scholarly journals Perceptive analysis of nasal surgery outcomes for headache

2017 ◽  
Vol 3 (4) ◽  
pp. 948
Author(s):  
Sreenivas C. ◽  
Sanjeev Kumar Awasthi
Keyword(s):  
Prospective Study ◽  
Middle Turbinate ◽  
Medical Practitioner ◽  
Sinus Surgery ◽  
Common Symptom ◽  
Age Group ◽  
Surgical Methods ◽  
Headache Symptom ◽  
A Prospective Study ◽  
Patient Centric

<p class="abstract"><strong>Background:</strong> Headache is the most common symptom requiring visit to a medical practitioner, sinus headache is one of the sub types of headache. Sinus related headaches are curable by surgical methods with a view to restore the functions of the maxilla-ethmo-turbinal ventilation. In this background we conducted a prospective study to investigate the perceptive relief of symptom of proven rhinosinugenic headache in patients undergoing functional endoscopic sinus surgery with septoplasty.</p><p class="abstract"><strong>Methods:</strong> Prospective study, done at a command hospital, Bangalore, a tertiary PG Teaching Hospital during 2010-2011. Even though 200 patients enrolled for the study, only 98 subjects could be assessed at the end of 1 year duration. A patient centric subjective perceptional questionnaire was given preoperatively and then postoperatively on definitive intervals and the patient’s subjective score was tabulated.  </p><p class="abstract"><strong>Results:</strong> Rhinosinugenic headache is common amongst 36.73% of the population in the age group of 20 to 30 years age group, followed by 25.5% in the 41 to 50 years age group. Gender distribution- 56% of females in the age group of 31 to 50 years are suffering from headache, and 28% of women in the age group of 31 to 40 years. The most common endoscopic findings were bulla ethmoidalis with a prevalence of 37.75%, followed by middle turbinate anomalies of 31.63%.</p><p><strong>Conclusions:</strong> Endoscopy could not pick up any finding in 8.16% of the study group which was picked up by the non-contrast computerized tomography, perceptive analysis– there was an overall improvement of patient centric headache symptom alleviation of 98% after FESS with septoplasty.</p>

scholarly journals Clinical and aetiological spectrum of spontaneous pneumothorax in adults in Sub-Himalayan: a prospective study at tertiary care institute

2018 ◽  
Vol 4 (2) ◽  
pp. 22
Author(s):  
Ajay Sharma ◽  
Ashok Sharma ◽  
Pramod Jaret ◽  
Malay Sarkar ◽  
Sanjeev Sharma
Keyword(s):  
Pulmonary Tuberculosis ◽  
Prospective Study ◽  
Spontaneous Pneumothorax ◽  
Tertiary Care ◽  
Primary Spontaneous Pneumothorax ◽  
Age Group ◽  
Outcome Indicators ◽  
Secondary Spontaneous Pneumothorax ◽  
A Prospective Study ◽  
Aetiological Spectrum

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The spontaneous pneumothorax has been classified as major cause of morbidity and mortality among respiratory diseases. The objectives of the study were to determine the incidence and aetiology of spontaneous pneumothorax and to assess the clinical profile of affected patients admitted in our institute</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A hospital based prospective study was conducted in year 2011-12 in the Department of Medicine, IGMC Shimla (H.P.) India. During study period the total admissions were 7335 out of which 30 patients were diagnosed as spontaneous pneumothorax and treated as cases under study. The data was collected on proforma includes demographic profile, probable cause, clinical and outcome indicators of Spontaneous Pneumothorax, master chart framed and analysed into frequency percentage. </span><span lang="EN-IN"> </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Incidence of spontaneous pneumothorax was found to be 408.99/yr/100000 admissions in the department of medicine. Incidence of primary spontaneous pneumothorax was 81.79/yr/100000 admissions. Incidence of secondary spontaneous pneumothorax was 327.19/yr/100000 admissions. Majority of the patients of primary spontaneous pneumothorax were of the 20-29yrs age group. Higher proportions of cases were from male gender (93.33%). Secondary pneumothorax patients were mostly of 50 to 59 years age group. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by Pulmonary tuberculosis (33.33%)</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Spontaneous pneumothorax was more common in men. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by pulmonary tuberculosis (33.33%). </span></p><p class="abstract"> </p>

Direct referral hearing aid provision in the over sixties age group

1991 ◽  
Vol 105 (10) ◽  
pp. 825-827 ◽  
Author(s):  
Maurice R. Hawthorne ◽  
Desmond A. Nunez ◽  
Graham P. Clarke ◽  
Desmond Robertshaw
Keyword(s):  
General Practitioner ◽  
Confidence Interval ◽  
Prospective Study ◽  
General Practitioners ◽  
Hearing Aid ◽  
Referral Letter ◽  
Age Group ◽  
Common Criterion ◽  
A Prospective Study ◽  
Direct Referral

AbstractA prospective study was designed in which General Practitioners were issued with a standard referral letter for hearing aid provision. Unknown to the General Practitioner an independent otolaryngologist assessment was obtained at the time of first attendance. Three hundred consecutive patients selected by General Practitioners applying these guidelines were seen in a designated hearing aid clinic staffed by audiological technicians of senior grade or above. Referral pro formata were incomplete in 75 patients who were not assessed. Ninety-four patients (31 per cent) (95 per cent confidence interval 29–36 per cent) were accepted by the audiologist. Obstructing wax was the most common criterion failed. Clinical agreement between audiologist and otolaryngologist was 57 per cent greater than chance. None of the cases of clinical disagreement altered treatment. A direct referral system as proposed could have processed only 31 per cent of 300 referrals. However, experienced technical staff reliably detected otological pathology and with aural toilet facilities 91 per cent of 225 patients (confidence interval 88–94 per cent) were aided.

