scholarly journals Speech Therapy and Self-awareness About Stuttering for Adults Who are Stutters in Pakistan

Author(s):  
Faiza Iqbal ◽  
Muhamad Dzahir Bin Kasa ◽  
Yahya Don

All over the world extra than 70 pile human beings whichever stutter, who is in relation to 1% on the population (Bloodstein & Bernstein-Ratner, 2008).  Recent research bear referred to troubling findings related to the cognitive, affective, and communal blessing over human beings who stutter people who stutters. The level of understanding among adult stutters in Pakistan concerning the problem of stuttering Awareness and speech therapy. For this study, cross sectional study design was used. Research has been conducted in Govt. and private sector tertiary care Hospitals in Lahore Pakistan. The study is completed within four months from December 2018 to February 2019. Between the ages of Dec 2018 to March 2019, adult stuttering clients were taken, over 15 years of age. Inclusion requirements included all the males and females above 15 years of age who were stuttering. This involves pupils, males and females with blockage, delay, prolongation or any other primary or secondary signs stuttering. Both congenital or chronic disease stutters were ruled out. All patients were briefly interviewed before they were considered as part of the study to ensure that they met the criteria for inclusion. A Performa was established and validated by 10 experts after literature review and expert opinion (having a minimum of 5 years of field experience). There is a significant correlation between Understanding regarding the Stuttering issues and understanding of Stuttering Self Therapy. Awareness on the issue of Stuttering on the understanding of speech therapy for Stutter individuals is shown to be substantially successful. These approaches of speech therapy differ by individual because of the differences between them. It was also found that the more stutter has knowledge of his question with expression the more he performs and utilizes psychological self-help strategies. The study was conducted only on adult stutters. It was a short-run analysis. Sample was taken from a single Pakistani city. Large-scale analysis should be performed for large sample size. The research should include more than in Pakistani city population. Research may also involve children who stutter in future research.

2016 ◽  
Vol 43 (3) ◽  
pp. 138-140
Author(s):  
Lubna Khondker ◽  
Md Sirajul Islam Khan ◽  
Abida Sultana ◽  
Md Saiful Islam Bhuiyan

This cross-sectional study was done to evaluate the pattern of patients suffering from pemphigus disease attending in the department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from 2006 to 2010. Thirty patients of pemphigus diagnosed clinically and confirmed by histopathology and immunology, were included in the study. Among the thirty patients, 18(60%) had pemphigus vulgaris. Among the patients of pemphigus foliaceus, 13.33% patients were in the age group of 30-45 years, among the patients of pemphigus erythematosus, 6.67% patients were in the age group of 30-45 years and among the patients of paraneoplastic pemphigus, 3.33% patients were in the age group of 46-60 years. Among the different varieties of pemphigus, highest 66.67% had the disease duration of 1 to 6 months. Male were more than female. Highest 76.50 % showed both mucosal and skin involvement as initial clinical presentation. In future, this study should be carried out on a large scale with prolong period, large sample size and in different hospitals in Bangladesh.Bangladesh Med J. 2014 Sep; 43 (3): 138-140


2012 ◽  
Vol 30 (2) ◽  
pp. 78-84
Author(s):  
L Khondker ◽  
AM Choudhury ◽  
MOR Shah ◽  
M Shahidullah ◽  
MSI Khan ◽  
...  

