scholarly journals Prevalence of non-infectious dermatoses in patients attending a tertiary care center in Rajasthan

2019 ◽  
Vol 5 (1) ◽  
pp. 192
Author(s):  
Bhagirath Singh ◽  
Indira Subhadarshini Paul
Keyword(s):  
Clinical Evidence ◽  
Clinical Presentation ◽  
Skin Diseases ◽  
Genetic Disorders ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Pigmentary Disorders ◽  
Protozoal Infection

<p class="abstract"><strong>Background:</strong> Pediatric dermatoses require a separate view from adult dermatoses as there are important differences in clinical presentation, treatment and prognosis. There is very little epidemiological study available on non-infectious childhood dermatoses in India. The aims of the study were to find the prevalence, clinical profile and various etiological factors associated with childhood non-infectious dermatoses and to determine the prevalence of most common non-infectious childhood dermatoses.</p><p class="abstract"><strong>Methods:</strong> This cross-sectional observational study conducted at tertiary care centre in Rajasthan, India. Children with age 13 years and below with clinical evidence of cutaneous disorders were studied. Parents who have not given consent for the study, acutely ill children, Children having infectious dermatoses (bacterial, fungal, viral, arthropods, parasitic and protozoal infection) were excluded from the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 232 cases were studied which showed a female preponderance of 55.60%. Most of the skin diseases were seen in the 5 to 13 years (school children) age group. The most common dermatoses was eczematous (36.63%), among eczema atopic diathesis was the commonest (17;20%) followed by hypersensitivity dermatoses (21.12%), genetic disorders (13.36%), disorders of genetic disorders (7.4%), sweat gland disorders (8.18%), pigmentary disorders (4.31%), papulo squamous disorders (4.74%), Nevi (6.46%).</p><p class="abstract"><strong>Conclusions:</strong> Eczematous dermatoses were the most commonly noted in the study, followed by hypersensitivity dermatoses. Atopic diathesis was the commonest endogenous eczemas. Acne, insect bite reaction and miliaria were the other common dermatoses. There was no significant association of various dermatoses with systemic diseases in the study.</p>

scholarly journals Profile of Skin Biopsies and Patterns of Granulomatous Skin Diseases in a Tertiary Care Center of Western Nepal

2020 ◽  
Vol 3 (2) ◽  
pp. 288-293
Author(s):  
Ajay Kumar ◽  
Saujan Subedi ◽  
Jenny Pun ◽  
Binamra Basnet ◽  
Raja Babu Giri ◽  
...  
Keyword(s):  
Skin Diseases ◽  
Care Center ◽  
Tertiary Care ◽  
Cost Effective ◽  
Skin Lesions ◽  
Clinical Impression ◽  
Clinicopathological Correlation ◽  
Diagnostic Challenge ◽  
Cross Sectional ◽  
Skin Biopsies

Background: Granulomatous skin diseases are one of the leading causes of morbidity in tropical countries like Nepal. These granulomatous skin lesions often pose diagnostic challenge to clinicians as well as to dermatopathologists. Histopathologic examination of a biopsy specimen represents one of the most informative and cost-effective procedure and may help to avoid other, costlier and invasive diagnostic workup. Materials and Methods: This cross-sectional observational study from October 2018 to October 2019, at department of dermatology, enrolled 142 cases of skin biopsies. Correlation between clinical impression and histopathological findings was evaluated. Results: Out of 13940 dermatology visits/ consultations, 142 (1.01%) skin biopsies were performed. Head, neck and face were the commonest sites of biopsies (29.6%). The most common biopsy technique was incisional type in 70 (50.4%). Histopathology showed granulomatous features in 49 (34.8%) cases, out of which tuberculoid type was the commonest, in 29 (58.0%). Positive clinicopathological correlation was seen in 117/142 (82.4%) for all biopsies and 41/49 (85%) for granulomaous skin lesions. Conclusion: Tuberculoid type was the most common cutaneous granuloma. High clinicopathological correlation in our study supports histopathology as an important tool for diagnosis of granulomatous as well overall skin disorders.

