scholarly journals A study on prevalence of dry eyes among menopausal women attending a tertiary care centre in Hyderabad, Telangana

2018 ◽  
Vol 6 (1) ◽  
pp. 423
Author(s):  
Gokul Vinod Kumar ◽  
Asma . ◽  
Gokul Praneetha ◽  
Apoorva Pandharpurkar ◽  
Bhavan Prasad ◽  
...  
Keyword(s):  
Dry Eye ◽  
Age Of Onset ◽  
Care Center ◽  
Tertiary Care ◽  
Dry Eye Syndrome ◽  
Tertiary Care Centre ◽  
Dry Eyes ◽  
Menopausal Women ◽  
The Mean ◽  
Post Menopausal

Background: Dry eye syndrome arises due to chronic lack of sufficient lubrication and moisture on the surface of the eye. Symptoms of dry eye syndrome includes burning sensation, itchy eyes, blurred vision, and fatigued eyes, redness of eyes, gritty and dry eye sensation / foreign body sensation. Studies reveal that post-menopausal women are at greater risk of developing dry eyes than men of same age. Aims and objectives were to determine the prevalence of dry eye syndrome among post-menopausal women at tertiary care center, Hyderabad and to assess the socio-demographic factors related to dry eye syndrome among study population.Methods: A cross sectional study was carried out from March to June 2017 among post-menopausal women attending Gandhi Hospital, in Hyderabad, Telangana. A convenient sample of 200 post-menopausal women was taken. Schirmer’s test was used to determine presence of dry eyes.Results: The mean age of study population was found to be 51.66±5.8 years. The mean age of onset of menopause in study subjects was 45.63±1.8 years. The prevalence of dry eye syndrome was found to be 39.5%. Mild dryness of eyes was most common among study subjects (20.5%). Prevalence of dry eyes increased with age and had significant association.Conclusions:Dry eye syndrome is not a life threatening disease, but causes ocular discomfort and compromises quality of life. If neglected, can even lead to blindness and debility due to complications arising due to dry eye. 

scholarly journals Thyroid status and Treatment Response of Hypothyroid Infertile Women in Tertiary Care Center of Bangladesh

2017 ◽  
Vol 31 (2) ◽  
pp. 86-89
Author(s):  
Farzana Deeba ◽  
Parveen Fatima ◽  
Jesmine Banu ◽  
Shakeela Ishrat ◽  
Nurjahan Begum ◽  
...  
Keyword(s):  
Subclinical Hypothyroidism ◽  
Early Stage ◽  
Care Center ◽  
Tertiary Care ◽  
Target Population ◽  
Fertility Treatment ◽  
Tertiary Care Centre ◽  
Infertile Women ◽  
The Mean ◽  
Tsh Levels

Objective(s): Aim of this study was to find out the prevalence of hypothyroidism in infertile women as well as to assess their response to treatment.Materials and methods: This descriptive study was conducted in Infertility unit of Department of Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University, Bangladesh, a tertiary care centre from January 2014 to December 2014. Four hundred women who visited infertility clinic of the department for fertility treatment were the target population for this study. Routine investigations such as CBC, Blood sugar 2 hours postparandial or GTT, TSH and Prolactin was done. Subclinical hypothyroidism was diagnosed when there was increased TSH and normal FT4. Hypothyroid patients were given Levothyroxin depending upon TSH levels and continued until end of the study. Patients were followed up for six months even if pregnancy was attained.Results: Out of 400 women 55% were primary and 45% were secondary subfertility. Mean duration of infertility was 4.5 ± 1.2 years. Ninety two (23%) patients were hypothyroid. Among them 66 (16.5%) were subclinical hypothyroid and 26 (6.5%) were frank hypothyroid. The mean TSH levels were 7.34 ± 2.13 ìIU/ml, and the mean PRL levels were 52.46 ± 11.17 ng/ml. Out of 92 infertile women diagnosed as hypothyroidism 75 (81.52%) women conceived after treatment with drugs for hypothyroidism (dose depending upon severity of hypothyroidism, i.e. TSH levels). More than 90% women had regular ovulation for consecutive three cycles after initiation of treatment.Conclusion: The normal TSH levels are the pre-requisite for fertilization. The decision to initiate thyroid replacement therapy in both clinical and subclinical hypothyroidism at early stage is justified in infertile women.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 86-89

scholarly journals A clinico-epidemiological study of psoriasis patients with moderate to severe plaque type in tertiary care centre in South India

