scholarly journals Epistaxis: a retrospective clinical study

2021 ◽  
Vol 7 (7) ◽  
pp. 1158
Author(s):  
Shaweta . ◽  
Rajnish Sharma ◽  
Nisha Sharma
Keyword(s):  
Treatment Method ◽  
Clinical Findings ◽  
Antiplatelet Drugs ◽  
Age Group ◽  
Etiological Factors ◽  
Retrospective Clinical Study ◽  
Common Group ◽  
Nasal Bleeding ◽  
The Common ◽  
Over 40 Years

<p class="abstract"><strong>Background:</strong> Epistaxis is one of the common emergencies in otorhinolaryngology. The aims and objectives of present work were to study incidence of epistaxis, etiological factors responsible for epistaxis and management of epistaxis.</p><p class="abstract"><strong>Methods:</strong> A retrospective study (February 2019 to March 2020) of patients admitted in department of otorhinolaryngology with complaint of nasal bleeding was done. The study was conducted on 96 patients for the incidence, age and sex relation, etiological factors, clinical findings and treatment methods for epistaxis.</p><p class="abstract"><strong>Results:</strong> Out of the total 96 cases of epistaxis, 58.3% were males and 41.6% were females. Most of the patients were over 40 years of age. The maximum, 19 (19.79%) were in the age group of 51-60 years and minimum, 2 (2.08%) were in the age group of 90-100 years. In the study of 96 cases, common group in this series was of cardiovascular causes (hypertension, arteriosclerosis, on antiplatelet drugs), 59 cases (61.45%), out of 59 cases, 9 patients were on antiplatelet drugs followed by idiopathic cases 13 (13.54%), trauma 12 (12.5%), 7 cases (7.29%) blood dyscrasias, spur with DNS 3 (3.12%), infection 1 (1.04%), alcoholic liver disease 1 (1.04%). Out of 96 cases, 92 cases (95.8%) responded to nonsurgical methods.</p><p class="abstract"><strong>Conclusions:</strong> Epistaxis can be seen in any age. Hypertension, trauma and coagulopathy were the most common etiological factors. Anterior nasal packing was the most common treatment method applied to these patients.</p>

scholarly journals Allergic rhinitis: present perspective

1970 ◽  
Vol 16 (1) ◽  
pp. 44-47
Author(s):  
M Alamgir Chowdhury ◽  
SM Golam Rabbani ◽  
Naseem Yasmeen ◽  
Mousumi Malakar
Keyword(s):  
Allergic Rhinitis ◽  
Allergic Conjunctivitis ◽  
Age Group ◽  
Etiological Factors ◽  
Oral Antihistamine ◽  
The Common ◽  
Nasal Steroid

One hundred patients of allergic rhinitis were diagnosed and treated during the period ofJanuary 2006 to December 2006. The patients belonged to different age group. Among thempatients from 20-29 year of age group are commonly affected (43%). Female (33%) aremore sufferer than male. In our study most of the patients are student (38%). House dustsmites (73%), and cold (48%), are the common etiological factors. Majority of the patientspresented with sneezing (91%). we got 19% patients with co-morbid allergic conjunctivitis andsinusitis. Patients were treated with more than one drug, mainly with oral antihistamine (91%),nasal steroid (32%) and other medications. In this study, we concluded that oral antihistamineand nasal corticosteroids are the good options to treat allergic rhinitis.Key Words: Allergic rhinitis; Seasonal; Perennial.DOI: 10.3329/bjo.v16i1.5780Bangladesh J Otorhinolaryngol 2010; 16(1): 44-47

Acute pancreatitis in canine patients

2020 ◽  
Vol 11 (4) ◽  
pp. 178-183
Author(s):  
Louise Welsh
Keyword(s):  
Acute Pancreatitis ◽  
Nursing Care ◽  
Diagnostic Testing ◽  
Treatment Method ◽  
Clinical Findings ◽  
Human Medicine ◽  
Early Enteral Nutrition ◽  
Routes Of Administration ◽  
The Common ◽  
Established Treatment

