scholarly journals Analysis of renal calcular disease among children: our tertiary care experience

2021 ◽  
Vol 8 (5) ◽  
pp. 877
Author(s):  
Anzeen Nazir Kanth ◽  
Suhail Masood Khan ◽  
Azhar Ajaz Khan ◽  
Aymen Masood Khan ◽  
Irtifa Nazir Kanth
Keyword(s):  
Magnesium Deficiency ◽  
Tertiary Care ◽  
Age Groups ◽  
Renal Calculi ◽  
Blood Chemistry ◽  
Urinary Calcium ◽  
Stone Disease ◽  
Metabolic Risk Factor ◽  
Cross Sectional ◽  
Care Experience

Background: Renal calcular disease is a common disorder that affects patients of all age groups. Paediatric age group is no exception and due to lack of timely intervention it can prove disastrous in the years to come. This study is aimed to assess and evaluate the clinical and metabolic profile of paediatric patients presenting with renal calculi. The research was conducted in a cross-sectional manner. Methods: The research enrolled a total of 254 urolithiasis patients aged 14 or less who presented to G. B. Panth hospital Srinagar. Structured history and relevant investigations were collected from all the patients. The physical exam, blood chemistry, and metabolite excretion in the urine (urinary calcium, citrate, magnesium, and oxalate) were all recorded.Results: There were 65 percent males and 35 percent females (2:1) among the 254 patients, with an average age of 8.15±5.04 years at presentation. In 54% of the patients, hypertension was discovered. Urea and creatinine levels were respectively 73.01, 59 mg/dl and 4.45, 4.01 mg/dl. The amount of PTH in the blood was 51.2931 pg/l. The calcium and phosphorus levels in the blood were 8.44±1.14 and 5.0234±0.895, respectively. Metabolic irregularities were discovered in 95 percent of the patients. Hypercalciuria was the most prevalent (54%), followed by hyperoxaluria (28%). In 21% of the patients, hypocitraturia was observed. In 7.8% of children, distal renal tubular acidosis was discovered. Just 4.7% of the children had a magnesium deficiency in their urine.Conclusions: The majority of children with stone disease have a metabolic risk factor, with hypercalciuria being the most frequent in our environment. 

scholarly journals FREQUENCY OF FEMORAL FRACTURES;

2012 ◽  
Vol 19 (01) ◽  
pp. 011-014
Author(s):  
RANA MUHAMMAD ADNAN ◽  
Muhammad Irfan ZIA ◽  
JAHANZAIB AMIN ◽  
Rafya Khan ◽  
Saleem Ahmed ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Age Groups ◽  
Femoral Fractures ◽  
Cross Sectional Study ◽  
Cognitive Disability ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hospital Design ◽  
Femur Fractures ◽  
Study Setting

Background: To compare the frequency of various types of fractures of femur in patients less than and more than 40 years ofage in a tertiary care hospital. Design: Descriptive cross-sectional study. Setting: Emergency department. Period: January 2009 to April 2011.Method: A total of 1756 patients were divided into two groups with respect to age. Then they were further categorized according to the part offemur involved, and compared in both age groups. Results: The study was conducted on a total number of 1756 patients over a period of 2 yearsfrom 2009 to 2011. 51.1% patients were less than 40 years of age and 48.9% patients were more than 40 years of age. In patients more than 40years of age, pertrochanteric fracture was most common (86.40%). In patients less than 40 years of age, mid shaft of femur was most commonregion involved (87.02%). Conclusions: The incidence of proximal femur fractures is high in elderly patients because of several factors likeosteoporosis, visual impairment and cognitive disability. Whereas incidence of fractures of mid-shaft of femur is more common in youngpatients.

scholarly journals FREQUENCY AND CAUSES OF PERINATAL MORTALITY IN A TERTIARY CARE HOSPITAL IN PESHAWAR, PAKISTAN

2018 ◽  
Vol 16 (1) ◽  
pp. 15-19
Author(s):  
Maimoona Qadir ◽  
Sohail Amir ◽  
Samina Jadoon ◽  
Muhammad Marwat
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Mortality Data ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical Disorders ◽  
Perinatal Mortality Rate

