scholarly journals Clinico etiological profile of seizures in adults attending a tertiary care hospital

2017 ◽  
Vol 4 (2) ◽  
pp. 490
Author(s):  
Ashwin T. ◽  
Tumbanatham A. ◽  
Siva Ranganathan Green ◽  
Jaya Singh K.
Keyword(s):  
Alcohol Withdrawal ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Seizure Type ◽  
Care Hospital ◽  
Cross Sectional ◽  
Common Cause ◽  
Epilepsy Classification ◽  
Rheumatic Heart ◽  
Stroke In Young

Background: Seizures are one of the important causes of morbidity and mortality in adults. There are many studies based on the old seizure and epilepsy classification system but there are only few studies on the clinical profile and cause of seizures. The present study attempted to explore the clinical and etiological profile of seizures in adults above 18 years of age in our tertiary care hospital.Methods: This was a cross sectional study on 100 seizure participants having EEG abnormality. Patient seizure type was classified according to clinical features. History taking and physical examination of all selected participants were done and investigations were done and recorded to find the etiology according to proforma.Results: GTCS was the most common seizure type accounting for 57%. Ischemic infarct was most common cause of post stroke seizures. Hypoglycemia was most common metabolic cause of seizures.  Bacterial meningitis was most common cause of seizures due to infections. Stroke was the most common aetiology accounting for 21%. Focal seizures were seen predominantly in participants with calcified granuloma. In participants with alcohol withdrawal GTCS was the predominant seizure type.Conclusions: GTCS was the most common type of seizure in present study. Stroke was the most common cause of seizures and rheumatic heart disease was most common cause of seizures due to stroke in young participants. Seizures due to alcohol withdrawal were on the rise.

scholarly journals A Clinical Study of Secondary Glaucoma with Special Reference to Its Proportion, Causes and Its Risk Factors in a Tertiary Care Hospital - A Cross Sectional Study

2021 ◽  
Vol 8 (01) ◽  
pp. 23-27
Author(s):  
Partha Chakma ◽  
Debal Kisor Pal ◽  
Amar Kanti Chakma
Keyword(s):  
Risk Factors ◽  
Special Reference ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Secondary Glaucoma ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Common Cause

BACKGROUND Secondary glaucoma is an anatomically identifiable abnormality which in turn is an underlying cause of the events that lead to aqueous outflow obstruction and rise in the intraocular pressure. This prospective study mainly highlights the secondary glaucoma with special reference to its proportion, causes and its risk factors in a tertiary care hospital. METHODS This study was a cross sectional study. Patients, who attended the Department of Ophthalmology after fulfilling the inclusion and exclusion criteria diagnosed with secondary glaucoma, were included in the study. The study period was from February 2018 to June 2020. A standard form was filled up for each patient documenting parameters and findings of various examinations and was evaluated as per protocol. RESULTS Secondary glaucoma was seen in 0.2 % patients who visited during the study period. Out of 106 patients, males were 50, females were 56, with a male: female ratio of 1:1.1. The most common cause of secondary glaucoma was lens induced glaucoma seen in 44.34 % followed by uveitic glaucoma in 20.8 % cases, traumatic 17.9 %, neovascular 10.4 %, pseudoexfoliation glaucoma 2.8 %, pigmentary glaucoma 1.9 %, silicon oil induced 0.9 %, and uveitis-glaucomahyphema syndrome in 0.9 % cases. Around thirty five percent (34.9 %) cases presented with sudden onset of painful diminution of vision with nausea and vomiting. CONCLUSIONS Secondary glaucoma is still one of the prevalent diseases in this part of country. Lens induced glaucoma is still the most common cause of secondary glaucoma. Hypermature cataract, uveitis, trauma and neovascularisation are the different risk factors. KEYWORDS Secondary Glaucoma, Lens Induced Glaucoma, Phacomorphic Glaucoma, Uveitic Glaucoma

scholarly journals The study of prevalence of needle stick and sharp injuries among healthcare workes in tertiary care hospital, Navi Mumbai

2021 ◽  
Vol 7 (4) ◽  
pp. 227-231
Author(s):  
Debapriya Das Choudhury ◽  
Jyoti P Sonawane ◽  
Abhay Chowdhary
Keyword(s):  
Work Experience ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Occupational Exposures ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Common Cause ◽  
Needle Stick ◽  
Improper Use

Needlestick injuries (NSIs) as defined by accidentally puncture the skin by needles. The occupational exposures to NSIs are considered to be much higher in the developing world and multiple risk factors eg. improper use of protective equipment (like failure to use suitable-sized gloves), working in surgical or intensive care units, insufficient work experience, young age, needle recapping, unsuitable needle disposal, intravenous cannulation may contribute to NSIs. To determine the occurrence/ prevalence of needle stick and sharp injuries (NSIs) among healthcare workers working in a tertiary care hospital and the factors responsible for NSIs. A cross-sectional study was conducted in a tertiary care hospital among HCws in the hospital over a period of one year Jan 2020-December 2020. Nursing staffs are most frequently reported NSI. Among the groups, most common cause of NSIs was found to be recapping of needle followed by cleaning, HGT and procedure. The most common cause of NSI among housekeeping staffs found to be needle lying on the floor and accidental mixing of sharp biomedical waste with other waste. The HCWs from critical care unit eg. ICUs are the most commonly reported NSIs HCWs are always at high risk of attaining NSIs. The nursing staffs followed are the most vulnerable group who gets the sharp/NSI and require extra attention. As a preventive measures regular training and education of nursing staffs and all other categories of health care workers to be ensured in healthcare settings.

