scholarly journals A prospective study of vitiligo cases in Government Dharmapuri Medical College Hospital

2018 ◽  
Vol 4 (3) ◽  
pp. 349
Author(s):  
R. Akila
Keyword(s):  
Diabetes Mellitus ◽  
Marital Conflict ◽  
Social Stigma ◽  
The Body ◽  
Medical College Hospital ◽  
Treatment Modalities ◽  
Psychiatric Evaluation ◽  
College Hospital ◽  
Pigmentary Disorder ◽  
Medical College

<p class="abstract"><strong>Background:</strong> Vitiligo is a pigmentary disorder of skin whose precise etiology is not known, though it is considered to be genetic, an autoimmune skin disorder in which there is a loss of skin pigment. This disease can occur at any age. Vitiligo affects various parts of the body. Though various modalities of treatment became available, still produces significant social stigma and leads to a psychological impact on the patient.</p><p class="abstract"><strong>Methods:</strong> 100 cases of vitiligo patients attending Dermatology outpatient Department at Govt Dharmapuri Medical college hospital during the period of January 2017 to June 2017 were included in the study. Informed consent was obtained from all the patients and from parents in case of children. A detailed history was obtained and dermatological/systemic examination was done using a proforma. Necessary investigations were done. A psychiatric evaluation was done for all.<strong></strong></p><p class="abstract"><strong>Results:</strong> Females were more involved than males in our study. The youngest patient recorded in our study is 6 years. Exposed areas are more involved. The leg is the most common site involved followed by hands. 8 percent of patients had associated diabetes mellitus, hypothyroidism (2%), and hyperthyroidism (1%). Depression was seen in 8 percent of the patients. Marital conflict (3%) and delayed marriage (5%) was recorded in the study.</p><p class="abstract"><strong>Conclusions:</strong> Though various research studies and treatment modalities became available for this pigmentary disorder it still remains a social stigma. Females were little more involved in our study which may be due to a cosmetic concern. Associated diabetes mellitus and thyroid disorders support autoimmune etiology.</p>

STUDY OF OUTCOME OF CHRONIC KIDNEY DISEASE IN DIABETIC PATIENTS IN THANJAVUR MEDICAL COLLEGE HOSPITAL

2021 ◽  
pp. 17-20
Author(s):  
S.Hema Akilandeswari ◽  
K. Rajkanth ◽  
S. Janani
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Glycemic Control ◽  
Medical College Hospital ◽  
Diabetic Patients ◽  
Type I ◽  
Strong Positive Correlation ◽  
College Hospital ◽  
Medical College

Background: Diabetes Mellitus is one of the common causes of Chronic Kidney Disease which usually leads to end-stage kidney disease. Thus this study was planned to nd out the outcome of CKD in DM, disease progression, appropriate management and the complications. Methods: A cross sectional study among Diabetes Mellitus patients with Chronic Kidney Disease attending the Department of Nephrology and Department of Medicine in Thanjavur Medical College Hospital during the period of July and August 2018. The duration of study period was 2 months. All patients who attended the outpatient department (OPD) and in-patients departments with Type I and Type II diabetes mellitus associated with chronic kidney disease, on any line of management were included in this study. A total of 101 patients were included. Statistical Package for Social Sciences (SPSS for Windows V20) was used for data analysis. Results: Poor glycemic control, albuminuria, hypertriglyceridemia (greater than 150), increase in LDLlevels (greater than 100), BMI (greater than or equal to 25), poor BP control and a longer duration of diabetes mellitus had a strong positive correlation with decrease in eGFR less than 60 ml/min. Glycemic control, weight reduction and adequate BPcontrol retard the progression of CKD. Conclusion: Albuminuria and decline in eGFR both are independent risk factors for diabetic CKD and are strong predictors of morbidity and mortality from a major vascular event, especially cardiovascular complications and stroke.

scholarly journals Multimorbidity Patterns Among Hospitalized Geriatric Patients in Medicine Wards of a Tertiary Care Hospital in Dhaka City

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Sumiya Bent Kalam ◽  
Sadia Islam ◽  
Mohammad Abdullah Az Zubayer Khan ◽  
Tanjina Akhter
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College

