Demographic profile of subjects undergoing tympanoplasty in a tertiary care centre of Punjab: analysis of 60 cases

Background: Different tympano meatal vascularised flaps were compared in the tympanoplastic surgery in chronic suppurative otitis media.Methods: 60 cases with diagnosis of chronic suppurative otitis media were selected from ENT OPD of Dayanand Medical College and Hospital Ludhiana. 6 types of tympanomeatal flaps were used and 10 cases of each flap were taken. The study was conducted for the period of 1 year from June 2015 to August 2016.Results: Maximum numbers of patients were in the age group of 31-40 years (26.7%), followed by age group of >50 years (23.3%). Minimum age among these patients was 11 years and maximum 65 years. Mean age was 36.67. Graft failure was in 2 patients, 1 lies under age group 31-40 years and other was in more than 50yrs group. Female patients constituted 56.7% and male patients were 43.3% in our study population. Graft uptake was 93% in females and 100% in males. In our study on 60 patients, 41 (68.3%) patients had a rural and 19 (31.7%) an urban background.Conclusions: Age does not affect the results of tympanoplasty, whatever flap maybe utilised. Awareness in rural population regarding reconstructive ear surgery is there nowadays though there is still gender discrimination, with less number of ladies opting for this elective surgery.

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Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v32i2.5673 ◽

2012 ◽

Vol 32 (2) ◽

pp. 142-145 ◽

Cited By ~ 2

Author(s):

B Sigdel ◽

R Nepali

Keyword(s):

Tertiary Care ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Suppurative Otitis Media ◽

Ear Diseases ◽

Paediatric Age ◽

One Year ◽

A Prospective Study ◽

Nose And Throat

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673

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CLINICAL PROFILE OF INTUSSUSCEPTION IN CHILDREN ADMITTED TO A TERTIARY CARE CENTRE IN KERALA

International Journal of Medical Science and Diagnosis Research ◽

10.32553/ijmsdr.v4i12.726 ◽

2020 ◽

Vol 4 (12) ◽

Author(s):

Neethu Jose ◽

Aparna Namboodiripad ◽

Regi George A N

Keyword(s):

Tertiary Care ◽

Spontaneous Resolution ◽

Reduction Technique ◽

Clinical Profile ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Hydrostatic Reduction ◽

Duration Of Hospital Stay ◽

Study Population

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

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Study of common clinical types of cutaneous tuberculosis: two years study experience in a tertiary care centre

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20200596 ◽

2020 ◽

Vol 6 (2) ◽

pp. 199

Author(s):

Raghu M. T. ◽

Ashwini S. ◽

Yogendra M. ◽

Virupakshappa H. E. ◽

Gangaraju Harish ◽

...

Keyword(s):

Tertiary Care ◽

Age Group ◽

Lupus Vulgaris ◽

Tertiary Care Centre ◽

Cutaneous Tuberculosis ◽

Medical College ◽

Plaque Type ◽

Study Experience ◽

The Common ◽

Work Up

Background: Cutaneous tuberculosis (TB) is frequently found worldwide, especially in tropical countries. The number of extrapulmonary TB reaches up to 14%, and 1% to 2% are cutaneous TB. Diagnosis of cutaneous tuberculosis (CTB) is complicated and requires a full work-up. Clinical manifestation of cutaneous TB is varied and causes difficulties to diagnose. Scrofuloderma and plaque type of lupus vulgaris (LV) are common forms of cutaneous TB.Methods: A retrospective study was conducted on patients attending Department of Dermatology, Venereology and Leprosy, at Basaveshwara Medical College and Hospital, Chitradurga over a period of 2 years. A total of 15 cases of cutaneous tuberculosis were diagnosed.Results: A total of 15 cases out of which included predominantly males, with age group being affected commonly are 20-40 decades, histopathology showing tuberculoid granuloma in 11 cases, and common clinical variant being lupus vulgaris seen in 66.6% of the cases and. Second common being scrufuloderma seen in 26.6% of the cases and least common is TB verrucosa cutis (TBVC) seen in 6.6% of the cases.Conclusions: The study showed that the common clinical type of cutaneous tuberculosis during the study period was lupus vulgaris, scrofuloderma and less common being TBVC.

