scholarly journals Safe otorhinolaryngological outpatient practices in COVID-19 in Indian scenarios

2021 ◽  
Vol 4 (2) ◽  
pp. 46-49
Author(s):  
Zafar Saleem ◽  
Amit Kumar Rana ◽  
Shivesh Kumar

The 2019 novel corona virus has created havoc across the world for whole of last year and still doing so with its continuing second and third waves. It is hypothesized that SARS CoV 2 virus can spread by sneezing, coughing, and even talking to close contact (less than 2 meters) in as little time as few minutes. This exercise was done in patients who attended the Otorhinolaryngological outpatient department from July 2020 to December 20 in a tertiary care center in Lucknow. A total of 1556 patients were included in this study. Keeping this is mind, after careful discussion we propose a OPD consultation protocol which would not only be useful during this pandemic but even after the peaks have passed and COVID-19 transmission comes down to low levels. This protocol if followed properly would prevent transmission of many such possible infections in future as well.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
K. Sathish ◽  
Kusa Kumar Shaha ◽  
Ambika Prasad Patra ◽  
J. Sree Rekha

Abstract Background Snake bite is a major public health problem, especially in the tropical areas of the world, which the World Health Organization aims to eradicate. According to the National Crime Records Bureau in India, where agriculture is the mainstay of employment attributes about 8660 mortalities in a year. Histopathological results are of immense help in establishing the cause of death in those snake bite cases where other circumstantial shreds of evidence are lacking. Results An autopsy-based prospective study was conducted on fatal cases of snake bite reported at a tertiary care center in south India over a period of 2 years. A total of 38 fatal snake bite cases were included in the study. Epidemiological data were collected and analyzed. Histopathological findings of the kidneys, heart, and endocrine glands (pituitary, adrenals, thyroid, and pancreas) were analyzed. The significant findings of the kidneys were distinct corticomedullary demarcation on the gross surface (65.8%) and congestion and acute tubular necrosis (55.3%) on histology. On the other hand, in the set of endocrine glands, adrenals and pituitary showed predominantly hemorrhagic infarction on the histological analysis (18.4% and 52.6%) respectively. Conclusion The results of the current study enlighten the findings such as distinct corticomedullary demarcation and acute tubular necrosis in the kidneys and hemorrhagic infarction in the endocrine glands in a case of snake bite. It highlights the need for histopathological analysis in the cases of a fatal snake bite when other circumstantial and gross features become indecisive. This can aid immensely in a medico-legal investigation of snake bite cases.


2021 ◽  
pp. 1-3
Author(s):  
M. Thangaraj ◽  
R. Amirtha Lakshmi ◽  
P. Lenin Shankar

Corona virus disease 2019 (COVID19) is a pandemic disease which started in December 2019 in Wuhan, China. Now it has spread all over the world with over 7 crore cases and still counting. The typical symptoms of COVID19 can range from mild to severe respiratory illness. Although the respiratory system complications COVID19 have been the most frequent and life threatening, there are increasing reports of central and peripheral nervous system (PNS) involvement. Various studies done in many countries showed that many COVID19 patients presented with neurological manifestations. There are many review studies available throughout the world describing them. There are not many studies in India, especially in southern states done in COVID19 patients. Hence this observational study is done in Thanjavur medical college hospital , a tertiary care center in Tamilnadu, India, to study the various neurological manifestations found in COVID19 patients.


Author(s):  
Jairam D. Jagiasi ◽  
Tushar Ubale ◽  
Harsh Marfatiya ◽  
Abhijit More ◽  
Dipit Sahu

<p class="abstract"><strong>Background:</strong> Outpatient orthopaedics department of a tertiary care hospital sees large number of patients. However, the funds and resources are limited and have to be judiciously distributed. This study aims to study the etiological pattern of different patients that present to the outpatient department (OPD).</p><p class="abstract"><strong>Methods:</strong> Nine consecutive OPD’s data was studied for the etiology of the different diagnosis of new patients presenting to the OPD. Etiology of various diagnoses was studied as a percentage of the total patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> Trauma of upper limb and lower limb formed a higher percentage of the total patients. Degenerative spine was more common than traumatic spine.</p><p class="abstract"><strong>Conclusions:</strong> Traumatic conditions of the lower and upper limb make up majority of the cases. Degenerative spine is more common than the traumatic etiology.</p>


Author(s):  
Kulwant Singh ◽  
Sowmya Dey

Background: This study was done to find out geriatric morbidity pattern in a tertiary care hospital in the hilly state of Sikkim.Methods: The study was conducted in Central Referral Hospital, a tertiary care center, in the hilly state of Sikkim, over a period of three months. All geriatric patients, 60 years or above, were included in the study. Morbidity affecting specific organ systems was classified based on the outpatient department (OPD) visited and case files of those patients.Results: 215 elderly patients visited outpatient department during the study period. Morbidity related to eyes was most common followed by cardiovascular, gastrointestinal and respiratory systems.Conclusions: Our study compares well with range of distribution of complaints in other studies. However, there is a wide range of proportionate distribution of different morbidities in different geographic areas of our country. Hence, before deciding about resource allocation for geriatric health facilities related to different specialties, distribution of morbidities should be determined for that region.


2020 ◽  
pp. 62-64
Author(s):  
Bhavika Patel ◽  
Wilhemina Asari ◽  
Chandni Sinojia

PURPOSE- To analyse various ocular diseases leading to permanent visual handicap in a district based on visual handicap certification issued by ophthalmologist at tertiary care center after verification of the domicile of the person. METHOD – This is a retrospective analysis of patients attending outpatient department of tertiary care center for visual handicap certification. It was done over the period of one year with total recruitment of 311 patients. All patients were examined for best corrected visual acuity according to Snellen’s chart, anterior and posterior segment examination. Ultrasonography and/or Optical Coherence Tomography and/or electroretinography / visual evoked potential was done in selected cases. After diagnosis, percentage of blindness was determined according to the categories of visual disability and blindness certificate was issued. RESULT- Maximum of the certified visually disabled individuals are of 21- 30 years (73 patients, 23.47%). 212 patients were males and 99 were females. Visual disability of 100% was seen in 258 cases. Retinitis Pigmentosa was the most common cause seen in 67(21.54%) cases. Other major causes include congenital ocular malformation(16.40%) optic atrophy(13.83%), phthisis bulbi (8.68%), corneal opacities(8.36%), glaucoma(6.75%). CONCLUSION- The burden of the blindness can be decreased by public educationand genetic counselling regarding common and preventable causes of blindness, as early diagnosis, treatment and visual rehabilitation can help to improve visual outcome and ultimately visual handicap in the society for the better future.


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