A Cross Sectional Study to Evaluate Cutaneous Manifestations in Diabetic Patients and their Correlation with Sugar Control at Tertiary Care Center in Western Maharashtra

2021 ◽  
Vol 8 (3) ◽  
pp. 104-108
Author(s):  
Dr. Ashutosh Chate ◽  
Dr. Amrut Swami ◽  
Ms. Sakshi Rane ◽  
Dr. Ramesh Gosavi
Keyword(s):  
Skin Diseases ◽  
Care Center ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Age Group ◽  
Cross Sectional ◽  
Cutaneous Manifestations ◽  
Skin Manifestations ◽  
Significant Difference ◽  
Study Participants

Introduction: Diabetes is a leading chronic disease in world and number of cases are significantly increasing each year in India also. Out of many associated conditions, skin involvement in diabetes also needs to be evaluated. We conducted this study to study relation between the sugar control and skin manifestations in diabetic patients. Methodology: We studied total 100 diabetic patients visiting our dermatology OPD over a period of 1 year from January to December 2020. All skin diseases in diabetic patients were studied. We studied association of these diseases with sugar control in our study participants. Results: Mean age of our study participants was 63.48 ± 18.12 years, Majority of the males were from the age group of 61 and above, 34 (62.96%) while majority of the females were from the age group of 41-60 years 25 (54.35%). Majority of the patients had diabetes for 5-10 years (52%) followed by more than 10 years (36%) and less than 5 years in 24% cases. Out of 100 participants, 44% had controlled diabetes while rest 56% had uncontrolled diabetes with HbA1c > 6. We observed a significant difference in skin manifestations of controlled and uncontrolled sugars in diabetic patients. (p = 0.007). Conclusion: From this study, we conclude that the skin is involved in diabetes quite often. Early diagnosis and treatment of skin manifestations in diabetic patients is important to reduce unwanted morbidity and further complications in the diabetic patients.

scholarly journals A clinico-pathological study of patients with thyroid swelling and their management in a tertiary care centre in western Uttar Pradesh

2021 ◽  
Vol 12 (1) ◽  
pp. 95-99
Author(s):  
Mohini Tyagi ◽  
Probal Chatterjee
Keyword(s):  
Thyroid Disease ◽  
Multinodular Goiter ◽  
Clinical Presentation ◽  
Histopathological Examination ◽  
Care Center ◽  
Tertiary Care ◽  
Pathological Study ◽  
Tertiary Care Centre ◽  
Benign Condition ◽  
Thyroid Swelling

Background: Thyroid diseases are common worldwide and in India too there is a significant burden of thyroid disease. Thyroid disease has a reported prevalence of 4-7% in the general population on neck palpation and in autopsy series it may be as high as 50% if subclinical nodules are included. The clinical presentation of thyroid swellings can be very misleading and a definitive diagnosis cannot be done without proper investigations. Aims: To conduct a clinic-pathological study of thyroid swellings along with their management in a tertiary care center. Objectives: 1. To study the various clinical presentations of thyroid swellings 2. To record the FNAC findings in each case. 3. To perform histopathological examination of all operative specimens and compare the results with preoperative diagnosis. Materials and Methods: A one-year prospective study was done in which 50 patients with thyroid swelling were identified. Detailed information regarding all relevant parameters was recorded and treatment was done as per standard protocol. Results: Female preponderance of cases was seen (3.16:1). Maximum cases were in 36-45 year age group and 70% cases were premenopausal females. Multinodular goiter was commonest clinical presentation and colloid goiter was most common FNAC finding. Hemithyroidectomy was the most frequently performed operation. Final results showed that colloid goiter was the most commonly diagnosed benign condition while papillary carcinoma was the commonest malignancy. Conclusion: Most studies show female preponderance of cases. Multinodular goiter is the commonest clinical presentation world-wide. Colloid goiter is the most commonly diagnosed cause of thyroid swelling. Though FNAC is not 100% accurate, it has an important role in the initial evaluation of these patients. Histopathogical examination of specimen is the gold-standard investigation for final diagnosis. Due to the risk of an underlying malignancy, a proper evaluation of thyroid swellings is a must as they have excellent cure rate if treated early.

scholarly journals Prevalence of Self Induced Abortion by Self-Administration of Abortive Pills among Abortion-related Admissions in a Tertiary Care Centre

2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Bibechan Thapa ◽  
Nisha Sharma ◽  
Yam Prasad Dwa
Keyword(s):  
Confidence Interval ◽  
Binary Data ◽  
Care Center ◽  
Tertiary Care ◽  
Medical Abortion ◽  
Induced Abortion ◽  
Point Estimate ◽  
Self Administration ◽  
Tertiary Care Centre ◽  
Cross Sectional

