Study of Diseases Associated ESR above 100 among the Patients who Visited Shahid Sadoughi Hospital in the Second half of 2013

Introduction: ESR (Erythrocyte Sedimentation Rate) is the sedimentation rate of red blood cells per unit of time that is expressed in millimeters. ESR test is simple and inexpensive and fast and can be somewhat diagnostic manual to confirm the diagnosis, rule out the diagnosis, follow-up course of the disease and so on, so it is of interest to practitioners.Methods: Descriptive and cross-sectional study on 124 patients in all wards of Shahid Sadooghi hospital in the second 6 months of 1393, that had raised ESR of 100 at least one time. All information including gender, age, diagnosis of the presence or absence of fever and indigenous of them cases in the archive hospital patients were taken.Results: 56% female and 44% were male. 16% of patients in the age range 0-19 years, 56% aged 20-64 years and 28% were aged over 64 years. 41% of patients were admitted with fever. 59% were native and 41 % were non-native. Infectious causes (45.9%), malignancy (14.5%), collagen vascular disease (16.9%), internal disease and hematology (16.9%) and other causes (5.6%) were formed cases. Diabetic foot (7%), pneumonia (7%), RA (6%), ESRD (5.6%), metastatic lung cancer (4%), TB (3%) formed the majority of cases.In feverish cases pneumonia (11.5%), diabetic foot (7.6%), tuberculosis (5.7%), pyelonephritis (5.7%) and RA (5.7%) were the most frequent form. Infectious causes of fever (65.3%), collagen vascular (13.4%), malignancies (5.7%) and other causes (15.6%).conclusion: In patients with extremely high sediment in terms of gender segregation is almost the same of hospital commiunity.

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Changing Pattern of Post-infectious Glomerulonephritis: A Study in South-Western Region of Bangladesh

Medicine Today ◽

10.3329/medtoday.v32i2.48836 ◽

2020 ◽

Vol 32 (2) ◽

pp. 130-133

Author(s):

Muhammed Arshad Ul Azim ◽

Md Motiur Rahaman ◽

Kamruzzaman Md Zahir ◽

Md Obaidul Hauque ◽

Md Abdul Wadud ◽

...

Keyword(s):

Renal Impairment ◽

Cross Sectional Study ◽

Recent History ◽

Cross Sectional ◽

Male Predominance ◽

History Of ◽

Medicine Today ◽

Age Range ◽

Post Infectious

Introduction: In developing countries like Bangladesh, post-infectious glomerulonephritis (PIGN) is the common form ofacute glomerulonephritis having its changing pattern over recent decades. The aim of the study was to analyze the clinicalprofile of PIGN in local scenario. Materials and Methods: This cross-sectional study was conducted at Shaheed Sheikh AbuNaser Specialized Hospital, Khulna during period from 2017 to 2019. A total of 67 cases of PIGN were identified on thebasis of clinical features, laboratory parameters with recent history of infection. The patients’ records were reviewed withrespect to clinical data. Patients with reduced complement level were included. Result: The age range of the patients wasbetween 2 and 55 years with male predominance. The study revealed that 32.8% of patients had a recent history of sorethroat, 31.3 % of patients had a history of skin infection and rest 35% had a history of fever. Moreover, during presentation68% of patients had hypertension and 37 % of patient had renal impairment. In this study, majority of patients (53%)presented with one plus to two plus proteinuria and the rest of the patients (37%) presented with three plus proteinuria ondipstick. After 2 weeks of follow up, the presence of hematuria found in 58 patients out of 67, proteinuria found in 14patients out of 61 and renal impairment found in 5 patients out of 25. Conclusion: PIGN has been changing with respect toage, proteinuria and renal function. To follow-up periodically and reduction in overcrowding of the patients, would be oneof the superior suggestions to reduce the spread of infectious diseases in our country. Medicine Today 2020 Vol.32(2): 130-133

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Persepsi Penyakit Pasien Dengan Ulkus Kaki Diabetik Di Banjarmasin, Kalimantan Selatan, Indonesia

DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN ◽

10.33859/dksm.v10i1.433 ◽

2020 ◽

Vol 10 (1) ◽

pp. 91-101

Author(s):

Cynthia Eka Fayuning Tjomiadi

Keyword(s):

Diabetic Foot ◽

Illness Perceptions ◽

Illness Perception ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Cross Sectional Study ◽

