scholarly journals Prevalence of ocular morbidities among paediatric patients attending Ophthalmology OPD in MKCG Medical College Hospital, Berhampur, Odisha, India

2018 ◽  
Vol 5 (2) ◽  
pp. 409
Author(s):  
Jyotshna Rani Sahoo ◽  
Dhaneswari Jena ◽  
Nivedita Karmee ◽  
Radha Madhab Tripathy ◽  
Pallavi Priyadarsani Sahu

Background: Ocular morbidities in children can have a serious impact on development, education and quality of life in children hence require prompt attention. This study was conducted with an objective to determine the pattern of ocular morbidity in children less than 15 years of age presenting in the Outpatient Department (OPD) of MKCG Medical College, Berhampur.Methods: A hospital based cross-sectional study was carried out from August 2016 to January 2017 among 282 children. Data was collected by using a semi structured questionnaire after taking informed consent and analyzed.Results: Majority were in the age group of 10-14 years (55.3%). The common presenting symptoms were blurred vision (29.1%) and headache (7.8%). The common ocular morbidities reported were refractive error (34%), ocular infection (13.5%), ocular trauma (9.9%), allergic conjunctivitis (9.2%). Refractive error was more prevalent in children of aged 11-14 years and ocular trauma in 5-9 years compared to children of the other age group.Conclusions: Majority of ocular morbidities are preventable and treatable. So early attention through eye screening and intervention programme at the community level is recommended.

2021 ◽  
Vol 15 (6) ◽  
pp. 1243-1245
Author(s):  
H.U Rahman ◽  
S. F. Shah ◽  
A. J. Sheikh ◽  
I. U. Memon ◽  
W. S. Bhatti ◽  
...  

Aim: To assess the metabolic abnormalities in children younger than 10 years of age with vesical calculus. Study design: Retrospective cross-sectional study Place and duration of study: Department of Urology, Khairpur Medical College Hospital, Khairpur from 1st October 2014 to 30th September 2016. Methodology: Two hundred and six children age <10 years of age and either gender presented with vesical calculus were enrolled. Demographic information like age, gender, residence, serum electrolytes, calcium, magnesium, phosphate, uric acid, blood, and urine pH were recorded for the purpose of metabolic workup. Results: The mean age was 4.76±1.22 years and 157 (76.2%) were males and 49 (23.8%) were females. The frequency of metabolic abnormalities was observed in 153 (74.3%) of the patients. A significantly higher prevalence of metabolic abnormalities was observed with male gender (p-value 0.006), dark colored urine as presenting symptoms (p-value 0.022), frequent urination (p-value 0.045), and hematuria (p-value 0.016). Of 153 patients with metabolic abnormalities, hypercalciuria was observed in 45 (29.4%), hypocitraturia in 73 (47.7%), hyperoxaluria in 21 (13.7%), and hyperuricosuria in 14 (9.2%) patients. Conclusion: The frequency of metabolic abnormalities was high among children with vesical calculus. Moreover, hypocitraturia in these children was observed in majority followed by hypercalciuria, hyperoxaluria, and hyperuricosuria. Keywords: Metabolic abnormalities, Children, Vesical calculus


1970 ◽  
Vol 14 (2) ◽  
pp. 57-62
Author(s):  
A Allam Choudhury ◽  
Tuhin Sultana ◽  
Md Abul Hasnat Joarder ◽  
Kamrul Hassan Tarafder

This is a cross sectional study done in I.C.U & Dept. of otolaryngology - Head & Neck Surgery, B.S.M.M.U, Dhaka and Dhaka Medical College Hospital during the period of 1st March, 2003 to 30th August, 2003. 60 cases of tracheostomies, were included in this study, among them 30 cases of elective tracheostomies and 30 cases of emergency tracheostomies. In this study mean age of elective tracheostomy was 40.46 years & mean age of emergency tracheostomy was 50.50 years. Here Male was predominant both in elective (M:F= 6.5:1) and emergency tracheostomy (9:1). The common indications of elective tracheostomy were ICSOL (26.67%) & Head injury (26.67%) where as commonest indication of emergency tracheostomy was laryngeal carcinoma (53.33%). The frequency of complication for elective tracheostomy was 9.99% and emergency tracheostomy 33.35%. Here complications were 3.33 times more common in cases of emergency tracheostomy then elective tracheostomy. Key-words: Tracheostomy, elective and emergency.  DOI: 10.3329/bjo.v14i2.3282 Bangladesh J of Otorhinolaryngology 2008; 14(2) : 57-62