A cross sectional study, conducted in the department of  Dermatology and Venereology, Bangabandhu Sheikh Mujib  Medical University (BSMMU) for duration of January 2009  to December 2010. Hundred twenty patients with  onychomycosis were selected by purposive type of nonprobability  sampling technique. Majority of the patients  61(150.8%) were in the age group of 21-30 years old. Mean  age of the patients were 32.8±14 years and most of the  patients were house wives 36(30.0%). Disfigurement  117(97.5%) and discomfort 89(74.2%) were more common  chief complaints of the patients. The mean duration of  disease was 20.4±15.4 months and nail fold changes were  associated with 37(30.8%) patients and more than a half  63(52.5%) of the patients had history of wet works.  Regarding the history of past illness, it was observed that  previous onychmycosis found 26(21.7%), nail trauma  26(21.7%) and immune suppression 6(5.0%). In  endocrinopathies, hypothyroidism was observed in 1(0.8%),  Diabetes Mellitus 6(5.0%) etc. Regarding the pattern of nail  changes, thickening of nail plate 88(73.3%), onycholysis  67(55.8%), subungunal hyperkeratosis 61(50.8%) were  more common changes. Paronychia was observed in 34  (28.3%) cases. In concomitant fungal infection, it was  observed that T. manuum in 6(5.0%), T. pedis 3(2.5%),  Interdigital intertrigo 2(1.7%) and T. cruris 1(0.8%). This  was a study on a limited number of cases. Future studies  must include economical support, then large sample size  could be ensured and study finding would be more reliable.  There is a great need of epidemiological studies also, with  sufficient follow-up, systematic reviews and meta-analyses  on this issue.   DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11408   J Bangladesh Coll Phys Surg 2012; 30: 78-84    


2020 ◽  
Author(s):  
Tanzeel Imran ◽  
Humera Altaf Naz ◽  
Hamza Khan ◽  
Ali Haider Bangash ◽  
Laraib Bakhtiar Khan ◽  
...  

AbstractBackgroundOn 26th, February 2020, first cases of COVID 19 were confirmed in Pakistan. Since then, surgeries were halted in a bid to prevent transmission. However, since such a long halt is infeasible, a general protocol of screening the carriers, especially asymptomatic carries, is a dire need of time. The objective of our study is to propose an economically feasible protocol of COVID 19 screening. Simple but effective screening strategies can help to restore the workings of hospital surgical departments.MethodsWe analyzed the clinical data of patients turning up for elective surgeries at the Rawal General Hospital (RGH), Islamabad from the 24th of March to the 15th of May, 2020. Asymptomatic patients with negative COVID 19 contact and travel histories were screened with COVID 19 Immunochromatography (ICT) IgM / IgG Ab Test. Complete blood count (CBC) was done and interpreted in conjunction with the ICT results.Results39 patients with a mean age of 49 years were studied. The result of ICT for COVID-19 was positive in 9 cases (23%). The entire positive ICT patients population expressed significantly lower lymphocyte count (p<0.01); 8 patients had high monocyte count (p<0.05) whereas only 4 patients had a combined high neutrophil and monocyte count (P<0.05). All of these four patients with high neutrophil count were females. The combined interpretation of CBC and ICT IgM / IgG Ab Test had a high accuracy in diagnosing asymptomatic COVID-19 carriers that were later confirmed by real-time reverse transcriptase-polymerase chain reaction (rRT-PCR).ConclusionWe propose that joint CBC-ICT interpretation should be adopted on a large scale to help in the diagnoses of asymptomatic carriers as both tests are simple and inexpensive and thus suit the developing countries’ limited health budget. Future research projects should be adopted in order to assess the accuracy of the proposed protocol on a large scale.


2021 ◽  
pp. 1-2
Author(s):  
Akhilesh Behra

Background- Psoriasis is a chronic inammatory relapsing skin disorder. Environmental and genetic factors play an important role in the development of disease. HLA-Cw6 most strongly associated with disease. There is also a difference in HLA-Cw6 positivity in respect to gender, which affect occurrence of disease in males and females. Aims & Objectives- This study was aimed to determine the association of HLA-Cw6 positive and negative psoriasis individuals had any signicant differences in respect to disease onset among male and female Materials & Methods- An Institute based Cross sectional study was done in a tertiary care center in eastern India. All patients attending skin OPD were included in the study. Detailed history and blood samples were collected from patients. HLA-Cw6 typing has done by sequence-specic PCR method. Results- HLA-Cw6 positive female patients had a signicantly early age of onset than male patients (p value-0.009334) (20.88 vs. 27.91yr), while HLA-Cw6 negative patients did not show any signicant difference of age of onset between male and female ( p value- 0.406905) Conclusion- Although men are more commonly affected than female, HLA-Cw6 positive psoriasis female patients show earlier disease onset. This results show that genetic variations in terms of HLA-Cw6 are reected in the age of onset among males and females.


