Globus Pharyngeus - The Total Burden at a Tertiary Hospital in Gangtok, East Sikkim, North East India

2021 ◽  
Vol 8 (14) ◽  
pp. 920-924
Author(s):  
Tsewang Donka Bhutia ◽  
Tshering Dolkar
Keyword(s):  
Foreign Body ◽  
Tertiary Care ◽  
The State ◽  
Referral Hospital ◽  
Outpatient Department ◽  
Subtropical Climate ◽  
Globus Pharyngeus ◽  
North East ◽  
Painful Sensation ◽  
Total Burden

BACKGROUND Globus Pharyngeus, previously known as Globus hystericus, is a persistent or intermittent non-painful sensation of a lump or foreign body in the throat of indeterminate origin. It is a commonly encountered clinical condition seen in ear, nose and throat Outpatient Department (ENT OPD). It is usually long-lasting, difficult to treat and has a tendency to recur. It is a common disorder and constitutes about 4 - 5 % of all new ENT referrals with a slight female preponderance. Sikkim is second smallest state in India with a total population of 6.1 lakhs. It is a mountainous region with subtropical climate. Central Referral Hospital is the only Medical College in the state and takes care of the patients from all over the state. This study was conducted to determine the prevalence of globus pharyngeus among patients attending ENT OPD. METHODS This was a descriptive cross-sectional study done in the ENT Outpatient Department (OPD) of Central Referral Hospital, Gangtok, Sikkim among patients attending directly or referred from the government health sectors with complaints of globus symptoms in the throat. Data was entered in Microsoft Excel 16.4 version and used for statistical purposes. RESULTS The total burden of the disease was found to be 0.6 % with 73.77 % of the patients with globus positive for H. pylori infection and 36 % of them positive for laryngopharyngeal reflex (LPR). CONCLUSIONS The number of globus cases found in this study (0.6 %) was comparatively less as compared to various studies done globally (4 - 5 %). The low number of cases determined in this study may be due to the bias of selection of the study population from the only available private tertiary care centre in the state. KEYWORDS Globus Pharyngeus, Foreign Body Throat

scholarly journals Globus pharyngeus in women: observations and opinions

2018 ◽  
Vol 4 (6) ◽  
pp. 1462
Author(s):  
B. T. Subramanya ◽  
Sphoorthi Basavannaiah ◽  
S. Lohith
Keyword(s):  
Economic Growth ◽  
Foreign Body ◽  
Well Being ◽  
Outpatient Department ◽  
Adequate Nutrition ◽  
Globus Pharyngeus ◽  
Root Cause ◽  
Globus Sensation ◽  
The World ◽  
Growing Economy

<p class="abstract"><strong>Background:</strong> India has world’s fastest growing economy with second largest population in the world. But the health aspects of Indians are neglected even with vast health facilities and resources. Health is an important factor that contributes to well-being and economic growth especially women’s health which must be prioritised but is often ignored. Aims and objectives of the study were to identify the root cause for globus sensation in throat, to assess the percentage of factor causing this symptom and to educate women to eliminate this illusion of foreign body like sensation in the throat.</p><p class="abstract"><strong>Methods:</strong> All the women who consulted outpatient department with this symptom were evaluated clinically and investigated.  </p><p class="abstract"><strong>Results:</strong> Anemia topped the list among all the probable causes for globus pharyngeus.</p><p class="abstract"><strong>Conclusions:</strong> Proper and adequate nutrition in women is a life-long process and it is important to eliminate the myth about Globus pharyngeus in women.</p>

Ras al Khaimah: further archaeological discoveries

Antiquity ◽  
1976 ◽  
Vol 50 (200) ◽  
pp. 216-222
Author(s):  
Beatrice De Cardi
Keyword(s):  
United Arab Emirates ◽  
The State ◽  
Focused Attention ◽  
North East ◽  
The North ◽  
History Of ◽  
The City

Ras a1 Khaimah is the most northerly of the seven states comprising the United Arab Emirates and its Ruler, H. H. Sheikh Saqr bin Mohammad al-Qasimi, is keenly interested in the history of the state and its people. Survey carried out there jointly with Dr D. B. Doe in 1968 had focused attention on the site of JuIfar which lies just north of the present town of Ras a1 Khaimah (de Cardi, 1971, 230-2). Julfar was in existence in Abbasid times and its importance as an entrep6t during the sixteenth and seventeenth centuries-the Portuguese Period-is reflected by the quantity and variety of imported wares to be found among the ruins of the city. Most of the sites discovered during the survey dated from that period but a group of cairns near Ghalilah and some long gabled graves in the Shimal area to the north-east of the date-groves behind Ras a1 Khaimah (map, FIG. I) clearly represented a more distant past.

Governance Gaps in the Sixth Schedule Mechanisms in Meghalaya

2020 ◽  
Vol 66 (4) ◽  
pp. 466-480
Author(s):  
Kavita N. Soreide
Keyword(s):  
Political Discourse ◽  
The State ◽  
Autonomous District ◽  
North East ◽  
Tribal Communities

The legal-political discourse at the time of drafting of independent India’s Constitution resulted in a unique constitutional arrangement guaranteeing a model of self-government through setting up Autonomous District Councils (ADCs) for some of India’s designated tribal communities. This constitutional modality governing the tribal majority regions in India’s North-east is known as the Sixth Schedule. Given the pre-existing tribal institutions, it was implied that ADCs were to act as ‘bridges of governance’ between the state and traditional polity. This article tries to look at the nature of governance and gaps in governance through the lens of ADCs.

