scholarly journals Pattern of Ophthalmological Diseases in the Patients of Shree Birendra Hospital

1970 ◽  
Vol 9 (2) ◽  
pp. 30-37
Author(s):  
S Rajkarnikar ◽  
A Gurung ◽  
RR Bist ◽  
R Shrestha ◽  
SM Shrestha

Introduction: Blindness is one of the most tragic yet often avoidable disabilities in the developing world. The pattern of ocular diseases varies in different parts of Nepal due to differences in socioeconomic and geographic factors. This retrospective study likely reflects the pattern of ocular diseases in Kathmandu Valley. Aim: To assess the patterns of ocular disease in the patients attending the outpatient department of Ophthalmology from 14th April 2009 to 13th April 2010 at the Army Hospital. Methods: This is a retrospective study and all the new cases which attended the department of Ophthalmology of Shree Birendra Hospital in the year 2066 were included. The diseases were divided into 11 groups i.e. lid & adenexal disorder, disease of conjunctiva & sclera, corneal diseases, lens associated disorders, diseases of uveal tract, refractive error, glaucoma & its associations, posterior segment diseases, ocular & systemic neoplastic disorders, Nekebadi (annual medical check up) and others. Result: The total number of patients recorded in the department of Ophthalmology is 16709. Among them 4473 were regular serving army personnel and 12236 were ex-army and army families. Conclusion: The pattern of eye disease varies in different age groups. In younger age group conjunctival, scleral disease and refractive error were commonly seen whereas in elder age group lens disorder was frequently seen. The number of blind patients was more in females than in male patients. Key words: Conjunctivitis; Cataract; Blindness. DOI: http://dx.doi.org/10.3126/mjsbh.v9i2.5023 Medical Journal of Shree Birendra Hospital Vol.9(2) 2010: 30-37

2015 ◽  
Vol 12 (2) ◽  
pp. 5-11
Author(s):  
Ramesh Raj Bist ◽  
Sagar Rajkarnikar ◽  
Anu Gurung ◽  
Pratik Chetry

Introduction: The causes of blindness and the pattern of eye diseases differ in developing and developedcountries and often in communities. A study of the pattern of ocular diseases is very important because whilesome eye conditions are just causes of ocular morbidity others invariably lead to blindness.Methods: This was a retrospective study including all the cases which attended the department of Ophthalmologyof Shree Birendra Hospital in April 2010 to April 2011.Results: A total of 17988 patients were seen during the study period with mean age 39.95 ± 18.94 years, maleto female ratio of 51.02: 48.92% in the department of Ophthalmology. Among them 4779 were regular servingarmy personnel and 13209 were ex-army and army families. The largest number of cases were seen in lensrelated disease (25.19%), followed by conjunctival and scleral disease (24.29%).Conclusions: The pattern of eye disease varies in different age groups. In younger age group conjunctival,scleral disease and refractive error were commonly seen whereas in elder age group lens disorder was frequentlyseen. The number of blind patients was more in females than in male patients.doi: http://dx.doi.org/10.3126/mjsbh.v12i2.12917  


2021 ◽  
Vol 4 (1) ◽  
pp. 439-441
Author(s):  
Pragya Singh Basnet ◽  
Sagun Malla ◽  
Deepa Sharma ◽  
Roshan Gautam

Introduction: Nepal is a developing country where most of the population does not have access to proper health care services and on top of that eye care services do not reach the entire population. This study aimed to determine the pattern of ocular morbidity in patients attending the ophthalmic OPD of Rapti Academy of Health Sciences. Materials and Methods: This was a prospective cross-sectional study conducted in the Department of Ophthalmology of Rapti Academy of Health Science, Dang. The study period was Poush 2077 to Chaitra 2077.  All the patients visiting the OPD of the Ophthalmology department with an ocular problem were included in the study. Results: A total of 1000 patients were examined during the study period. The patient's ages below 1 year were excluded so a total of 970 samples was selected. In which 625 (64.4%) were female and 345 (35.6%) were male. Most patients 92.9% were from Dang followed by Rolpa 4.1%, Rukum 1.4%, Pyuthan 0.9%, and Salyan 0.6%. Patients were examined from all age groups except for 1 year which was excluded. Out of the total patients, a maximum number of patients were female and the maximum number of patients were in the age group of 21- 30 years and followed by more than or equal to 60 years age group. Conclusions:  This study will help in obtaining epidemiology of Ocular disease for proper planning and management in the hospital.


Author(s):  
Sreelakshmi U. ◽  
Tushara Bindu V. ◽  
Subhashini T.