Cross Sectional ◽

High Incidence

AbstrakLATAR BELAKANG: Tingginya kejadian ulkus kaki diabetik di dunia terutama di Indonesia membawa pertanyaan besar, apa faktor yang menyebabkan fenomena tersebut. Hasil penelitian terbaru menunjukan adanya peranan persepsi terhadap penyakit dapat memoengaruhi signifikansi kejadian ulkus kaki diabetik.TUJUAN: Penelitian ini bertujuan untuk mendeskripsikan bagaimana persepsi penyakit terhadap ulkuk kaki diabetik di Banjarmasin, Kalimantan Selatan, Indonesia.METODE: Studi deskriptif dengan metode cross-sectional dilakukan di poliklinik kaki diabetik Rumah Sakit Umum Daerah Ulin Banjarmasin. Persepsi penyakit diukur dengan menggunakan Brief Illness Perceptions Questionnaire (BIPQ).HASIL: Domain dari perspsi penyakit telah berhasil dideskripsikan. Ulkus kaki diabetik dianggap sebagai penyakit kronis yang akan memberikan dampak besar terhadap kehidupan sehari-hari dan sulit di identifikasi. Kurangnya pemahaman tentang ulkus kaki diabetik juga ditemukan dari hasil penelitian iniKata Kunci: Ulkus Kaki Diabetik, Persepsi Penyakit Perception of Patient's Disease with Diabetic Foot UlcersIn Banjarmasin, South Kalimantan, IndonesiaAbstractBACKGROUND The urgency of the high incidence of Diabetic Foot Ulcer (DFU) around the world especially in Indonesia bring a big question, what are the factor that causes this phenomenon. Evidence from the recent research showed the role of illness perception and its significance on DFU.OBJECTIVE This study aims to describe what are the illness perceptions of patients with DFU in Banjarmasin, South Borneo, Indonesia.METHODS A descriptive cross-sectional study design was used. The DFU patients who required routine follow up in podiatry outpatient department of Ulin General Hospital in Banjarmasin were recruited. The illness perceptions were measured by using Brief Illness Perceptions Questionnaire (BIPQ).RESULTS The mean of the illness perceptions domain has been described. DFU considered as chronic disease which bring a major impact on daily life, difficult to identify. The lack of understanding on DFU also has been endorsed by the participants in this study. Keywords: Diabetic Foot Ulcer, Perception of Disease

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Delayed Symptoms in Patients Recovered from COVID-19

Iranian Journal of Public Health ◽

10.18502/ijph.v49i11.4729 ◽

2020 ◽

Author(s):

Seyed Tayeb MORADIAN ◽

Akram PARANDEH ◽

Robabe KHALILI ◽

Leila KARIMI KARIMI

Keyword(s):

General Hospital ◽

Cross Sectional Study ◽

New Disease ◽

Sectional Study ◽

Cross Sectional ◽

Frequent Symptom ◽

Rehabilitation Programs ◽

Hospital Patients ◽

The Mean

Background: COVID-19 is a new disease, so we don’t know what comes next. Since information on delayed symptoms is limited, this study was conducted to assess the frequency of delayed symptoms in patients with COVID-19. Methods: This follow-up cross-sectional study was conducted in a referral general hospital in Tehran, Iran from Feb to Apr 2020. Two hundred patients hospitalized for COVID-19 and were discharged were assessed for delayed symptoms 6 wk after discharge. Results: The mean age of the participants was 55.58±13.52, and 160 (80%) Of them were male. On admission to hospital, patients reported a mean of 5.63±2.88 symptoms per patient, range from 1 to 14 symptoms. Dyspnea was seen in 119 (59.5%) 0f them as the most frequent symptom. Then weakness, myalgia, and shivering were reported with a frequency of 111 (55.5%), 107 (53.5%), and 103 (51.5%), respectively. Six weeks after discharge reassessment was done. None of the patients was readmitted to the hospital. Ninety-four (42%) of them were symptom-free. Fatigue was the most frequent delayed symptom with a frequency of 39 (19.5%), and then dyspnea, weakness, and activity intolerance with a frequency of 37 (18.5%), 36 (18%), and 29 (14.5%) were reported, respectively. Conclusion: Fatigue, dyspnea, weakness, anxiety, and activity intolerance were most frequent delayed symptoms, respectively. Majority of patient was symptoms free and those with symptom, had mild to moderate symptoms. The importance of symptoms is not fully recognized. Follow up clinics and in some cases rehabilitation programs may be helpful

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Prevalence of Onychomycosis among Patients with Transverse Overcurvature of the Nail: Results of a Cross-Sectional Study

Skin Appendage Disorders ◽

10.1159/000509985 ◽

2020 ◽

Vol 6 (6) ◽

pp. 351-354

Author(s):

Leandro Fonseca Noriega ◽

Nilton Gioia Di Chiacchio ◽

Cristina Diniz Borges Figueira de Mello ◽

Maria Victoria Suarez ◽

Diego Leonardo Bet ◽

...

