scholarly journals Study the Incidence of Fistula- in- Ano in Subsequent to Anal Abscess

2020 ◽  
Vol 19 (2) ◽  
pp. 218-223
Author(s):  
Nasir Kareem Dhahir ◽  

Background: The Fistula disease is considered common surgical case in the surgical wards of the Baquba teaching hospital, and consider as a complication of the anorectal abscess. Objective: To investigate the incidence of cases that infect with fistula in ano in subsequent to different types of anorectal abscesses. Patients and Methods: This study performed in the Baquba teaching hospital in a period from January 2016 until Jun 2018 including 216 patients (124 male and 92 female); all patients were included in the study . Samples of the patients classified into three groups according to the type of management. Results: The results show that the high incidence of fistula in ano is appearing in patients associated with hemorrhoids 8.84%, and high percent in patients who had a perianal abscess (63.48%) Regarding the distribution of cases according to age and sex, a low percentage of cases appear in age (1-10) with 6.45% and 2.18% in males and females respectively. While the highest percentage appears in the males at age (21-30) with 37.11% and in females is at the age (11-20) with 29.35%. And by the chi-square value for males is 16.37 and for females is 9.94 in a significant value of p=0.01 and p=0.05 respectively. Conclusion: Fistula in ano can be associated with cases have hemorrhois, and more present with patients who have a perianal abscess, and the early drainage of the abscess can prevent development of the fistula. Keywords: Fistula, Ano, Anorectal abscess, Internal anal sphincter

2012 ◽  
Vol 2 (4) ◽  
pp. 208
Author(s):  
Hasan Arifuddin

Abstract Rose and Nicholl’s  view dealing with the effectiveness of multisensory learning seems contradictory with Pease and Pease’s theory regarding with gender-based multitasking. The present study aims at: 1)  determining the significance of the difference of STM of English vocabulary between males and females learned through different types of modalities; 2) testing  whether multimodality lowers  males’  STM of English vocabulary; and 3) exploring the trainees’ modality preference and their reasons based on sex.  This mix-methods study involved 60 subjects drawn through Allocation Random Sampling. Data were collected with tests, a structured questionnaire, an interview, a tape-recorder, observations and note-taking. They were analyzed with Two-way Anova, Chi-square (χ2) and cyclical qualitative analysis. It shows that: 1) there is a significant difference of  STM of English vocabulary between males and females trained with different types of modalities; 2) multimodality did not lower males’ STM of English vocabulary; and 3) Pease and Pease’s theory is not accepted. The effectiveness of a certain type of modality, their learning habits, and their school regulations  contribute to their  modality preference. Key words:  multitasking, multimodality, sex, short-term memory, training, development


2018 ◽  
Vol 5 (9) ◽  
pp. 3006
Author(s):  
Shruti Yadu ◽  
Aradhana Toppo

Background: Fistula-in-ano is an abnormal communication between the anal canal or rectum and the perianal skin, which causes a chronic inflammatory response. The most common cause is nearly always by a previous anorectal abscess. The chief complaint of anorectal fistula is intermittent or constant drainage or discharge. There is usually a history of previous pain, swelling and recurrent abscess that ruptured spontaneously or was surgically drained. There may be a pink or red elevation exuding pus, or it may have healed. Digital rectal examination remains the main stay of diagnosis in anorectal fistula cases.Methods: The present cross sectional observational prospective study was conducted in 50 patients who presented with their complaints to the Surgery Outpatient Department and who were admitted under the Department of Surgery, Dr. B.R.A.M. Hospital, Raipur (C.G.), India during study period was from March 2015 to September 2016. Detailed clinical history and examination of the patient was recorded. All investigations relevant to the study were done in all the patients. Appropriate surgical management were performed. Postoperative findings were noted.Results: 36% patients are in the age group of 41-50. 82% are male patients and 18% patients are female patient. 76% Patients had single opening. 74% Patients had perianal discharge while 66% patients presented with perianal pain. 40% patients had h/o perianal abscess. Most common mode of presentation was discharge. 76% patients had posterior opening while 24% patients had anterior opening. Fistulectomy and fistulotomy were performed in 39 subjects (78%) and 7 subjects (14 %) respectively.Conclusions: Anal fistula is a common disease which is devastating to the patients and imposes challenges to the surgeon. Early diagnosis and appropriate management are the key to success.


2006 ◽  
Vol 41 (4) ◽  
pp. 202
Author(s):  
Pertin Sianturi ◽  
Amir Sarifuddin ◽  
Bistok Saing

Epilepsy is a chronic condition due to cerebral function disorders. Epilepsy occurs as a common complication of many neurological disorders such as cerebral palsy (CP) that can affect further brain damage especially if they are with prolonged seizure. The incidence of epilepsy among patients with CP varies between 25-35%. The high incidence of epilepsy among patients with CP suggests that this disorder has common or related origins. We carried out the retrospective study to determine incidence of epilepsy among patients with CP registered within July 1988 to June 1998 in YPAC Medan and to determine whether the incidence of epilepsy differed according to type of CP. Data were compiled from medical records, including name, sex, parity, mothers age, prenatal, perinatal, and postnatal history, and EEG results. Data were analyzed using statistical computer program and its significance was evaluated by chi square test at p < 0,05. There were 67 cases with CP, 53 cases spastic CP, 13 cases mixed CP and one case dyskinetic CP. Of the 67 cases CP, 47,8% male, 52,2% female and mean age 50,3 (SD 36,9) months. There were 25 (37,3%) patients CP associated with epilepsy, 72% general seizures, 20% partial seizures, and 8% infantile spasms. The incidence of epilepsy was significant different among patients with CP associated with type of CP and gestasional age, p < 0,05. We concluded that incidence of epilepsy among patients with CP in YPAC Medan was 37,3% and significantly different among patients with CP according to type CP and gestasional age.