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A PROSPECTIVE HISTOPATHOLOGICAL STUDY OF MENINGIOMAS IN A TERTIARY CARE CENTRE OF VIJAYAWADA

10.36106/gjra/9100428 ◽

2021 ◽

pp. 11-13

Author(s):

C.Bhanu Sree ◽

P. Annapurna ◽

M. Rajani

Keyword(s):

Surgical Resection ◽

Tertiary Care ◽

Histopathological Study ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Medical College ◽

Histological Appearance ◽

Classi Cation ◽

A Prospective Study

Background: Meningiomas are neoplasms arising from the arachnoidal cap cells in the meningeal coverings of the spinal cord and brain. These are the most common benign intracranial tumours and account for about 13-26% of all primary brain neoplasms. These are generally benign neoplasms of adults most often seen in middle age, but about 10% are atypical or malignant. These neoplasms are graded by WHO as Grade I , II and III . Benign meningiomas can be cured by surgical resection where as higher grade meningiomas require radiotherapy after surgical resection as these higher grade meningiomas have greater recurrence and aggressive behavior. Aims and Objectives: To study the variants and histopathological spectrum of meningioma and prognosis of variants. Material & Methods: The present study is a prospective study conducted in the department of Pathology, Siddhartha medical college from June 2019-May 2020. During this study, 16 cases of meningiomas were diagnosed and reviewed. Result:In our study of 16 cases females were 62.5%. The most common age group is 41-60 yrs (68.75%). Most common variant was noted to be transitional meningioma followed by meningothelial meningioma. Out of the 16 cases, grade I were 81.25%. Conclusion: Meningiomas account for 28-30% of primary central nervous system tumors and unveil a heterogeneous histopathology. The histological appearance of meningioma determines the grading for the management of the various subtypes and also associated with patient's prognosis. Hence a continuous revision of histopathological classication systems is required to improve the diagnostic accuracy. Benign meningiomas are the most common type. From our study, we conclude that transitional meningioma is the most common benign variant.

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Profile of new Patients attending Psychiatry Out-patient Department at Lumbini Medical College-Teaching Hospital, Palpa

Journal of Psychiatrists Association of Nepal ◽

10.3126/jpan.v6i2.21759 ◽

2018 ◽

Vol 6 (2) ◽

pp. 42-44

Author(s):

B Sharma ◽

A Devkota ◽

SC Pant

Keyword(s):

Psychiatric Illness ◽

Tertiary Care ◽

College Teaching ◽

Age Group ◽

Household Work ◽

Care Centre ◽

Tertiary Care Centre ◽

Level Of Education ◽

Primary Level ◽

Medical College

Introduction: Study on prevalence of psychiatric disorders in Palpa and nearby districts which lie in western Nepal, is not much studied till date. We therefore conducted this study aiming to see the pattern of psychiatric illness in an Outpatient Department of Lumbini Medical College which is a tertiary care centre located in Palpa district.Material And Method: : This is a retrospective study where outpatient record of all new cases attending the Psychiatry OPD from 29th Oct 2014 to 29th Dec 2014 were studied and statistical analysis were done. The number of new patients were 107.Results: Out of 107 patients, 60.74 % (65)) were females and 39.26 %( 42) were males. Patients of age group 31-40yrs showed the largest proportion (27.49%) followed by age group 41-50yrs (24.29%). Majority cases were illiterate (69.15%) followed by primary level of education (14.95%). The occupation of most of the cases were household work (35.51%) followed by farming (31.77%). Anxiety disorder (27.10%) was the most frequent diagnosis ahead of “Others” (18.69%) followed by depressive disorder (15.88%).Conclusion: Most of the new patients attending the psychiatry OPD of Lumbini Medical College were females, of 31-40 age group and most of the patients suffered from anxiety disorders. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 42-44

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A PROSPECTIVE OBSERVATIONAL STUDY ON PREVALENCE OF HYPOTHYROIDISM IN A TERTIARY CARE TEACHING HOSPITAL

International Journal of Pharmacy and Pharmaceutical Sciences ◽

10.22159/ijpps.2018v10i6.24958 ◽

2018 ◽

Vol 10 (6) ◽

pp. 23

Author(s):

N. Swathi ◽

Voleti Vijaya Kumar ◽

M. Farjana ◽

M. Vishnu Vardhan ◽

M. Munendra ◽

...