Background: Elderly people are posing a significant health burden in our country for their multi morbidity as economic growth has increased our life expectancy. Pattern of multi morbidity of this older people varies according to geography, ethnicity, culture and life style. Aim: The aim of this study was to identify the prevalence and pattern of multi morbidity of elderly patients admitted in a tertiary care hospital. Method: 50 random cases of elderly patients aged more than 60 years admitted in medicine and allied wards of Dhaka medical college hospital were observed at this cross-sectional study from January 2017 to June 2017(total 6 months period). Data were reviewed and analyzed using simple frequency and percentage. Protocol was reviewed by institutional ethical board (IRB) of Dhaka medical college hospital. Result: A total number of 50 elderly patients with age ranging from 60 to 95 years were observed with male and female ratio 1.3:1 having multi morbidity among 92.0% patients and female is more affected than male. Hypertension, ischemic heart disease, diabetes mellitus and stroke were found most common diseases as individual. Hypertension and diabetes mellitus was found as the most common multi morbidity pattern followed by hypertension and IHD, stroke & diabetes mellitus. Conclusion: This study sheds light on priority needs of elderly patients in terms of medical facility in tertiary care hospital of Bangladesh. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 56-59

scholarly journals Effectiveness of Educative Session on Knowledge, Attitude and Practice, on Diabetes and Dyslipidemia, of Patients Attending a Private Medical College Hospital in South-India

2021 ◽  
Vol 14 (4) ◽  
pp. 2199-2204
Author(s):  
Vasanthan M Vasanthan M ◽  
Vinodhini V. M ◽  
Kasthuri N
Keyword(s):  
Diabetes Mellitus ◽  
Healthy Lifestyle ◽  
Healthcare Providers ◽  
Community Support ◽  
Medical College Hospital ◽  
South Indian Population ◽  
College Hospital ◽  
Medical College ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Introduction Diabetes mellitus and dyslipidemia are non-communicable diseases that can be prevented and controlled by maintaining a healthy lifestyle. Knowledge, attitude, and practice (KAP) in patients will provide information of much importance in Advocacy (to set guidelines by the Healthcare providers), Communication (increase awareness in subpopulation), and Social mobilization (improve services and expand community support). The study aimed to assess the effectiveness of an educative session on Knowledge, attitude, and practice (KAP) in patients attending a private medical college hospital on diabetes and dyslipidemia in the South-Indian population. Methodology The study was cross-sectional which included 100 patients (41 female and 59 male) of 18-50 years of age attending the hospital and the Central clinical laboratory for various disease conditions. A self-administered questionnaire on personal aspects and diabetes and dyslipidemia was collected. Result Among the study participants, 18% completed school education, 74% completed under-graduation, and 8% completed post-graduation. The frequency of livelihood showed 84% from rural and 16% from an urban background. Nearly 71% were active and 29% were sedentary performing self-activity. The source of information regarding the treatment of patients was also obtained from the patients to implement the same in advocacy. The knowledge of the study group on various aspects including the causes, symptoms, tests, complications of diabetes mellitus, lipid profile, dietary fiber, and exercises was analyzed. We found clarity of explanation about diabetes improved well after the educative session. Around 80% of responders believed that both fiber and routine exercises would contribute to preventing diabetes. Analysis of the attitude and practice revealed a significant knowledge of practicing proper diet, exercises, and routine health care after the educative session. Conclusion We conclude that healthcare providers shall focus on educating the patients according to their needs with the knowledge to have positive attitudes on healthy lifestyle practices in addition to the appropriate treatment.

scholarly journals Prevalence, clinical presentation and complications of diabetes mellitus in obstetric patients attending a medical college hospital

2017 ◽  
Vol 6 (9) ◽  
pp. 4028
Author(s):  
Prajakta Ganesh Joshi ◽  
Ganesh Arun Joshi
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Obstetric Care ◽  
Medical College Hospital ◽  
Dietary Advice ◽  
College Hospital ◽  
Medical College ◽  
Medical Disorders ◽  
Obstetric Management ◽  
In Pregnancy

Background: Diabetes mellitus (DM) may be present in the patient before the conception or it may appear during pregnancy. Obstetric management shall ensure prevention of diabetic embryopathy and early detection and management of diabetic complications in pregnancy.Methods: A descriptive observational study was undertaken on participants from a Medical College Hospital. The pre-existing medical disorders, blood sugar, routine antenatal investigations, type of delivery, ultrasound findings, complications of delivery, foetal outcome etc. were recorded. The participants were advised diet, exercise and pharmacotherapy. The intranatal and postnatal events were recorded. The results were compared with related literature.Results: The study had total 89 participants. Five participants (5.6%) had abnormal blood sugar values. Out of these, 2 participants were having pregestational DM and 3 were having gestational DM. Although all the participants who had abnormal blood sugar levels required caesarean section, two could not be operated. One participant with gestational DM who did not follow management advice delivered a macerated still born baby after shoulder dystocia. Another participant having gestational DM, who complied strictly as per dietary advice and exercise, could be managed well without insulin and delivered a healthy baby. The requirement of insulin increased in pregnancy in patients with pregestational diabetes.Conclusions: It is essential to ensure compliance on all three pillars of management of diabetes viz. diet, exercise and insulin during pregnancy. Hence health education for diabetes with special emphasis on obstetric care in pregnancy with diabetes should be promoted. 