2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Suganya Sekar ◽  
Samuel J. Daniel
Keyword(s):  
Quality Of Life ◽  
Family History ◽  
Age Of Onset ◽  
Tertiary Care ◽  
Positive Family History ◽  
Severe Psoriasis ◽  
Tertiary Care Centre ◽  
Plaque Type ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Psoriasis is a chronic disorder with the most common manifestation being the plaque-type. Nearly 20% of the plaque type suffer from a disease of moderate to severe intensity with immense effect on the quality of life. Aim was to study the clinical, socio-economic and demographic characteristics of patients with moderate to severe plaque type of psoriasis.</p><p class="abstract"><strong>Methods:</strong> This was an observational study conducted in about fourty patients diagnosed with moderate to severe plaque type of psoriasis based upon the clinical history, morphology of the lesions and assessed using psoriasis area and severity index (PASI), dermatology life quality index (DLQI) scoring and for comorbidities. Data was compiled and analyzed with statistical package for social science (SPSS) Version 20.0.</p><p class="abstract"><strong>Results:</strong> Mean age was 37.43±10.1 years. 22 were males (55%) and 18 were females (45%). The mean duration was 8.93 years and 15% had family history. The mean age of onset was earlier in the females (20.23 years) with a positive family history, as compared to males (25.36 years). About 62.5% had moderate psoriasis and 37.5% had severe psoriasis. At the baseline the PASI score was 31.98±6.08 and DLQI score was 36. About 67.5% had nail changes and 10% had psoriatic arthritis. Almost in half (47.5%) the duration of the disease was 1 to 5 years and scalp (32.5%) the most common initial site of involvement. Various comorbidities were documented, 72% in moderate psoriasis and 73.33% in severe psoriasis with dyslipidemia (67.5%) being commonest.</p><p class="abstract"><strong>Conclusions:</strong> Patients with moderate to severe psoriasis mostly have a low quality of life with multiple significant co-morbidities that increases the risk for morbidity and mortality.  </p>

scholarly journals Clinical profile of diabetes in young adults aged 15 to 30 years

2019 ◽  
Vol 6 (5) ◽  
pp. 1466
Author(s):  
Jimnaz P. A. ◽  
Nishad N. ◽  
Harris P.
Keyword(s):  
Age Of Onset ◽  
Total Cholesterol Level ◽  
Microvascular Complications ◽  
Tertiary Care ◽  
Positive Family History ◽  
Clinical Profile ◽  
Diabetic Patients ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
The Mean

Background: There is a shift in age of onset of diabetes to a younger age in the recent years. There are very few data available on diabetes in the youth. Hence the study has been undertaken. Objective of the study is to describe the clinical profile of young diabetics and to estimate burden of selected end organ complications at the time of study.Methods: A hospital based Cross sectional study was conducted at a tertiary care centre among 75 young diabetic patients (aged 15-30 years). After taking informed consent, detailed history clinical examination, biochemical investigations like FBS and 2 hours PPBS, HbA1c, lipid profile, screening for neuropathy, retinopathy and nephropathy were done.Results: The mean age of the study population was 26.35±3.8 years, majority were males (62.7 %), 77.3% have positive family history. Mean BMI was 24.8±4.6 kg/m2, 45.3% were overweight ,20 % were obese. The mean FBS levels was 216.63±73.46 mg/dl, 2 hr PPBS 261.51±80.0 mg/dl and mean HbA1c 8.66±1.34 %. The total cholesterol level was higher in 46.7%, with mean of 198.4±21.0. Mean triglyceride level was 136.99±38.9. Nephropathy was present in 25.3%, retinopathy in 13.3% and neuropathy in 9.3 % of the patients. 30.6% had at least one of the three complications. SBP was associated with neuropathy(p=0.030), DBP with retinopathy(p=0.029) and neuropathy(p=0.007) and high FBS levels with retinopathy(p<0.001) and neuropathy(p<0.001).Conclusion: Microvascular complications in young diabetes is alarmingly high. Regular screening, early detection, adequate control of FBS and BP may improve quality of life.

scholarly journals Study of incidence and severity of menopausal symptoms in women of sub Himalayan region, using the Greene Climacteric Scale

