scholarly journals Sociodemographic profile of HIV patients at a tertiary care hospital in Goa, India

Author(s):  
Chitralekha A. Nayak ◽  
Savita Pinto S. Da Silva ◽  
Rachita Gupta Velho

Background: Despite the improved access to antiretroviral therapy (ART), India accounts for the third largest cases of HIV in the world. Nearly 86% of reported cases are occurring in sexually active and economically productive age group (15-44 years). The current study was conducted to study the socio demographic profile of newly diagnosed HIV patients attending ART centre at Goa Medical College in Goa.Methods: A hospital based observational retrospective study was carried out in the department of Medicine of Goa Medical College in collaboration with ART centre from October 2015 to January 2016. Patient’s relevant data about the infection was collected from their treatment record card at the ART centre using preformed questionnaire.Results: In the present study out of 211 patients, male patients 112 (53.08%) outnumbered female patients 99 (46.92%). 80.56% of the study group were in the age group of 20-39 years. Although the total number of male HIV positive patients was more, there was also significant increase in the female group. The most common route of transmission was found to be heterosexual (78.67%) followed by blood transfusion route (2.3%). With regard to the level of education, 25%, 69% and 12% of patients had education up to primary, secondary and college level respectively.Conclusions: Rising number of HIV patients in small state of Goa is alarming and they are likely to contribute to spread of the disease due to rise in migrant population. Better awareness of the disease especially among migrants is utmost necessary to prevent increased number of young population from getting infected. Increasing number of female infected patients warrants us to educate housewives regarding safe sexual practices and contraception in preventing the spread of the disease. 

2021 ◽  
Vol 7 (2) ◽  
pp. 148-152
Author(s):  
Bajrang Soni ◽  
Priyanka Meena

: Geriatric health care has received lot of attention nationwide due to increase in life expectancy over the time. Among the various health issue geriatric dermatosis are one of the most common reason for regular OPD visits. This study was done to inquest the spectrum of cutaneous manifestation and the factors responsible for causing physiological and pathological changes in the skin of elderly people.: Three hundred consecutive patients aged more than 60 yrs of age attending the out patient department of dermatology at PDU Medical College & hospitals Churu were subjected for study. A detailed history was taken. A complete general, systemic & Cutaneous examination was done along with relevant investigation were carried out. Findings were collated in Performa for analysis and interpretation of data. A total of 300 patients were enrolled in the study out of which 59 % were male and 41 % were female. Pruritis was the commonest complain elicted in 68.5 % of patients. Among the physiological changes xerosis was the commonest seen in 63 % of patients and infecions followed by eczems was the common pathological conditions. The population of 60 yrs and above is a rapidly growing dermatology clientele with both physiological and pathological manifestations. This study highlights the various dermatoses peculiar to the geriatric population and aims at sensitizing the fraternity to the specific needs of this special age group.


2019 ◽  
Vol 6 (7) ◽  
pp. 2533
Author(s):  
Ramanuj Mukherjee ◽  
Vaibhav Agarwal ◽  
Arup Mohanta ◽  
Gouri Mukhopadhyay ◽  
Sudipta Samanta

Background: Being one of the most commonly performed surgery in the modern era, post-operative complications following laparoscopic cholecystectomy deserve special mention. Though not very life threatening, they are quite common. Considering these aspects, this study aims to identify them and possibly a potential remedy for decreasing the incidence in the future.Methods: This is a retrospective, institution-based, observational and cross-sectional analysis conducted in R.G. KAR Medical College and Hospital over 5 years on 1000 patients undergoing surgery. Here we intend to observe the adverse events following laparoscopic cholecystectomy in the post-operative period.Results: Most of the complications were seen in the age group greater than 40 years(63%) followed by the age group 30-40 years (26%).Adverse events were much more common in females (85%) followed by males (15%). The symptoms appeared mostly during 3-7 days post operatively (57%) followed by 20% within the first 6 hours. Non-specific abdominal pain (28%) was the most common adverse event followed by port-site infection in 16.5% cases.Conclusions: Proper pre-anaesthetic check-up with proper instrument handling with proper caution and before closing confirmation of proper placement of clip and no other unintentional injury anywhere can decrease the post-operative complication.


2020 ◽  
pp. 1-4
Author(s):  
Madhurima Bora ◽  
Sherin Gogoi ◽  
Puja Bora

Introduction: A notable feature of patients suffering from mental disorders is the severity of deficiency in the nutrients in diets especially essential vitamins, minerals and omega-3 fatty acids. Iron is a vital nutrient that plays a role in every cell of the body, the deficiency of which will cause depression besides lack of energy, dizziness, light headedness and pale skin. Aim: The study is aimed to estimate serum iron and Ferritin in adolescent depression cases and to evaluate their role in adolescent depression. Method material: Patients in the age group of 13 – 19 years, suffering from depression, and attending Psychiatry OPD of Gauhati Medical College are taken as cases. Controls are healthy individuals in the same age group. Samples are collected and serum iron and ferritin are estimated and compared between the two groups. Data are analyzed with the help of Minitab-19 and in MS-excel. Results: Both serum iron and ferritin are decreased significantly in group containing adolescent with depression. Both are highly significant P<0.001 with ‘t’ values 14.42 and 13.11 respectively. Conclusion: This Study gives us an idea that while investigating a case of adolescent depression, emphasis must be given to the nutritive status (iron and ferritin) of the individual also.


