scholarly journals Study of clinical profile of dermatophytosis in a tertiary care center as per ECTODERM guidelines

2021 ◽  
Vol 12 (10) ◽  
pp. 92-96
Author(s):  
Shitij Goel ◽  
Shivam Dr ◽  
Azra Ferheen Chaudhary
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Family Members ◽  
Previous Treatment ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Study Results ◽  
Common Skin ◽  
Study Population ◽  
Chronic Dermatophytosis

Background: Dermatophytic infections are one of the most common skin infections encountered by dermatologists. A recent increase in incidence has been seen over the last few years with substantial change in the clinical profile of patients. Recently a group of dermatology experts published Expert Consensus on The Management of Dermatophytosis in India (ECTODERM India). The group agreed upon various definitions with respect to current dermatophytosis epidemic as well as gave recommendations for investigations and management. Clinical profile of dermatophytosis was done in present study on the basis of definitions agreed upon by ECTODERM consensus group. Aims and Objective: To assess the clinical profile, prevalence and severity of dermatophytic infection in study population. Materials and Methods: Cross-sectional observational study was conducted at out-patient department of Dermatology in, Sharda hospital, Greater Noida. A total of 317 patients presenting with clinical diagnosis of dermatophytosis were included in the study. Results: A total of 317 patients were recruited in the study, out of which 213 were males (67.2%). The most common age group presenting with superficial dermatophytosis was 21-30 years. Majority of the patient presented with chronic dermatophytosis with duration more than 6 months (76.6%) while more than 3 lesions of tinea were observed in 76.6% cases. 191 patients (60%) had moderate to severe involvement with more than 3% of BSA involved. Family members presenting with similar complaints were seen in 39% cases. Majority of patients (76 %) studies had received previous treatment topical, systemic or both. 62 patients presented with recurrence of disease within 6 weeks of complete antifungal treatment (19.6%). Conclusion: Our study concludes that dermatophytosis still remain a challenging issue for dermatologists. Chronicity of infection, moderate to severe BSA involvement and involvement of family members in a good proportion of our study cases were the main findings of our study.

scholarly journals Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051987349
Author(s):  
Witchuwan Onsoi ◽  
Jitjira Chaiyarit ◽  
Leelawadee Techasatian
Keyword(s):  
Confidence Interval ◽  
Care Center ◽  
Tertiary Care ◽  
Infantile Hemangioma ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Outpatient Unit ◽  
Common Skin ◽  
Study Population ◽  
Dermatological Disorders

Objectives Dermatological disorders are common in general pediatric practice. This study aimed to examine common skin problems and the manner in which they tend to be misdiagnosed. Methods A cross-sectional study was conducted from January 2015 to December 2016 using medical record data from the Pediatric Dermatological Outpatient Unit at Khon Kaen University, Faculty of Medicine. Results A total of 1551 visits by 769 patients were documented during the study period. A total of 114 presenting diseases were recorded. The most common skin disease in the study population was dermatitis (unspecified) (88/769, 11.4%), followed by atopic dermatitis (76/769, 9.8%) and infantile hemangioma (72/769, 9.3%). There was a total of 55 (48.2%) misdiagnosed diseases. Some unique cutaneous diseases were undiagnosed because of their rarity. However, the percentages of common cutaneous diseases, such as tinea capitis and molluscum contagiosum, which had been misdiagnosed, were also high (62.50% [95% confidence interval = 24.49–91.48] and 71.43% [95% confidence interval = 29.04–96.33], respectively). Conclusion A large percentage of misdiagnoses of common cutaneous diseases may be due to general pediatricians being undereducated in the field of dermatology. Accurate recognition and appropriate management of these conditions should be emphasized for educating general pediatricians in the future.

scholarly journals Clinical Profile of Stroke Patients Attended in a Tertiary Care Hospital- Study of 219 cases

