A clinico-epidemiological study of acne vulgaris conducted at a tertiary care hospital, Tamil Nadu

2021 ◽  
Vol 19 (3) ◽  
pp. 133-138
Author(s):  
M Selva Sudha ◽  

Background: Acne is a chronic, self-limiting inflammatory disease of pilosebaceous unit. It is multifactorial, of which Propionibacterium acne and Sebum play an important role in etiopathogenesis. Aim: To study the clinico-epidemiological characteristics of patients with acne vulgaris attending the Out Patient Department of Dermatology at a tertiary care hospital, in Tamil Nadu state of India. Material and Methods: This is a Cross sectional study conducted in patients who are attending to the Outpatient Department of Dermatology in Meenakshi Medical College and Research Institute, Tamil Nadu. A total of 50 apparently healthy male and non-pregnant females aged between 12 years and 35 years with clinical diagnosis of acne grade 1 and 2 with facial lesions only are selected and recruited for the study. Pregnant and lactating women, patients who are hypersensitive to retinoids and presented with any other skin condition that would interfere with diagnosis or assessment of acne were excluded from the study. Study subjects were divided into two groups. One groups was treated with Adapalene and the other group was treated with Tretinoin. Both the groups were compared for the clinico-epidemiological characteristics. Results: A total of 50 patients were recruited for the study (n=50). Out of the 50 patients, 20 were males (40%) and 30 were females; 28 patients were students (that is 56%) and 22 (that is 44%) were completed their studies or not going to school or college for studies. Among the 50 patients 32 were unmarried and 18 were married. Based on the duration of Acne, subjects were divided into three groups: - below 1 year, 1-2 year and above 2 years. All the clinico-epidemiological parameters were compared for analysis. Conclusion: It was observed that 24% of the study population showed a positive family history of acne and diet is the major precipitating factor for the development of Acne among all the affected patients. So suggestions of change in dietary habits to be given to Acne patients for better outcome.

2021 ◽  
pp. 63-64
Author(s):  
Anupama Roshan S ◽  
Priyasubhashini. M ◽  
M Mathivanan

Background: Due the lack of treatment options, isolation guidelines and fear about the disease, the cases with COVID 19 may experience high psychiatric related disorders. Hence this study was conducted to assess the prevalence of psychiatric morbidities among the cases with COVID 19 in a tertiary care hospital. Methods: Cross sectional study in the Department of Psychiatry at Government Medical College , Omandurar Government Estate, Chennai, a tertiary care teaching hospital during the period of April 2020 to September 2020. A total of 11,704 cases with COVID-19 were included in the study. Demographic details and psychiatry related clinical prole were assessed and entered in a proforma. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results: Overall prevalence of psychiatric morbidities among the COVID 19 cases was reported as 24.4% with signicant difference in prevalence among males and females. Most common psychiatric illness reported was COVID related anxiety (16.5%) followed by COVID related depression (6.6%), insomnia (0.87%), alcohol dependence syndrome (0.3%), acute stress reaction (0.03%), intellectual disability (0.03%), psychosis (0.02%) and hemophobia (0.008%). The difference in proportion of cases with various psychiatric morbidities like insomnia, COVID related anxiety, COVID related depression, and alcohol dependance syndrome among the male and female genders was found to be statistically signicant. Conclusion: Almost one fourth of the COVID cases are suffering from psychiatric morbidities. It can be recommended that all the cases with COVID can undergo screening and counseling for the psychiatric disorders.


Author(s):  
K. S. Ramya ◽  
T. S. Meena ◽  
R. Mothilal

Background: Postpartum intrauterine contraceptive device (PPIUCD) is a postpartum family planning method which provides spacing to the next pregnancy and also it helps to avoid unwanted / unintended pregnancy during postpartum period. Our aim is to study the willingness and PPIUCD acceptance between primiparaous and multiparaous women and compare them as a factor of route of insertion (vaginal versus caesarean).Methods: 1060 vaginal and caesarean deliveries conducted over a period of three months and 676 PPUCD insertions was done among the deliveries in a tertiary care hospital. A comparative cross-sectional study was done on the acceptance of PPIUCD by postpartum mothers between primiparous and multipararous women among the deliveries for the study period.Results: The proportion of willingness for PPIUCD was 68.8% among the postpartum mothers. The percentage of acceptance of PPIUCD was 73.8% and 51.4% in respect of primiparous and multiparous postpartum mothers. The route of PPIUCD insertion was more in caesarean deliveries (34.1%) than in vaginal deliveries (29.7%) in the total deliveries. The PPIUCD insertion in primiparous women was effective and statistically significant at p-value is <0.05.Conclusions: PPIUCD is a strong weapon in the family planning and should be encouraged in both vaginal and caesarean deliveries. The acceptability of PPIUCD by postpartum mothers was more in primiparous than in multiparous women.