2003 ◽  
Vol 24 (10) ◽  
pp. 731-736 ◽  
Author(s):  
Hilary M. Babcock ◽  
Victoria Fraser

AbstractObjective:Determine differences in patterns of percutaneous injuries (PIs) in different types of hospitals.Design:Case series of injuries occurring from 1997 to 2001.Setting:Large midwestern healthcare system with a consolidated occupational health database from 9 hospitals, including rural and urban, community and teaching (1 pediatric, 1 adult) facilities, ranging from 113 to 1,400 beds.Participants:Healthcare workers injured between 1997 and 2001.Results:Annual injury rates for all hospitals decreased during the study period from 21 to 16.5/100 beds (chi-square for trend = 22.7; P = .0001). Average annual injury rates were higher at larger hospitals (22.5 vs 9.5 Pis/100 beds; P = .0001). Among small hospitals, rural hospitals had higher rates than did urban hospitals (14.87 vs 8.02 PIs/100 beds; P = .0143). At small hospitals, an increased proportion of injuries occurred in the emergency department (13.7% vs 8.6%; P = .0004), operating room (32.3% vs 25.4%; P = .0002), and ICU (12.3% vs 9.4%; P = .0225), compared with large hospitals. Rural hospitals had higher injury rates in the radiology department (7.7% vs 2%; P = .0015) versus urban hospitals. Injuries at the teaching hospitals occurred more commonly on the wards (28.8% vs 24%; P = .0021) and in ICUs (11.4% vs 7.8%; P = .0006) than at community hospitals. Injuries involving butterfly needles were more common at pediatric versus adult hospitals (15.8% vs 6.5%; P = .0001). The prevalence of source patients infected with HIV and hepatitis C was higher at large hospitals.Conclusions:Significant differences exist in injury rates and patterns among different types of hospitals. These data can be used to target intervention strategies.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Olaolu T. Olufemi ◽  
Danjuma B. Dantala ◽  
Paul A. Shinggu ◽  
Umesi A. Dike ◽  
Gbeminiyi R. Otolorin ◽  
...  

A cross-sectional study was conducted in Wukari, Taraba state, Nigeria, to determine the prevalence of Brucella antibodies and the risk factors associated with brucellosis in indigenous breeds of goats. A total of 386 goats were sampled from three political wards: Puje, Avyi, and Hospital: harvested sera samples were subjected to Rose Bengal Plate Test (RBPT). GraphPad Prism version 7.03 for Windows (GraphPad Software, La Jolla California, USA) was used to analyse the association between seroprevalence of brucellosis and age, sex, breed, location, and management system by using Chi square and Fisher’s exact test as appropriate. Brucellosis was detected in all three wards: Puje; 15%, Avyi; 6.6%, and Hospital; 7.6%. A prevalence rate of 2.8%, 8%, 18.7%, and 1% was recorded for <20-month, 22-35-month, 36-45-month, and ≥46-55-month age categories, respectively (P < 0.05). Only 9.5% was observed for male animals while 9.8% was observed for female animals with no statistical difference between the males and females. Breed-specific seroprevalence yielded 7.4%, 5.4% 12%, 12.8%, and 11.6%, for Cross, West Africa Dwarf, Red Sokoto, Kano Brown, and Sahel breeds of goat, respectively. There is an evidence of brucellosis (9.6%) in Wukari L.G.A, Taraba State, and age is a risk factor for the disease in the study area. There is a need to enlighten the public on the zoonotic potentials and economic impacts of brucellosis.


2021 ◽  
Vol 5 (2) ◽  
pp. 087-095
Author(s):  
Mbula MMK ◽  
Longo-Mbenza B ◽  
Situakibanza HNT ◽  
Mananga GL ◽  
Makulo JRR ◽  
...  

