scholarly journals ISCHEMIC AND HEMORRHAGIC STROKE;

2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Abdul Aziz Sahto ◽  
Amir Shahzad ◽  
Ruqayya
Keyword(s):  
Ischemic Stroke ◽  
Hemorrhagic Stroke ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Prevalence ◽  
One Year ◽  
Associated Risk Factors ◽  
Medical University

Objectives: The aim behind this study was assess the frequency of ischemic and hemorrhagic stroke and associated risk factors in patients with hypertension. Study Design: Cross sectional study. Period: One year. Setting: Department of Medicine People’s Medical University, Shaheed Benazeerabad. Material and Methods: This study was a hospital based study in which sampling was done through a purposive sampling technique. A total of 160 patients admitted with stroke were included in our study. After taking informed consent patient’s relevant history and examination were carried out. CT-Scan was done to confirm and different between ischemic and hemorrhagic stroke.SPSS version 17.0 was used to analyze the collected data. Results: Ischemic stroke was observed in 105(66%) patients and 55(34%) were suffered hemorrhagic stroke. Hypertension was 100% in both types of storks in ischemic stroke and hemorrhagic stroke.Rate of diabetes mellitus, dyslipidemia and smoking were significantly high in hemorrhagic stroke than ischemic stroke (p<0.01). Conclusion: We found a high prevalence of ischemic stroke than hemorrhagic stroke in our population. Among associated factors gender, hypertension, dyslipidemia, diabetes and smoking were prevalent in both ischemic and hemorrhagic stroke patients.

scholarly journals Study to Determine the Incidence of High HbA1c in Patients with Ischemic Stroke at Bilawal Medical College, Kotri, Sindh, Pakistan

2021 ◽  
pp. 20-24
Author(s):  
Atif Ahmed ◽  
Kuldeep Poorani ◽  
Mohammad Amjad Kalhoro ◽  
Nisar Ahmed Khokar ◽  
Abdul Ghaffar Dars
Keyword(s):  
Ischemic Stroke ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Ischemic Disease ◽  
Medical College ◽  
Cerebral Ischemic ◽  
One Year

Aim: To study the incidence of HbA1c elevation in patients with ischemic stroke whose blood glucose levels were normal within the last six months. Study Design: A cross-sectional study. Place and Duration: This cross-sectional study of the 96 patients with cerebral ischemic disease selected from the internal medicine department of Bilawal medical college Hospital Kotri, Sindh, Pakistan for one-year duration from August 2019 to August 2020. Methods: Crossectional study was conducted in the internal medicinal department of Bilawal Medical college Hospital, Kotri Sindh, Pakistan for the period of one year from August 2019 to August 2020. Total 96 study subjects were selected with cerebral ischemic disease, 62 were males and 34 were females. Many factors such as age more than 20 years, ischemic stroke and RBG (Random Blood Glucose) were also evaluated from each participant. SPSS 23.00 version was used for statistical analysis of research data. Results: 57.01 ± 13.4 years was the mean age of the patients. 62 (64.6%) patients were male and 34 (35.4%) were female. The male to female ratio was 2:1. HbA1c was elevated in 35 (36.5%) of 96 patients, while 61 (63.5%) had normal HbA1c.  The distribution of HbA1c elevation by gender showed that 20 (57.1%) patients with elevated HbA1c were men and 15 (42.9%) were women. Forty-three (70.5%) of 61 patients with normal HbA1c were male and 18 (29.5%) were female. Conclusion: it was concluded that glycated haemoglobin plays an important role for reducing the macro complication of Diabetes and the major macro complication observed was cerebral ischemic stroke among the people with elevated HbA1c.

scholarly journals Circadian Variation in Frequency of Stroke in Bangladesh: a Hospital Based Cross Sectional Study

2015 ◽  
Vol 9 (2) ◽  
pp. 80-83
Author(s):  
Ahmed Manadir Hossain ◽  
Radheshyam Saha ◽  
Binoy Krishna Tarafder ◽  
Md Abdus Salam ◽  
Md Rafiqul Islam ◽  
...  
Keyword(s):  
Ischaemic Stroke ◽  
Diurnal Variation ◽  
Hemorrhagic Stroke ◽  
Circadian Variation ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Number Of Patients