2021 ◽  
Vol 10 (3) ◽  
pp. 1102
Author(s):  
Geetika Syal ◽  
Neha Mohindroo ◽  
Anshul Rana ◽  
Rita Mittal
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Cross Sectional Study ◽  
Menopausal Symptoms ◽  
Hot Flushes ◽  
Cross Sectional ◽  
Northern India ◽  
Menopausal Women ◽  
The Mean

Background: Identifying and measuring menopausal symptoms using Greene Climacteric Scale and calculating the mean age at menopause to find out the frequency of the menopausal symptoms so that can be used for better perimenapausal and menopausal care to females.Methods: A cross-sectional study was conducted in a tertiary care center in northern India. All menopausal women in gynaecology outpatient department were enrolled in study, over six months from May 2019 to October 2019. A total of 206 women fulfilled the inclusion criteria and were interviewed using the 21 points Greene Climateric Scale (GCS) Questionnaire. Analysis was done using SPSS 20 Windows software. Descriptive statistics included computation of percentages, means and standard deviations. Level of significance was set at P≤0.05.Results: The mean age of menopause was 47.9±3.42 years. About 90.3% of the menopausal women studied belonged to the rural population. The most frequently perceived symptoms by females were muscle joint pain (100%), vaginal dryness and pruritus vulvae (84%), lower abdominal pain (79.6%), hot flushes (50.5%).The most frequently reported symptoms as per the GCS were muscle and joint pains, loss of interest in sex, headaches, feeling tired or lacking in energy, difficulty in concentrating, attacks of anxiety, difficulty in sleeping and hot flushes. The mean total score was 17.61.Conclusions: Menopausal symptoms were common in this study group but women seeking help for the same was less. Therefore menopause clinics and care programmes need to be developed and strengthened to promote better health and higher quality of life in menopausal women.

scholarly journals Study to assess knowledge, attitude and practice regarding menopause among menopausal women attending outdoor in tertiary care centre

2017 ◽  
Vol 6 (5) ◽  
pp. 1848 ◽  
Author(s):  
Varuna Pathak ◽  
Neetu Ahirwar ◽  
Shruti Ghate
Keyword(s):  
Life Expectancy ◽  
Psychological Symptoms ◽  
Tertiary Care ◽  
Sexual Life ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Menopausal Women ◽  
Post Menopausal ◽  
Gandhi Medical College ◽  
Physical Changes

Background: India is a developing country and it is growing rapidly in all aspects of life. Health status of population has improved and hence the life expectancy. Women are affected positively by this improvement and their life expectancy has become longer than men. Women all over the world now have to spend almost 1/3rd of their lives in menopausal years. Therefore, menopause now is a concerning matter to maintain and improve women’s health.Methods: This analytical study was conducted for a period of 1 year in postmenopausal women attending outdoor in Department of Obstetrics and Gynaecology Sultania Zanana Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India. The instrument used in this study was structured questionnaire consisting of 19 items in Hindi language, developed on the basis of the objective of the study.Results: In the present study, 32.72% of menopausal women had knowledge of menopausal symptoms. 39.09%, 52.72% and 22.72% knew that menopause increases risk of cardiovascular, osteoporosis and breast cancer respectively. 28.18% think menopausal women should consult a physician, only 4.54% of menopausal women are aware of HT. 64.55% of menopausal women perceive menopause as loss of youth. 67.28% think menopausal psychological symptoms affect quality of life. 57.28% think that menopause means end of sexual life. 30% think that menopause is associated with maturity and experience. 46.27% think that absence of menstruation in the post-menopausal period is a relief. 39.10% think physical changes of menopause are inevitable and hence acceptable. 29.09% had consulted a physician at the onset of menopause.Conclusions: Our study shows that majority of women have a negative outlook towards menopause considering as a loss of youth and higher susceptibility towards health problems. This shows that the awareness towards menopause should be increased by IEC (information, education, and counseling), so as to help these women to live their postmenopausal years more healthy and active.

scholarly journals Clinical profiles of diabetic foot ulcer patients undergoing major limb amputation at a tertiary care center in North-eastern Tanzania

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Shabhay ◽  
Pius Horumpende ◽  
Zarina Shabhay ◽  
Andrew Mganga ◽  
Jeff Van Baal ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Diabetic Foot ◽  
Care Center ◽  
Tertiary Care ◽  
Limb Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Random Blood Glucose ◽  
North Eastern ◽  
The Mean

