scholarly journals A cross sectional study to evaluate the clinical presentation in multisystem inflammatory syndrome in children

Author(s):  
Ambika Sood ◽  
Pancham Kumar ◽  
Rakesh Sharma ◽  
Deepak Sharma ◽  
Sanya Sharma

Background: MIS-C as a disease has varied symptoms and signs that affect multiple organs and systems in the body. The present study aimed to describe the clinical presentation among children admitted as a case of multisystem inflammatory syndrome in children in Indira Gandhi Medical College, Shimla.Methods: We conducted a cross sectional study of children with MIS-C from January to July 2021, in the pediatric ward of Indira Gandhi Medical College Shimla in Himachal Pradesh. All children admitted with a diagnosis of MISC were included in the study. Data regarding clinical presentation was extracted and analyzed using Epi Info V7 software.Results: In the present study, a total of 31 children diagnosed and admitted as a case of multisystem inflammatory syndrome in children (MIS-C) were included. Mean age of these children was 7.12±4.78 years. Among the total 16 (51.6%) were males while 15 (48.4%) were females. All 31 patients had presented with fever and 13 (41.9%) patients had fever with rash. 5 (16.1%) had cough, 1 (3.2%) child presented with hematemesis, 18 (58.1%) had tachypnea at presentation and 15 (48.4%) patients had respiratory distress. 16 (51.6%) children had complaints of vomiting, 1 (3.2%) presented with bleeding diathesis and 12 (38.7%) had hematuria, 5 (16.1%) had seizures and 8 (25.8%) presented with encephalopathy. 19 (61.3%) children had hypotension, 15 (48.4%) had hepatomegaly and 15 (48.4%) had splenomegaly.Conclusions: It is very essential to characterize this syndrome to fully understand its spectrum, therefore we need to be continuously watchful for its varied clinical presentations, both for ensuring an early diagnosis and treatment of patients suffering from MIS-C.

2021 ◽  
Vol 8 (10) ◽  
pp. 1566
Author(s):  
Vinay Jishtu ◽  
Pramod K. Jaret ◽  
Prem Chand Machhan ◽  
Nidhi Chauhan

Background: Acute undifferentiated fever illness (AUFI) is a common cause of morbidity and mortality in developing countries, owing to its non-specific features. The aim of the study was to delineate the causes and clinical parameters associated with AUFI.Methods: A cross-sectional study was done among 156 patients of AUFI, admitted in the Department of Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from November 2018 to October 2019.Results: The mean age of the study participants was 37.37±14.2 years. The study participants admitted for acute undifferentiated febrile illness had fever with mean duration of 8.38±3.7 days before hospitalization. The most common aetiology of AUFI was found to be enteric fever (44%), followed by scrub typhus (35%). The majority of the cases presented from the month of September to December.Conclusions: The aetiology and clinical spectrum of AUFI is wide and variable. To outline a proper algorithm to contain it, meticulous analysis of the hospital data at each level is necessary.


Author(s):  
Anupam Parashar ◽  
Nidhi Chauhan ◽  
Rahul Gupta ◽  
Vineet Kumar

Background: Bio-ethics i.e. health care ethics is a set of moral principles, beliefs and values that guide us in making choices about medical care. This novel study was carried out with an objective of assessment of knowledge regarding the medical ethics among the resident doctors of Indira Gandhi Medical College, Shimla Himachal Pradesh.Methods: This descriptive analytical cross-sectional study was conducted at Indira Gandhi Medical College (IGMC), Shimla, Himachal Pradesh among the resident doctors using predesigned, structured, self-administered anonymous close-ended questionnaire. We analyzed the data using Stata software version 12.Results: There were a total of 61 study participants, who consented to participate, of which more than half were females (52.5%). The mean age of the study participants was 28.6±0.63 years. Regarding the source of knowledge about medical ethics most of the study participants had acquired the information during their experience at their workplace (42.6%). A majority of the male participants disagreed that confidentiality while providing the health care services should be abandoned (54.3%). More than 90% of the study participants agreed that incorporation of medical ethics is necessary in undergraduate curriculum.Conclusions: Incorporation of a formal structured teaching on medical ethics in the undergraduate curriculum is the need of the hour. Besides research work, the medical ethics committee in the institution should also act as the guiding hands to address the grievances faced by the doctors during medical practice.