Introduction: Each year, unsafe medical abortion costs the lives of thousands worldwide. Despite the legalization of abortion in Nepal in 2002, many still seek services from unauthorized sources. This has led to grave consequences including death. Our objective is to find out the prevalence of self-induced abortion by self-administration of abortive pills and related complications. Methods: It is a descriptive cross-sectional study carried out among abortion-related admissions in a tertiary care center from June 15 2018 to March 15, 2020. Ethical approval was taken from the institutional review committee (076/077/51). Data was collected using pre-designed proforma and analyzed in Statistical Package for the Social Sciences version 26. Point estimate at 95% Confidence Interval (CI) was calculated along with frequency and proportion for binary data. Results: Out of 223 cases enrolled, 37 (16.6%) (9.6-23.6 at 95% Confidence Interval) were self-induced abortion cases by self-administration of abortion pills. The mean gestational age at the time of intake of pills was 7+6±3+1 week of gestation. The majority were diagnosed with incomplete abortion 14 (37.8%) followed by septic abortion 8 (21.6%). A surgical evacuation was performed in 25 (67.6%). Anemia was observed in 19 (51.3%) with severe anemia in 4 (10.8%). Blood transfusion was carried out in 14 (37.8%). Post abortive contraception was accepted by only 16 (42.3%). Conclusions: Medical abortion is safe if done under supervision but self-induced abortion by self-administration of abortion pills has a high complication rate. Therefore, further studies exploring a different dimension of the serious issue is the need of time.

scholarly journals Study to assess the knowledge, attitude and practice of Kangaroo mother care among post-natal mothers in a tertiary care centre of North Kerala, India

2018 ◽  
Vol 5 (3) ◽  
pp. 992
Author(s):  
Urmila K. V. ◽  
Ravikumar . ◽  
Usha Karunakaran
Keyword(s):  
Low Cost ◽  
Care Center ◽  
Tertiary Care ◽  
Family Members ◽  
Kangaroo Mother Care ◽  
Care Centre ◽  
Maternal Knowledge ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Attitudes And Practices

Background: Kangaroo Mother Care (KMC) is a practical low-cost intervention which is very cost effective in developing countries for babies weighing less than 2500 g. This study is aimed to evaluate the knowledge, attitude and practices about KMC in the post-natal mothers of low birth weight (LBW) and preterm babies before and after a teaching session by a trained staff in a tertiary care center in North KeralaMethods: A cross sectional descriptive study of 201 mothers whose neonates were admitted in Neonatal intensive care unit (NICU) of tertiary care centre from June 2014 to June 2015. Mothers were interviewed at enrolment to assess their knowledge of KMC and were then oriented on its practice. Data about their perceptions, attitudes and practices of KMC were recorded before they were discharged from the hospital.Results: At recruitment (95.4%) mothers didn’t know about KMC. 80% of mothers could follow the verbal instructions in first sitting. 92.8% of mothers reflected photo exhibition would have been better than verbal explanation, 91.8% of mothers thought that KMC is beneficial for their babies and 89% thought that it was beneficial for them too. At discharge 99% were willing to continue KMC at home with 93.1% willing to practice at night. 100% would recommend KMC to other mothers. All of them were practicing intermittent KMC and believed that other family members especially grandmothers could also be KMC providers as well.Conclusions: Maternal knowledge of KMC was low before enrolment, but after initiation mothers were happily practicing KMC in hospital with assurance to continue same from home and involve other family members in KMC care.

scholarly journals Prevalence of dermatoses in adult migrant workers attending dermatology OPD in a tertiary care centre in Puducherry

2021 ◽  
Author(s):  
Bhavana Sampadarao ◽  
Govardhan J. Kumar ◽  
Damayandhi Kaliaperumal ◽  
Jude E. Dileep ◽  
Sucharita Sekar ◽  
...  
Keyword(s):  
Migrant Workers ◽  
Skin Diseases ◽  
Fungal Infections ◽  
Tertiary Care ◽  
Epidemiological Data ◽  
Skin Lesions ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College