Keyword(s):

Prospective Observational Study ◽

Tertiary Care ◽

Age Group ◽

Medical College ◽

Study Population ◽

Age Limit ◽

N 93 ◽

A Prospective Study ◽

Group Distribution ◽

Positive Results

Objective: To determine the prevalence of hypothyroidism in a rural population of Nandyal.Methods: A prospective study was conducted in Santhiram medical college and general hospital, Nandyal from July 2017 to December 2017, to study the prevalence of hypothyroidism among the population. Results: In this study, 1000 patients were evaluated for the thyroid functioning, among them n=104(10.4%) showing positive results in hypothyroidism. The positive 104 patients showed that n=63 (60.57%) of the population are in the age limit of 21-40. Out of the same population are n=11 (10.6%) are male and female are n=93 (89.43%). In age group distribution more prevalence was observed in 21-30 y of age group n=36 (34.61%). In this study, sub-clinical hypothyroidism was prevalent in females n=80 (76.92%) than males n=10 (9.61%).Conclusion: Our study demonstrates that hypothyroidism was higher in a female with age group as 21-40 y and there is a significant prevalence of hypothyroidism in the study population.

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Study of social and demographic determinants of severe acute malnutrition in children aged 6-59 months in a tertiary care centre of Odisha, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20185064 ◽

2018 ◽

Vol 6 (1) ◽

pp. 46

Author(s):

Pravati Jena ◽

Soumini Rath ◽

Manas Kumar Nayak ◽

Diptirekha Satapathy

Keyword(s):

Low Socioeconomic Status ◽

Rural Areas ◽

Health Care Services ◽

Severe Acute Malnutrition ◽

Tertiary Care ◽

Acute Malnutrition ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Study Population

Background: The objective is to study the various social and demographic determinants of severe acute malnutrition in children aged 6 months to 59 months in a tertiary care centre of Odisha, India.Methods: This is a hospital based prospective observational study done in a tertiary care centre of Odisha during the period of Nov 2015 to Oct 2017 in which all children with severe acute malnutrition as per WHO criteria in the age group 6 months to 59 months were enrolled and their socioeconomic and demographic details were evaluated.Results: Present study revealed a prevalence of severe acute malnutrition as 2.8%. Males (54.2%) were more affected than females (45.8%). Most common age group affected was 6-12 months (37.4%). Most of the children were from low socioeconomic status (96.4%) and from rural areas (84.8%).63.7% of the study population were unimmunised. Only 12.6% of the participants were exclusively breast fed.100% of the children in the study population received top feeding with cow’s milk.Conclusions: The prevalence of malnutrition is high in Odisha but most of the causative factors are preventable. Adequate education regarding exclusive breastfeeding, complementary feeding, immunisation, promotion of proper referral and health care services can help to improve nutritional status in the state of Odisha.

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Clinical Characteristics and Endoscopic Findings of the Patients with Cirrhosis of the Liver in a Tertiary Care Centre in Eastern Nepal

Journal of Nobel Medical College ◽

10.3126/jonmc.v5i1.15750 ◽

2016 ◽

Vol 5 (1) ◽

pp. 26-31

Author(s):

Ram Hari Ghimire

Keyword(s):

Clinical Characteristics ◽

Tertiary Care ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Gastroesophageal Varices ◽

