scholarly journals An epidemiological study of rhinosporidiosis in a tertiary care center in Rajnandgaon, Chhattisgarh

Author(s):  
Rahul Singh ◽  
Alpana Nand

<p><strong>Background: </strong>Rhinosporidiosis is an age-old endemic scourge which has affected various parts of the world, most notably India and Sri Lanka. Rhinosporidiosis is endemic in the state of Chhattisgarh although a large body of literature exists regarding this problem, postoperative recurrence rates continue to vary, and the effect of public health education in the eradication of this disease has not been taken into account. The aim of this study was to find out the site, presentation and postoperative recurrence rate in patients with rhinosporidiosis.</p><p><strong>Methods: </strong>This was a Prospective study involving operated cases of rhinosporidiosis in the department of ear, nose and throat of a tertiary care referral center over a period of 3 years. The behavioral pattern of the disease, its epidemiology, rate of recurrence and outcomes of surgical management were analyzed.</p><p><strong>Results: </strong>A statistically significant correlation could be found between male gender and rural residential status and incidence of rhinosporidiosis. Bathing in rivers and ponds were found to be strongly associated with rhinosporidiosis (p=0.005). Almost all patients were found to be of low socioeconomic status. Nasal obstruction and epistaxis were the most common presenting complaints.</p><p><strong>Conclusions: </strong>Rhinosporidiosis is strongly associated with male gender, young and middle-aged adults, agricultural occupations, rural residential status, a history of bathing in ponds and rivers and a low socioeconomic status. Post-surgical recurrence of rhinosporidial masses can be avoided with careful and complete clearance of the mass and cauterization of the base. Appropriate and consistent public health education helps to reduce the incidence of rhinosporidiosis in endemic communities.</p>

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Pirania Ch. Tatipang ◽  
Adrian Umboh ◽  
Praevilia M. Salendu

Abstract: Acute post-streptococcal glomerulonephritis (APSGN) is a part of acute nephritic syndrome characterized by gross hematuria, edema, hypertension, and renal insufficiency. This APSGN is common in children, caused by infection of Streptococcus β-hemoliticus group A nephritogenic strain, and 97% of cases were in developing countries including Indonesia. This study was aimed to obtain the risk factors of APSGN and their association with APSGN. This was a retrospective descriptive study with a cross sectional design. Samples were medical record data of Prof. Dr. R. D. Kandou Hospital Manado during the period of January 2013-October 2017. There were 67 samples in this study consisted of 48 (71.6%) cases of APSGN and 19 (25.3%) cases without APSGN. The bivariate analysis found five variables related to APSGN incidence, as followed: male gender (P =0.005), age ≥5 years (P=0.000), low socioeconomic status (P=0.000), good nutrition (P =0.000), and rainy season (P=0.005). Parents’ education was not related to APSGN incidence. Conclusion: The risk factors of APSGN in children were male gender, age ≥5 years, low socioeconomic status, good nutritional status, and rainy season.Keywords: APSGN, risk factors, childrenAbstrak: Glomerulonefritis akut pasca streptokokus (GNAPS) adalah bagian dari sindrom nefrotik akut (SNA) yang ditandai dengan gross hematuria, edema, hipertensi, dan insufisiensi ginjal. Gangguan ini sering terjadi pada anak-anak, disebabkan oleh infeksi kuman Streptococcus β-hemolyticus group A strain nephritogenic, dan 97% kasus terjadi di negara berkembang termasuk Indonesia. Penelitian ini bertujuan untuk mengetahui faktor risiko GNAPS dan hubungan faktor risiko tersebut dengan kejadin GNAPS. Jenis peneltiian ialah deskriptif retrospektif dengan desain potong lintang. Pengambilan sampel menggunakan data rekam medik RSUP Prof. R. D. Kandou Manado periode Januari 2013-Oktober 2017. Terdapat 67 sampel terdiri dari 48 (71,6%) kasus GNAPS dan 19 (25,3%) kasus yang tidak mengalami GNAPS. Berdasarkan analisis bivariat di temukan 5 varibel yang berhubungan dengan kejadian GNAPS yaitu jenis kelamin laki-laki P=0,005), usia ≥5 tahun (P=0,000), status sosial ekonomi rendah (P=0,000), gizi baik (P=0,000), dan musim hujan (P=0,005). Faktor risiko yang tidak berhubungan dengan kejadian GNAPS ialah pendidikan orang tua (P=0,20). Simpulan: Faktor risiko GNAPS pada anak ialah jenis kelamin laki-laki, usia ≥5 tahun, status sosial ekonomi rendah, status gizi, dan musim hujan.Kata Kunci: GNAPS, faktor risiko, anak


Author(s):  
Anam Junaid ◽  
Iqra Masood ◽  
Ms Khansa ◽  
Shahnai Basharat ◽  
Morad Yaser Al Mostafa

