scholarly journals Profile of animal bite cases at immune prophylaxis clinic, tertiary care centre

Author(s):  
Jyoti Dattaramji Bhise ◽  
Swati Dattaramji Bhise

Background: Animal bite, one of the common causes of physical injuries in spite of a long standing nature of the dog bite problem and the presence of effective intervention strategies for rabies control, it continues to pose a major public health challenge to program planners. So the present study is conducted to study Profile of animal-bite cases at immuno-prophylaxis clinic, at tertiary care centre.Methods: The present study was an observational cross-sectional study carried out at immune prophylaxis clinic of tertiary care centre, from 1st January 2013 to 31st December, 2013. All the registered cases of animal bite attending immune-prophylaxis clinic, which are ready to participate in the study were included as study population. The method used was systematic random sampling. First case was selected randomly using lottery method and then every fifth case reporting to immune prophylaxis clinic was taken in the study group. Total 3504 cases of animal bite were reported during the study period. 20% of these i.e. 700 cases of animal bite were included in the study.Results: Out of 700 study subjects, highest number of bites occurred in the age group 21-30 years i.e. 155 (22.1%). Maximum study subjects 471 (67.3%) were from urban area and 53% of bites occurred during daytime. Maximum cases were the class-III bite i.e. 600 (85.7%).Conclusions: Maximum number of bites seen among 21-30 years of age group predominantly seen among male study subjects. 49.6% study subjects were bitten by pet animals and 47.6% were bitten by stray animals. Dog was the principle animal responsible for the bite of study subjects. 85.7% of study subjects were of class III bite among them 75% study subjects had reported to hospitals within 24 hours. Severe the degree of exposure, earlier was reporting to the hospital was statistically significant.

2020 ◽  
Vol 8 (S1) ◽  
pp. 135-138
Author(s):  
Kotnis SD ◽  
Sancheti PV

Training of human resources is immensely important as COVID-19 is a new disease and impact of the disease is high in shorter time span. With this view, Government of India initiated Integrated Government Online Training (iGOT) platform for training of human resources. iGOT training was imparted to all doctors, residents. The present study was conducted with an aim to evaluate the knowledge of doctors regarding COVID-19. All delegates (Total 88) were invited to join a social media group which was utilised to circulate the questionnaire. More stress should be given in the training on precautions to be taken triage areas, sample collection and transfer, and management in antenatal, postnatal and paediatric age group. The iGOT training was useful for capacity building. Keywords: COVID-19; doctors; iGOT training; SARS-CoV-2


2021 ◽  
Vol 59 (241) ◽  
pp. 844-847
Author(s):  
Anamika Jha ◽  
Anugya Sah ◽  
Birendra Raj Joshi ◽  
Benu Lohani

Introduction: Breast arterial calcifications are common mammographic findings which are associated with coronary artery disease. The aim of this study was to find the prevalence of breast arterial calcifications in women presenting for mammography in a tertiary care centre. Methods: This descriptive cross-sectional study was performed in the Department of Radiology, in a tertiary care hospital after taking ethical clearance, Reference number 352(6-11)E-2, 077/078, data was collected from Syngovia database from March-June 2021 which included 1614 mammograms. Convenience sampling was done and mammograms evaluated for presence of vascular or non-vascular calcification. Further, vascular calcification was graded. Data was entered in Statistical Package for Social Sciences version 25. Point estimate at 95% Confidence Interval was done, and frequency and proportion were calculated. Results: The prevalence of breast arterial calcification was 188 (11.6%) at 95% Confidence Interval (10.03-13.2). The mean age of women included in this study was 48.42±9.55 years with the largest number of patients in the age group 40-49 years, 682 (42.3%), and least in the age group 80-89 years, 3 (0.2%). All patients in the age group 80-89 years, 3 (100%) had vascular calcifications followed by 70-79 years group, 22 (57.5%) and none in patients younger than 30 years. Conclusions: We found an increase in the number and grade of vascular calcifications in breasts with the patient's age. When present breast arterial calcifications must be mentioned in mammogram report. Identification of such calcifications on mammogram should prompt further screening for atherosclerotic disease.