Medical College ◽

Endoscopic Findings ◽

Cirrhotic Patients ◽

Upper Gastrointestinal

Background Studies on clinical characteristics and upper gastrointestinal endoscopic findings of the cirrhotic patients in a tertiary care centre are sparse from eastern region of Nepal. The aim was to profile these patients clinically and analyse the endoscopic findings.Material and Methods This was a cross-sectional analytical study carried out in the Department of Medicine of Nobel Medical College, Biratnagar from 30st September 2012 to 30th August 2013(one year). After admission, detail medical history and meticulous clinical examination was carried out in every patient with clinical diagnosis of cirrhosis of liver. Routine, biochemical, hematological, imaging and special investigations were sent as per clinical scenario. Upper gastrointestinal endoscopy was carried out in all patients. Basic descriptive statistics were used to present the data.Results A total of 104 patients were enrolled in our study. The mean age was 50.09 years ± 11.79 (Range 26-79), of which 60% were males. Almost 70% of the patients were from productive age group (31-70 years). All the patients were symptomatic. Chronic excessive alcohol consumption was the commonest cause of cirrhosis (80.76%). The major clinical presentations were ascites (83.65%) and jaundice (79.92%). Pedal edema was the commonest (85.6%) presenting sign. Diabetes mellitus and pneumonia were common comorbidities. Gastroesophageal varices were commonest (70.19%) endoscopic finding.Conclusion Cirrhotic patients presented late with complete decompensation in the form of ascites, jaundice and upper gastrointestinal bleeding from esophageal varices. Mostly people with productive age group were affected.Journal of Nobel Medical College Volume 5, Number 1, Issue 8, January-July 2016, 26-31

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Clinico-epidemiological study of facial hyper-melanoses among patients attending dermatology outpatient department at a tertiary care hospital at Pondicherry

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20195673 ◽

2019 ◽

Vol 6 (1) ◽

pp. 48

Author(s):

Chitralekhya Rao ◽

Oudeacoumar Paqurissamy ◽

Govardhan J. ◽

Varsha Medasani

Keyword(s):

Epidemiological Study ◽

Tertiary Care ◽

Outpatient Department ◽

Care Hospital ◽

Age Group ◽

Total Study Population ◽

Medical College ◽

Pigmentary Disorders ◽

The Face ◽

Study Population

Background: Hypermelanoses involving predominantly the face and the neck is relatively common and often presents a complex diagnostic problem. The present study titled “Clinico-epidemiological study of facial hyperpigmentation” was done in the study population of 500 patients of facial pigmentation, attending the skin outpatient department in AarupadaiVeedu Medical College and Hospital from October 2015 to September 2017.Methods: Aim and objective of the study was to study various clinical patterns of facial pigmentation, their clinical characteristics, their association with other pigmentary disorders and to evaluate the different etiotogical and precipitating factors. A special proforma was prepared. Patients were thoroughly interviewed and examined to find out dermatological and systemic diseases and they were subjected to investigations to evaluate different etiological factors and diagnose the clinical type of facial pigmentation.Results: The present study showed a strong female preponderance. Among the total study population there were 55% cases of melasma, 20% cases of Riehls melanosis, 10% cases of periorbital pigmentation and 5% of miscellaneous causes.Conclusions: Facial pigmentation was commonly seen in the females. 21-30 years age group was the most commonly affected age group in all types of facial pigmentation. Melasma, Riehls melanosis and periorbital pigmentation were the most common clinical types of facial pigmentation observed.

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EVALUATION OF THE ETIOLOGIES AND OUTCOME OF PRETERM LABOUR

10.36106/ijsr/9703410 ◽

2021 ◽

pp. 13-17

Author(s):

Rabindra Nath Behera ◽

Sini Venugopal ◽

Avilas Das

Keyword(s):

Gestational Age ◽

Neonatal Outcome ◽

Preterm Labour ◽

Tertiary Care ◽

Age Group ◽

Tertiary Care Centre ◽

Mortality And Morbidity ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Covered Group

Objective : This is a Prospective cohort study carried out in department of Obstetrics and Gynaecology, Hi-Tech Medical College & Hospital, Bhubaneswar, a tertiary care centre, with the objective of knowing the etiology and outcome of preterm labour and formulate measures to prevent the onset of preterm labour and deal with complications arising from preterm labour. Materials and methods : A total of 112 patients with preterm labour were included in the study. The investigations required to identify the etiology and also other routine investigations were carried out . The study was conducted over a two year period i.e. from November 2018 to October 2020 at Hi-Tech Medical College & Hospital, Bhubaneswar. Results : Majority of the patients were in the age group of 20-24 years. Among them, majority of the patients belonged to the gestational age group of 28-34 weeks . Infection was the commonest cause of preterm labour. There is signicant improvement in neonatal outcome in steroid covered group if gestational age is less than 34 weeks . Conclusion: Preterm labour has major impact on neonatal mortality and morbidity. Hence identication of risk factors and etiologies of preterm labour and timely interventions in the form of investigations and management and preparedness to tackle the maternal and neonatal complications are vital for a good maternal and neonatal outcome.

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