scholarly journals ORGANOPHOSPHORUS COMPOUND POISONING;

2008 ◽  
Vol 15 (04) ◽  
pp. 518-523
Author(s):  
KHURRAM SOHAIL RAJA ◽  
MUHAMMAD OWAIS FAZAL ◽  
AHMAD BILAL ◽  
Fraz Saeed Qurashi ◽  
Muqqadas Shaheen

. Objective: 1) To have an overview of epidemiological factors. 2) To determine the outcome of victims. Study design:Descriptive study. Setting: MU-III Allied Hospital Faisalabad. Period: From June 2007 to Dec 2008 Materials and Methods: 484 consecutivepatients who were admitted, from June 2007 to December 2008, in Medical unit III with history of having organophosphorus poisoning wereanalyzed for the epidemiological factors, time to arrive in the hospital, conscious level, mode of poisoning (homicidal, suicidal or accidental)treatment given and outcome. Results: The results of the study showed that age 14-30 years is the major group involved in poisoning 87.9%as compared to ages 31-45years (10.5%) and age more then 45 years (12%), also age group 14-30 years is having more suicidal tendenciesas well as accidental poisoning and these tendencies decrease with increasing age (p value=0.000). Male victims are more as compared tofemale victims (52.9% vs. 46.7%) in the study group. Suicidal tendencies as well as homicidal poisoning is more in female (n= 127 and 44,respectively) while accidental poisoning is more in male population (n=106), (p value=0.001). Urban population is more at risk of poisoning inall three, homicidal, suicidal and accidental, as compared to the rural population (p vale=0.018). Importantly in study is showed that out comeof the poisoning from organophosphorus is directly proportional to the interval between poisoning and presentation in emergency ward (p value=0.000), conscious level of the victim (p value = 0.000) and does not depend upon the mode of management (oxime or atropine) (p value 0.026).Conclusions: Younger urban population have increased tendency of poisoning with a dominance of female population. Rapidity of treatment,time to arrival to hospital and conscious level at presentation are the factors deciding outcome of a given patient rather than the mode oftreatment (oximes and atropine both are equally effective).

2013 ◽  
Vol 01 (01) ◽  
pp. 001-003
Author(s):  
Aruna Singh ◽  
Nymphea Pandit ◽  
Monica Sharma

Abstract Aim- 1. The aim of this study was to investigate the average maximum range of inter-incisal mouth opening in a representative sample of the adult subjects of Haryana. 2. To see any correlation between maximal inter-incisal opening with age. Methods- Maximum mouth opening was studied in 756 adult subjects with age range of 20-50 years in Yamunanagar, Haryana. Age limit was further divided into three groups (20-30, 31-40, 41-50). Those with clinical history of TMJ involvement, OSMF, any trauma, odontogenic and non-odontogenic infections, dental prosthesis on the anterior teeth, congenital anomalies in the maxillofacial region were excluded from this study. The measurements were recorded twice and mean of the two values were taken. Statistical Analysis- Independent sample t-test was calculated to compare age and mouth opening in both male and females respectively. Bivariate pearson correlation was used to see any relationship between age and mouth opening. P-value ≤ 0.05 and CI (confidence interval) at 95% were considered statistically significant. The Results- The average mouth opening of males (45.36±6.70 mm) subjects was higher as compared to female (41.27 ± 6.75 mm) with significant, p-value 0.000. The mean mouth opening ± SD for both sexes combined was 43.39 ± 7.02 mm. The corresponding values for mean inter-incisal opening in male population aged 20-30, 31-40, 41-50 were 45.52 ± 7.15, 46.16 ± 5.47, 42.96 ± 6.82 mm and in female population aged 20-30, 31-40, 41-50 were 41.40 ± 7.08, 41.60 ± 6.29 and 40.03 ± 6.38 mm respectively. Conclusion- Maximal mouth opening differ significantly with gender. There is a decrease in MMO with older age group.


Author(s):  
Dr. Deepali Kamdar

Background: Obstructive Airway Disease also imposes economic burden and increase the out of pocket expenditure of the patient and the country.(1)  In previous researches it was found that obstructive Airway Disease were reported frequently and often present with complications. The most commonly seen obstructive airway diseases are COPD, Asthma, Bronchitis, Bronchiolitis and Bronchiectasis. Material & Methods: In the present study100 Asymptomatic Patients with not previously diagnosed Obstructive Airway disease and patients with no evidence of any physical disease were included in the study. Clearance from Institutional Ethics Committee was taken before start of study. Written informed consent was taken from each study participant. Results: Out of the total, 15 (20.3%) of the male population and 3 (11.5%) of the female population had asymptomatic airflow obstruction with statistically significant difference (P value <0.05). Out of the total on the basis of distribution according to BMI (Kg/m2), 7 (15.5%) patients had airflow obstruction among lower BMI population and 11 (20%) patients had airflow obstruction among higher BMI population with statistically non-significant difference (P value >0.05). ). Out of the total on the basis of distribution according to weight, 4 (11.1%) patients had airflow obstruction among age <50 years population and 14 (21.8%) patients had airflow obstruction among age >50 years population with statistically significant difference (P value <0.05). Conclusion: There was high burden of undiagnosed asymptomatic obstructive airway disease reported among patients who were males, higher age and had higher BMI. Patients who were current smokers had maximum airflow obstruction in compared to patients who never had smoking habit and patients who were ex-smokers. Key words: Obstructive Airway Disease, COPD, Spirometry.