2020 ◽  
Vol 49 (2) ◽  
pp. 14-18
Author(s):  
Md Sharfuddin Ahmed ◽  
Md Showkat Kabir ◽  
Mazharul Hoque Bhuiyan

COVID-19 is a contagious disease which can spread person to person mainly by respiratory droplet from infected person and contact by contaminated objects or body limbs through the routes nose, mouth, and eyes. To find out the ocular manifestations that are found in Bangladesh during COVID-19 pandemic this descriptive type of cross-sectional study was conducted to detect the ocular infection and its manifestation among patients admitted at different COVID-19 dedicated hospitals. Total 26 doctor’s (Eye Specialists, ICU Consultants, ICU Residents/ Medical Officers, Consultants of other Specialities, Medical Officers/ Residents) observational and examination findings were recorded in this study who have already completed one or more roster [07 days] duties in Corona Dedicated hospitals to treat the COVID-19 affected patients directly. Total 3,678 patients information from different hospitals were collected and interviews were taken directly or over telephone from the participants. Data collected from the participants based on the observations of physicians during COVID roster duties in different corona dedicated hospitals. Age sex and ocular signs and symptoms found in patients during hospitalization were recorded. Total 08 (eight) Corona dedicated hospitals; one Medical University, five tertiary level Govt. hospitals, one private Medical College hospital and one largest Isolation center of South-Asia were included as study place. Among the cases 66.2% were male and 33.8% female. Maximum patients were in age group 40-60 years [40%] and minimum of them were above 70 years [10%]. Ocular manifestations found in 48 cases and.30 in suspected, total 78 cases found with ocular manifestations. Total 2.121% patients hade ocular manifestations in confirmed and suspected cases. In COVID confirmed cases 1.316% patients hade ocular manifestations. In conclusion, we found several ocular manifestations in patients who are hospitalized as COVID-19 patients. Moreover, the ocular involvement could be the presenting finding of disease. Further studies are required in Bangladesh and this information may be valuable for future studies. Bangladesh Med J. 2020 May; 49(2) : 14-18


Author(s):  
Geetanjali Sethy ◽  
Dhaneswari Jena ◽  
Santosh Pradhan ◽  
Pravati Jena ◽  
Debasish Sethy

Background: Children under five are most fragile group of population and so subjected to high mortality and morbidity. Among them, neonatal group is highly suseptible due to poor adaptation of their premature organ system. Neonatal hypoglycemia is a common co-morbid condition contributing to mortality. The objective of the study was to assess the etiology and clinical profile of neonatal hypoglycemia among the neonates admitted to special newborn care unit and to assess the co-morbidity pattern among them.Methods: Type of study was hospital based cross-sectional study at SNCU of MKCG Medical College Berhampur, Odisha. Sample size was 204 neonates who developed hypoglycaemia (blood glucose level <40 mg/dl). Study period was 2016-2017 statistical tests used-percentage and proportion. Statistical software used- SPSS 16 version.Results: Out of total 2616 admission during study period, the incidence of hypoglycemia was 7.79%.52% were male babies and 58% were out borns. Among the maternal causes, anemia was the most common cause (37.7%). Low birth weight was highest (55.8%) among neonatal factors. Jitteriness and tremor were the major symptoms (32.5% cases). Lethargy and poor feeding were presenting symptoms (19.6% cases). On analysing the outcome, 7.8% neonate died and 78.4% recovered.Conclusions: Being a common co morbid condition and presented with other neonatal problems it is more seen among outborn males and anemic mothers. Cause may be delay in initiation of feeding and interruption of feeding on the way during referral. However proper counseling should be given to caretaker of referral case about feeding on the way. Early detection of hypoglycemia is important to reduce mortality and prevent future sequelae in sick newborns. 