2016 ◽  
Vol 32 (1) ◽  
pp. 16-20
Author(s):  
Nayeem Anwar ◽  
Md Rezaul Karim Khan ◽  
Nawreen Binte Anwar ◽  
Shamsun Nahar ◽  
- Md Shahidullah
Keyword(s):  
Risk Factors ◽  
Recurrent Stroke ◽  
Tertiary Care ◽  
The Body ◽  
Clinical Profile ◽  
Care Hospital ◽  
Age Group ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Study Results

Background: Stroke is serious pathology with a immense impact on the functional and vital prognosis. It is the leading cause of death worldwide. The objective of the study was to observe clinical profile of stroke patients and important risk factors. Methods: It was a cross-sectional descriptive study conducted in the department of Neurology, BangabandhuSheikh Mujib Medical Universiy(BSMMU), Shahbag, Dhaka from August 2014 to November2015. All patients above 18 years of age and both sexes attending the above mentioned department meeting all inclusion and exclusion criterias and confirmed CT/MRI scan of Brain were included in this study. Results: A total of 219 patients were studied. Maximum 93(42.5%) patients were in age group of 61-70 years followed by 51(23.3%) and 30(13.7%), in the age group of 51-60 years and 71-80 years respectively. Male 138(63%) were predominant than female 81(63%). 78(35.61%) patients had weakness in both sides of the body, 66(30.1%) had weakness in the left side and 36(16.4%) had weakness in the right side of the body. 190 (87.7) patients had ischemic stroke and 29(12.3%) had hemorrhagic stroke. Among risk factors dyslipidemia was in 185(84.5%) patients, hypertension, smoking habits, diabetes mellitus and ischemic heart disease were present in 165(75.3%), 120(54.8%), 105(47.9%) and 42 (19.2%) patients respectively. H/O recurrent stroke was present in 55(25%) cases. Conclusion: Stroke cases were male predominant where dyslipidaemia was the most common risk factor, most common type of stroke was ischemic, most common presentation was hemiplegia/monoplegia and commonest age of presentation was seventh decade. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 16-20

scholarly journals Clinical Profile of Hoarseness of Voice: A Hospital-Based Cross-Sectional Study

2021 ◽  
Author(s):  
Nitin Deosthale ◽  
Asha Jadia Soni ◽  
Sonali Prabhakar Khadakkar ◽  
Mateen Khursheed Wani ◽  
Kanchan Sandeep Dhote ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Care Hospital ◽  
Sectional Study ◽  
Predisposing Factor ◽  
Cross Sectional ◽  
Male Preponderance

Abstract Introduction Hoarseness is a symptom with a varied etiology ranging from inflammatory condition, benign lesions to malignant lesions. Benign conditions are more common than malignant. Proper knowledge of clinical profile and evaluation is necessary to treat the cause. Objective It was conducted with the aim to study the clinical profile of patients with hoarseness of voice. Materials and Methods It was a descriptive cross-sectional study of 2 years conducted at Department of ENT at Tertiary Health Care Hospital, India. Patients aged above 10 years presenting with hoarseness of voice were included in the study. After detailed history related to sociodemographic particulars, clinical examinations including Hopkin’s rod examination in all patients and direct laryngoscopy, and radiological and histopathological examination were performed whenever indicated. Results Out of total 100 patients, maximum patients (32%) were in the age group of 21 to 30 years. There was slight male preponderance with male:female ratio of 1.17:1. Laborer (29%) was the major group affected in terms of occupation. Most common predisposing factor was smoking (35%). Commonest etiology for hoarseness of voice was chronic laryngitis (20%). Conclusion Hoarseness of voice as a symptom should never be ignored as its etiology may range from simple infection to malignancy. At our tertiary care center majority of patients come from rural area. Most of the etiological factors found in our study were treatable medically or surgically. Early diagnosis is the key to improve the outcome of treatment.

scholarly journals Study to assess the knowledge, attitude and practice of Kangaroo mother care among post-natal mothers in a tertiary care centre of North Kerala, India