Abstract Background Diabetic foot ulcers complications are the major cause of non-traumatic major limb amputation. We aimed at assessing the clinical profiles of diabetic foot ulcer patients undergoing major limb amputation in the Surgical Department at Kilimanjaro Christian Medical Centre (KCMC), a tertiary care hospital in North-eastern Tanzania. Methods A cross—sectional hospital-based study was conducted from September 2018 through March 2019. Demographic data were obtained from structured questionnaires. Diabetic foot ulcers were graded according to the Meggitt-Wagner classification system. Hemoglobin and random blood glucose levels data were retrieved from patients’ files. Results A total of 60 patients were recruited in the study. More than half (31/60; 51.67%) were amputated. Thirty-five (58.33%) were males. Fifty-nine (98.33%) had type II diabetes. Nearly two-thirds (34/60; 56.67%) had duration of diabetes for more than 5 years. The mean age was 60.06 ± 11.33 years (range 30–87). The mean haemoglobin level was 10.20 ± 2.73 g/dl and 9.84 ± 2.69 g/dl among amputees. Nearly two thirds (42/60; 70.00%) had a haemoglobin level below 12 g/dl, with more than a half (23/42; 54.76%) undergoing major limb amputation. Two thirds (23/31; 74.19%) of all patients who underwent major limb amputation had mean hemoglobin level below 12 g/dl. The mean Random Blood Glucose (MRBG) was 13.18 ± 6.17 mmol/L and 14.16 ± 6.10 mmol/L for amputees. Almost two thirds of the study population i.e., 42/60(70.00%) had poor glycemic control with random blood glucose level above 10.0 mmol/L. More than half 23/42 (54.76%) of the patients with poor glycemic control underwent some form of major limb amputation; which is nearly two thirds (23/31; 74.19%) of the total amputees. Twenty-eight (46.67%) had Meggitt-Wagner classification grade 3, of which nearly two thirds (17:60.71%) underwent major limb amputation. Conclusion In this study, the cohort of patients suffering from diabetic foot ulcers treated in a tertiary care center in north-eastern Tanzania, the likelihood of amputation significantly correlated with the initial grade of the Meggit-Wagner ulcer classification. High blood glucose levels and anaemia seem to be also important risk factors but correlation did not reveal statistical significance.

scholarly journals Detection and Enumeration of the Commonest Stool Parasites Seen in a Tertiary Care Center in South India

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Vani Chandrashekar
Keyword(s):  
Entamoeba Histolytica ◽  
South India ◽  
Care Center ◽  
Tertiary Care ◽  
Age Group ◽  
Tertiary Care Center ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Stool Samples

The aim of this study was to identify common stool parasites in patients attending a tertiary care centre in South India. We evaluated 2355 stool samples and parasites were detected in 7.9% of samples. 41.1% of our patients were in the 45–58-year age group. Protozoal infections were the commonest seen in 7.8% of samples. Entamoeba histolytica was the commonest protozoa (4.6%) followed by Entamoeba coli (1.2%) and Giardia (0.8%). Entamoeba histolytica and Entamoeba coli were together seen in 0.63%, and they were the commonest organisms seen in samples with multiple-organism infection. Both were equally detected in diarrheal samples.

scholarly journals Daily Quality Control in CD3+and CD4+T Cell Estimation by the FACSCount System at a Tertiary Care Center in South India

2012 ◽  
Vol 19 (10) ◽  
pp. 1693-1696 ◽  
Author(s):  
Veena V. Ramalingam ◽  
Monika Mani ◽  
Vijayanand C. Sundaresan ◽  
Ramesh J. Karunaiya ◽  
Jaiprasath Sachithanandham ◽  
...  
Keyword(s):  
Quality Control ◽  
T Cell ◽  
South India ◽  
Care Center ◽  
Tertiary Care ◽  
Cd4 T Cell ◽  
Internal Quality ◽  
Cell Counts ◽  
Resource Poor ◽  
The Mean

ABSTRACTCD4+T cell count estimations are subject to high variations; hence, in this study, the previous day's tested samples were included routinely as the internal quality controls. The percentages of variation of the 2-day values were analyzed for 280 observations and the mean variation for CD4+and CD3+T cell counts ranged from 5.21% to 9.66%. This method is a good internal quality control (IQC) procedure for the estimation of CD3+and CD4+T cell counts in resource-poor settings.

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