scholarly journals Histomorphological Study of Lower Gastrointestinal Tract Lesions in Per Rectal Bleeding Cases

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2361-2365
Author(s):  
Atul B Hulwan ◽  
Upadhey S R ◽  
Pawar S J ◽  
Ramesh M Oswal ◽  
Dhirajkumar Mane ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Rectal Bleeding ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Lower Gastrointestinal Tract ◽  
Cross Sectional ◽  
Common Cause ◽  
Neoplastic Lesion ◽  
The Mean

The present study on the histomorphology of lower gastrointestinal tract lesions in patients presenting with per rectal bleeding was two years (June 2015 to May 2017) cross-sectional study carried out in the department of pathology of a tertiary care hospital and included 40 cases. Constipation was the most typical associated symptom along with per rectal bleeding. Clinical details and radiological investigations helped in making the diagnosis of all lesions of the lower gastrointestinal tract causing per rectal bleeding. The mean age at presentation in benign lesions was 33 years, while the mean age at presentation in malignant lesions was 61 years. The mean age at presentation of adenocarcinoma was 62 years. Majority of cases of adenocarcinoma presented with Astler-Coller stage C1. The other malignancies of the lower gastrointestinal tract causing per rectal bleeding were clonogenic carcinoma, neuroendocrine carcinoma and moderately differentiated squamous cell carcinoma. The most common cause of per rectal bleeding amongst the lower gastrointestinal tract is a neoplastic lesion. The lesions of the lower gastrointestinal tract causing per rectal bleeding are seen more commonly in male patients with a predominant age group of above 40 years, and constipation is the most typical associated symptom in these cases. The most common cause of per rectal bleeding amongst the lower gastrointestinal tract is a neoplastic lesion.

scholarly journals Causes of Gross Hematuria in Patient at a Tertiary Care Hospital

2019 ◽  
Vol 7 (4) ◽  
pp. 269-273
Author(s):  
Nizam Ud Din ◽  
Ahmed Sajjad ◽  
Saadat Hassan Hashmi ◽  
Masroor Hussain Malik ◽  
Zein -El-Amir ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Gross Hematuria ◽  
Cross Sectional ◽  
Common Cause ◽  
Urological Cancers ◽  
Hospital Patients ◽  
History Of

Objective: To determine the causes of hematuria in patients coming to a tertiary care hospital. Patients and Methods: This cross-sectional study was carried out at Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan. Data was collected over a period of six months (June 2016 to December 2016). Data of all the adult male and female patients presenting with complaint of gross hematuria during the period were gathered and analyzed for etiological profile.Results: In the study the most common cause was urological malignancy, which was present in 29 (58%) of patients. This includes all the urological cancers. Among other causes, 11 (22%) patients had urolithiasis while 5 (10%) patients had gross hematuria due to trauma to renal tract. 3 (6%) males had hematuria due to enlarged vascular prostate and only 2 (4%) females had gross hematuria due to urinary tract infection. Conclusion: Urological malignancy was the most common cause of gross hematuria, which is associated with male gender, older age and history of smoking. Other causes were urolithiasis, trauma, BPH and UTI. We recommend screening for malignant disease of all the patients presenting to the departments of urology with the complaint of gross hematuria.

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

A Cross-sectional Study of Undiagnosed Fever in a Rural Population at a Tertiary Care Hospital of West Bengal

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  
Keyword(s):  
Rural Population ◽  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals The pattern of thyroiditis in multiple sclerosis: a cross-sectional study in a tertiary care hospital in Egypt

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Nearmeen M. Rashad ◽  
Marwa G. Amer ◽  
Waleed M. Reda Ashour ◽  
Hassan M. Hassanin
Keyword(s):  
Multiple Sclerosis ◽  
Interferon Beta ◽  
Demyelinating Disease ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cmv Infection ◽  
Cross Sectional ◽  
Disease Modifying Drugs

Abstract Background Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system with varied clinical features. Disease-modifying drugs (DMDs) of MS associated with different types of thyroiditis. In this cross-sectional study, we aimed to assess the prevalence of thyroid dysfunction in MS and to investigate the association between DMDs and the risk of thyroiditis in MS. A cross-sectional study included 100 patients with relapsing-remitting multiple sclerosis (RRMS) in relapse, and the diagnosed was according to revised McDonald’s criteria 2010. Results Our results revealed that the prevalence of thyroiditis was 40%; autoimmune (34%) and infective (6%) among patients with RRMS in relapse and cerebellar symptoms were significantly higher in patients with thyroiditis compared to patients without thyroiditis. Regarding the association between DMDs and thyroiditis, the prevalence of patients treated with interferon-beta-1b was higher in MS patients with thyroiditis compared to MS patients without thyroiditis. However, the prevalence of patients treated with interferon-beta-1a was lower in MS patients with thyroiditis compared to MS patients without thyroiditis. In addition, we found CMV infection was more common in patients treated by interferon beta-1b and candida infection was common in patients treated by fingolimod. Conclusions Thyroiditis is commonly observed in patients with RRMS in relapse and higher prevalence of patients treated with interferon-beta-1b which is commonly associated with thyroiditis and CMV infection; however, candida thyroid infection was common in MS patients treated by fingolimod.

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