Canine acute pancreatitis (AP) is now commonly seen in veterinary practice. AP can be challenging to manage and patients may require intensive nursing care. This article aims to explain the pathophysiology of the disease, some of the common clinical findings, diagnostic testing available and treatment required by these patients. It will focus on the specific nursing care: analgesia and nutrition. The use of early enteral nutrition (EN) is now a well-established treatment method in human medicine for patients with pancreatitis, and should be considered in veterinary patients also. The benefits of EN over parenteral nutrition (PN) and suggested routes of administration will be discussed.

scholarly journals AN OBSERVATIONAL STUDY REGARDING VARIOUS AETIOLOGICAL FACTORS IN VATARAKTA

2021 ◽  
pp. 35-39
Author(s):  
Arya Archana ◽  
Tripathi Sanjay Kr ◽  
Shukla Shweta
Keyword(s):  
Physical Activity ◽  
Observational Study ◽  
Life Style ◽  
Food Habit ◽  
Age Group ◽  
Etiological Factors ◽  
Causative Factors ◽  
Diet And Physical Activity ◽  
The Common ◽  
Diet And Lifestyle

Objective: The prime causative factors of Vatarakta are Vata Dosha and Rakta Dhatu which vitiates by their own different Nidana simultaneously and later on vitiates each other. This study mainly aims to assess the aetiological factors in Vatarakta patients and to identify the common causative factors that causes Vatarakta which are already mentioned in the Samhitas. Methods: An observational study was conducted in Rishikul Ayurvedic Hospital among 30 patients. Data was obtained by assessing the diet and lifestyle related etiological factors of the patients. Results: Majority of the patients (60%) were in the age group of 30-40 years. Most common Aharaj aetiological factors observed in this study were Katu Bhojan (60%) and Lavan Bhojan (67%) while Viharaj aetiological factors were Ratrijagrana (24%) and Achankramansheela (50%).   Conclusion: It is concluded that life style and food habit changes are responsible for the disease Vatarakta. A proper wholesome diet and physical activity must be adopted to fight with this disease.

scholarly journals Clinical Profile of Acute Poisoning in Children at a Teaching Hospital in Lalitpur

2014 ◽  
Vol 34 (2) ◽  
pp. 100-103 ◽  
Author(s):  
Ajaya Kumar Dhakal ◽  
D Shrestha ◽  
A Shakya ◽  
SC Shah ◽  
H Shakya
Keyword(s):  
Teaching Hospital ◽  
Hospital Admissions ◽  
Acute Poisoning ◽  
Childhood Mortality ◽  
Age Group ◽  
Common Cause ◽  
Mortality And Morbidity ◽  
History Of ◽  
The Common ◽  
Poisoning In Children

Introduction: Acute poisonings are one of the common cause of emergency visits and hospital admissions and is potentially preventable cause of childhood mortality and morbidity. The objectives of this study were to identify the common type of poisoning in children, to determine types of poisoning according to age and to find out the common age group in which the incidence of poisoning was high.Materials and Methods: It was a descriptive observational study done in a teaching hospital in Lalitpur, Nepal in patients aged 1 month to 18 years who visited the emergency department and were admitted to hospital with history of alleged poisoning from 2009 July to 2014 January.Results: Fifty patients were included. Drugs, kerosene and organophosphorus were most common cause of poisoning. Drugs and kerosene below 10 years of age and organophosphorus and drugs above 10 years of age were common types of poisoning. Maximum numbers (50%) of children with poisoning cases were below five year of age. Mean duration of hospital stay was 2.1days and mean age of poisoning was 7.8 years with a male(54%) predominance. Majority of poisoning occurred at home (84%) and 68% of patients were symptomatic at presentation to hospital with 84% of patients presenting to hospital within six hours.Conclusion: This study showed that drugs, kerosene and organophosphorus were most common forms of poisoning. Young children were most vulnerable for acute poisoning.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10139J Nepal Paediatr Soc 2014;34(2):100-103 

scholarly journals Histopathological Analysis of Endometrial Biopsy in Gandaki Medical College Teaching Hospital, Pokhara, Nepal