Keyword(s):

Differential Diagnosis ◽

Prevalence Rate ◽

Clinical History ◽

Daily Practice ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Microbiological Examination ◽

Age Range ◽

Rule Out

Introduction: Transverse overcurvature of the nail (TON) represents one of the main reasons for dermatological consultations due to nail conditions. Association between TON and subungual hyperkeratosis is common and simulates onychomycosis, constituting a difficult differential diagnosis by clinical features. Many cases are treated in daily practice with antifungal therapy even without mycological confirmation. The aim of this study was to determine the prevalence of onychomycosis among patients with TON associated with subungual hyperkeratosis. Methods: All subjects with clinical diagnosis of TON and subungual hyperkeratosis were subjected to a thorough clinical history, detailed clinical examination, digital photography, and collection of nail clipping and subungual debris for histopathological and microbiological examination (direct microscopy). Results: Sixty-five samples were collected from 62 female (95.4%) and 3 male (4.6%) participants. Age range was between 34 and 83 years (mean age, 61.2 years). Twenty-eight samples were positive for onychomycosis, giving a 43.07% prevalence rate of onychomycosis among TON associated with hyperkeratosis. Discussion/Conclusion: According to our data, the prevalence of onychomycosis in patients with TON associated with subungual hyperkeratosis was 43.07%, confirming the need to rule out fungal infection in TON associated with subungual hyperkeratosis prior to considering any unnecessary antifungal treatment.

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Prevalence and Factors Associated with Perceived Stigma among Patients with Epilepsy in Ethiopia

Psychiatry Journal ◽

10.1155/2015/627345 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 15

Author(s):

Tolesa Fanta ◽

Telake Azale ◽

Dawit Assefa ◽

Mekbit Getachew

Keyword(s):

Sampling Method ◽

Cross Sectional Study ◽

Negative Influence ◽

Source Population ◽

Perceived Stigma ◽

Cross Sectional ◽

Systematic Random Sampling ◽

Patients With Epilepsy ◽

Age Range

Background. Epilepsy stigma is considered to be one of the most important factors that have a negative influence on people with epilepsy. Among all types of stigma perceived stigma further exerts stress and restricts normal participation in society.Methods. Hospital based cross-sectional study was conducted from May 1, 2013, to May 30, 2013. All patients with epilepsy in Ethiopia were source population. The sample size was determined using single population proportion formula and 347 subjects were selected by using systematic random sampling method. Data was analyzed by using SPSS version 20.Results. A total of 346 participants with mean age of 29.3 ± 8.5 SD participated with a response rate of 99.7%. The prevalence of perceived stigma was 31.2%. Age range between 18 and 24 [AOR = 2.84, 95%CI: 1.02, 7.92], difficulty to attend follow-up because of stigma [AOR = 3.15, 95%CI: 1.19, 8.34], seizure related injury [AOR = 1.88, 95%CI: 1.12, 3.15], and contagion belief [AOR = 1.88, 95%CI: 1.10, 5.08] were significantly associated with perceived stigma.Conclusions. Perceived stigma was found to be a common problem among patients suffering from epilepsy. The results reinforce the need for creating awareness among patients with epilepsy and addressing misconceptions attached to epilepsy.

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Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v26i1.47950 ◽

2020 ◽

Vol 26 (1) ◽

pp. 31-36

Author(s):

Md Zakaria Sarkar ◽

AHM Ferdows Nur ◽

Utpal Kumar Dutta ◽

Muhammad Rafiqul Islam ◽

Debabrota Roy ◽

...