2018 ◽  
Vol 5 (3) ◽  
pp. 992
Author(s):  
Urmila K. V. ◽  
Ravikumar . ◽  
Usha Karunakaran
Keyword(s):  
Low Cost ◽  
Care Center ◽  
Tertiary Care ◽  
Family Members ◽  
Kangaroo Mother Care ◽  
Care Centre ◽  
Maternal Knowledge ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Attitudes And Practices

Background: Kangaroo Mother Care (KMC) is a practical low-cost intervention which is very cost effective in developing countries for babies weighing less than 2500 g. This study is aimed to evaluate the knowledge, attitude and practices about KMC in the post-natal mothers of low birth weight (LBW) and preterm babies before and after a teaching session by a trained staff in a tertiary care center in North KeralaMethods: A cross sectional descriptive study of 201 mothers whose neonates were admitted in Neonatal intensive care unit (NICU) of tertiary care centre from June 2014 to June 2015. Mothers were interviewed at enrolment to assess their knowledge of KMC and were then oriented on its practice. Data about their perceptions, attitudes and practices of KMC were recorded before they were discharged from the hospital.Results: At recruitment (95.4%) mothers didn’t know about KMC. 80% of mothers could follow the verbal instructions in first sitting. 92.8% of mothers reflected photo exhibition would have been better than verbal explanation, 91.8% of mothers thought that KMC is beneficial for their babies and 89% thought that it was beneficial for them too. At discharge 99% were willing to continue KMC at home with 93.1% willing to practice at night. 100% would recommend KMC to other mothers. All of them were practicing intermittent KMC and believed that other family members especially grandmothers could also be KMC providers as well.Conclusions: Maternal knowledge of KMC was low before enrolment, but after initiation mothers were happily practicing KMC in hospital with assurance to continue same from home and involve other family members in KMC care.

scholarly journals DEPRESSION;

2017 ◽  
Vol 24 (06) ◽  
pp. 904-911
Author(s):  
Syed Rizwan Ali Bokhari ◽  
Syed Arsalan Khalid ◽  
Nida Nadeem ◽  
Sidra Saleem ◽  
Zumar Sardar ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Rating Scale ◽  
Care Center ◽  
Tertiary Care ◽  
Kidney Injury ◽  
Acute Kidney Injury Network ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Study Population ◽  
Severity Of Depression

Background: Acute kidney injury (AKI) in pregnant women is commonly seen indeveloping countries. It is associated with significant morbidity, social and personal implications.We conducted a study to assess the prevalence and severity of depression in patients withpregnancy related AKI (PRAKI) in a tertiary care center. Methodology: Patients with PRAKIadmitted from 1-16 to 6-16 under Nephrology service, Jinnah Hospital, Lahore were included inthis cross-sectional study. The Hamilton Rating scale for depression (HAM-D) version translatedand adapted in Urdu, was used to assess the study population. These patients were interviewedwith the HAM-D questionnaire on their first encounter with Nephrology department. Previoushistory of psychiatric illness was excluded. The diagnosis of AKI was based on the classificationof the Acute Kidney Injury Network group. Results: The mean age of the patients was 24±5years. Seventeen (57%) patients were multipara and 13(43%) patients were primigravida. Of the30 patients with AKI, 8 (27%) presented before 28 weeks and 22 (63%) presented after 28 weeksof gestation. The causes of AKI included postpartum hemorrhage in 9 (30%), sepsis in 8 (27%),preeclampsia/eclampsia in 6(20%), shock in 4 (13%) and coagulopathy in 3 (10%) patients.Alive and healthy fetus was found in only 15 (50%) patients. Twenty-one (70%) patients receivedaverage of 5-8 hemodialysis sessions during their hospital stay. Twenty-three (76%) had nodepression (0-7 score), 2 (7%) had mild (8-13 score), 3 (10%) had moderate (14-18 score) and2 (7%) had severe (19-22 score) depression according to HAM-D score. Conclusions: Ourstudy depicted considerable depression of varying degrees in women with PRAKI, increasedawareness and effective monitoring for depression should be integrated into regular maternalcare to decrease morbidity associated with it.