Author(s):  
Chitralekhya Rao ◽  
Oudeacoumar Paqurissamy ◽  
Govardhan J. ◽  
Varsha Medasani

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><p><strong>Conclusions:</strong> 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.</p>


Author(s):  
ASHWANI UMMAT ◽  
RANJODH JEET SINGH ◽  
SONIA KOCHHAR

Objective: The objective of the study is to analyze the prescription pattern of drugs for osteoarthritis (OA) in a north Indian medical college collaborated with a tertiary care hospital. Methods: An observational study was conducted on 300 patients diagnosed with OA in the department of orthopedics in collaboration with the department of pharmacology, and thus, prescription was collected as in a cross-sectional manner for 6 months and the same were analyzed in the Department of Orthopedics in tertiary care hospital collaborated with medical college. Results: The average age of patients participating in this present study was 56.46±7.4 years with affected age group of 46-60 years. 60 % of females were affected by osteoarthritis outnumbering male (40 %) patients in this present study. The most commonly involved joint was knee joint (87.33 %) in patients diagnosed with osteoarthritis followed by back (6.67 %) and hip joint (6%). The combination therapy (90 %) outweighed monotherapy (10 %) with preferred route of drug administration as oral route (90 %) followed by topical route (10 %). The average number of drugs prescribed for patients of osteoarthritis was 2.62±0.76. This present study concludes that NSAIDs (45.8%) were prescribed most commonly. However, the drug paracetamol was lesser prescribed and other drugs such as Diclofenac (27.22 %) and acetaminophen (34.44 %) most of all followed by Nimesulide (16.67 %), ibuprofen (13.33 %) and Rofecoxib/valdecoxib (8.33 %) were prescribed. Conclusion: This present study concludes that NSAIDs were most commonly prescribed as p-drugs while paracetamol was undermined prescribed.


Author(s):  
Tejas M. Doshi ◽  
Rusva A. Mistry ◽  
Manish N. Mehta

Background: HIV infection/AIDS is a global pandemic greatly exceeds earlier prediction. With widespread availability and uses of Anti Retroviral Therapy (ART), HIV becomes a chronic manageable illness but immediate and long term side effects become a major problem. The objective of the study was to study clinical profile of HIV positive patients attending A.R.T. centre of a tertiary care hospital.Methods: Observational and prospective study was carried out over 100 HIV positive Patients attending ART centre of G.G.G Hospital, Jamnagar, Saurastra, Gujarat over a period of 12 months.Results: Out of 100 HIV positive studied patients, maximum cases (95%) were in the age group of 15-49 years, 75% were males. (58%) cases were from rural area and (56%) were illiterate. Maximum cases were having sexual (79%) route of transmission. Most common symptom among HIV positive patients was weight loss (62%) followed by fever (58%). Mycobacterium tuberculosis (65%) was the most common opportunistic infection. (84%) patients had CD4 count between 50-200/cub.mm, (66%) were in stage III. ART was well tolerated, ADRs were found in 43% of patients.Conclusions: HIV is more common in reproductive age group with males being more affected and major route of transmission of HIV infection remains heterosexual mode.


2021 ◽  
Vol 29 (2) ◽  
pp. 96-99
Author(s):  
Kazi Gias Uddin Ahmed ◽  
Iftikher Alam ◽  
Hashmi Sina ◽  
Md Arifuzzaman ◽  
Reaz Mahmud ◽  
...  

Introduction: Carpal tunnel syndrome (CTS) is a clinical syndrome that results from compression of median nerve within the carpal tunnel at the wrist. The aim of this study was to review the clinical and demographic characteristics and electrophysiological patterns of CTS patients who presented to a tertiary care hospital in Bangladesh. Methodology; A descriptive cross-sectional study was conducted on 150 CTS patients at the neurology department, Dhaka Medical College Hospital between January, 2019 to March , 2020 . All the subjects had clinical evaluation and standardized nerve conduction studies of upper limbs (300 limbs) using the same protocol. Results: 228 hands were found to have clinical and electrophysiological features consistent with CTS. There was female predominance (90%) and the highest occurrence of CTS was in the 45-55 years age group. Bilateral CTS was found in the majority of cases ie 78 (52%) and the rest had unilateral CTS. Among those with unilateral CTS, right hand was affected more (41, 57%) than left hand (31, 43%). Most of the cases were idiopathic. Neurophysiological studies showed most patients had mild CTS (121 hands, 53%). Most of the cases were idiopathic (102, 68%). Where a risk factor was found diabetes was commonest one (32) followed by hypothyroidism (12) and pregnancy (4). Conclusion: There was marked female predominance and the 45-55 years age group was predominantly affected. Majority of cases had mild CTS. Bilateral involvement was more common. Right hand was more affected than the left hand. J Dhaka Medical College, Vol. 29, No.2, October, 2020, Page 96-99