scholarly journals Study using endoscopic procedures for removal of foreign bodies from aero-digestive tract conducted in Jahurul Islam Medical College Hospital, Bangladesh

Mediscope ◽  
2016 ◽  
Vol 3 (1) ◽  
pp. 22-27
Author(s):  
MS Islam ◽  
MA Gafur ◽  
PK Deb ◽  
A Bardhan ◽  
L Noor
Keyword(s):  
General Anesthesia ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Medical College Hospital ◽  
Morbidity And Mortality ◽  
Treatment Modalities ◽  
High Morbidity ◽  
College Hospital ◽  
Endoscopic Procedures ◽  
Medical College

Foreign bodies (FB) in the aero-digestive tract continue to be a common problem that contributes significantly to high morbidity and mortality worldwide. This study was conducted to describe our own experience with endoscopic procedures for removal of FB in the aero-digestive tract, in our local setting and compare with what is described in literature. This was a prospective descriptive study, which was conducted at Jahurul Islam Medical College Hospital between January, 2011 and January, 2014. Data were collected using a structured questionnaire and analyzed using SPSS computer software version 15. A total of 72 patients were studied. Males outnumbered females by a ratio of 1.4:1. Patients aged 2 years and below were the majority (75.9%). The commonest type of FB in airways was peanuts and coins. The trachea (52.2%) was the most common site of lodgment of FB in the airways, whereas cricopharyngeal sphincter (68.5%) was the commonest site in the esophagus. Rigid endoscopy with forceps removal under general anesthesia was the main treatment modality performed in 87.8% of patients. The FB were successfully removed without complications in 90.8% of cases. Complication rate was 7.1% and bronchopneumonia was the most common complication accounting for 42.8% of cases. The mean duration of hospital stay was 3 days and mortality rate was 4.1%. Aero-digestive tract FB continue to be a significant cause of childhood morbidity and mortality in our setting. Rigid endoscopic procedures under general anesthesia are the main treatment modalities performed. Prevention is highly recommended whereby parents should be educated to keep a close eye on their children and keep objects that can be FB away from children’s reach.Mediscope Vol. 3, No. 1: January 2016, Pages 22-27

scholarly journals Serum magnesium and copper levels in Bangladeshi women with gestational diabetes mellitus

2017 ◽  
Vol 11 (1) ◽  
pp. 25-28
Author(s):  
Farzana Akonjee Mishu ◽  
MA Muttalib
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Medical College Hospital ◽  
Control Group ◽  
Oral Glucose ◽  
Third Trimester ◽  
College Hospital ◽  
Medical College

Background and objectives: Alteration of magnesium (Mg) and copper (Cu) concentrations in blood has been observed in normal pregnancy as well as in gestational diabetes mellitus (GDM). The present study was aimed to evaluate the serum Mg and Cu levels in Bangladeshi women with GDM in their second and third trimester of pregnancy.Methods: The study was conducted at Mymensingh Medical College Hospital from July 2013 to June 2014. Pregnant women, in their second and third trimester, attending the outpatient department of Obstetrics and Gynecology and the Department of Endocrinology of Mymensingh Medical College Hospital were enrolled by purposive sampling technique. GDM was diagnosed on the basis of oral glucose tolerance test (OGTT) as defined in WHO criteria 2013. Blood glucose was estimated by enzymatic GOD-PAP colorimetric method. The cut off value for fasting plasma glucose level was ?6.1 mmol/L or ?7.8 mmol/L 2 hours after glucose load. Serum Cu was estimated by 3, 5-DiBr-PAESA method and Mg by Xylidyl Blue-I Method as per manufacturer’s instruction.Results: A total of 172 pregnant women in their second and third trimester were enrolled. Out of 172 participants, 86 had GDM and 86 were normoglycemic (control). The mean age of GDM and control groups was 28.6±3.2 years and 27.3±3.1 years respectively. The BMI was 26.4±1.5 m/kg2 and 26.3±1.3 m/kg2. Serum Mg level was significantly low (p< 0.001) in 2nd and 3rd trimesters in GDM cases (1.39±0.26 mg/dl and 0.93±0.15 mg/dl) compared to control group (1.67±0.3 mg/dl and 1.67±0.31mg/dl). On the contrary, serum Cu levels in GDM cases were significantly (p<0.002) higher in both trimesters (224±333.8 ?g/dl and 243.91±6.89 ?g/dl) compared to those without GDM (220.1±7.6 ?g/dl and 234.9±4.6 ?g/dl). There was significant (p<0.001) increase of serum Cu levels in 3rd trimester compared to 2nd trimester in both GDM and non GDM cases.Conclusion: There was distinct alteration of serum Mg and Cu levels in GDM compared to normal pregnancy.IMC J Med Sci 2017; 11(1): 25-28