Author(s):  
Syed Ghulam Mogni Mowla ◽  
Khan Abul Kalam Azad ◽  
Ahmedul Kabir ◽  
Sarmistha Biswas ◽  
Mohammad Rafiqul Islam ◽  
...  

Introduction: Since the first detection of corona virus disease (COVID-19) cases in Dhaka, Bangladesh on 8 March, 2020, numbers are rising alarmingly. Clinical data on COVID-19 in Bangladesh is lacking. We report early findings on demographic profile, clinical presentations and short-term clinical outcomes of confirmed COVID-19 patients admitted in a large teaching hospital in Dhaka, Bangladesh with preliminary analyses of their association with mortality. Materials and Methods: In this retrospective cross-sectional study, we included reverse transcription polymerase chain reaction (RT-PCR) confirmed COVID-19 patients aged ≥ 15 years, who were admitted in Dhaka Medical College Hospital (DMCH) between May 2 and 15, 2020, the first two weeks when DMCH started admitting COVID-19 patients. Data were collected between May 25 and 29, 2020 from patients or their attendants through telephone interview by a structured questionnaire, after having appropriate consent, irrespective of outcome. One hundred and eight consecutive patients met inclusion criteria through convenient sampling from ward registrar, 102 patients could be reached over phone and data from two patients were discarded in the data cleaning process. The statistical analysis was done by the Statistical Package for the Social Sciences (SPSS) version 22.0. Results: Among the total participants (n=100), mean age was 41.7±16.3 years, 63% were male and 60% patients had positive contact history. Appearance of symptom to hospital admission time was a median of 6 days (range 1 to 21 days) and mean hospital stay was 7.77 ± 5.62 days. Predominant presenting symptoms were fever (69%), cough (54%), breathlessness (41%), fatigue (40%), anorexia (26%) and diarrhea (19%). Hypertension (21%), diabetes mellitus (16%), heart diseases including ischemic heart disease (IHD) (8%) and renal diseases including chronic kidney disease (CKD) (8%) were frequent comorbidities. Ten out of hundred patients died. Older age (p= 0.001), male sex (p= 0.007), smoking (p= 0.001), breathlessness (p=0.001) and presence of comorbidities (p= < 0.05) were significantly associated with mortality. Conclusion: Frequent positive contact history and significant association of breathlessness, smoking and comorbidities with mortality in our study reinforces that abiding by the prevention and containment process, smoking cessation, ensuring proper oxygen therapy and addressing comorbidities adequately are very important measures to mitigate COVID-19 in Bangladesh like the rest of the world. J Bangladesh Coll Phys Surg 2020; 38(0): 29-36


2002 ◽  
Vol 1 (1) ◽  
pp. 40-47
Author(s):  
Karuna Ramesh Kumar ◽  
K. Payal

Background and setting Recent reports have indicated the increasing incidence of lung cancer in women and younger age groups. A cross- sectional, retrospective study was undertaken to study the age and sex distribution and histological patterns of lung cancer in the patient population presenting to St.John's Medical college Hospital, Bangalore. Methods The age, sex and the clinical features of patients and gross findings of the specimens were retrieved from the archives of the department.Hematoxylin and Eosin stained paraffin sections were used for assessment of histological patterns. Results and Conclusions 80 patients(13.5%) were histologically diagnosed as having lung cancer in the study done over a period of 6 years(1995-2000).Peak incidence was seen in 5th and 6th decade. 15 patients were <40 years of age with a male-female ratio 1.5:1 while the trend changed to 4.9:1 in >40 years age group. among the classifiable patterns, the common years age group. Among the classifiable patterns, the common histological pattern was squamous cell carcinoma, while 26.5% of lung cancer cases were poorly differentiated and could not be further categorized indicating the need for advanced techniques. In 18.5% of patients who were less than 40 years of age with lack of male preponderance, the genesis was probably multifactorial. Market integration Correlation is a measure of market integration. Correlation Coefficients of Prices, which include trend, seasonal and cylindrical effects are not adequate to precisely measure the degree of market integration. Integration of "pure errors" (pure errors means error series free from autocorrelation effects) of several time series enables us to determine the significance or otherwise integration of markets.


2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.


Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.


2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13


2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.


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