Author(s):  
Neethu Jose ◽  
Aparna Namboodiripad ◽  
Regi George A N

Background and objectives: Intussusception is the commonest cause of bowel obstruction and is one of the common abdominal emergencies in children younger than 2 years of age.The objective of the study was to assess the clinical profile of intussusception in children and the management and the outcome  and  to assess whether the characteristics mentioned in clinical profile are predictive of subsequent management and outcome of the disease. Methods: A hospital based descriptive study conducted in a tertiary care centre in Kerala, using purposive sampling technique. 120 children admitted with diagnosis of intussusception   fulfilling inclusion criteria and whose parents consented for study were included in the study population, during the study period from November 2018 to June 2020. Detailed history, clinical examination including per rectal examination  and USG was done to make diagnosis of intussusception in suspected cases. Follow up is done at 72 hours,1 week after the admission and 1month later. To assess the clinical profile and outcome of patients, frequency and percentage is used. To obtain the association of clinical profile with outcome chi square test is applied. Results: Outcome of the problem was correlated with age, sex, symptoms, risk factors sonological findings treatment protocol and duration of hospital stay. Out of the 120 children in study population, majority were males(65.8%) with male to female ratio 1.9:1 and majority was in the age group 7- 12 months, which is similar to many other similar studies. Maximum number of cases were in the month of February(14.2%) and November(15%).  Majority of the patients(57.5%) presented to healthcare facility within 24 hours of onset of first symptom.Irritability was the most common clinical symptom(62.5%) followed by vomiting(58.3%) and abdominal pain(49.2%). Ileocolic intussusception (96.7%) was the commonest type. Majority of the cases could be managed with hydrostatic saline reduction(73.3%) and significantly lesser number of patient went for surgical intervention(7.5%) and spontaneous resolution(19.2%). Conclusions: Incidence of intussusception is more common among males and more in the 7-12 month age group.  Majority of the cases presented to health care facility within 24 hours of onset of symptom and could be managed with hydrostatic reduction technique and had a shorter duration of hospital stay compared to surgical reduction technique. Even recurrent cases could be managed with hydrostatic saline reduction. Keywords: Intussusception;  Intestinal obstruction;  Hydrostatic reduction; Spontaneous resolution


Author(s):  
Avanitaben D. Solanki ◽  
Neha S. Nagrani ◽  
Dhara V. Patel ◽  
Neela M. Patel ◽  
Jigna P. Barot ◽  
...  

<p class="abstract">Erosive pustular dermatosis of the scalp (EPDS) has been reported as a rare chronic and progressive non-infectious inflammatory condition of the actinically damaged scalp characterized by crusts, erosions and pustules. It tends to occur on the scalp of older people who have usually been treated for diffuse actinic damage and actinic keratoses. The list of possible differential diagnosis is long and includes tinea capitis, folliculitis decalvans, neutrophilic dermatosis, autoimmune vesiculobullous disorders, malignancy etc. Notoriously difficult to treat, these cases tend to be chronic and progressive. These patients often present after repeated treatment to various scalp dermatosis that doesn’t result in clearing instead persistence and perpetuation of the process. A cross sectional prospective study was conducted in department of dermatology in a tertiary care centre in which six cases of EPDS attending outpatient department from 2017 to 2019 were included. EPDS is more common but under recognized condition, hence less cases are reported till date. Increased awareness of and proper diagnosis of this condition changes the approach towards these patients, protects the scalp from involuntary insults and other precipitating factors that hinders with a better outcome.</p>


2021 ◽  
pp. 10-11
Author(s):  
Akhilesh Behra

BACKGROUND- Psoriasis is chronic common papulosquamous disorder. Its aetiology included various environmental and genetic factors. In genetics, HLA-Cw6 is most commonly associated with psoriasis. Childhood psoriasis is also common in worldwide population. However, very few studies done on epidemiological data and HLA-Cw6 analysis in childhood psoriasis patients. AIMS AND OBJECTIVE- Clinicoepidemiological study of childhood psoriasis patients and its association with HLA-Cw6 in a tertiary care centre of Eastern India MATERIALAND METHOD- We conducted a cross-sectional study in a tertiary care centre and recruited 20 patients of psoriasis with age group below 18 years after taking proper consent. Clinical history and blood was taken from them and HLA-Cw6 analysis was done by PCR method. Data compilation was done by Microsoft excel using SPSS software. RESULTS- A total of the 20 childhood psoriasis patients, 9 were males and 11 were females. Generalized plaque type psoriasis (N=19) is commonest followed by guttate psoriasis (N=1). None of the patients had arthalgia. Family history was present in only 3 patients. Higher numbers of childhood psoriasis patients (N=14) were positive for HLA-Cw6. Also Higher numbers of females (N=10) were positive for HLA-Cw6. ve patients had nail changes. CONCLUSION- We found HLA-Cw6 is strongly associated with childhood psoriasis and also HLA-Cw6 frequency is higher in female than male childhood psoriasis patients.


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