<p class="abstract"><strong>Background:</strong> Migrant workers are exposed to dangerous and unhygienic work environments, which puts them at risk of developing skin diseases. This study aims to assess the prevalence of skin diseases and provide epidemiological data regarding various dermatoses among migrant workers in Puducherry.</p><p class="abstract"><strong>Methods:</strong> This is a hospital-based, cross-sectional study conducted in Aarupadai Veedu Medical College and Hospital from August 2019 to February 2021. 350 migrant workers were randomly selected and examined for the prevalence of infective and non-infective dermatoses. The observations were documented and data were analyzed using statistical package for the social sciences (SPSS) version 22.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 350 migrant workers were included in the study. Of most migrants, 90.9% (n=318) were males, while the remaining 9.1% (n=32) were females. The prevalence of infective dermatoses was found to be 76% (n=266) and the prevalence of non-infective dermatoses was 43.10% (n=151) in this study. Fungal infections are the most common infective dermatoses affecting 51.5% of the workers, followed by bacterial skin lesions in 27.4%.</p><p class="abstract"><strong>Conclusions:</strong> This study reveals a high prevalence of infective and non-infective dermatoses among migrant workers, with fungal infections being the most commonly occurring infective skin disease. Eczema was the commonly occurring non-infective dermatoses, according to this study.</p>

scholarly journals Clinical profile of thyrotoxicosis and related cardiovascular morbidities among patients attending endocrine outpatient department in a tertiary care centre

2019 ◽  
Vol 7 (10) ◽  
pp. 3666
Author(s):  
Harshwardhan V. Khandait ◽  
Sunil G. Ambulkar ◽  
Parimal S. Tayde
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Tachycardia ◽  
Complete Blood Count ◽  
Care Center ◽  
Tertiary Care ◽  
Central India ◽  
Clinical Profile ◽  
Thyroid Disorders ◽  
Tertiary Care Centre ◽  
Cross Sectional

Background: Thyroid disorders are common in India. Symptoms and signs of thyrotoxicosis are nonspecific. Graves disease is an autoimmune condition and is the most common cause of thyrotoxicosis. Cardiovascular system is frequently affected in thyroid disorders but there is not much data on prevalence of thyrotoxicosis and related cardiovascular morbidities in central India. Objectives of study the clinical profile of patients with thyrotoxicosis and outline the related cardiovascular manifestations in a tertiary care center. Design-over a period of nine months a descriptive cross sectional study was conducted in a tertiary health care center.Methods: A total of 150 patients with thyrotoxicosis were studied. Patients with known diagnosis of thyrotoxicosis and newly diagnosed cases were included. The participants were investigated for thyroid profile, Electrocardiogram, Complete blood count, serum electrolytes and kidney function test.Results: Out of 150 patients of thyrotoxicosis, 87 (58 %) were diagnosed with Graves’s disease. Hypertension was observed in 78 (52 %) of participants. Atrial fibrillation was found in 18 (12%) and sinus tachycardia in 53 (35.33 %) of the participants.Conclusion: Grave’s disease is the commonest cause of thyrotoxicosis. Hypertension, sinus tachycardia and Atrial Fibrillation are the common cardiovascular diseases observed to be associated with thyrotoxicosis.

scholarly journals Bacteriological and antibiotic susceptibility study of pyodermas at a tertiary care center in central Karnataka

2017 ◽  
Vol 3 (1) ◽  
pp. 145
Author(s):  
Manjunath Hulmani ◽  
Prabhakar Meti ◽  
JagannathKumar V.
Keyword(s):  
Skin Infection ◽  
Care Center ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Penicillin G ◽  
Diffusion Method ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Sensitivity Pattern ◽  
Resistant Strains

<p class="abstract"><strong>Background:</strong> Pyoderma is defined as a skin infection mainly caused by <em>Staphylococcus aureus, Streptococcus pyogenes</em> or both. Pyoderma is a common skin infection in India and constitutes major portion of patients in dermatological clinics. Many cases nowadays do not respond to the antibiotics that were previously sensitive. In order to successfully treat cases of pyodermas, sound knowledge is necessary regarding the etiology and their sensitivity patterns. Objectives of this study were to determine clinico-epidemiological and etiological factors associated in patients with pyoderma and to find sensitivity pattern of isolated organisms to various antibiotics commonly used<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span>A hospital based cross sectional study was performed on 100 patients </span>presenting with bacterial skin infections to the Dermatology out-patient department of a tertiary care centre in Central Karnataka. Clinical and epidemiological features were recorded on a predefined proforma.  Sterile swabs were used to collect the pus from the lesions under aseptic precaution. Antimicrobial susceptibility testing of the isolated strains to different groups of drugs was tested on Muller Hinton agar by the Kirby Bauer disc diffusion method.<strong></strong></p><p class="abstract"><strong>Results:</strong> Primary pyodermas was seen more in the age group of 21-30 years (21%), followed by 31-40 years (19%).  Folliculitis (32%) was the commonest clinical type followed by furuncles (28%). Among the gram positive isolates, Vancomycin (88.24%), Linezolid (86.67%) and Cefoxitin (71%) were the most susceptible drugs, whereas Amoxicillin (92.86%) and penicillin G (88.37%) were the most resistant drugs<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Pyodermas have been the major cause of morbidity since long. Even though pyoderma is a common condition, emerging multidrug resistant strains is of major concern to treat these conditions. Suitable and judicious selection of antibiotics by using antibiotic sensitivity data would limit the emerging drug resistant strains in the future to treat these clinical conditions successfully<span lang="EN-IN">.</span></p>