Author(s):  
Prakhar Singhal ◽  
Santosh Kumar Mishra ◽  
Jiten Shukla ◽  
Rahul Verma ◽  
Ashish Gohiya

<p><strong>Background:</strong> Around 15% of population in the world is living with disability. The present study was carried out during the special project for assistance, rehabilitation and strengthening of handicapped (SPARSH) camp to know the current pattern of locomotor disability and to observe the outcome of the camp surgeries for the correction of deformity.</p><p><strong>Methods:</strong> This prospective observational cross-sectional study was conducted at the department of orthopaedics and<strong> </strong>traumatology Gandhi Medical College at SPARSH camp organised by the<strong> </strong>Government of M. P. at J. K. hospital Bhopal. All the patients with locomotor disability attending the SPARSH camp irrespective of age, sex and cause, were included in the study<strong></strong></p><p><strong>Results:</strong> In total 287 patients attended the camp in which majority of the patients were suffering from cerebral palsy. 107 patients were selected for operative intervention in which tendo-achilles lengthening was performed most commonly.</p><p><strong>Conclusions:</strong> The corrective surgical camp provides an avenue of healthcare opportunity for the underprivileged sector of society. A camp based approach helps in identification, gradation &amp; rehabilitation of orthopaedic deformities.</p>


2021 ◽  
Vol 59 (234) ◽  
Author(s):  
Poonam Singh ◽  
Naveen Phuyal ◽  
Sagar Khadka ◽  
Minani Gurung

Introduction: The study of clinical anatomy is inseparable from cadaveric dissection. However, scarcity of cadavers is observed all over the world. So, body donation is propounded and is a major source of cadavers worldwide. However, nowadays, there is a scarcity of cadavers for the body dissection in the medical course & also due to the rise in the number of medical institutions in Nepal. This research aimed to find out the knowledge of medical and nursing students at a medical college regarding human body and organ donation. Methods: A descriptive cross-sectional study was conducted among 400 medical and nursing students in a tertiary care hospital of Kathmandu valley. After obtaining ethical approval, a semistructured questionnaire was used to collect the data. Data were analyzed using Statistical Package for Social Sciences version 20.0. Results: Most of the respondents, 360 (90%) knew that organs could be donated from living donors as well as cadavers. A majority of the respondents 374 (93.5%) said that bodies could be donated for educational and learning purposes. The eyes were the most commonly donated organ. One hundred seventy five (43.5%) of the respondents were motivated to donate their bodies or organs. Self-motivation followed by motivation through media by celebrities, family members, and faculties were seen among the participants. Conclusions: We need a proper voluntary body donation act to facilitate medical teaching with the proper motivation of people for this generous gift to further the knowledge and expand the field of medical science.


Author(s):  
Resham Singh ◽  
Saurabh Rattan ◽  
Nidhi Chauhan ◽  
Priyanka . ◽  
D. S. Dhadwal

Background: Cleanliness and hygiene in hospitals are critical to preventing infections and also provide patients and visitors with a positive experience and encourages molding behavior related to clean environment. Comprehensive sanitation and proper biomedical waste management is a critical factor in preventing iatrogenic causation of disease in addition to promoting health and cure. Hospitals of all levels of healthcare are assessed under the kayakalp programme every year.Methods: Observational cross sectional study was done in the Indira Gandhi Medical College Shimla in the month of April 2018 using kayakalp assessment checklist for tertiary care hospital.Results: Scores under various thematic areas was less than the required scores for qualifying for further peer and external assessment.Conclusions: The results compiled were appraised to the authorities of the IGMC Shimla for necessary improvements in different thematic areas of Kayakalp.