Background: The survival of people living with HIV (PLWHIVs) is increased and Health systems will have to deal with the early-aging-associated medical conditions. Objective: The objective of this study is to compare the clinical and biological profiles of PLWHIVs aged 50 and over and those aged less than 50 years. Material and methods: This study conducted at Kinshasa University Teaching Hospital (KUTH) covers 6 years. The clinical and biological characteristics of PLWHIVs aged 50 and over were compared with those under 50. Statistical analysis used the means ± SD, the calculation of frequencies, Student’s t-test and Chi-square. Results: PLWHIVs aged 50 or over represented 35.1%. Their average age was 58.0 ± 4.8 years. Women predominate among those under 50 and men among those 50 and over. Married people were more numerous (54% among those under 50). There were more unemployed (50% of PLHIV under 50). Patients 50 years and older were significantly classified as WHO stage 4 with a high frequency of history of tuberculosis, genital herpes, high blood pressure, smoking, vomiting, hepatomegaly, moderate elevation of diastolic blood pressure (DBP) and sytolic blood pressure (SBP), tuberculosis and anemia. Those under 50 had a significantly increased frequency of shingles, hepatitis B-hepatitis C, headaches and more survivals. The mean of Hb, HDL-C, and CD4s+ were significantly lower in patients 50 years and older, and urea, LDL-C, and ALAT levels were significantly higher. Conclusion: The average age was higher from 50 years old. These PLWHIVs were more frequently in WHO stage 4 with more common TB and anemia. Their Hb, HDL-C, and CD4s+ levels were lower while their urea, LDL-C and ALAT levels were significantly elevated.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Priyanka Yadav

Background: Tension-type headaches (TTH), together with migraines, are the most common primary headaches, affecting 80% of the general population. Stress is known to be a contributing factor to chronic tension-type headache (CTH), with research indicating that mental stress is the most commonly reported trigger and aggravating factor of a CTH episode. The study was conducted to find out the prevalence of TTH among youths of 18-25 age reporting frequent headache and to compare the perceived stress level among the diagnosed male and females of TTH. Methods: Perceived Stress Scale (PSS) rating and an IHS (International Headache Society) TTH Diagnostic questionnaire were used in this study. A sample of 150 students including 75 males and 75 females in the age group of 18-25 years complaining of frequent headache were taken from different colleges and universities located in Rewari district of Haryana. In the second phase, only the diagnosed cases of tension type headache participated in the study and fill the perceived stress scale questionnaire. After data collection, analysis of data using SPSS software was done which then further help in testing the hypothesis and extracting the result and inferences. Descriptive analysis of quantitative data expressed as mean and standard deviation. Mean and Chi square test were used for comparison of individual on quantitative parameters between groups. P value < 0.05 was considered statistically significant. Results: The mean age of subjects with TTH was 22.79 ±2.14. Prevalence of TTH among frequent headache sufferers is 68%. Out of 68% TTH cases 66.7% subjects have episodic TTH and 33.3% have chronic TTH. Value of PSS * Gender Pearson chi square is 5.151 at a significance value of .076 and it shows that there would be no significant differences exist between males and females on perceived stress score. Conclusion: TTH is more prevalent among females as compared to males. No significant differences exist between males and females on perceived stress scores.


2020 ◽  
Vol 4 (3) ◽  
pp. p70
Author(s):  
Othman Khalid Al Shboul

The current study investigates the request strategies used by males and females in online religious forums. It aims to explore request types realized by linguistic formulas used by males and females when they make requests in computer-mediated communication. The study offers pragmatic and sociolinguistic explanations for these differences. It also discusses the functions of these requestive forms such as asking for more clarifications or to request the addressee to answer a question directly. This study found that there are seven strategies used by the participants to make their requests. Most of which are shared by males and females. The study applied Chi-square test to show whether or not the differences in the use of each type of requests between the two groups (males and females) are statistically significant.


2020 ◽  
Vol 14 (1) ◽  
pp. 440-449
Author(s):  
Khaled Alzahrani ◽  
Abdulrahman Mohammed Alnafisah ◽  
Khalid Gohormallah Alzahrani ◽  
Khalid Ghalib Alharbi

Objective: The aim of the study is to assess knowledge, attitude and practices of dental implants among dental interns in Saudi Arabia Materials and Methods: A self-designed, close-ended questionnaire was distributed among 205 interns chosen by stratified random sampling technique. The questionnaire consisted of 28 items pertaining to demographic characteristics, knowledge and practices of dental implants. Responses were coded and entered into spreadsheet software (Microsoft Excel 16.0.) and analyzed using Statistical Package for Social Sciences (SPSS, IBM Version 22.0) and contingency tables and chi-square test (χ2). Results: The majority of the participants were males (64.4%), between 24-26 years of age (64%) and had a GPA between 4-5 (63.4%). The majority of the participants gained knowledge of dental implants through theoretical lectures (98.5%), and most of them (80%) knew, what material, an implant was made up of. Almost all participants (91.7%) knew that dental implants had surface modifications. Most (64.4%) believed that case selection is the most important criteria for the success of dental implant therapy, and this differed significantly among participants with respect to GPA (p=0.03). Many participants (60%) believed that the most important advantage of dental implants over fixed prosthesis is that reduction of adjacent tooth is not needed, and this differed significantly between males and females (p=0.026). There was a significant difference (p<0.001) between males and females when it came to confidence in independently restoring teeth using dental implants. 63% of the participants were confident to use dental implants in their future practice. Conclusion: Knowledge of dental implants among dental interns is satisfactory, but this study reveals that participants lack practical experience and would like to acquire more clinical skills. Limitations: The response rate of participants from each university was low, which made comparisons between different universities difficult because sample size from some universities was very small, which could not produce statistically accurate results.


Sign in / Sign up

Export Citation Format

Share Document