A hospital based cross sectional study was carried out to analyze diurnal variation of stroke and their association to sleep awake cycle. Four hundred and two patients of stroke admitted in different Medicine Units of Faridpur Medical College and Dhaka Medical College Hospitals from July 2012 to June 2013 were chosen using purposive sampling technique. Enrolled patients were with their first stroke, subsequently proved by CT scan of brain. The initial clinical diagnosis of stroke was made from history and examination obtained from the patient himself or from his/her attendant. The time of onset of stroke was recorded by attending doctor at the time of assessment and recorded on a fixed proforma. Patient who could not give history properly or had no responsible attendant and who had history of head injury, intracranial space occupying lesion or bleeding disorder were excluded from the study. Age ranged from 25 years to 98 years with mean age of 62.02 years (±SD 11.75 years). Out of 402 patients 59.7% suffered from ischemic stroke. Highest incidence of stroke (26.9%) occurred between 4:01am to 8:00 am and lowest (7.5%) between 8:01 pm to 12:00 am. Among the subtypes, ischaemic stroke has shown a single peak incidence at 4:01 to 8:00 am and lowest between 8:01 pm to 12:00 am. 50 % of ischaemic stroke cases developed between 0:01 am to 8:00 am. In this study, maximum number of patients developed hemorrhagic stroke between 4:01 am to 8:00 am (25.9%) and lowest number developed hemorrhagic stroke between 12:01 pm to 4:00 pm (9.3%). This study confirms the diurnal variation of both hemorrhagic and ischaemic stroke in Bangladesh and most of them occurs in early morning after wakening.Faridpur Med. Coll. J. 2014;9(2): 80-83

CLINICAL OUTCOME OF MEASLES AND RUBELLA WITH MACULOPAPULAR RASH AT CHILDREN'S HOSPITAL, PIMS, ISLAMABAD

1970 ◽  
Vol 6 (4) ◽  
pp. 26-30
Author(s):  
Jai Kirshin ◽  
Sameena Afghan ◽  
Aqeela Ayub ◽  
Kishor Shah ◽  
Maqbool Hussain
Keyword(s):  
Sampling Technique ◽  
Maculopapular Rash ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Demographic Profiles ◽  
Study Results ◽  
The Mean ◽  
One Year

BACKGROUND: Measles is highly endemic disease in Pakistan that can be prevented by vaccinating the child.Patients with rash and fever are the major syptoms of this infection. The aim of this study was to find the associationof clinical and serological outcome of measles and rubella with demographic profiles in patients hospitalised withclinical suspicion of these conditions. METHODS: A descriptive cross sectional study was conducted in children hospital of PIMS Islamabad where allchildren presenting with maculopapular rash in outdoor patient, indoor patient and accident and emergencydepartment were enrolled. The study duration was one year or the completion of required sample size. A total of 73children who fulfilled the inclusion criteria were enrolled in this study. A purposive sampling technique was used toselect cases. Data was collected through a structured proforma especially designed for this study. Permission wastaken from the Hospital Ethical Committee before the commencement of the study. A written consent was also takenfrom the parents of children prior to conduct the study. RESULTS: All the children in this study was 46.5 (± 40.1) months of age, the mean (SD) age was 4 years and 10months (± 3 years and 4 months). The median age of all children was 24 months (2 years). The youngest child was 7months old while the eldest child was 12 years (144 months) of age. Out of 73 children enrolled in the current studywho presented with maculopapular rash and their serological outcome was assessed, 50 (68.5 percent) were boyswhereas 23 (31.5 percent) were girls. Koplik's spots were present among 56 (76.7 percent) children whereas 17(23.3 percent) did not have Koplik's spots at the time of enrolment. lymphadenopathy was assessed in 35 (47.9percent) children while 38 (52.1 percent) did not have lymphadenopathy at the time of enrolment. CONCLUSION: Study concluded that a higher proportion of children presenting with maculopapular rash werediagnosed to have measles on the basis of serology.