Background: Perinatal mortality rate indicates quality of care provided during pregnancy and delivery to the mother and to the neonate in its early neonatal period. The objective of this study was to determine the frequency and causes of perinatal mortality in a tertiary care hospital in Peshawar, Pakistan. Materials & Methods: This cross-sectional study was conducted at Department of Gynaecology & Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 1st January 2016 to 31st December 2016. The inclusion criteria was all singleton gestation with gestational age of at least 24 weeks presenting with perinatal mortality. Data was collected for the following variables; age groups (up to 20 years, 21-30 years, 31-40 years and > 40 years), booking status (yes/ no), period of gestation (24-31+6, 32-36+6, 37-39+6 and > 40 weeks), Foetal weight ( 3.5 kg) and cause of perinatal mortality. Results: Out of 4508 deliveries there were 288 perinatal deaths, including 228 stillbirths and 60 neonatal deaths, so perinatal mortality rate was 63.8/1000 births. 90.28% women were unbooked. Most common cause was hypertensive disorders of pregnancy (27.78%) followed by antepartum haemorrhage (25.71%) and then mechanical causes (13.88%). Congenital anomalies comprised 11.8% cases, neonatal problems 10.07% and maternal medical disorders for 4.16% cases. Cause of 4.16% cases remained unexplained. Conclusion: Appropriate strategies like control of identifiable causes, proper antenatal and postnatal care, healthy delivery practices and availability of emergency neonatal care facilities can bring down perinatal mortality rates.

scholarly journals A study on premenstrual syndrome symptoms and their association with sleep quality in nursing staff

2019 ◽  
Vol 8 (4) ◽  
pp. 1487
Author(s):  
Gauri Kore ◽  
Heena Merchant ◽  
Hiba Narvel ◽  
Ajita Nayak ◽  
Avinash De Sousa
Keyword(s):  
Sleep Quality ◽  
Nursing Staff ◽  
Premenstrual Syndrome ◽  
Rating Scale ◽  
Tertiary Care ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Premenstrual Symptoms ◽  
Tertiary Care Hospitals

Background: Symptoms in the premenstrual period can be debilitating and troublesome and impacts the general health of women. There is a dearth of studies examining the relationship between sleep quality and premenstrual symptoms in women, especially in Indian settings. The current study was conducted with the aim of looking at the frequency of premenstrual syndrome (PMS) in different age groups and the association of these symptoms with sleep quality in nursing staff.Methods: The cross-sectional study involved 450 female nursing staff between 25- 50 years of age from various tertiary care hospitals who were administered the Premenstrual Tension Syndrome Rating Scale (PMTS) and Pittsburgh Sleep Quality Index (PSQI). The data was then statistically analyzed.Results: The prevalence of premenstrual symptoms was found to be 85.6% amongst the participants (according to the ACOG criteria), while the proportion of females suffering from PMS (according to DSM IVTR criteria) was 36.5%. A correlation analysis between total scores of PMTS and PSQI showed a positive, linear and significant association.Conclusions: The intensity of PMS was associated with reduction in sleep quality in present study. Further studies on PMS and sleep related parameters need to carry out in larger samples to give impetus to our findings.

scholarly journals Clinicomycological evaluation of dermatophytosis at tertiary care hospital in central India

2018 ◽  
Vol 4 (3) ◽  
pp. 409
Author(s):  
Shyam Govind Rathoriya ◽  
Ankit Kumar Jain ◽  
Kavita A. Shinde
Keyword(s):  
Fungal Infections ◽  
Tertiary Care ◽  
Age Groups ◽  
Central India ◽  
Common Species ◽  
Tinea Corporis ◽  
Valuable Insight ◽  
Care Hospital ◽  
Cross Sectional ◽  
Tinea Cruris