Inter-Ethnic Dynamics in the Wake of Terrorist Attacks: Evidence from the 2015 Baga Massacre

2020 ◽  
Vol 26 (2) ◽  
Author(s):  
Alessandro Belmonte
Keyword(s):  
Ethnic Groups ◽  
Large Scale ◽  
Natural Experiment ◽  
Individual Characteristics ◽  
The State ◽  
Terrorist Attacks ◽  
Boko Haram ◽  
Far North ◽  
North East

AbstractThis paper investigates the consequences for inter-group conflicts of terrorist attacks. I study the 2015 Baga massacre, a large scale attack conducted by Boko Haram at the far North-East state of Borno, Nigeria, as a quasi-natural experiment and examine a set of attitudes in the aftermath of the event of Christians and Muslims throughout the country. Comparing individuals, outside the region of Borno, interviewed by Afrobarometer immediately after the massacre and those interviewed the days before within same regions and holding fixed a number of individual characteristics, I document that the informational exposure to the event rendered Christians less amiable to neighboring Muslims and Muslims less likely to recognize the legitimacy of the state. Nonetheless, Muslims increased their view of the elections as a device to remove leaders in office, event that took place 2 months later with the election of the challenger, Muhammadu Buhari. My findings indicate that terrorist attacks may generate a relevant and heterogeneous backlash across ethnic groups.

APPROACHES TO SCREENING

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 858-860
Author(s):  
Mary S. Harris ◽  
James R. Eckman
Keyword(s):  
Newborn Screening ◽  
Sickle Cell ◽  
Community Education ◽  
Sickle Cell Trait ◽  
Screening Program ◽  
Tertiary Care ◽  
The State ◽  
Public Health Department ◽  
Newborn Screening Program ◽  
Tertiary Care Centers

Georgia's newborn screening program for hemoglobinopathies has been evolving for more than 23 years. The program began in 1964 with the screening of infants at 6 months of age and progressed to the full-scale implementation of a statewide hemoglobinopathy newborn screening program in 1980. The program functions as a cooperative effort with several major components: two tertiary care centers, a community-based clinic, and the state public health department. The tertiary care centers consist of the Augusta Comprehensive Sickle Cell Center affiliated with the Medical College of Georgia and the Georgia Sickle Cell Center at Grady Hospital affiliated with Emory University School of Medicine. These two centers are responsible for patient care, education, and research. The community component consists of the Sickle Cell Foundation of Georgia, which is responsible for counceling clients with sickle cell trait, community education, and notification of parents of infants with normal test results. The state component consists of the Georgia Department of Human Resources, which is responsible for program administration and primary laboratory testing. The program components coordinate their services through a voluntary organization known as the Georgia Sickle Cell Task Force. The organization consists of representatives from agencies and organizations actively involved in the provision of services for patients with sickle cell disease. The members of this organization work together to ensure an efficient service network for education, testing, counseling, patient management, program monitoring, and evaluation. Georgia's screening program can best be described as a targeted, voluntary, mandatory screening program, which means that, unless the mother objects to having her infant tested on religious grounds, infants in 13 ethnic groups are automatically tested because they are considered at risk (African, Arabian, Central American, Greek, Maltese, Hispanic, Indian, Portuguese, Puerto Rican, Sardinian, Sicilian, South American, and Southern Asian).

Foreign Body Ingestions in Children: Risk of Complication Varies With Site of Initial Health Care Contact

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 121-127 ◽  
Author(s):  
Ronald I. Paul ◽  
Katherine Kaufer Christoffel ◽  
Helen J. Binns ◽  
David M. Jaffe ◽  
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Tertiary Care ◽  
Standard Of Care ◽  
Pediatric Emergency ◽  
Adverse Outcomes ◽  
Pediatric Emergency Department ◽  
Parent Supervision ◽  
Tertiary Care Hospitals ◽  
Patient Enrollment

Current recommendations for the management of pediatric foreign body ingestions are based on studies of patients cared for at tertiary care hospitals; they call for aggressive evaluation because of a high incidence of complications. Two hundred forty-four children with suspected foreign body ingestions were prospectively followed to analyze adverse outcomes, ie, procedures, complications, and hospitalizations. Patient enrollment into the study was from three sources: (1) patients who referred themselves to a tertiary pediatric emergency department, (2) patients referred to the same tertiary pediatric emergency department after an initial evaluation by another hospital or physician, and (3) Patients who reported their foreign body ingestions to a private pediatric practitioner participating in the study. Most children were well toddlers in normal circumstances, under parent supervision at the time of ingestion. Coins were the most common item ingested (46%). Procedures were done in 53 (24%) of 221 patients and complications occurred in 48 (22%) of 221. Complications were higher in patients referred to the emergency department (63%) than in emergency department self-referred patients (13%) or private practice patients (7%) (x2, P &lt; .01). These findings demonstrate the risk of drawing conclusions regarding a universal standard of care from studies involving only hospital-based patients.

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