scholarly journals Anxiety and Depression among Individuals who are Confined to their Homes due to Covid-19 Pandemic

2020 ◽  
Vol 24 (1) ◽  
pp. 8-12
Author(s):  
Sheena Shamoon ◽  
Khushbakht Ms. ◽  
Saleha Ahmed Khan ◽  
Maheen Sajid ◽  
Syeda Rija Hussain ◽  
...  
Keyword(s):  
Emotional Support ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Sectional Study ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
High Prevalence ◽  
Study Population ◽  
Convenience Sampling

Aims/objectives: Coronavirus pandemic has been declared a health emergency worldwide. Millions of people have been affected by it. The objective of this study was to assess anxiety and depression among people who are confined to their homes due to the covid-19 pandemic so that measures can be taken to reduce the frequency and effects of psychological distress during mass lockdowns in the future.Materials and methods: The study population consisted of educated adults of Rawalpindi and Islamabad who have been under strict lockdown. A non-probability convenience sampling technique was used. Informed consent was taken. Data were collected via a questionnaire based on the HADS scale. For data analysis, SPSS version 25 was used.Results: This descriptive, cross-sectional study was conducted among 615 individuals, out of which 15 did not meet the inclusion/exclusion criteria. The majority were females (80.2%). The average age was 22.6 years. 37.5% were found to have anxiety, whereas 21% had depression. Borderline cases of anxiety and depression were 27.5% and 28.3%, respectively. The frequency of anxiety and depression was found to be higher in females than males, 39.5% vs 29.4%, and 22.4% vs 11.5% respectively. The correlation of HADS scores with other demographic parameters was studied, but no significant relationship was found.Conclusions: The study reveals a high prevalence of anxiety and depression among individuals during lockdowns. The development of a comprehensive educational and emotional support system is required for the improvement of the mental health of individuals.

scholarly journals Low back pain and associated risk factors among medical students in Bangladesh: a cross-sectional study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 698
Author(s):  
Shabbir Ahmed Sany ◽  
Taukir Tanjim ◽  
Md Ikbal Hossain
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Low Back Pain ◽  
Medical Students ◽  
Cross Sectional Study ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Prevalence ◽  
Associated Risk Factors

Background: Low back pain (LBP) is one of the leading causes of disability worldwide. Different studies showed the high prevalence of LBP among medical students. However, no study has been conducted on Bangladeshi medical students to estimate the prevalence of LBP. This study evaluated the prevalence, characteristics, and associated risk factors of LBP among medical students in Bangladesh. Methods: A cross-sectional study was conducted from October to December 2020 among randomly selected 270 medical students and medical interns in Faridpur Medical College, Bangladesh, using an online questionnaire. In data analysis, chi-square test and binary logistic regression were performed, and a p-value of < 0.05 was regarded as statistically significant. Results: A total of 207 participants responded fully to the survey, and were included in the analysis. The mean age of the participants was 22.36 ± 1.915 years. The point, 6-month, and 12-month prevalence of LBP was 25.6%, 46.9%, and 63.3%, respectively. In most participants, LBP was localized (53.2%), recurrent (64.9%), undiagnosed (70.8%), affected for a short period (55%), and relieved without receiving any treatment (60.4%). Participants who had a significantly higher 12-month prevalence of LBP included females (72.2% vs 52.2%), with BMI >25 kg/m2 (73.2% vs 56.7%), those who performed physical activity at low to moderate frequency (72.4% vs 29.5%), those who spent > 6 hours/day by sitting (71.3% vs 45.3%), and those who did not have enough rest time (92.7% vs 56%). Ergonomic features of chairs, such as having back support, adjustable back support, and adjustable sitting surface, significantly (p < 0.05) influenced the outcomes. Conclusion: The prevalence of LBP among medical students in Bangladesh was high, and most of the risk factors associated with the high prevalence of LBP were modifiable. Hence, LBP can be prevented by implementing preventive strategies and providing ergonomic training and physical activity facilities.