1970 ◽  
Vol 3 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Meerjady Sabrina Flora ◽  
CGN Mascie-Taylor ◽  
Mahmudur Rahman

In spite of acknowledged importance, no unified definition exists for central obesity. Several anthropometric indexes such as waist circumference, waist-hip ratio, waist-to-height ratio, conicity index etc, are being used. Cindex has been shown to correlate well with various cardiovascular risk factors associated with visceral fat accumulation in some population. Data were collected through interviewing and measuring 22,995 adult males and females of an urban (Mirpur, Dhaka City) and rural area (Kaliganj sub-district) in 2002 and 2003. Overall the mean (SD) conicity index was 1.20 (0.10) and 40.8% of this sample had a high Cindex. Females, increasing age, urban residents, Christians, the better educated, married and farmers were more likely to have higher Cindex than their counterparts. There is a scarcity of data about the conicity index of Bangladeshis and this cross-sectional study is the first large-scale attempt. So it can be used as a baseline data for further research in this field. Ibrahim Med. Coll. J. 2009; 3(1): 1-8 Key words: Conicity index, socio-demography, Bangladeshi     doi: 10.3329/imcj.v3i1.2910


2017 ◽  
Vol 4 (8) ◽  
pp. 2439
Author(s):  
Dilip Kothari ◽  
Archana Kothari ◽  
Abhishek Kalantri ◽  
Pawan Bhambani

Background: Acute Appendicitis forms an important emergency in the day-to-day surgical practice. It affects human beings irrespective of age, nationality and religion. Early diagnosis and prompt operative intervention is the key for successful management of acute appendicitis. However, the picture of acute appendicitis may not be classical, and in such situations, a policy of early intervention to avoid perforation may lead to high negative appendicectomy rates.Methods: A total of 80 patients were enrolled in the present cross sectional study. Their ages ranged from eleven to 72 years (mean 32.89 ± 15.87). A proforma containing general information about the patient plus eight variables based on the modified Alvarado scoring system was filled.Results: Histological examination confirmed appendicitis in 54 patients (67.5%). The remaining 26 patients were found to have normal appendix giving a negative appendicectomy rate of 32.5% being 36.8% and 28.3% for males and females respectively.Conclusions: This scoring system is easy, simple and cheap complementary aid for supporting the diagnosis of acute appendicitis. MASS can be used effectively in Indian setup to reduce the incidence of negative appendectomies. The patients are not unduly exposed to risks of delay in intervention or significant increase in number of false negative cases.


2021 ◽  
Author(s):  
Yasuo Haruyama ◽  
Toshimi Sairenchi ◽  
Koji Uchiyama ◽  
Keisuke Suzuki ◽  
Koichi Hirata ◽  
...  

Abstract To investigate the prevalence of CSS in a general population. A large-scale cross-sectional study on 21,661 residents (7,531 men, 14,130 women) in a community in Japan was performed. CSS were assessed using Central Sensitization Inventory (CSI-A, B). Participants with a CSI-A score ≥40 was defined as having CSS. Age, sex, district, CSI-B (10 CSS-related diseases), lifestyle, and mental health factors were rated in a self-reported survey. The prevalence of CSS and its relationship with potential factors were examined by sex using descriptive and logistic regression models. The prevalence of CSS was 5.4% (95% Confidence Interval (CI) 5.1 to 5.7) in all participants. It significantly differed between men (3.6%, 95% CI 3.2 to 4.1) and women (6.3%, 95% CI 5.6 to 6.7). A CSI-A score ≥40 correlated with more than one CSI-B disease, exercise habits, sleeping hours per day, perceived stress, and resilience in both men and women. In women, age, ex-smokers, coffee intake (≥1 day per week), and alcohol intake correlated with CSS. The prevalence of CSS was 5.4% in the community examined and was higher in women than in men. CSS-related diseases and many factors correlated with CSS. The present results provide important information for future research on CSS.


2012 ◽  
Vol 18 (1) ◽  
pp. 18-23
Author(s):  
L Khondker ◽  
MM Rahman ◽  
MM Mahmud ◽  
MSI Khan ◽  
H Khan ◽  
...  