2018 ◽  
Vol 3 (2) ◽  
pp. 39-42
Author(s):  
Md Akter Hossain ◽  
Md Saiful Huq ◽  
Ashfaq Ahmad

Background: The hepatocellular carcinoma is one of the most common tumor.Objectives: The purpose of the present study was to see the socio-economic characteristics of hepatocellular carcinoma patients.Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging in Dhaka Medical College, Dhaka and Banghabandhu Sheikh Mujib Medical University, Dhaka from January 2007 to May 2008 for a period of around one and half year. All the patients presented with hepatocellular carcinoma at the age group of more than 20 years with both sexes were selected as study population. The patients were undergone CT-scan examination and the confirmation was performed by histopathological examination.Result: A total number of 50 patients were recruited in this study after fulfilling the inclusion and exclusion criteria. Mean age of my study was 48.78 and SD ± 12.07. Out of 50 patients 43(86%) were male and 7(14%) female. Cultivator was 42% followed by service holder. Medical personnel were 2%. Illiterate group was the top of the list with 40% and most educated was 4%.Conclusion: In conclusion the hepatocellular carcinoma is most commonly occurred in middle age group with a predominance of male.Journal of Current and Advance Medical Research 2016;3(2):39-42


2018 ◽  
Vol 4 (2) ◽  
pp. 129-132
Author(s):  
Nadira Khan ◽  
Firoza Rahman ◽  
Nilufar Jahan ◽  
Rahela Khatun ◽  
Nebadita Saha

Background: Pelvic Inflammatory disease is presented with different clinical presentation among the sexually active women.Objectives: The purpose of the present study was to see the clinical profiles of women presented with pelvic inflammatory diseases.Methodology: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology at Dhaka Medical College Hospital, Dhaka, Bangladesh from November 2001 to April 2002 during the period of six (06) months and December 2002 to February 2003 for three (03) months with the total duration of nine (09) months. Women at any age who were suffering from chronic pelvic inflammatory disease (PID) attended at the OPD of gynecology Department at Dhaka Medical College Hospital, Dhaka, Bangladesh were selected as study population. Epidemiological aspects and clinical presentation have been mainly highlighted in this study.Result: A total number of 150 cases were recruited for this study. Among 150 case of chronic pelvic inflammatory disease (PID) majority of the patients (54%) belonged to the age group of 26 to 35 years of age group followed by 16 to 25 years which was 33.3% cases. Majority 96.0% patients had pain in the lower abdomen; 78.6% cases had backache; 76.6% cases had dyspareunia; 64.0% had congestive dysmenorrhea and 60.0% cases had vaginal discharge. Regarding menstrual problems, 72.7% cases had dysmenorrhea. Majority (84.0%) cases were multipara.Conclusion: In conclusion lower abdominal pain, backache, dyspareunia, congestive dysmenorrhea are the major complaints among the PID patients.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 129-132


2013 ◽  
Vol 4 (2) ◽  
pp. 57-59
Author(s):  
Md Habibuzzaman Chowdhury ◽  
Md Mizanur Rahman ◽  
Md Gisan Hossain ◽  
Md Rafiqul Islam

Background: The autopsy diagnosis of drowning represents one of the major problems in forensic medicine. Objective: The purpose of the present study was to see the socio-economic characteristics of the drowning cases. Methodology: It was a retrospective study of 20 cases of drowning in 13 thanas of Dinajpur district during 1st January 2004 to December 2006. All the cases were autopsied in the mortuary of Dinajpur Medical College, Dinajpur. All the above may show signs of immersion on examination. Result: Total 20 cases were brought to the Department of Forensic Medicine at Dinajpur Medical College, Dinajpur. Considering the socio-economic status of the victim, it is found that higher frequency of drowning in the lower socio-economic growth. Highest age group is present in the 0-10 years which is 4 cases, 5 cases and 4 cases in the year of 2004, 2005 and 2006 respectively. Conclusion: In the conclusion, the study reveals that majority drowning cases are from low socio-economic condition with an early age group. DOI: http://dx.doi.org/10.3329/jssmc.v4i2.14418 J Shaheed Suhrawardy Med Coll, 2012;4(2):57-59


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