2019 ◽  
Vol 12 (1) ◽  
pp. 25-30
Author(s):  
B Parajuli ◽  
G Pun ◽  
S Ranabhat ◽  
S Poudel
Keyword(s):  
Histopathological Examination ◽  
Hydatidiform Mole ◽  
College Teaching ◽  
Histopathological Diagnosis ◽  
Age Group ◽  
Medical College ◽  
Dilatation And Curettage ◽  
Partial Mole ◽  
Proliferative Endometrium ◽  
The Common

Objective: To study the spectrum of histopathological diagnosis of endometrial lesions and their distribution according to age. Methods: All the endometrium samples obtained by the procedure of dilatation and curettage and hysterectomy sent for histopathological examination at Pathology Department of Gandaki Medical College Teaching Hospital, Pokhara, Nepal. The study duration was total 12 months ranging from July 2016 to June 2017. All the endometrial samples were processed, sectioned at 4 - 6 μm and stained with routine H & E stain. Patient’s data including age, sex, procedure of the biopsy taken and histopathological diagnosis were noted. A pathologist, using Olympus microscope, reported the slides. Cases were reviewed by a second pathologist whenever necessary. Results: A total of 128 cases were studied. The most common histopathological diagnosis was proliferative endometrium (28.9%) followed by disorder proliferative endometrium (15.65%). Most of the patients were in age group 36 - 45 years comprising 32.03%. Hydatidiform mole comprised of 7.03% and among Hydatidiform mole, partial mole was more common. Dilatation and curettage (82.8%) was the common procedure in compare to hysterectomy for the evaluation of endometrial lesions. Conclusions: In this study, we observed a variety of endometrial lesions. Most of them are benign; among benign, proliferative endometrium was the common histopathological diagnosis followed by disorder proliferative endometrium. Most common presenting age group was found to be at 36 - 45 years. In evaluation of hydatidiform mole, partial mole was more frequent in compare to complete mole. Conventional dilatation and curettage is the preferred method in developing countries with limited resource to screen endometrial lesion and therefore biopsy should be sent for histopathological examination. Thus histopathological examination of routinely stained hematoxylin and eosin is readily available and widely accepted standard technique for evaluation of the endometrial lesions.

INCIDENCE OF CRANIAL NERVE PARALYSIS IN POLIOMYELITIS IN RELATION TO PRESENCE OR ABSENCE OF TONSILS

PEDIATRICS ◽  
1958 ◽  
Vol 21 (1) ◽  
pp. 94-105
Author(s):  
F. H. Top
Keyword(s):  
Facial Nerve ◽  
Cranial Nerves ◽  
Age Group ◽  
Real Difference ◽  
Satisfactory Explanation ◽  
Nerve Paralysis ◽  
Cranial Nerve Paralysis ◽  
Significant Difference ◽  
The Central Nervous System ◽  
The Common

