scholarly journals Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal

2012 ◽  
Vol 32 (2) ◽  
pp. 142-145 ◽  
Author(s):  
B Sigdel ◽  
R Nepali
Keyword(s):  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Suppurative Otitis Media ◽  
Ear Diseases ◽  
Paediatric Age ◽  
One Year ◽  
A Prospective Study ◽  
Nose And Throat

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673

scholarly journals An epidemiology of animal bite cases attending tertiary care centre of Bangalore Medical College and Research Institute, Bengaluru: a retrospective study

2017 ◽  
Vol 4 (7) ◽  
pp. 2538
Author(s):  
Navya Sri Sreenivas ◽  
Saraswathi Sakranaik ◽  
Ranganath Thimmanahalli Sobagiah ◽  
Anil Kumar
Keyword(s):  
Retrospective Study ◽  
Tertiary Care ◽  
Virus Transmission ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Paediatric Age ◽  
Epidemiological Pattern ◽  
One Year

Background: Rabies is a viral zoonosis. In up to 99% of cases, domestic dogs are responsible for rabies virus transmission to humans. About 30% of the victims of dog bites are children under the age of 15. Ironically, all these problems are preventable by effective vaccination. However, for an ef­fective prevention programme, it is important to un­derstand the epidemiology of animal bite cases. The objective of the study was to assess the epidemiological pattern of animal bite cases attending anti-rabies clinic. Methods: A record based retrospective study was conducted from April to May 2016 by reviewing the records of one year in anti-rabies clinic. Results: In the study out of 2850 bite victims, 78% were males and about 21, 54% were in the age group of 20-29 years. 97% of cases were bitten by dog. Based on area wise distribution majority of the bite victims were from Bangalore west (49.5%), among them 23% was referred for Immunoglobulin. The study also showed that majority of paediatric cases were reported more during the month of April and May. Conclusions: In our study we found that majority of cases were reported among the paediatric age group during summer vacations. Hence education should be given in the community as well in schools for primary prevention of animal bite. 

A PROSPECTIVE HISTOPATHOLOGICAL STUDY OF MENINGIOMAS IN A TERTIARY CARE CENTRE OF VIJAYAWADA

2021 ◽  
pp. 11-13
Author(s):  
C.Bhanu Sree ◽  
P. Annapurna ◽  
M. Rajani
Keyword(s):  
Surgical Resection ◽  
Tertiary Care ◽  
Histopathological Study ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Histological Appearance ◽  
Classi Cation ◽  
A Prospective Study

Background: Meningiomas are neoplasms arising from the arachnoidal cap cells in the meningeal coverings of the spinal cord and brain. These are the most common benign intracranial tumours and account for about 13-26% of all primary brain neoplasms. These are generally benign neoplasms of adults most often seen in middle age, but about 10% are atypical or malignant. These neoplasms are graded by WHO as Grade I , II and III . Benign meningiomas can be cured by surgical resection where as higher grade meningiomas require radiotherapy after surgical resection as these higher grade meningiomas have greater recurrence and aggressive behavior. Aims and Objectives: To study the variants and histopathological spectrum of meningioma and prognosis of variants. Material & Methods: The present study is a prospective study conducted in the department of Pathology, Siddhartha medical college from June 2019-May 2020. During this study, 16 cases of meningiomas were diagnosed and reviewed. Result:In our study of 16 cases females were 62.5%. The most common age group is 41-60 yrs (68.75%). Most common variant was noted to be transitional meningioma followed by meningothelial meningioma. Out of the 16 cases, grade I were 81.25%. Conclusion: Meningiomas account for 28-30% of primary central nervous system tumors and unveil a heterogeneous histopathology. The histological appearance of meningioma determines the grading for the management of the various subtypes and also associated with patient's prognosis. Hence a continuous revision of histopathological classication systems is required to improve the diagnostic accuracy. Benign meningiomas are the most common type. From our study, we conclude that transitional meningioma is the most common benign variant.

scholarly journals P0391STUDY OF ANTI COMPLEMENT FACTOR H MEDIATED DISEASE AT A TERTIARY CARE CENTRE

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Umesh Lingaraj
Keyword(s):  
Tertiary Care ◽  
Factor H ◽  
Complement Factor H ◽  
Complement Factor ◽  
Age Group ◽  
C3 Glomerulopathy ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Oral Steroids ◽  
Paediatric Age

Abstract Background and Aims To study the clinical profile and outcome of patients with anti complement factor H mediated disease at our centre. Method We conducted a prospective study over 24 months ( August 2016 to July 2018) to assess the clinical profile and outcome of patients with anti complement factor H mediated disease at our tertiary care centre. We had a total of 18 cases during the study period. All patients were followed up to assess their response to therapy. Results A total of 28 cases of atypical HUS were seen during the study period of which anti factor H antibody was elevated in 18 (64.2%). All patients presented with hypertension with active urinary sediments and rapidly progressive renal failure. Mean serum creatinine at presentation was 6.8 +/- 1.2 mg/dl and all patients were oliguric at presentation and required haemodialysis. Anti complement factor H antibody was elevated in all patients with a mean of 549 +/- 90 AU/ml. (normal - 0 to 100 AU/ml).Renal biopsy showed thrombotic microangiopathy in 12 patients (66.6%) while features were suggestive of C3 glomerulopathy in 6 patients (33.3%). All patients received induction with plasmapheresis and pulse steroids followed by oral steroids at 1mg / kg with IV cyclophosphamide 500mg/ m 2 monthly for 6 months . This was followed by maintenance immunosuppression with azathioprine +/- oral steroids. 10 patients (55.5%) attained complete remission. Patients with anti complement factor H mediated disease presenting with TMA had better prognosis compared to patients presenting with C3 glomerulopathy. Also patients in the paediatric age group showed good response to treatment Conclusion Our study shows that anti complement factor H mediated disease is more common in the paediatric age group with good response to plasmapheresis and immunosuppression in the form of oral steroids and cyclophosphamide. Patients presenting with TMA have better prognosis compared to C3 glomerulopathy