Keyword(s):

Hearing Loss ◽

Cross Sectional Study ◽

Surgical Trauma ◽

Group 14 ◽

Progressive Hearing Loss ◽

Cross Sectional ◽

Hearing Gain ◽

Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

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EFFICACY OF TREATMENT OF H.PYLORI EARDICATION WITH STANDARD TRIPLE THERAPY IN PEPTIC ULCER PATIENTS

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.3.17 ◽

2011 ◽

pp. 122-129

Author(s):

Quang Di Bui ◽

Phuoc Lam Nguyen

Keyword(s):

Peptic Ulcer ◽

Adverse Effects ◽

Triple Therapy ◽

Cross Sectional Study ◽

Cross Sectional ◽

Duodenal Ulcers ◽

Ulcer Disease ◽

Intention To Treat ◽

Standard Triple Therapy

Objectives: The aim of study is to evaluate the efficacy, tolerability and adverse effects of a standard triple therapy including Rabeprazole, Clarithromycin and Amoxicilline at Sai gon Hoan My hospital in order to consider treatment H.pylori for patients who have not yet eradicated before or need to be undertaked by alternative regimens. Methods: By descriptive cross-sectional study, the authors have examined 116 patients sufferring from peptic ulcer received 10-day therapy including Rabe (20mg b.d) plus Clari(500mg b.d) plus Amoxi(1g b.d). Eradication is confirmed with endoscopy after 4 weeks from completing of treatment. Results and Discussion: 100% of patients were initially included and noboby was dropped out of the follow-up satges. The mean age was 49 in which 62% was male, 73(62,9%) presented duodenal ulcer, 28(24,1%) gastric ulcer and 15(13%) simultaneous gastric and duodenal ulcers. All patients took medications correctly. Per-protocol and intention to treat eradication rates were both 75%(95% CI=73,4-78,3). Additionally, 62(53,4%) patients had at least one risky factor for peptic ulcer disease, smoking being the most common one 44(37,9%).The adverse effects were reported overall in 67% of the patients, mainly including changed taste, very bitter, tired 49%, trouble sleeping 12% and diarrhea 5%. Conclusion: this ten-day standard triple therapy used in this study is ineffective with high adverse effects.The first line eradication with new regimens should be alternative.

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Clinical Utility of the Ankle-Brachial Index and Toe Brachial Index in Patients with Diabetic Foot Ulcers

Current Diabetes Reviews ◽

10.2174/1573399815666190531093238 ◽

2020 ◽

Vol 16 (3) ◽

pp. 270-277 ◽

Cited By ~ 1

Author(s):

Mutasem Ababneh ◽

Mousab Y. Al Ayed ◽

Asirvatham A. Robert ◽

Mohamed A. Al Dawish

Keyword(s):

Diabetic Foot ◽

Statistical Significance ◽

Ankle Brachial Index ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Arterial Disease ◽

Cross Sectional Study ◽

Screening Tests ◽

Cross Sectional ◽

Toe Brachial Index

Background: This cross sectional study investigated the clinical use of the ankle-brachial index (ABI) and toe brachial index (TBI) in 91 type 2 diabetic foot ulcer patients who visited the diabetic foot clinic, Prince Sultan Military Medical City, Saudi Arabia during July 2017 and January 2018. Materials and Methods: The ABI and TBI facilitated the detection of peripheral arterial disease (PAD) and the patients’ medical records were used to collect the clinical and demographic variables. The variables of duration (p = 0.047) and treatment (p = 0.046) of the ABI showed significant differences. Age (p = 0.034) and duration (p = 0.001) were the factors related to the diagnosis of TBI by the “χ2” test. Results: From the TBI, 26.4% of the patients were found to have PAD, while the ABI showed that 21.8% of patients had the condition. However, no statistical significance was noted. From the regression analysis, the variable duration of diabetes (≥ 20 years of age) was recognized as an independent risk factor for TBI. Conclusion: In conclusion, it is recommended both the ABI and TBI to be used as screening tests for PAD in diabetic foot ulcer patients.

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Predictors of loss to follow-up in art experienced patients in Nigeria: a 13 year review (2004–2017)

AIDS Research and Therapy ◽

10.1186/s12981-019-0241-3 ◽

2019 ◽

Vol 16 (1) ◽

Author(s):

Ahmad Aliyu ◽

Babatunde Adelekan ◽

Nifarta Andrew ◽

Eunice Ekong ◽

Stephen Dapiap ◽

...