Evidence is presented from data covering the period 1940 to 1952 which corroborates the conclusion of previous studies that prior tonsillectomy probably adversely affects the occurrence of brainstem paralysis (bulbar and bulbospinal) in poliomyelitis. Neither this study nor any preceding studies relating to this problem have proved the contention. On the basis that the hypothesis is correct, an attempt is made to find an answer by studying the incidence of the common paralysis of cranial nerves (VII, IX and X and XI) in bulbar and bulbospinal cases of poliomyelitis on the basis of presence or absence of tonsils. Rates of incidence of paralysis of cranial nerves, not adjusted for age, indicate a decidedly higher proportion of paralysis of the facial nerve (VII) among nontonsillectomized patients whereas tonsillectomized persons are preportionately more affected by palatal and pharyngeal paralysis (nerves IX and X). Paralysis of the facial nerve appears from two studies to occur more commonly at earlier ages, particularly in the age group 0 to 4 years. However, age adjustment did not erase, although it did somewhat lower, the TR/TP ratio. This finding lends credence to a real difference but can only be applied to this study, as Paffenbarger in a smaller study found no significant difference in frequencies of paralysis of the facial nerve between groups with tonsils removed and tonsils present, and Southcott, also in a small study, found paralysis of the facial nerve more common among tonsillectomized patients with bulbar (includes bulbospinal) involvement. The differences noted for palatal and pharyngeal paralyses (nerves IX and X) in the unadjusted rates as between tonsillectomized and nontonsillectomized patients remain statistically different and in some instances significant when corrections for age are made. The results of this study are suggestive but give no entirely satisfactory explanation for the differences noted. Various explanations previously offered are cited and briefly discussed. Perhaps more definitive studies in animals along the approach suggested by Southcott will prove more fruitful, namely, labelling virus by some radioactive element in order to trace the route it takes to the central nervous system.

scholarly journals A NEW METHOD OF EPISTAXIS MANAGEMENT USING NASAL GEL: A SINGLE CENTER, RANDOMIZED CLINICAL TRIAL

2018 ◽  
Vol 11 (3) ◽  
pp. 104 ◽  
Author(s):  
Mehdi Torabi ◽  
Ava Roughani Esfahani ◽  
Shiva Moeinaddini ◽  
Mohammad Reza Baneshi
Keyword(s):  
Clinical Trial ◽  
Side Effects ◽  
Randomized Clinical Trial ◽  
Patients Satisfaction ◽  
Stop Time ◽  
Common Causes ◽  
Procedural Time ◽  
Nasal Bleeding ◽  
The Common ◽  
Discharge Length

 Objective: Epistaxis is one of the common causes of patients’ referral to the emergency departments. In the majority of cases, epistaxis is managed by traditional methods. We investigated the efficacy of nasal gel (NG) in comparison to anterior nasal packing (ANP) to stop mild-to-moderate anterior nasal bleeding.Methods: In this prospective, randomized clinical trial, patients were divided into two groups of ANP (n=60) and NG (n=40). We determined and compared the efficacy of treatment (bleeding stop time and recurrence), patients’ satisfaction at discharge (length of stay in the hospital, pain during the procedure, and procedural time), and safety (less side effects) in both groups.Results: The procedural time ≤2 min was observed in 90% and 58.33 % of NG group and ANP group, respectively (p<0.001). Pain score during procedure ≤4 and patients’ satisfaction ≥7 were, respectively, seen in 87.5% and 65% of NG group, but it was 43.33% and 41.7% in ANP group, respectively (p<0.001, p=0.02). The side effects in ANP group were 35%; however, no side effects were observed in NG group.Conclusion: In the management of mild-to-moderate anterior nasal bleeding although NG efficacy is equivalent to ANP, using NG may be more convenient and satisfactory for patients. In addition, the use of this gel may result in more safety and fewer side effects.

scholarly journals The development of a CEFR-based scale for assessing young foreign language learners’ writing skills

Linguistica ◽  
2014 ◽  
Vol 54 (1) ◽  
pp. 241-259
Author(s):  
Karmen Pižorn
Keyword(s):  
Foreign Language ◽  
Language Learners ◽  
Classroom Assessment ◽  
Writing Skills ◽  
Age Group ◽  
Young Learners ◽  
Foreign Language Learners ◽  
The Common ◽  
Literacy Research ◽  
Insight Into