2021 ◽  
Vol 15 (10) ◽  
pp. 3287-3289
Author(s):  
Najma Shoaib ◽  
Nida Yousaf ◽  
Roman Akram ◽  
Asma Inam ◽  
Saboohi Saeed

Objective: To analyze the knowledge and attitude among medical students regarding organ donation. Study design: A cross sectional study Placement and Duration: The study was conducted during the period of six months from September 2019 to March 2020 at Azra Naheed Medical College Lahore. Materials and Methods: Sample size was 150 a predesigned close ended questionnaire was used to collect data, out of which 8 incomplete questionnaires were excluded. SPSS version 21 was used to analyze the data. Results: Overall, 130 respondents were aware of the term organ donation out of which 74 wish to donate their organs. The main barriers related to organ donation during life and after death include mainly religious beliefs, fear of surgical procedures, misconception that they cannot donate because of some medical illness, having a cultural belief that the body should be kept intact after death or having a fear that their body will be disfigured after donating an organ. 90.8% respondents believe that there is a need to promote organ donation. Greater load of information come from social media. Conclusion: It can be concluded that there is a need to promote organ donation. Identified barriers should be taken in the account while motivating the population to donate in future. Key words: Organ donation, Attitude, Barriers


Author(s):  
Venu Bolisetti ◽  
Padmavathi Yale ◽  
Hima Bindu M. ◽  
Vimala Thomas ◽  
Kavya . ◽  
...  

Background: Hypertension is also known as high or raised blood pressure. It is a condition in which the blood vessels have persistently raised pressure. Hypertension is directly responsible for 57% of all stroke deaths and 24% of all coronary heart disease deaths in India. Young adults have been deemed to be at lower risk in their development of hypertension due to resultant gaps in the literature. Hence the present study was aimed to determine the prevalence of hypertension and pre-hypertension among young adults (18-35 years) residing in Urban Field Practice Area of Gandhi Medical College. Objectives of the study was to determine the prevalence of hypertension and pre-hypertension in young adults and to identify the risk factors and sociodemographic factors associated with hypertension and pre-hypertension.Methods: A sample of 233 young adults (18-35 years) was included in the community based cross sectional study by simple random sampling followed by systematic random sampling in Bholakpur. All the participants were assessed for blood pressure and BMI status. Data was analysed in MS Excel version 7.2 Software.Results: The prevalence of hypertension was 9.85% (n=23) and pre–hypertension was 23.65% (n=55). About 13.3% of the study population were smokers and 26.6% of them were alcoholics. Twenty seven percent of the study participants were obese and overweight.Conclusions: Higher proportion of hypertensives and pre-hypertensives were found in the category of males, smoking, alcohol intake and obesity than their counter ones.


2021 ◽  
Vol 59 (235) ◽  
Author(s):  
Reena Kumari Jha ◽  
Abhyuday Kumar Yadav ◽  
Sneha Shrestha ◽  
Pramit Ram Shrestha ◽  
Suyesh Raj Shrestha ◽  
...  

Introduction: Changes in the lifestyle, food habits, lack of nutritious diet, stress, physical inactivity increases the body mass index among adults. Excess weight gain is an important risk factor for non-communicable diseases such as heart disease, stroke, diabetes, and some cancers (endometrial, breast, colon). Thus, this study aims to find out body mass index of medical students of a medical college in Nepal. Methods: This descriptive cross-sectional study was conducted in the department of physiology of a tertiary care center from August 2019 to February 2020 after taking ethical clearence from Institutional Review Committee (Reference number 192/19). Height and weight were recorded and body mass index was then being calculated. Data entry was done in Microsoft Excel and analyzed using Statistical Package for the Social Sciences version 22. Results: Out of 266 medical students, 39 (15%) were overweight and 32 (12%) were underweight with mean body mass index 26.60±1.99kg/m2 and 17.13±1.19kg/m2 respectively. Mean body mass index of males was 21.76±3.06kg/m2 and that of females was 21.70±2.96 kg/m2. Conclusions: Comparing with a similar study done in Nepal previously, we found a higher prevalence of overweight in medical students whereas majority of medical students had normal weight. Factors affecting body mass index in medical students should be explored further.