Author(s):  
Sathiya S. ◽  
Renuka S. ◽  
Famida A. M. ◽  
Jennifer Britto J. ◽  
Vijayalakshmi K. ◽  
...  

Background: In recent years due to the changing sedentary life style, irregular periods and infertility has become a major concern. There are many causes for infertility out of which ovulatory disorders contribute to a great extend. The main objective of the study was to assess the clinical and hormonal profile of patients diagnosed with polycystic ovarian disease at tertiary care hospital in Tamil Nadu.Methods: This study was a cross sectional study and was carried out at the Department of Obstetrics and Gynaecology at a tertiary care hospital of Tamil Nadu. The study was done for a period of 6 months. For confirming polycystic ovaries, patients were interviewed thoroughly about their menstrual and fertility history. Blood investigations like LH, FSH were done on D2/D3 of menstrual cycle. 125 patients with PCOS were included in this study. The data was analysed with SPSS-IBM (V.22.0) software.Results: The patients having polycystic ovaries were higher in women of 21-30 years of age. BMI was more than 25. Infertility was found that 57%, hirsutism 45%,  oligomenorrhoea 21% and amenorrhea 20%. On day 2, mean serum LH was 5.9±3.6 and serum FSH was 3.9±2.3. This study showed that the proportion of menstrual complaints is reported more in higher age group. Likewise lower income group presented with menstrual complaints. This was found to be statistically significant (P value <0.05).Conclusions: The study showed that patients diagnosed to have PCOS overweight. PCO in obese women had more severe ovulatory dysfunction. Infertility was the most common complaint.


Author(s):  
Nidhi Shah ◽  
Faaria Ali ◽  
Aswathy Radhakrishnan ◽  
Parag Chaudhari ◽  
Anant Patil ◽  
...  

<p class="abstract"><strong>Background: </strong>To study clinical and epidemiological characteristics and hormonal profile of adult females with acne</p><p class="abstract"><strong>Methods: </strong>Adult female patients of &gt;25 years of age with acne were enrolled. Demographic profile, habits, location of acne lesions, associated disease and acne flare association with menstrual cycle were noted. Prevalence of abnormalities in testosterone, dihydroepiandrosterone-sulfate (DHEAS), prolactin, luteinizing hormone (LH), follicle stimulating hormone (FSH), LH:FSH ratio, anti-mullerian hormone (AMH), and serum insulin were noted. Ultrasound (abdomen and pelvis) was performed for screening the presence of any abnormality.</p><p class="abstract"><strong>Results:</strong> Fifty one patients [mean (SD) age 30.96 (4.93) years] were included in the study. Thirty six (70.59%) patients had persistent type of acne. Grade 2 acne was present in 40 (78.43%) patients. Oily skin was seen in 27 (52.94%) patients. Hirsuitism and menstrual irregularity was present in 24 (47.06%) and 13 (25.49%) patients respectively. Pigmentation and scarring was present in 27 (52.94%) and 35 (68.63%) patients respectively. Acne lesions were seen on cheeks in 36 (70.59%) patients. Eight (15.69%) patients had elevated testosterone. DHEAS and prolactin levels were normal in all patients. Elevation of LH and decreased FSH levels were seen in five (9.80%) and three (5.88%) patients respectively. Five (9.80%) patients had elevated LH:FSH level. Raised insulin level was seen in 8 (15.69%) patients.</p><p class="abstract"><strong>Conclusions: </strong>Derangement of hormonal profile is not very common among adult female patients with acne. However, in some patients laboratory markers of hyperandrogenism are seen.  </p>