The Common European Framework of Reference (CEFR) was designed with adults in mind, which is clearly reflected in the six levels encompassing a range of proficiency that represents lifelong learning. Therefore, any use of the CEFR levels as a basis for describing the ability of young learners requires adapting the content of each level, as well as identifying which levels on the scale are appropriate for children.The present article examines the contribution that feedback, in the form of an assessment scale, can make to valid classroom assessment of the writing of young learners, in the age group of 9–13 years. It shows that a scale of descriptors adapted from the CEFR can play a central role in this assessment. The article presents the AYLLIT (Assessment of Young Learner Literacy) research project, which developed a CEFR-based writing scale and guidelines for teachers, enabling them to provide their students with feedback, and to gain a clearer insight into their students’ progress. After describing the procedures followed in the project, the article examines the extent to which its outcomes may enable teachers to give feedback that could contribute to valid classroom assessment.

scholarly journals Clinicopathological study of patients with pancytopenia

2020 ◽  
Vol 9 (1) ◽  
pp. 169
Author(s):  
Y. Srinivas ◽  
Mohammed Elyas
Keyword(s):  
Bone Marrow ◽  
Blood Cells ◽  
Reticulocyte Count ◽  
Megaloblastic Anemia ◽  
Bone Marrow Failure ◽  
General Medicine ◽  
Large Sample Size ◽  
Age Group ◽  
Common Causes ◽  
The Common

Background: Pancytopenia is due to bone marrow failure characterized by anemia, leukopenia, and thrombocytopenia. It a common hematological disorder. Low blood counts in the bone marrow failure disease result from deficient hematopoiesis. Marrow damage and dysfunction also may be secondary to infection, inflammation, or cancer. Pancytopenia has an extensive differential diagnosis and it can result from damage to bone marrow destruction of preformed blood cells peripherally with increased reticulocyte count. Aim of the study were to study the different etiological conditions and clinical features of pancytopenia in rural medical college.Methods: This study has been conducted in the department of general medicine in association with the pathology department and between March 2019 to February 2020, 45 patients were included in this study. males were 27 and females were 18. The age group is between 20 years and 60 years. 2 ml of anticoagulant blood send for HB% total count, platelet count, packed cell volume, and RBC indices.Results: The total no. of patients included in this study were 45 among these 45 patients, males were 27, and females were 18. The common age group is between 20 and 60 years and the common causes of aplastic anemia in our study are megaloblastic anemia.Conclusions: Pancytopenia is a common hematological problem in India. In our study megaloblastic anemia is the most common cause of pancytopenia females are affected during pregnancy. So, periodical clinically examined and investigations may reduce the incidence. of further research with a large sample size and meticulous investigations required to replicate the finding of the study.

scholarly journals Ewing sarcoma: Analysis of epidemiological parameters and their relation to clinical characteristics

2006 ◽  
Vol 134 (7-8) ◽  
pp. 310-314
Author(s):  
Vladan Stevanovic ◽  
Zoran Vukasinovic ◽  
Dusko Spasovski
Keyword(s):  
Ewing Sarcoma ◽  
Orthopedic Surgery ◽  
Clinical Characteristics ◽  
Clinical Findings ◽  
Tumor Localization ◽  
Age Group ◽  
Serious Illness ◽  
Success Of Treatment ◽  
Epidemiologic Features ◽  
Epidemiological Parameters

The purpose of this investigation was to evaluate epidemiologic features of Ewing sarcoma in children treated in the Institute for Orthopedic Surgery "Banjica", as well as to establish relation of these features to clinical findings. Study involved 78 patients treated over 20-year period (1980-2000). Analysis included standard epidemiologic data (age, sex, tumor localization) and diagnostic clinical features on presentation (major symptoms, time elapsed between presentation and diagnosis, presence of metastases). Most of the patients were in the age group of 15-18 years (50.0%), predominantly males. In general, the results of our study were consistent with data reported in literature. Nevertheless, this investigation revealed slightly higher incidence in patients younger than four years of age (5.1%); localization on the upper extremity was found to be more frequent (upper to lower extremity ratio was nearly 3:1 in our study), and the time lost between presentation and diagnosis was markedly reduced (average time elapsed between presentation and diagnosis was 2.5 months). The results of our study may improve efficiency and success of treatment, thus providing the basis of better prognosis in management of such a serious illness.

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