<p class="abstract"><strong>Background:</strong> Dermatophytoses are the infection of keratinized tissues such as the epidermis, hair, and nails caused by a group of closely related filamentous fungi known as dermatophytes.</p><p class="abstract"><strong>Methods:</strong> It was a hospital based cross-sectional study. A total number of 150 clinically diagnosed cases of skin, hair and nail infections were randomly selected from all the age groups and of both the sexes, attending Dermatology Outpatient department of CMCH, Bhopal from January 2016-December 2017.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of total 150 subjects, most common clinical type of dermatophytosis, identified in our study, was tinea corporis in 53 (35.3%) subjects followed by tinea cruris in 34 (22.6%) subjects. 134 (89.3%) subjects were tested positive by direct microscopy (KOH mount) and 69 (46.0%) by culture. Highest KOH mount positivity was seen in patient suffering from tinea corporis (94.3%) followed by tinea cruris (94.1%). Culture positivity was highest with tinea corporis (54.7%) followed by tinea lesions on more than one site (47.3%) and tinea cruris (47.0%). In our study, total 69 culture positive samples were isolated and the most common species isolated was T. rubrum in 41 (59.42%) cases.</p><p><strong>Conclusions:</strong> The present study gives valuable insight regarding clinical and mycological pattern of superficial fungal infections in this region as well as shows the importance of mycological examination of dermatophytosis samples for planning effective management. </p>

scholarly journals Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

2018 ◽  
Vol 5 (3) ◽  
pp. 888
Author(s):  
Abhijit Kherde ◽  
Chaitanya R. Patil ◽  
Jyotsna Deshmukh ◽  
Prithvi B. Petkar
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Composite Index ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Study Data ◽  
Care Hospital ◽  
Global Public Health ◽  
Cross Sectional

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

scholarly journals Analysis of extracorporeal shock-wave lithotripsy in renal calcular disease among children: a tertiary care experience

2021 ◽  
Vol 8 (6) ◽  
pp. 1820
Author(s):  
Suhail M. Khan ◽  
Azhar A. Khan ◽  
Anzeen N. Kanth ◽  
Aymen M. Khan ◽  
Irtifa N. Kanth
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Tertiary Care ◽  
Underlying Mechanism ◽  
Stone Disease ◽  
Invasive Treatment ◽  
Care Experience ◽  
Extracorporeal Shock Wave ◽  
Retrospective Comparative Study

Background: The aim of this study is to review 10 years of extracorporeal shock wave lithotripsy (ESWL) experience in paediatric urolithiasis patients.Methods: Data from a cohort of paediatric urolithiasis patients who underwent shock wave lithotripsy between 2012 and 2019 at department of urology, Indraprastha Apollo, New Delhi were used in a single-centre, retrospective comparative study. During a seven-year period, 250 paediatric patients (Male/female: 134/116, mean age: 10.22 years, range: 1-18) had 284 shock wave sessions in our hospital, with 208 having primary and 42 having recurrent urolithiasis. A total of 328 stones were discovered, with 192 (58.5%) in boys and 136 (41.5%) in girls. For ample stone fragmentation, one session of 200 to 3000 shockwave impulses was required, though some patients required more than 8000 impulses over 4 sessions. However, in most patients, low-energy shockwaves with a frequency of 1-2 were used to fragment the stones.Results: Younger age was associated with quicker stone clearance in our study, which was likely due to shorter urinary tracts and a smaller "barrier" between the device and the stone. Furthermore, children who had renal colic prior to lithotripsy had a considerably lower chance of removing stones within two days than those who did not. This can be explained by the colic's underlying mechanism, which evolves against the backdrop of ureteric wall spasm. Mild macrohematuria and "steinstrasse" were identified in almost all patients during the first post-lithotripsy days, as predicted during the post-op course. There were no major obstructive, infectious, or other severe complications.Conclusions: Extracorporeal shock wave lithotripsy proved to be a safe and highly effective minimally invasive treatment of children with kidney stone disease.

scholarly journals A STUDY TO DOCUMENT LIFESTYLE ASSOCIATED RISK FACTORS FOR NON COMMUNICABLE DISEASES AMONG ADOLESCENTS

2020 ◽  
pp. 14-15
Author(s):  
Gunjan Jain ◽  
Jigisha Patadia ◽  
Praful Bambhroliya
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Low Income ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Age Groups ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Primordial Prevention ◽  
Associated Risk Factors