Incidence of Type I Diabetes in the Liguria Region, Italy: Results of a prospective study in a 0- to 14-year age-group

Diabetes Care ◽  
1994 ◽  
Vol 17 (10) ◽  
pp. 1193-1196 ◽  
Author(s):  
M. Mazzella ◽  
M. Cotellessa ◽  
S. Bonassi ◽  
R. Mulas ◽  
A. Caratozzolo ◽  
...  
Keyword(s):  
Prospective Study ◽  
Type I Diabetes ◽  
Type I ◽  
Age Group ◽  
A Prospective Study

scholarly journals A prospective study to evaluate the role of hysterolaparoscopy in infertility

2018 ◽  
Vol 7 (9) ◽  
pp. 3852
Author(s):  
Pooja Subhash Kale ◽  
Sylvia Noronha
Keyword(s):  
Prospective Study ◽  
Diagnostic Laparoscopy ◽  
Study Group ◽  
Age Group ◽  
Polycystic Ovaries ◽  
Detailed History ◽  
Uterine Septum ◽  
A Prospective Study ◽  
Infertile Patients

Background: Infertility is one of the most important and underappreciated reproductive health problems in developing countries. The aim of the present study was to evaluate the role of hysterolaparoscopy in infertility.Methods: It was observational prospective study. In this study, 50 patients in the age group of 20-40 years who are anxious to conceive formed the study group. All women were subjected to a detailed history taking followed by clinical examination.Results: Out of 50 cases studied, 30 (60%) were of primary infertility while, 20 (40%) were of secondary infertility. Laparoscopic findings were as follows, 28% had polycystic ovaries, 20% had endometriosis, 18% had tubal factors, 18% had adhesions, and 8% had fibroids while 4% had PID. Hysteroscopic findings were uterine septum in 16%, T shaped cavity in 14%, shaggy-hyperplastic endometrium in 10% while adhesions and polyps in 8% and 4% respectively. 16 women (32%) conceived after the procedure during the study period.Conclusions: It is concluded that while investigating the causes of female infertility combined simultaneous diagnostic laparoscopy and hysteroscopy with operative interventions wherever indicated should be performed in all infertile patients before treatment, especially in women with age more than 30 years.

scholarly journals Medial versus Medio-lateral Tympanoplasty in Large Central and Subtotal Perforation – A Prospective Study

2019 ◽  
Vol 27 (1) ◽  
pp. 44-50
Author(s):  
Ajoy Khaowas ◽  
Chiranjib Das
Keyword(s):  
Prospective Study ◽  
Uptake Rate ◽  
West Bengal ◽  
Age Group ◽  
Medical College ◽  
Group I ◽  
Number Of Patients ◽  
Subtotal Perforation ◽  
A Prospective Study ◽  
Bony Overhang

Introduction: Large central and subtotal tympanic membrane (TM) perforations are difficult to repair because of less vascularity of anterior TM than posterior TM and the anterior bony overhang that blocks visualization. Some studies reported very encouraging results with the medio-lateral tympanoplasty in such cases. We have undertaken this study to find out efficacy of this technique in large central and subtotal perforations and to compare the results of medio-lateral with medial tympanoplasty. Materials and Methods: The present prospective study was conducted in the Department of Otorhinolaryngology of a medical college and hospital, West Bengal from January 2013 to December 2014. Patients were alternatively divided into two groups. Medial technique was used in Group I and medio-lateral technique was used in Group II.    Results: Each group comprised of 40 patients each. Maximum number of patients in each group was in the age group of 15-25 years. The overall graft uptake rate in this study was 95% in medio-lateral technique compared to 80% of underlay technique. Conclusion: The medio-lateral tympanoplasty is suitable for reconstruction of large central or subtotal TM perforation. It takes advantage of both medial and lateral grafting methods while avoiding their pitfalls.

scholarly journals Advantages of ultrasonic tonsillectomy by harmonic scalpel

1970 ◽  
Vol 16 (2) ◽  
pp. 91-95
Author(s):  
M Alamgir Chowdhury ◽  
Naseem Yasmeen ◽  
SM Gplam Rabbani ◽  
Mousumi Malakar ◽  
Farzana Hoque ◽  
...  
Keyword(s):  
Nursing Home ◽  
Prospective Study ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Oral Feeding ◽  
Age Group ◽  
Advantages And Disadvantages ◽  
Secondary Hemorrhage ◽  
Post Operative Pain ◽  
A Prospective Study

Objective: To find out the advantages and disadvantages of ultrasonic tonsillectomy by harmonic scalpel.Design and setting: A prospective study was conducted over a period of five years; from 01.07.2005 to 30.06.2010 in Comfort Nursing Home, 167B, Green Road, Dhaka, Bangladesh.Results: Hospital admitted 540 cases of ultrasonic harmonic scalpel tonsillectomy were included and analyzed. 360 cases were male; whereas 180 cases were female in this study. 0-10 years (168 cases) were the commonest age group of study people. Complications were rare, only two cases 0.37% of secondary hemorrhage had happened and no cases of reactionary hemorrhage was reported.Conclusion: The advantages are almost no bleeding, precise dissection of tonsils, less post operative pain, reduce postoperative discomfort, earlier return to normal activities, oral feeding immediately after operation and less operative time. Key words: Ultrasonic tonsillectomy; Harmonic scalpel. DOI: 10.3329/bjo.v16i2.6843Bangladesh J Otorhinolaryngol 2010; 16(2): 91-95

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