scholarly journals PROFILE OF MEDICOLEGAL AUTOPSIES OF FEMALE SUBJECTS AT A BORDER DISTRICT TERTIARY CARE CENTRE OF WEST BENGAL - A PILOT STUDY

2020 ◽  
pp. 1-3
Author(s):  
Aloke Mazumder ◽  
Umme S Faisal ◽  
Partha Pratim Mukhopadhyay ◽  
Amartya Chatterjee
Keyword(s):  
Collaborative Research ◽  
Female Subject ◽  
West Bengal ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
One Year ◽  
Female Subjects

Present study has been conducted at Department of Forensic Medicine and Toxicology, Malda Medical College, located at Malda District of West Bengal state that covers both international and state borderand having a different socio economic scenario than rest of the country which is often reflected at the pattern of medicolegal cases reported here. On the other hand, death of a female subject of medicolegal category bears definite implication on such aspects. In view of this one year autopsy based study has been conducted where out of 1685 autopsies, 562 cases were of female subjects. It has been seen that majority of unnatural deaths of females were due to effects of Hanging ( 26.87% ) , followed by Burn (19.93%) and intake of Poison (15.12% ). As per the age group is concerned, commonest age group affected was 16- 20 yrs ( 23.13%), followed by 21- 25 yr ( 14.95%). Highest incidence of such deaths took place in the month of October ( 11.21%) followed closely by August and September. Besides implementing mass awareness program on it, a collaborative research team comprising of Medicos, Judiciary and Police Authority is required to minimize such fatal outcomes of females.

scholarly journals Evaluation of knowledge regarding COVID-19 in the doctors - A cross sectional study in a tertiary care centre of Maharashtra

2020 ◽  
Vol 8 (S1) ◽  
pp. 135-138
Author(s):  
Kotnis SD ◽  
Sancheti PV
Keyword(s):  
Human Resources ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Age Group ◽  
Care Centre ◽  
Sectional Study ◽  
Sample Collection ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Paediatric Age

Training of human resources is immensely important as COVID-19 is a new disease and impact of the disease is high in shorter time span. With this view, Government of India initiated Integrated Government Online Training (iGOT) platform for training of human resources. iGOT training was imparted to all doctors, residents. The present study was conducted with an aim to evaluate the knowledge of doctors regarding COVID-19. All delegates (Total 88) were invited to join a social media group which was utilised to circulate the questionnaire. More stress should be given in the training on precautions to be taken triage areas, sample collection and transfer, and management in antenatal, postnatal and paediatric age group. The iGOT training was useful for capacity building. Keywords: COVID-19; doctors; iGOT training; SARS-CoV-2

scholarly journals An observational study to determine the incidence and the clinico-epidemiologic profile of dengue fever in paediatric age group presenting to a tertiary care centre in Western Rajasthan, India

2020 ◽  
Vol 7 (6) ◽  
pp. 1260
Author(s):  
Sangeeta Kumari ◽  
Mohan Makwana ◽  
Harish Kumar Mourya ◽  
Ramavtar Mitharwal ◽  
Shivji Ram ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Health Concern ◽  
Severe Thrombocytopenia ◽  
Mosquito Vector ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Epidemiologic Profile ◽  
Paediatric Age

Background: Dengue remains major public health concern because of the expanding geographic distribution of both the virus and the mosquito vector. Aims and objectives was to determine the incidence of dengue fever in paediatric age group presenting to a tertiary care centre in Western Rajasthan and to evaluate the clinico-epidemiologic profile of these children.Methods: This is observational epidemiological study on patients of pediatric age group, over a period of one year.Results: A total of 210 ELISA positive cases, comprising of 55% males and 45% female (Male to female ratio of 1.2:1) were enrolled. In this study most (44.7%) were age group of 10-18 years, 80% patients from urban area, 93.8%. admitted between the months of September to December, 70.95% presented between 3rd to 5th days of their illness, 48 (22.86%) were tourniquet test positive at the time of admission with fever being most common (95.23%) presenting symptom, followed by headache (60%) and vomiting (55%). Almost all (99.52%) had thrombocytopenia (34.2% of them had severe thrombocytopenia), most (85%) had a hospital stay of less than a week, 98.10% patients required fluid therapy for less than 5 days. and a mean of 3.41±2.60 days were required by these patients to recover from significant thrombocytopenia. Here 22% (46) patient’s required ICU care, with shock being main indication for ICU admission, followed by requirement of blood product transfusion (73%). Bleeding manifestations were seen in  73(34%) patients, commonest being the epistaxis in 40 patients (55%).Conclusions: Incidence of dengue was 0.42% with 32.38%patients were IgG ELISA positive also.

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