The burden of morbidity and mortality from Non-Communicable disease has risen worldwide and is accelerating in low-income and middle-income countries. Lifestyle-associated risk factors among adolescent are rampantly increasing throughout the world. They place a tremendous demand on health care systems and social welfare, cause decreased productivity in the workplace, prolong disability and diminish resources within families. A life course approach to preventive efforts addressing NCDs and their risk factors and behaviors will improve child and adolescent health but also decrease lifetime health care costs. Nevertheless, those risk behaviors are initiated usually in the adolescent’s age groups which are continued to adult. Therefore, this group is important target for primordial prevention. This study is a cross-sectional study which aims to determine the prevalence of risk factors among adolescents attending the tertiary care centre in Surat, district of Gujarat, conducted in March 2019 to June 2019. A total of 498 adolescents were screened using a structured questionnaire. The study documented that improper diet is the major risk factor while habits like smoking and alcohol consumption is fairly uncommon. Study recommends creating awareness among adolescents and promoting healthier lifestyle habits.

scholarly journals Factors influencing perforated appendicitis in a tertiary care hospital

2017 ◽  
Vol 4 (6) ◽  
pp. 1918
Author(s):  
Palachandra A. ◽  
Shashank R. ◽  
Sreelatha C. Y.
Keyword(s):  
Acute Appendicitis ◽  
Tertiary Care ◽  
Age Groups ◽  
Delayed Diagnosis ◽  
Perforated Appendicitis ◽  
Life Time ◽  
High Morbidity ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional

Background: Appendicitis is among the most common abdominal conditions requiring admission to emergency surgery departments. It has a life time risk of 6%. Untreated appendicitis may be complicated with development of gangrene or perforation, resulting in high morbidity and mortality rates in almost all age groups. The frequency of appendicitis may show variation by population, age, sex, socioeconomic status, and race. The objective of this study was to know the influence of some demographic factors on perforated appendicitis in a tertiary care hospital.Methods: A descriptive cross sectional was done in a teaching hospital which is a referral center. All the acute appendicitis cases admitted to the hospital between January 2015 to December 2016 were included in the study. A total of 532 acute appendicitis cases were diagnosed based on pathological features and were allocated to either the perforated or non-perforated appendicitis groups.Results: In our study total 532 cases were operated for appendicitis. Among that 294 (56%) were males and 238 (44%) were females with a ratio of 1.27:1.00. The mean age was 26.8±13.2 among non -perforated cases and 22.4±12.3 among perforated cases. In present study, maximum cases were in the age group 21-30 years and perforation was more among >50 years age group (23.3%).Conclusions: Perforation was higher among >50 years age group and in the patients from rural area which was found to be statistically significant. The reasons can be misdiagnosis, delayed diagnosis, financial and transportation problems.

scholarly journals Study of the clinical spectrum of AUB (FIGO AUB Systems) and women’s attitude towards its management at Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India

2020 ◽  
Vol 10 (1) ◽  
pp. 178
Author(s):  
Ruby Kumari ◽  
Lata Shukla Dwivedy ◽  
Sweta Gupta ◽  
Surabhi . ◽  
Madhuri Choudhary ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Age Groups ◽  
Abnormal Uterine Bleeding ◽  
Clinical Spectrum ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Ovulatory Dysfunction

Background: AUB has significant impact on quality of life of women related to health specially in developing countries including India. FIGO AUB systems are universally accepted. Aim was to study the clinical spectrum of AUB according to the FIGO AUB systems and women’s attitude towards its management.Methods: Cross sectional prospective study was carried out in the department of Obstetrics and Gynaecology, ANMMCH, Gaya, a tertiary care center, among women of 15-55 years age groups having complain related to abnormal uterine bleeding, for 1 year from 1st May 2019 to 30th April 2020 on 1000 patients. Data was collected and analyzed by percentage and proportions.Results: Prevalence of AUB was maximum among 15-30 years age group of patients (46.80%). Most of the patients belong to lower (62.5%) class, rural area (68%) and were anaemic (62.5%). Ovulatory dysfunction (55%) was most common cause for AUB, maximum patients choose surgical management (hysterectomy) but after counselling, most of them shifted to medical management.Conclusions: This study suggests more conservative approach for management of AUB and emphasizes the importance of awareness for clinical spectrum of AUB among women so that they can be self-motivated for early treatment and unnecessary hysterectomy can be avoided.

Sign in / Sign up

Export Citation Format

Share Document