2017 ◽  
Vol 8 (1) ◽  
pp. 170-173
Author(s):  
Farida Parvin ◽  
Bepasha Naznin ◽  
Tanzila Tabib Chowdhury ◽  
AFM Ashik Imran ◽  
MST Laizuman Nahar ◽  
...  

Background : The Thalassaemia is an inherited haemoglobulin disorder causes hemolytic anemia which usually requires life-long blood transfusion therapy. Therefore transfusion dependent thalassaemia major patients suffer from the effect of deposition of excess iron in the liver, heart and endocrine glands.Objective : The aim of present study was to find out the association of serum ferritin and SGPT in transfusion dependent thalassaemia major patient.Methodology : This cross sectional study was carried out in Day care unit (DCU) of Transfusion Medicine department, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, during January 2014 to December 2014. Total of 110 clinically diagnosed Thalassaemia major (TM) between (5-35 years) cases of either sex from the above mentioned department attending the DCU were selected purposively for this study. Data were collected on clinical examination findings, laboratory investigations, ABO and Rh Blood Group, Serum ferritin and SGPT (Serum glutamic pyruvic transaminase) after taking informed consent.Results : The following observations and results were obtained in this study. The mean age was found 17.15±8.77 years with range from 5 to 35 years and male to female ratio was 1.2:1 (male 59 and female 51). Sixty eight (68.0%) patients came from rural area, 43.6% patients were student, 77.3% patients had completed primary education, 57.3% of the patients came from middle class family and 72.7% patients were unmarried. About 46.4% of the patients had moderate anaemia, 28.2% had jaundice, 79.1% had hepatomegaly, 82.7% had splenomegaly and 30.9% had complication due to iron overload. Mean haemoglobulin (Hb%) was found 6.65±1.63 gm/dl, mean serum ferritin was found 3785±17637 ?g/L and mean SGPT was found 134.8±77.94 U/L. There was a significant positive correlation (r=0.259; p=0.006) between serum ferritin and SGPT.Conclusion : Considering the study result it can be concluded that there is a positive significant correlation between serum ferritin with SGPT level.Northern International Medical College Journal Vol.8(1) July 2016: 170-173


Author(s):  
Kishore S. Gudegowda ◽  
Subathra Vengatesan ◽  
Ranganath T. Sobagiah

Background: Worldwide obesity has more than doubled since 1980. Stress is the major factor which contributes to obesity. Medical education is highly stressful. Even though medical students should be extra conscious about overweight and obesity, its prevalence was found out to be high among them. So this study was done with the aim to estimate the prevalence of overweight and obesity among the Medical College students and also to assess the factors influencing it.Methods: A cross-sectional study was conducted among second and third year medical students of Bangalore Medical College and Research Institute, Bengaluru, from July- September 2014. Informed written consent was obtained from the study participants after explaining the purpose of study. Out of 494 students, 424 had willingly participated in the study. Data was collected using a pre-tested, semi-structured, self administered questionnaire. Anthropometric measurements were taken. Descriptive statistics was used to analyze the data.Results: The prevalence of overweight and obesity were 14.6% and 11.3%. Overweight and obesity were more observed in boys (9.7%, 6.8%) than girls (5%, 4.5%). 25.9% girls & 11.1% boys were considered to have central obesity. 74.5% overweight/obese often feel stress at time of exams and 56.0% among them eat more during exams.Conclusions: The prevalence was found to be high among medical college students which were contributed by various factors. This can be reduced by modifying their diet, engaging in regular physical activity.


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