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Abdullahi Suleiman Gwani ◽  
Eduitem Sunday Otong ◽  
Sani Abubakar Bello ◽  
Hamza Mustapha Ahmed ◽  
Dlama Zira Joseph ◽  
...  

Studies have shown that knee alignment parameters differ among races. However, to our knowledge, radiographic frontal plane knee alignment has not been studied in normal northern Nigerian adults. The objective of this study was therefore to determine the frontal plane knee alignment in normal northern Nigerian adults. This study recruited a total of 59 consented subjects (44 males, 15 females). The entire subjects are without any history of lower extremity deformity. Anteroposterior radiographs of both knees with the patella positioned straight ahead were obtained from each participant while standing in a relaxed bipedal stance and placing equal weight on each limb. Alignment was assessed by measuring the tibiofemoral angle (TFA), distal femoral angle (DFA) and proximal tibial angle (PTA). The angles were measured with the aid of a universal plastic goniometre and a plastic ruler. Descriptive statistics of the alignment parameters, independent and paired t-test were computed. In the male population, the mean (standard deviation) obtained were 179.06 (3.87)o for the TFA, 85.94 (3.03 o for the DFA and 89.27 (3.26)o for the PTA. In the female population, the values were 179.53 (3.38)o for the TFA, 86.40 (2.97)o for the DFA and 89.27 (2.15)o for the PTA. No significant mean difference was observed between genders in all the parameters. The TFA does not show any significant difference between the right and left angle regardless of gender. However, significant mean differences were observed in the DFA and PTA of males and combined population. No significant difference was observed in the DFA and PTA of females. Accordingly, northern Nigerian adults may have varus knee alignment compared to other races. Thus, this pre-existing varus alignment should be taken into consideration during clinical examination, preoperative planning and postoperative evaluations of knee deformities in this population.


2015 ◽  
Vol 36 (1) ◽  
pp. 79-87
Author(s):  
Kristin Heggland ◽  
Camilla A. Meyer Ottesen ◽  
Jørgen Berge

Abstract The aim of the study is to describe aspects of the life history of the Atlantic poacher (Leptagonus decagonus) obtained during early October 2010 and late September 2011 from the Hinlopen Strait, located between Nordaustlandet and the Spitsbergen Archipelago. Length was measured for 142 individuals, and 82 out of these were weighed, sexed and the age in years determined. The sex distribution in the population was 45% females and 55% males. Gut content examination revealed the domination of the mesopelagic and hyper−benthic calanoid Bradyidius similis that was recorded in 87% of the stomachs analysed. Overall there was a significant difference in size (length and weight) between the sexes, and a difference in length and weight at age between the sexes. There was no difference in age distribution between the sexes, but there was a larger age range within the male population than in the female population. The sexual dimorphism in size is likely linked to different reproductive strategies. This study represents the first data on the life history of the Atlantic poacher in Svalbard waters.


2020 ◽  
Author(s):  
Farahnaz Joukar ◽  
Sara Yeganeh ◽  
Soheil Hassanipour ◽  
Mehrnaz Asgharnezhad ◽  
Saman Maroufizadeh ◽  
...  