scholarly journals Profile of Children Presenting with Epilepsy at a Tertiary Care Centre: A Hospital Based Cross Sectional Study

2020 ◽  
Vol 8 (3) ◽  
pp. 12-16
Author(s):  
Amol Ramrao Suryavanshi ◽  
Sachin Bapurao Bodhgire ◽  
Shivaji Sangappa Phulari ◽  
Rahul Digambarrao Anerao
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Seizure Type ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Acute Seizures

Background: Epilepsy is associated with significant mortality and morbidity. It is one of the common causes of childhood hospitalization. Regarding acute seizures episodes, there is limited data form the developing countries. This study aims to study the profile of children presenting with epilepsy at a Tertiary Care Centre. Subjects & Methods: This was a hospital based, prospective cross-sectional study conducted at the ‘epilepsy clinic’ of Paediatric department of a Tertiary Care Center. Total 260 children with epilepsy and having the age of 1 months to 12 years attending to the epilepsy clinic during the study period, were studied for clinical features, types, imaging studies, EEG, etc. Results: Most of the children (59.61%) affected with epilepsy were males. Majority of the cases (108) were in the age group 1 month to 1 year age. It was observed that, 185 cases (71.15%) were born through pre term delivery. It was found that 214 cases (82.31%) had abnormal EEG, 40 cases had abnormal CT scan and 46 cases had abnormal MRI. A significant number of children (60.38%) had generalized tonic clonic seizures. Conclusion: Epilepsy in children is a common indication for hospital admission. Evaluation of the type of seizure type with specific EEG findings and other related investigations helps in early and appropriate initiation of treatment. It is utmost important that the children with seizures should be on regular long term follow up and treatment, for better prognosis and disease outcome.

scholarly journals KNOWLEDGE, ATTITUDE AND PRACTICE OF KANGAROO MOTHER CARE AMONG POSTNATAL MOTHERS IN A TERTIARY CARE CENTRE OF HARARI REGION, HARAR, ETHIOPIA

2020 ◽  
Vol 6 (4) ◽  
pp. 116-122
Author(s):  
Arif Hussen Jamie
Keyword(s):  
Sample Size ◽  
Care Center ◽  
Tertiary Care ◽  
Kangaroo Mother Care ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Skin Contact ◽  
Attitude And Practice ◽  
Postnatal Mothers ◽  
Knowledge Attitude And Practice

Background: Kangaroo Mother Care (KMC) is a method was invented by Dr. Rey in 1978 and developed by Dr. Martinez and Dr. Navarrete until 1994. It is holding a small nappy neonate in skin to skin contact, prone and upright on the maternal chest. At first it was developed to alleviate overcrowding, and insufficient resources in neonatal intensive care units. But today it is formally approved by WHO.Objective: The aim of this study was to assess knowledge, attitude and practice of Kangaroo mother care among postnatal mothers in a tertiary care center of Harari region, Harar, Ethiopia, 2020.Method: An institution based cross-sectional study method was conducted in Hiwot-Fana Specialized Referral Hospital in Harar town. Sample size was calculated by using single population proportion sample formula and the final sample size was 166. The study subject was selected by using consecutive sampling method, and adopted data collection tool was used. Data were analyzed using SPSS version 20. Descriptive analyses were performed and bivariate analyses were used to find out the association of independent variables.Results: There was 82.53% of mothers had good knowledge, 82.53% had positive attitude towards KMC, 32.12% practiced KMC correctly. The participants also reported the benefits of KMC, such as protection from infection, warmth to the baby, exclusive breast feeding, weight gain and growth, early discharge from hospital, safety and love.Conclusion: The finding of this study showed that there was a clear gap in knowledge and practice. Therefore, it is very important to have health education sessions during ANC follow-up on KMC. A qualitative research to explore temporal relationship is also recommended.

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