Keyword(s):

Patient Adherence ◽

Cross Sectional Study ◽

Emergency Plan ◽

Cross Sectional ◽

Loss To Follow Up ◽

Viral Loads ◽

Review Period ◽

Lost To Follow Up ◽

Differentiated Care

Abstract Background Expanded access to antiretroviral therapy (ART) leads to improved HIV/AIDS treatment outcomes in Nigeria, however, increasing rates of loss to follow-up among those on ART is threatening optimal standard achievement. Therefore, this retrospective cross-sectional study is aimed at identifying correlates and predictors of loss to follow-up in patients commencing ART in a large HIV program in Nigeria. Methods Records of all patients from 432 US CDC Presidents Emergency Plan for AIDS Relief (PEPFAR) supported facilities across 10 States and FCT who started ART from 2004 to 2017 were used for this study. Bivariate and multivariate analysis of the demographic and clinical parameters of all patients was conducted using STATA version 14 to determine correlates and predictors of loss to follow-up. Results Within the review period, 245,257 patients were ever enrolled on anti-retroviral therapy. 150,191 (61.2%) remained on treatment, 10,960 (4.5%) were transferred out to other facilities, 6926 (2.8%) died, 2139 (0.9%) self-terminated treatment and 75,041 (30.6%) had a loss to follow-up event captured. Males (OR: 1.16), Non-pregnant female (OR: 4.55), Patients on ≥ 3-monthly ARV refills (OR: 1.32), Patients with un-suppressed viral loads on ART (OR: 4.52), patients on adult 2nd line regimen (OR: 1.23) or pediatric on 1st line regimen (OR: 1.70) were significantly more likely to be lost to follow-up. Conclusion Despite increasing access to anti-retroviral therapy, loss to follow-up is still a challenge in the HIV program in Nigeria. Differentiated care approaches that will focus on males, non-pregnant females and paediatrics is encouraged. Reducing months of Anti-retroviral drug refill to less than 3 months is advocated for increased patient adherence.

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The causes of infertility in women presenting to gynaecology clinics in Harare, Zimbabwe; a cross sectional study

Fertility Research and Practice ◽

10.1186/s40738-020-00093-0 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Mugove G. Madziyire ◽

Thulani L. Magwali ◽

Vasco Chikwasha ◽

Tinovimba Mhlanga

Keyword(s):

Assisted Reproduction ◽

Cross Sectional Study ◽

Male Factor ◽

Cross Sectional ◽

Unprotected Sexual Intercourse ◽

Assisted Reproduction Techniques ◽

Public Facilities ◽

Tubal Blockage ◽

Private And Public

Abstract Background Infertility affects 48.5 million couples globally. It is defined clinically as failure to conceive after 12 months or more of regular unprotected sexual intercourse. The contribution of various aetiological factors to infertility differs per population. The causes of infertility have not been assessed in Zimbabwe. Our objectives were to determine the reproductive characteristics, causes and outcomes of women presenting for infertility care. Methods A retrospective and prospective study of women who had not conceived within a year of having unprotected intercourse presenting in private and public facilities in Harare was done. A diagnosis was made based on the history, examination and results whenever these were deemed sufficient. Data was analysed using STATA SE/15. A total of 216 women were recruited. Results Of the 216 women recruited, two thirds (144) of them had primary infertility. The overall period of infertility ranged from 1 to 21 years with an average of 5.6 ± 4.7 years whilst 98 (45.4%) of the couples had experienced 2–4 years of infertility and 94 (43.5%) had experience 5 or more years of infertility. About 1 in 5 of the women had irregular menstrual cycles with 10 of them having experienced amenorrhoea of at least 1 year. Almost half of the participants (49%) were overweight or obese. The most common cause for infertility was ‘unexplained’ in 22% of the women followed by tubal blockage in 20%, male factor in 19% and anovulation in 16%. Of the 49 (22.7%) women who conceived 21(9.7%) had a live birth while 23 (10.7%) had an ongoing pregnancy at the end of follow up. Thirty-seven (17.1%) had Assisted Reproduction Techniques (ART) in the form of Invitro-fertilisation/Intracytoplasmic Sperm Injection (IVF/ICSI) or Intra-Uterine Insemination (IUI). Assisted Reproduction was significantly associated with conception. Conclusion Most women present when chances of natural spontaneous conception are considerably reduced. This study shows an almost equal contribution between tubal blockage, male factor and unexplained infertility. Almost half of the causes are female factors constituted by tubal blockage, anovulation and a mixture of the two. Improved access to ART will result in improved pregnancy rates. Programs should target comprehensive assessment of both partners and offer ART.

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