Abstract Background: Considering the importance of the hand hygiene behaviors for the prevention of COVID-19 transmission, the current study was conducted to investigate the changes in hand-washing behaviors and its related factors among the northern Iranian population during the first peak and subsidence of COVID-19 pandemic period.Methods: This cross-sectional study was conducted during two periods in Guilan (Northern provinces of Iran). First period conducted at the first peak of COVID-19 pandemic in Iran (between 03/23/2020 and 03/30/2020), and second period conducted at the first subsidence of COVID-19 pandemic in Iran (between 05/3/20 and 05/10/2020). The questionnaire was completed by 571 adult participants. Data on frequency, procedure and circumstances of hand-washing and obsessive-like behaviors were collected. Potential correlates of reduction in frequency of hand washing were analyzed by multiple logistic regression.Result: Compared to peak of COVID-19 pandemic, frequency and procedure of hand-washing and obsessive-like behaviors were significantly reduced at the subsidence of COVID-19 pandemic (all p<0.05). Females with negative family history of coronavirus disease had greater odds (Adjusted Odds Ratio = 2.19, P =0.03) of reduction in the frequency of daily hand-washing. Younger than 50 years old males and males who reduced the procedure of hand-washing had greater odds (AOR = 1.71, P =0.02 and AOR = 2.16, P =0.001, respectively) of reduction in the frequency of daily hand-washing. Conclusion: Northern Iranian populations were found to decrease their frequency and quality of hand washing and obsessive-like behaviors over time from the first peak to first subsidence of COVID-19 pandemic. Here, the factors that independently predicted reduction in frequency of hand washing in male population were younger age and reduction in procedure of hand-washing and in female population was a negative family history of coronavirus disease. Thus, special attention should be paid to maintaining the general population’s perceived susceptibility to illness, especially in younger men during the pandemic.


2020 ◽  
Vol 14 (4) ◽  
pp. 151-158
Author(s):  
Salman Khazaei ◽  
Manoochehr Solgi ◽  
Shahram Goodarzi ◽  
Leila Khazaei ◽  
Iraj Salehi ◽  
...  

AbstractBackgroundBrucellosis is an infectious zoonosis, which greatly afflicts human health and animal productivity.ObjectivesTo describe the trends and epidemiological characteristics of human brucellosis in Nahavand county, Hamadan Province, western Iran over 8 years (2010–2017).MethodsIn this registry-based longitudinal study, we analyzed all reported cases of human brucellosis, including 1,130 patients from 2010 to 2017. A checklist including demographic and clinical characteristics of patients with reported cases of brucellosis had been used to gather data. We calculated annual percent changes (APCs) and average annual percent changes (AAPCs) using Joinpoint software to determine the trend of brucellosis using a segmented regression model.ResultsAmong the patients, 60.9% were male and 87.3% lived in rural areas. The mean age of the patients was 35.9 ± 18.34 years. Compared with male patients, female patients were more affected when they were elderly (15.6% men vs. 24.2% women for those aged ≥55 years) (P = 0.001). Of patients with brucellosis, 65.2% had consumed unpasteurized dairy products and 82.3% had a history of contact with animals. The incidence of human brucellosis in Nahavand county increased between 2010 and 2014, then decreased in 2015, and thereafter remained steady. Per 100,000 population, the AAPC pertaining to the incidence was 17.4 in the male population (95% CI: 4.4, 31.9), 13.8 in the female population (95% CI: 0.2, 29.3), and 16.1 in rural dwellers (95% CI: 2.2, 31.8) indicating an increasing trend from 2010 to 2017 (P < 0.05).ConclusionThe incidence of brucellosis in the western part of Iran is high and remains a challenging health problem. In the present study, age, job, sex, and seasonal changes are important risk factors for human brucellosis.


2018 ◽  
Vol 07 (01) ◽  
pp. 017-023
Author(s):  
Anly Antony ◽  
Anu Francis ◽  
Aaron David Kotturan ◽  
V. Bhagyam

Abstract Background: Empathy is an essentiality among the medical fraternity. Literature indicates better competency, patient compliance and clinical outcomes in relation to higher levels of empathy. Gender differences in empathy level are universal and various factors influence it. So it's quintessential to understand empathy and its correlates among medicos in India. Aims: To evaluate changes in empathy levels of the M.B.B.S students of a renowned medical college in India, during their course in the first year. Materials and methods: A prospective study was carried out among hundred 1st year medical students [M=34, F= 66] enrolled at a medical college in Kerala during the academic year 2014 - 2015. Participants completed the Jefferson Scale of Empathy [Student Version]. Results: The mean empathy at the entry & exit points of the study stood at 112 ± 11.39 & 112.07 ± 13.98 respectively. Comparing the male & female population, the females had higher empathy levels. When comparing the empathy levels at the entry & exit points of the male population, significant decline [p value= 0.001] was seen. The female population showed a significant increase [p value= 0.001] in their empathy levels over the same period. Conclusion: There were significant changes in empathy levels of the male & female population, though discernable changes in the whole population were not evident. This study necessitates further follow up of the present students, to analyze the changes occurring over the entire period of medical school.


