Study of chronic hyperglycemia and pulmonary function test at tertiary care center in rural Maharashtra

Background: Tobacco smoking is widely prevalent all over the world and it continues to rise in developing countries. Smoking has a deleterious effect on pulmonary functions. Smoking is the single most significant risk factor contributing to the development of Chronic obstructive airway diseases (COPD). Spirometry by a trained health professional gives an indication of lung health by measuring airway abnormality. Objectives were to study pulmonary function test (PFT) in smokers and non-smokers between 30-50 years and to study the correlation of PFT with pack years.Methods: Apparently healthy subjects, 50 smokers and 50 non-smokers between 30-50 years without any symptoms were included as subjects. Patients with uncontrolled hypertension, recent myocardial infarction and pulmonary TB were excluded. Ex-smokers were excluded from the study. Patients with acute respiratory illness, severe systemic illness, chest trauma and dementia were also excluded. After proper history taking and clinical examination, measuring height and weight (vitals, pulse rate, respiratory rate, blood pressure) the selected individual was subjected to spirometry using ATS criteria (American Thoracic Society criteria). Spirometry was performed using UNI-EM spirometer. Collected data was analyzed using Statistical Package for the Social Service (SPSS) software version 17.Results: In this study 94 males and 6 females were enrolled as subjects. Maximum number of the patient 49 cases (49%) presented in the age group of 30-35 years, followed by 23 cases (23%) in 36-40 years age group. Of these 49 cases,15 were smokers while the rest 34 were non-smokers (P=0.0007). In 100 cases studied, 39% showed normal PFT and 61% shows abnormal PFT. Among smokers (out of total 50 cases) pulmonary function test (PFT) was abnormal in 36 cases (72%) while in non-smokers, 25 (50%) had abnormal PFT (P-value-0.024). This data indicates that smoking is highly associated with an abnormal PFT pattern. Out of 100 cases both smokers and non-smokers, 11 (73.33%) underweight cases with (BMI<18.4) showed abnormal PFT. In 50 smokers, maximum cases 29 (58%) had normal BMI (18.5-22.9) (P value 0.0002). Abnormal PFT was observed in 25 (50%) non-smokers (P=0.001). Abnormal PFT was seen in 30 (69.77%) smokers with pack years <15 and 6 smokers (85.6%) with pack years >15 (P-value 0.383).Conclusions: Smoking is common in males between 30-35 years age group. Smoking is highly associated with an abnormal PFT. Cessation of smoking should be encouraged and PFTs from time to time in asymptomatic adults both smokers and non-smokers will be useful for early identification of abnormalities.

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Study of Liver Function Test in Perinatal Asphyxia at a Tertiary Care Center in Haryana

International Archives of BioMedical and Clinical Research ◽

10.21276/iabcr.2016.2.4.6 ◽

2016 ◽

Vol 2 (4) ◽

Author(s):

Gurdeep Singh Dhanjal ◽

◽

Navita Kaur ◽

Harnam Kaur

Keyword(s):

Liver Function ◽

Liver Function Test ◽

Perinatal Asphyxia ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Function Test

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CORRELATION OF PHYSICAL ACTIVITY AND PULMONARY FUNCTION TEST IN FIRST YEAR MEDICAL STUDENTS IN A TERTIARY CARE CENTRE.

10.36106/gjra/3916620 ◽

2021 ◽

pp. 243-245

Author(s):

Anuradha Upadhyay ◽

Kavita Yadav ◽

Rajesh Kumar Sharma

Keyword(s):

Physical Activity ◽

Medical Students ◽

Pulmonary Function ◽

Pulmonary Function Test ◽

Acute Exercise ◽

Tertiary Care ◽

The Body ◽

Respiratory Parameters ◽

Function Test ◽

Before And After

BACKGROUND: Measurements of the ventilatory adaptations to physical activity provide useful information about the functional conserve capacity of the lungs in study participants with respiratory diseases. AIM: The present study aimed to study the correlation of physical activity and pulmonary function test in rst year MBBS medical students MATERIALS AND METHODS: A cross-sectional study conducted in a medical college. A total of 80 participated students comprising of 40 males and 40 females in the age group of 18-21 years were divided into four groups based on their body mass index as underweight, normal, overweight and obese group. Respiratory parameters (VC, FVC, FEV1, FEV1% and PEF) measured before and after acute physical activity in the bicycle ergometer. RESULTS: No signicant changes found in all the four groups before and after physical activity in males. The values of FVC & VC after exercise reduced than the baseline values in overweight and obese females (p < 0.01). CONCLUSION: Acute exercise not signicantly affect the respiratory parameters. The body fat distribution of the participated signicantly affect the ventilatory response to acute physical activity in otherwise healthy individuals

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Significance of frequent spirometry test in treated pulmonary tuberculosis patients in tertiary care teaching hospital

IP Indian Journal of Immunology and Respiratory Medicine ◽

10.18231/j.ijirm.2021.017 ◽

2021 ◽

Vol 6 (2) ◽

pp. 75-79

Author(s):

Jaykumari Choudhary ◽

Suprova Chakraborty ◽

Prasanta Kumar De

Keyword(s):

Pulmonary Tuberculosis ◽

Pulmonary Function ◽

Pulmonary Function Test ◽

Communicable Disease ◽

Tertiary Care ◽

Normal Lung ◽

Test Results ◽

Duration Of Symptoms ◽

Function Test ◽

Restrictive Pattern

Tuberculosis is one of the most important communicable disease, which poses a global public health threat and remains the leading cause of death among infectious diseases, especially in undeveloped and developing countries.It was a prospective, observational, hospital based study conducted in the department of Respiratory Medicine, IPGMER SSKM Hospital, Kolkata from January 2020 to December 2020. Atotal of 80 cases, with history of adequately treated one episode of pulmonary tuberculosis, were included in this study.According to pulmonary function test results, 30(37.5%) patients had obstructive pattern and 11(13.8%) had restrictive pattern, in spirometry. Another 15(18.8%) patients had, mixed obstructive/restrictive pattern, while in rest 24 (30%) patients, spirometry test results were normal. The distribution of various pulmonary function test results among patients with obstructive pattern (N=30), ATT completion history was 7.57 ± 2.77 years back in average. Whereas average duration of symptoms in them was found to be 4.03 ± 1.96 years. For patients with restrictive pattern (N=11), these durations were 10.91 ± 2.51years and 7.59 ± 2.35 years respectively. Patients with mixed pattern (N=15), both durations were 11.33 ± 3.50 years and 7.33 ± 2.94 years respectively. Whereas among patients with normal lung function (N=24), ATT completion duration was 2.83 ± 2.21 years and symptom onset duration was 0.63 ± 0.34 years.There was emphatically found thatduration of anti-tubercular treatment, duration of symptoms and pulmonary function abnormalities. Hence clinical suspicion, early diagnosis and early treatment strategy are required to prevent further deterioration of pulmonary function in treated Pulmonary tuberculosis (PTB) patients. So, frequent or annual spirometry is required in these patients.

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