scholarly journals Prevalence of Psychological Co-morbidities among medical and dental students of a Medical University of Nepal

2019 ◽  
Vol 8 (2) ◽  
pp. 36-39
Author(s):  
N. Sapkota ◽  
B. Baral ◽  
U. Bhagat ◽  
D. Agrawal ◽  
D.D. Baral ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Suicidal Thoughts ◽  
Cross Sectional ◽  
High Prevalence ◽  
Prevalence Of Depression ◽  
One Year ◽  
Medical University ◽  
Medical And Dental Students

Introduction: Medical and Dental students are vulnerable to higher levels of Psychological distress than other age matched peers. This study was carried to identify prevalence of depression and anxiety in medical and dental students. Material and Method: A cross sectional study was done among medical and dental students (2nd year to interns) of BPKIHS. A total of 600 students were enrolled through systematic random sampling and 588 (98%) responded. Semi-structured questionnaire was used to record socio-demographic variables along with Becks Depression Inventory(BDI) and Becks Anxiety Inventory(BAI). Results: The mean age of participants was 22±2years among which 61.2%(360) were male, 69.7%(410) were from medical faculty, 90.5%(532) were Nepalese and 9.5%(56) were Indians. Depressive symptoms was recorded in 25.3%(149) out of which 12.6%(74), 6.5%(38), 5.3%(31), 0.5%(3), 0.5%(3) had mild, borderline, moderate, severe and extreme depressive symptoms respectively. Similarly anxiety was recorded among 7.8%(46) students with 42 having moderate and 4 having severe anxiety symptoms. Among the participants 6.3%(37) had suicidal thoughts and 4(0.7%) of them had suicide attempt in last one year. Conclusion: Medical and dental students showed high prevalence of anxiety and depression even with suicidal thoughts including past attempt.

scholarly journals A study of prevalence of migraine in stroke patients and its association with ischemic versus hemorrhagic stroke: a cross sectional study

2020 ◽  
Vol 7 (3) ◽  
pp. 470
Author(s):  
Paridhi Shivde ◽  
Chandrahas Patidar ◽  
Umesh Kumar Chandra ◽  
Archana Verma ◽  
Sumit Kumar Vishwakarma
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Hemorrhagic Stroke ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Autonomic Nervous System Dysfunction ◽  
Cross Sectional ◽  
Increased Risk ◽  
History Of ◽  
Patient’S History

Background: Migraine is characterized by recurrent attacks of disabling headache and autonomic nervous system dysfunction. Up to one third of patients also have neurological aura symptoms. It has been suggested that migraine can be a risk factor for stroke. Migraine affects three times the number of women than men. The incidence of stroke in men is two times that of women. It is shown in several studies that women aged 35 to 45 years old are at increased risk of ischemic stroke who had migraine with or without aura.Methods: The present cross sectional study was conducted in 350 consecutive patients of stroke who were attended OPD and admitted in wards of the Department of Medicine, M.G.M. Medical College and MY Hospital, Indore, MP, India, during period from December 2017 to December 2018.Results: The highest percentage of respondents i.e. 68% belonged to male group followed by 32% of respondents who were females. The highest percentage of respondents i.e. 66.6% had ischemic stroke while, 33.4% had hemorrhagic stroke. The highest percentage of respondents i.e. 90.9% had no Migraine while, 9.1% had Migraine. The highest percentage of respondents i.e. 31.2% had weekly reoccurrence, followed by forth nightly (25%) and lowest was 3.1% of daily recurrence. The association of type of stroke with sex group of patient’s history of headache which found to be significant (p ˂0.05). The association of type of stroke with sex group of patient’s history of various cerebro-vascular risk factors which found to be significant (p<0.05). Patients having hemorrhagic and ischemic stroke also had HTN in 47% and 12.4% patients respectively.Conclusions: In this study it is concluded that migraine can be established as a risk factor for ischemic stroke. Early diagnosis and treatment with available medication can be helpful in prevention or decreasing risk for developing stroke.

