest site. Immunocompromised states like diabetes, malignancy and HIV can increase the risk of developing herpes zoster.</span></p>

scholarly journals Histopathology of Polyps and Cancer of Colorectum: A ten years study from a tertiary care center

2021 ◽  
Vol 14 (2) ◽  
pp. 100-106
Author(s):  
Binita Goyal
Keyword(s):  
Colorectal Cancer ◽  
Care Center ◽  
Correct Diagnosis ◽  
Tertiary Care ◽  
Older Age ◽  
Histologic Grade ◽  
Age Group ◽  
Female Ratio ◽  
Pathologic Stage ◽  
Male Female Ratio

Introduction and objectives: Polyps and colorectal cancer have overlapping clinical presentation and may be difficult to diagnose on clinical grounds alone and close clinicopathological correlation is required for correct diagnosis and management. This study was aimed to see the spectrum of polyps and cancer in colorectum, see the percentage of colorectal cancer in younger individuals, see association between histologic grade and pathologic stage at presentation and compare site of tumor and pathologic stage at presentation in younger and older age group. Methods: This study was carried out on 138 consecutive cases of polyps and malignant lesions of colorectum during a time period of 10 years from January 2011 to December 2020. Results: Age of the patients ranged from 2 – 90 years with mean 45.1 years and a male female ratio 2:1. There were 58 (42.0%) cases of polyps and 80 (58.0%) cases of malignancies. 37 (46.3%) malignancy cases were seen in individuals ≤ 50 years of age. Most common site of involvement was rectum in 80 (58.0%) cases. Most common non-neoplastic polyp was retention polyp comprising 25 (67.6%) and most common neoplastic polyp was adenoma comprising of 18 (85.7%) cases. Most common malignancy was adenocarcinoma comprising 75 (93.8%) cases. Conclusion: Significant number of malignancies is seen in younger individuals stressing the need for suspicion and surveillance in this age group. Histologic grade is an important prognostic parameter and there is no difference in site of tumor and stage at presentation between younger and older age group.

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