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 71-75
Author(s):  
Amin Mohamed Khan ◽  
Timsi Jain ◽  
Dinesh Kumar G

Healthcare is a demanding profession and often, while performing their roles, healthcare workers face multiple occupational and personal stresses that may influence their ability to maintain positive dietary habits. Nutritional adequacy is the comparison between the nutrient requirement and the intake of a certain individual or population. Due to the limited availability of data on the dietary diversity of healthcare workers in India, an attempt was made to conduct an across-sectional study of the dietary diversity of healthcare workers working in a tertiary hospital. The sampling frame comprised of various hospital staff and healthcare workers who were working in the hospital and a total of 119 were examined. The study tool was prepared based on the FAO dietary diversity questionnaire Details about age, gender, and details regarding their jobs, such as shift work, were collected. A score of >11 was considered as the operational definition for a diverse diet. The socio-demographic variables of study participants, when analyzed show than early 90% (107) of the study population, were aged below thirty (30) years. Amongst the 119 subjects, 19 (16%) were male and 100 (84%) were female. Almost two thirds (58.8%) of the population involved worked in shifts. A majority of the subjects 18 (26.8%) opted for taste as the major determinant, followed by Stress at 15 (22.3%) and Cost with 12 (17.9%) subjects. When compared, dietary diversity in males was found to be much better. In conclusion, there is a significant absence of dietary diversity and the presence of nutrient inadequacy among the hospital staff and health care workers. This inadequacy is present primarily due to the ignorance and lifestyle choices of the subjects involved.


2019 ◽  
Vol 6 (6) ◽  
pp. 2093
Author(s):  
Anil Akulwar ◽  
Akshay Akulwar ◽  
Siddarth Rao ◽  
Ravinder Narang

Background: The incidence of gastric cancer varies in different part of world. It is a series problem as it involves development of malignancy in stomach and affected by with daily life style of the habituates.Methods: The present study was carried out at tertiary care center of districts of Vidarbha region of Maharashtra and neighborhood districts of Andhra Pradesh and Madhya Pradesh for the tenure of six years. Study and collection of data were assessed by examination of one hundred and seven patients suffering with the gastric carcinoma.Results: Males were found to be more susceptible in a ratio of 1.22/1. Mean age of incidence was assessed as nearly 55 years. Smoking, alcohol, mixed diet, weight gain, positive family history and history acid peptic disease were reported in 23.4%, 24.3%, 63.8%, 2.8% 36.4% and 36.4% cases. Mild to severe anemia was also reported. Most accountable symptom was abdominal pain, followed by vomiting. Lump in abdomen and nausea were some other symptoms. Jaundice in little percentage was also observed. Antrum was most common site of malignancy observed in more than 50% cases. Cardia, pylorus and fundus were involved in 17, 14 and 03 patients. Thickening of stomach wall were observed. Adrenocarcinoma was in 100 patient’s symptoms.Conclusions: Incidence of cases in these areas refers to poor dietary habits. Increasing the literacy and awareness regarding the causative factors in the respective areas contributes to decrease the incidence and risk too.


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 308-313
Author(s):  
Siddharth A R ◽  
Shiny Chrism Queen Nesan G ◽  
Timsi Jain

A selfie is a self-portrait photograph typically taken with a camera phone held in hand or supported by a selfie stick. Studies suggest that the level of selfie addiction among youngsters has been increasing over the years. is the term that is being widely used to denote selfie addiction. This study aims at assessing the level of selfie addiction and various factors associated with it, and to evaluate the relationship between selfie addiction and addictive selfie habits. A cross-sectional study was conducted among the Allied Health Science students of a tertiary care hospital in Chennai. Two hundred seventy-three students were studied by convenient sampling method. A , validated, structured and self-administered questionnaire was given, and the desired information was elicited. Chi-square test was used to test the significance (p &lt;0.05)A total of 287 students were studied, of which 65 (22.6%) were males, and 222 (77.4%) were females. It is observed that age, year of study, the place from which they come, place of stay and father's occupation have a statistically significant relationship with selfie addiction. Most of the selfie addictive have a female preponderance. A significant portion of the youth is in the early stage of selfie addiction. it is highly essential to spread awareness about the ill effects of selfie addiction among the youngsters to curb this addiction earlier.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

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