scholarly journals PERBEDAAN ASUPAN DAN STATUS GIZI PADA PASIEN STROKE HEMORAGIK DAN NON HEMORAGIK DI RSUD PROF. DR. MARGONO SOEKARJO

2018 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Deviana Ayushinta Sani Siregar ◽  
Saryono Yono
Keyword(s):  
Ischemic Stroke ◽  
Stroke Patient ◽  
Hemorrhagic Stroke ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
World Health ◽  
Study Program ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Impact

Background: Stroke is a disease of the brain in form of nerve dysfunction locally or globally, appears in sudden, progressive, and fast. World Health Organization (WHO) estimates that the stroke caused 5.7 million deaths in the world. Stroke can be caused by bleeding or clotting. The wide of diameter of the lesions in patients with hemorrhagic stroke increased 20% compared with the extent of the lesion in patients with ischemic stroke. Prevalence of malnutrition significantly more general in hemorrhagic stroke (62%) than ischemic stroke (25%). The impact of malnutrition in stroke patient can increase mortality after three months onset of stroke. Methods: The research conducted in Prof. Dr. Margono Soekarjo hospital, using a cross sectional study program and using purposive sampling technique. The total of sample used is 44 people, consisting of a group of non-hemorrhagic stroke and hemorrhagic stroke. The analysis of data is using t independent bivariate test. Results: The group average intake levels of hemorrhagic stroke is lower than ischemic stroke. According to the anthropometry index MUAMC and BMI, the hemorrhagic stroke group average is lower than the ischemic stroke. Conclusion: According to the result of statistic analysis, the researcher did not find a significant difference on the intake of nutrient and nutritional status in hemorrhagic stroke and ischemic stroke patient.

scholarly journals Pattern of Periodontitis among Adult Patients Attending at Medical University of Bangladesh

2019 ◽  
Vol 5 (1) ◽  
pp. 76-80
Author(s):  
Md Rajaul Alam ◽  
Mohammad Abid ◽  
Utpalendu Biswas ◽  
Syed Shariful Islam ◽  
Rajib Kumar Banik ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Adult Patients ◽  
Age Group ◽  
Oral Diseases ◽  
Sectional Study ◽  
Current Pattern ◽  
Cross Sectional ◽  
Betel Leaf ◽  
One Year ◽  
Medical University

Background: Periodontitis is one of the most common oral diseases and is one of the widest spread chronic diseases all over the world. If a person maintains a good oral hygiene, he/she can control periodontitis easily. Periodontitis is a preventable disease. Objectives: This study was aimed to know the current pattern, the possible causes and the attitude towards periodontitis among adult patients attending at outdoor of dental faculty of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Methodology: This cross-sectional study was carried out in the OPD of Dental faculty of BSMMU, Dhaka fromJanuary 2013 to December 2013 over a period of one year. One hundred twenty patients with any sort of dental problem were enrolled in this study. Results: The current study depicted that 68.3% of the patients were from age group of 18 to 40 years and 59.2% were male while 40.8% were female. Most of the respondents (65.8%) lived in urban area. This study showed that 80.8% experienced bleeding from gums and 59.2% had knowledge about cleaning teeth before going to bed and after breakfast. It was found that 77.5%of the respondents used tooth brush and tooth paste for cleaning their teeth. Only 15.8% of the respondents visited dentist for oral and dental check-up regularly. According to life style related habit, 53(44.2%) respondents were smoker, 55 (45.8%) respondents chewed betel leaf and 30 (25%) of the respondents hewed betel leaf with Jarda or SadaPata. Majority 104 (86.7) had calculus, defective margins and restorations. Most of the respondents (95.0%) had bleeding on probing. Conclusion: In this study a significant number of respondents have periodontitis who have attended outdoor of dental faculty. Older age, smoking, betel, jarda/sadapata, diabetes mellitus and presence of calculus and restorations are the risk factors for developing periodontitis. Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 76-80

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