scholarly journals CLINICAL PROFILE OF PLANTAR FASCIITIS: A TERTIARY CARE CENTER STUDY

2019 ◽  
pp. 1-2
Author(s):  
Deepak Kumar Sharma ◽  
Suman Badhal ◽  
R. K. Wadhwa ◽  
Nonica Laisram ◽  
Vinay Kanaujia
Keyword(s):  
Plantar Fasciitis ◽  
Pain Treatment ◽  
Care Center ◽  
Tertiary Care ◽  
Heel Pain ◽  
Clinical Profile ◽  
Age Group ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Detailed History

BACKGROUND: Plantar fasciitis is a degenerative tissue condition with symptom of heel pain. Treatment includes patient education,NSAIDS,localinjections,surgery& footwear modification alternative therapy.Aim &Objective:To study the clinical profile of plantar fasciitis patients. Methods:Prospective cross- sectional studywith 40 diagnosed unilateral or bilateral plantar fasciitis patients satisfied inclusion and exclusion criteria attendedthe PMR opdof VMMC & Safdarjung hospital were enrolled .Detailed history and clinical examination done.Results:Patients mean age group was 36.92 ± 7.99 years among them60% females&40% were males also involvement of left side is more 60% & right side 40%, the occupation profiles are 35% homemakers, 35% professionals, 17.50% laborer &12.50% were students Conclusion: Female homemakers and professionals of age group 31-40 years were mostly affected with dominancy of left heel.

scholarly journals A cross sectional study of clinical profile of deaf mute children at tertiary care center

2017 ◽  
Vol 3 (4) ◽  
pp. 826 ◽  
Author(s):  
Apurva Pawde ◽  
Rajeshree Chaurpagar ◽  
Sumit Aggarwal ◽  
Arpana Agrawal ◽  
Sandeep Dabhekar
Keyword(s):  
Hearing Loss ◽  
Cognitive Skills ◽  
Care Center ◽  
Tertiary Care ◽  
Delayed Diagnosis ◽  
Cross Sectional Study ◽  
Branchial Arch ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Female Ratio

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Hearing is necessary to learn language, speech and to develop cognitive skills. Hearing helps in developing child to learn, recognize sounds, identify objects, events and internalize concepts. Effects of hearing loss on the development of child’s ability to learn, to communicate and to socialize can be devastating. The study is planned with the aim to study clinical profile of deaf mute children and to identify ‘socio-demographic’ and ‘health’ profile of deaf mute children. This study shows distribution of various socio-demographic factors in deaf mute children and to study their clinical profile. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The present cross sectional descriptive study was conducted at OPD of ENT department, Government Medical College and Hospital, Akola, Maharashtra. Study was carried out for a period of two months, it’s included Deaf mute children from 2-12 years of age. 50 subjects were reported over the study of 2 months. For data collection demographic parameters, complete birth history including prenatal, perinatal and postnatal history was noted. Thorough clinical examination was carried out with special attention to branchial arch system.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 70% males compared to 30% females. Male: female ratio was 2.33: 1. Pneumonia (10%) and hyperbilirubinemia (10%) was the commonest health problem. In the study deafness were attributed to 38% genetic causes, 28% Non-genetic and idiopathic in 34% of children. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The age at detection of hearing loss is 0-2 yrs age at which if rehabilitation is done can benefit the child to the maximum. Delayed diagnosis of hearing loss can be explained on basis of community practices of neglecting delayed speech, lack of social awareness and partly due to absence of any active health surveillance in this aspect. Multistep protocol for hearing assessment and parental awareness about facilities of rehabilitation and accessibility of services should be emphasized.</span></p>

scholarly journals Clinical profile of thyrotoxicosis and related cardiovascular morbidities among patients attending endocrine outpatient department in a tertiary care centre