A cross-sectional study was carried out for a period of one year in the outpatient department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Seventy female patients having acne vulgaris were selected. The study showed that the mean age of the cases was 22.43 with standard deviation 5.2 years and highest percentage of patients were in the age group 20-24 years (41.4%), highest percentage of patients was unmarried among the cases (74.3%) and proportion of secondary (35.7%) and higher secondary education (20%) were found to be high among the cases. The study showed that proportion of student (65.7%) and housewife (17.1%) were found to be high among the cases. The mean duration of disease was 62.6 months and all the patients had presented with comedones (blackheads and whiteheads). All the patients had acne in the face and it was found that 60% had moderate type acne. Considering the pattern of treatment received, 42.9% of the patients mentioned that they used topical ointment, 37.1% had received herbal medication and 25.7% had received systemic medication. To get an overall impression of the country regarding acne vulgaris, more integrated study is needed. This was a study on a limited number of cases. Future studies must include economical support, then large sample size could be ensured and study finding would be more reliable. There is a great need of epidemiological studies also, with sufficient follow-up, systematic reviews and meta-analyses on this issue. DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12234 J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 18-23


Author(s):  
Prateek Saurabh Shrivastava ◽  
Saurabh RamBihariLal Shrivastava

Background: The emergence of respiratory infections has been attributed to the exposure of human beings to the wide gamut of airborne pathogens. Cough etiquette and respiratory hygiene have been recommended as tools to reduce such transmission.Methods: A cross-sectional descriptive study was conducted among respiratory symptomatic patients attending urban and rural health training centre of a tertiary care hospital for 6 months duration (October 2018 to March 2019) to study their knowledge and practices related to cough etiquettes. A total of 240 study subjects were interviewed face to face with the help of a semi-structured questionnaire after obtaining their written informed consent. The study findings were recorded in an Excel sheet and analysis was done using SPSS version 20.Results: Correct knowledge about cough etiquettes was found in only 22 (9.1%) participants. Almost half of the participants 122 (50.8%) covering mouth and nose with hands while only 14 (9.7%) were using of face mask during bouts of coughing. Barriers to preventive practices were lack of awareness about cough etiquettes and hand hygiene in 14.1% and 66.3%, respectively followed by severity and frequency of bouts of cough in 29 (12.1%) subjects.Conclusions: Knowledge and practice of cough etiquette was not found to be satisfactory in the present study. Thus, it is high time to address this issue and bridge the gap in knowledge as well as practice of cough etiquette among the general population in order to reduce the person to person transmission and thereby decreasing the burden of respiratory infection.


2017 ◽  
Vol 8 (2) ◽  
pp. 44-49
Author(s):  
Iyshwarya Udaya Kumar ◽  
Jaya Prakash Murthy ◽  
Ujwal Upadya ◽  
Mahesh Venkatesh

Background: Diabetes Mellitus is a chronic disorder, which is becoming rapidly epidemic in India.There are many complications occur due to uncontrolled diabetes mellitus.The outcome of diabetes depends mainly on the patient’s self-management like health-related behavior, which is based on his or her knowledge. Awareness on diabetes mellitus is still a lacunae among the Indian population.Aims and Objective: To determine the knowledge regarding awareness of diabetes like the risk factors, symptoms, complications and the management among the males and females in rural population.Materials and Methods: It is a cross sectional study conducted at the tertiary care center in rural Bangalore. A structured questionnaire was used and 300 adults were assessed on their knowledge regarding the awareness of diabetes.Result: Out of 300 adults, 159 adults (53%) had a history of diabetes. There was no gender difference observed regarding the awareness, nor the education played a role. There was significant difference observed in knowledge of diabetes Mellitus among the diabetics with respect to renal complications (p <0.013), symptoms like blurring of vision (p < 0.043) and burning feet (p < 0.009).Conclusion: Both the diabetic and non-diabetic groups had very low awareness regarding diabetes and associated risk factors. Both Males and females awareness levels were poor. Proper Diabetic education programme will help in raising public awareness of the disease.Asian Journal of Medical Sciences Vol.8(2) 2017 44-49


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