Iron deficiency anemia refers to the anemia caused by insufficient iron stores within the body. The main cause of anemia in obstetrics is iron deficiency, which has a worldwide prevalence estimated between 20%–80% and constitutes mainly female population.  Objective: To find out the determinants of iron deficiency anemia amongst pregnant women visiting Tertiary Care Hospitals, Lahore. Methods: A cross-sectional study was conducted at Sir Ganga Ram Hospital, Lahore. A sample of 245 pregnant female patients was selected through non-probability convenient sampling technique. Data were collected with the pre-tested questionnaires. SPSS version 21.0 was used for data analysis. Results: Amongst social determinants, socioeconomic status had a signifcant effect on iron defciency anemia; as 82% women belonged to low socioeconomic status. Among dietary determinants, less consumption of red meat was a major factor affecting IDA as 95% women were not consuming red meat more than two times a day thus contributing to overall iron defciency. Amongst clinical factors, lack of thorough clinical checkup before conception was a major factor as 79% women did not have regular clinical checkup before pregnancy. Conclusions: Major determinants linked with IDA were dietary habits and practices such as preferring vegetables over meat, less overall consumption of red meat and excessive consumption of tea and coffee. Other determinants affecting IDA include low socioeconomic status, little or no gap between pregnancies and lack of knowledge and education concerning dietary practices during pregnancy.   


1989 ◽  
Vol 18 (2) ◽  
pp. 102-107 ◽  
Author(s):  
Claire Infante-Rivard ◽  
Gisele Filion ◽  
Mona Baumgarten ◽  
Madeleine Bourassa ◽  
Johanne Labelle ◽  
...  

2020 ◽  
Vol 6 (2) ◽  
pp. 3-9
Author(s):  
Mazhar Khan ◽  
Irum Naz ◽  
Farida Shirazi ◽  
Rifayat Ullah Afridi ◽  
Aneela Ambreen ◽  
...  

ABSTRACT: OBJECTIVES: The purpose of this study was to know about the risk factors of malnutrition and the incidence of risk factors among known cases of malnutrition admitted in tertiary care hospitals of Peshawar. METHODOLOGY: A descriptive cross-sectional study was done. Study was conducted in tertiary care hospitals of Peshawar from March 2019 to July 2019. Study included 100 patients of protein calorie malnutrition less than five years of age. Internationally recognized Gomez classification was used to label patient as malnourished. Risk factors of primary malnutrition including socioeconomic status, ignorance of weaning, poverty, lack of immunization and primary care, maternal illiteracy and risk factors of secondary malnutrition including infections, congenital diseases, malabsorptive disorders and metabolic disorders were assessed. Data was collected through a questionnaire. Tables and graphs were used to determine the frequency of risk factors for protein calorie malnutrition. RESULTS: Among 100 patients of PCM 59 were male and 41 were females. After assessment of both genders, risk factors that show close association with protein calorie malnutrition were low socioeconomic status, maternal illiteracy, lack of family planning, poor weaning and repeated infections. Among these risk factors the most frequently observed risk factors for protein calorie malnutrition were low socioeconomic status and repeated infections. CONCLUSION: Low socioeconomic condition and repeated infections are the leading cause of protein calorie malnutrition. KEYWORDS: Malnutrition, Gomez Classification, Frequency, Risk Factors


Author(s):  
Akanksha Mehra ◽  
Vijay Khajuria

Background: Complementary and alternative medicine (CAM) is defined as a group of diverse medical health care systems, practices and products that are not presently considered to be part of conventional medicine. Its use is highly prevalent in elderly population because of presence of chronic diseases. So, present study was planned to assess CAM usage in elderly patients.Methods: This observational, questionnaire-based study was conducted at department of pharmacology, in association with department of medicine and included all adult patients of more than 60 years of age who have taken any CAM therapy. Demographic data, name of CAM preparation, its characteristics and behavioral pattern for its usage were recorded.Results: Out of 200 patients of more than 60 years attending medicine outpatient department, 115 were found to be CAM users. CAM usage was more in females (59.1%); age group of 60-69 years (49.57%); rural residents (66.08%); low socioeconomic status (81.73%). Most common CAM preparations used were dietary supplements (61.7%) and vitamins and minerals (56.52%) for indications such as chronic pain and endocrine disorders because it was thought to be safe. 76.52 % of CAM users did not discuss CAM with their health care provider.Conclusions: CAM use is highly prevalent in elderly patients and more so in females of low socioeconomic status. Most common CAM therapy used was dietary supplements. Continuous educational efforts are needed to enhance the awareness of patients and healthcare providers regarding the CAM therapy.


Author(s):  
Amandeep Kaur Ratta ◽  
Sanjay S. Kubde ◽  
Rupali Patle

Background: The case control study, an analytical approach of epidemiology is a very important tool to detect the strength of association of risk factors with a disease. The objective of the study was to evaluate association between sociodemographic profile and pulmonary tuberculosis.Methods: This was case control study carried out in tertiary care hospital and urban field practice area from July 2010 to November 2012. Total 150 cases, 150 hospital control and 150 community controls were included in the study according to predefined inclusion and exclusion criteria. The study participants were interviewed and examined according to the preformed and pretested proforma in the respective OPDs.Results: Mean age of cases was found to be 35.94 years and those of hospital controls and community controls were 36.12 and 36.08 years respectively. Maximum cases and controls were Hindu, married, from urban area and belongs to upper lower socioeconomic class. Low socioeconomic status was found to be associated with risk of pulmonary tuberculosis and this association was statistically significant (OR=4.45, 95% CI 2.53–7.82, p<0.0001).Conclusions: Low socioeconomic status showed significant association with pulmonary TB with both the control groups.


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