2018 ◽  
Vol 7 (4) ◽  
pp. 6-14 ◽  
Author(s):  
V. S. Kaveshnikov ◽  
V. N. Serebryakova ◽  
I. A. Trubacheva

Aim. To determine the factors associated with the prevalence of arterial hypertension (AH) in the unorganized urban population of working age.Methods. Random sample drawn from adult urban population aged 25–64 years (n = 1600, 59%-women) was examined in the standardized cardiologic screening program. The following associative factors were analyzed: age, family status, level of education and income; excessive salt consumption (ESC), low physical activity, alcohol consumption; family history of AH; anxiety/depression (HADS); smoking, body mass index (BMI), heart rate (HR). Logistic regression was used to analyze the relationships. A p value of <5% was considered statistically signifcant.Results. After adjustment for age, the odds for AH were higher in men (OR = 1,57, p<0,001) with the maximum gender effect found in 35–44 years (OR = 3,66, p<0,001). In the singlefactor analysis, age, BMI, family history of AH, HR and ESC were the most signifcant risk factors for AH in men. Secondary education and clinical anxiety in addition with the above-mentioned ones increased odds for AH in women. In the multivariable model, age, BMI, family history of AH and HR were associated with high AH prevalence in men. In women, these factors included age, BMI, family history of AH, HR, ESC, middle education and clinical anxiety. Out of the other modifable risk factors, BMI contributed greatly to the variability in AH prevalence in the examined population.Conclusion. The obtained fndings provides novel data on the comparative signifcance of the studied risk factors. The efforts to prevent excessive weight gain and dietary salt consumption seem promising to reduce AH prevalence in the population. Further studies focusing on the role of genetic, behavioral, and environmental factors for AH development will ensure the establishment of more effective, accurate and personalized prevention approaches in the future.


2018 ◽  
Vol 21 (04) ◽  
pp. 679-683
Author(s):  
Shuaib Ansari ◽  
Irfan Murtaza Shahwani ◽  
Aqeel Ahmed Channa ◽  
Syed Zulfiquar Ali Shah ◽  
Tarachand Devrajani

Objective: To determine the frequency of H. pylori in patients with functionaldyspepsia. Patients and methods: This six months multidisciplinary study was conducted attertiary care teaching hospital as well as at private hospital Hyderabad from February 2012 to July2012. All patients presented with history of dyspepsia were admitted and evaluated for functionaldyspepsia by performing endoscopy. After confirmation of functional dyspepsia the subjectswere further evaluated for H. pylori infection by taking the biopsy specimen, label it and sent tolaboratory for histopathological examination. The data was entered, saved and analyzed in SPSSversion 11.00. Results: During six month study period, total 100 patients with functionaldyspepsia were recruited. Majority of patients were from low socioeconomic class (78%), havehistory of spicy food intake (68%) and epigastric pain (94%). The associated symptoms observedwere nausea and vomiting (87%), anorexia (88%), early satiety (84%) and regurgitation (84%).The mean ±SD for age of patients with functional dyspepsia was 37.95±10.85. The mean age±SD of H. pylori identified patients was 35.81±7.72. Majority of the subjects was 30-40 years ofage and the male population predominant 64% (p-value 0.02, statistically significant). The H.pylori was identified in 62% of patients, of which 35 (56.5%) were males and 27(43.5%) werefemales (p-value 0.04, statistically significant) respectively.


2017 ◽  
Vol 02 (01) ◽  
pp. 047-051
Author(s):  
E. Kumar ◽  
K. Prasad ◽  
A. Prasad

AbstractBackground: The aging of the population worldwide will result in increasing numbers of elderly patients, among whom heart disease is the leading cause of death. Changes in cardiovascular physiology with normal aging and prevalence of comorbidities are different between both sex. This results in differences in the effects of common cardiac problems as well as the response to their treatments. Clinical trials in octogenarians and nonagenarians PCI results are limited. The present study aims to analyze the gender variations in respect to the success of PCI in this elderly population.Methods: This is a retrospective observational study of patients aged ≥ 80 yrs. with cardiovascular disease undergoing PCI. The prevalence of variables like age distribution, type of presentation, and pattern of angiographic profile, requirement of pre-dilation before stenting and success of PCI has been compared between male and female population. Student “t” test is used for comparison.Results: The study population consists of 174 patients with female to male ratio of 1:3.7. The mean age is 82.4 ± 2.9 yrs in males and 82.2±2.9 yrs. in females. The minimum age is 80 and maximum is 99 yrs. 74(54%) male patients and 20 (54.1%)) female patients presented with chronic stable angina. Incidence of single vessel disease among male population is 97 (70.8%) and female population is 23 (62.1%) (p value=0.3). Rest of them are multi vessel disease. Pre-dilatation is required in 89% male patients and 86% female patients (95% CI = 0.09 to 0.14, P-Value = 0.7). LAD, LCX and RCA angioplasties are comparable between the both groups. Three LMCA PCI in females and 3 SVG PCI in males were done. Successful PCI done in 132 (96.4%) male patients and 35 (94.6%) female patients (p=0.7; CI-0.09 to 0.06).Conclusion: Clinical and demographic features including success of PCI are similar in both female and males in octogenarians and nonagenarians who are undergoing PCI for CAD.


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