2019 ◽  
Vol 7 (10) ◽  
pp. 3666
Author(s):  
Harshwardhan V. Khandait ◽  
Sunil G. Ambulkar ◽  
Parimal S. Tayde
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Tachycardia ◽  
Complete Blood Count ◽  
Care Center ◽  
Tertiary Care ◽  
Central India ◽  
Clinical Profile ◽  
Thyroid Disorders ◽  
Tertiary Care Centre ◽  
Cross Sectional

Background: Thyroid disorders are common in India. Symptoms and signs of thyrotoxicosis are nonspecific. Graves disease is an autoimmune condition and is the most common cause of thyrotoxicosis. Cardiovascular system is frequently affected in thyroid disorders but there is not much data on prevalence of thyrotoxicosis and related cardiovascular morbidities in central India. Objectives of study the clinical profile of patients with thyrotoxicosis and outline the related cardiovascular manifestations in a tertiary care center. Design-over a period of nine months a descriptive cross sectional study was conducted in a tertiary health care center.Methods: A total of 150 patients with thyrotoxicosis were studied. Patients with known diagnosis of thyrotoxicosis and newly diagnosed cases were included. The participants were investigated for thyroid profile, Electrocardiogram, Complete blood count, serum electrolytes and kidney function test.Results: Out of 150 patients of thyrotoxicosis, 87 (58 %) were diagnosed with Graves’s disease. Hypertension was observed in 78 (52 %) of participants. Atrial fibrillation was found in 18 (12%) and sinus tachycardia in 53 (35.33 %) of the participants.Conclusion: Grave’s disease is the commonest cause of thyrotoxicosis. Hypertension, sinus tachycardia and Atrial Fibrillation are the common cardiovascular diseases observed to be associated with thyrotoxicosis.

scholarly journals Clinical profile of seizure disorder in hospitalized patients in tertiary care center - A prospective cross-sectional study

2021 ◽  
Vol 12 (12) ◽  
pp. 103-107
Author(s):  
A Alagu Thiyagarajan ◽  
CJ Selvakumar ◽  
YA Nathan Jenix ◽  
Ramesh Duraisamy
Keyword(s):  
Tamil Nadu ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Seizure Disorder ◽  
Clinical Profile ◽  
Tertiary Care Center ◽  
Treatment Gap ◽  
Sectional Study ◽  
Cross Sectional

Background: Knowledge regarding people affected with epilepsy is essential for accurate planning and management of patients. This study was conducted to study clinical profile of seizure disorder in the patients hospitalized in a tertiary care hospital of Tamil Nadu. Aims and Objectives: To study clinical profile of seizure disorder in patients hospitalized in Coimbatore government medical college hospital. Materials and Methods: This study was a single center hospital based cross-sectional study of the clinical profile of seizure disorder in hospitalized patients at tertiary care center of Tamil Nadu, Neurology department the 2 years from 2018 to 2020. All the patients presenting with complaints of seizures were included in this study. Results: This study included a total of 321 patients with epilepsy. Their ages ranged between 10 and 100 years. 180 of the study population were males and 141 were female patients. 30% of patients had new onset seizures. Fever precipitated seizure in 16% of the subjects. Excitation, sleep deprivation, fever, watching television, and head trauma showed a strong association with generalized epilepsy. The majority of the patients had generalized tonic-clonic seizure, followed by focal neurological deficit. 98% of patients responded to treatment and they did not had recurrent episodes of seizure. Conclusion: The sample size of our cohorts is relatively small. It is possible that some prognosis factors may be missed due to the small sample size. Further studies with a larger sample cohort are required. Uneducated and low socioeconomic make people vulnerable to seizures because of lack of awareness, poor compliance to medicines, not detection of seizure provoking factor, repeated exposure to seizure provoking factor, prevalence of alcoholism, and thus lowering seizure threshold. There is a treatment gap still because of epilepsy and appropriate usage of resources will help to reduce this treatment gap and decreases epilepsy associated morbidity and mortality.

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