scholarly journals Lifestyle Pattern and Knowledge about Diabetes Mellitus

2019 ◽  
Vol 31 (2) ◽  
pp. 102-104
Author(s):  
Kartick Chanda Shaha ◽  
Shima Akhter Khatun ◽  
Nafisa Mustafa ◽  
Farzana Ahmed ◽  
Mohammed Asaduzzaman Khan
Keyword(s):  
Diabetes Mellitus ◽  
Medical College Hospital ◽  
High Rate ◽  
Outpatient Department ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
College Hospital ◽  
Medical College ◽  
Adherence To Diet

Introduction:The aim of the present study was to assess the pattern of lifestyle and knowledge about diabetes mellitus among type 2 diabetic patients at two tertiary level hospitals in Mymensingh Materials and Methods: A descriptive, cross sectional study was conducted from July 2015 to December 2015 among 300 patients attending at Medicine outpatient department of the Community Based Medical College Hospital and Endocrine outpatient department of the Mymensingh Medical College Hospital after obtaining requisite consent from the patients. Data were collected through the interviewing of the patients. The collected data were entered into the computer and analyzed by using SPSS version 20.1. The study was approved by the institutional ethical committee. Results: In a pool of 300 type 2 diabetics, Most of the patients (57.3%) belonged to the middle age group 41-60 years. More than half of the respondents were female (n=223, 74.3%). 97% patients were found to have knowledge about timing of dose regimen. Majority of patient’s (35.7%) knowledge about hypoglycemia was poor. The rate of adherence to diet was 51%. The rate of adherence to exercise was 68.3%. Conclusion: Majority of type 2 DM patients displayed optimal level of diabetes knowledge. There was a high rate of non adherence to diet and exercise recommendations by patients suffering from type 2 diabetes mellitus. So continuous patient education and awareness program are required. Medicine Today 2019 Vol.31(2): 102-104

scholarly journals Epidemiological study of 100 cases of burn injuries

2019 ◽  
Vol 6 (2) ◽  
pp. 428
Author(s):  
T. Chenthil Sivamuthu
Keyword(s):  
Epidemiological Study ◽  
Psychological Factors ◽  
Medical College Hospital ◽  
Burn Injuries ◽  
Treatment Modalities ◽  
Comorbid Conditions ◽  
College Hospital ◽  
Average Percentage ◽  
Medical College ◽  
Burns Unit

Background: Burn injuries are a huge public health challenge and a preventable cause of formidable morbidity, mortality, disfigurement, and disabilities. The incidence of burn injuries remains high all over India and more so in the given region. This is an epidemiological study from 100 consecutive adult burn cases admitted in Tirunelveli Medical College Hospital Burns Unit. The aim was to study the various epidemiological factors like age group, sex, socioeconomic status, causative factors, comorbid conditions, the severity of burns, psychological aspects and treatment modalities which impact the outcome.Methods: 100 cases admitted in the burn unit of Tirunelveli Medical College Hospital were studied from October 2017 to October 2018. Data on age, sex, aetiology, percentage of body surface area (TBSA), comorbid conditions, socioeconomic factors, treatment modalities, psychological factors, bacteriological studies and treatment outcomes were studied during the period. Inclusion criteria was all burn patients more than 14 years of age.Results: A total of 100 cases of burns were studied (male 32 and female 68).  The average percentage of TBSA was 45% and the most common etiological factor was flame burns. Comorbid conditions like diabetes and COPD significantly affected the outcome. Psychological factors played an important role in the causation and outcomes. Treatment modalities were tailored according to the severity of burns.  Mortality was higher for burns more than 40% TBSA.Conclusions: This study represents the epidemiological pattern of burns in Tirunelveli district and can be used to devise improvements in treatment protocols, strategies in burns prevention and to plan a modern hi-tech burns unit.

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