Background: Abnormal uterine bleeding is the most common and frequent presenting complaint in Gynaecology Outpatient Department in all age groups, especially in perimenopausal women. Objective of present study was clinicopathological evaluation and management of abnormal uterine bleeding in perimenopausal age group women.Methods: The present study was prospective analytical study conducted at Mallareddy Narayana Multi-speciality Hospital, reputed teaching hospital, in Obstetrics and gynaecology department in association with department of pathology from January 2015 to December 2016. Perimenopausal women in age group 45-55 years included in this study. Other age groups with abnormal uterine bleeding, isolated cervical or vaginal pathology, bleeding diathesis, and pregnancy related causes of bleeding excluded from this study. Endometrial tissue collected by sampling procedure such as dilatation and curettage. Proper counselling about management was given to all women related to medical and surgical interventional approaches.Results: A total of 135 women with abnormal uterine bleeding in perimenopausal age were examined after fulfilling criteria during study period of 2 years. The age of participants in mean±SD was 46.68±2.03 years (min 45 years and max 55 years). Maximum number of patients with abnormal uterine bleeding presented in age group of 45-50 years. The most common symptoms were heavy menstrual bleeding (83.7%), followed by frequent menstrual bleeding (26.6%). Proliferative endometrium was the most common histopathological (30.3%) study followed by secretory endometrium (27.4%). Surgical management was given to 94 patients.Conclusions: Heavy menstrual bleeding and frequent menstrual bleeding were mostly correlated with abnormal endometrial histopathological findings in this study. Gynaecologists should pay attention towards these abnormal bleeding patterns along with the evaluation of endometrial tissue for histopathological findings, which will help us to plan for successful management. 


2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.


Author(s):  
Kovalevsky A.M. ◽  
Nikitenko V.V. ◽  
Potockaya A.V.

As an outpatient appointment, 347 patients (185 men and 162 women) who first sought dental care for chronic generalized periodontitis were examined in the therapeutic department of the Dentistry clinic of the Kirov Military Medical Academy. All patients were divided into three age groups: 40-45 years, 46-50 years, 51-55 years. There were no patients younger than 40 years old and older than 55 years old among the examined ones. When analyzing the results of the examination of patients, it was revealed that the largest number of patients belongs to the age group of 40-45 years (49.3±2.7% of all examined), on the second place was the age group of 46-50 years – 127 (36.6±2.6% of all examined) people (p<0.001), the smallest the group of patients was 51-55 years, 49 (14.2±1.9% of all examined) people (p<0.001). There were no large differences in the number of patients by gender between the age groups (p>0.05). Mild chronic generalized periodontitis prevails among the examined patients (65.1±2.6%, p<0.001). The mild severity of chronic generalized periodontitis was recorded in 121 (65.4±3.5%) of the 185 men, among 162 women – in 106 (64.8±3.8%). Chronic generalized periodontitis of moderate severity was detected in 42 (22.7±3.1%) men and 38 (23.5±3.3%) women. Finally, 22 (11.9±2.4%) men and 19 (11.7±2.5%) women went to the therapeutic department of the dental clinic with severe chronic generalized periodontitis. Thus, there were no large differences between the sexes in the number of patients with different degrees of severity of chronic generalized periodontitis (p>0.05).


2018 ◽  
Vol 7 (2) ◽  
pp. 39-43
Author(s):  
Ashok Koirala ◽  
Dipendra Thakur ◽  
Sunit Agrawal ◽  
Bhuwan Lal Chaudhary ◽  
Sagar Poudel

 Background: Acute appendicitis is very common surgical cause of acute abdomen and needs surgical removal either by laparoscopic or open appendicectomy. The aim of this study is to compare frequency of surgical site infection (SSI) in patients undergoing laparoscopic and open appendicectomy. Materials and Methods: The study was prospective study conducted in NMCTH, Biratnagar. Total 200 patients with diagnosis of acute appendicitis admitted through the emergency department of our hospital were included in the study. The patients were randomly allocated in two groups: Laparoscopic appendicectomy group (LA) and Open appendicectomy group (OA). Both groups underwent successful emergency appendicectomy. Wound infections in terms of surgical site infection (SSI) if present were recorded. All age groups and both sexes were included.  Results: Two hundred patients underwent appendicectomy, one hundred Laparoscopic appendicectomy (LA) and another hundred open appendicectomy (OA). The mean age of patients with acute appendicitis was 30.63±16.14 years with minimum of 6 years and maximum of 77 years. The highest number of patients were in age group of 10 to 20 years (29.5%). In LA group SSI noted in 3 patients (3%) whereas in OA group it was found in 12 patients (12%). Conclusion: Laparoscopic appendicectomy is better and offers great advantages in terms of SSI as compared to Open appendicectomy.  


2020 ◽  
Vol 5 (5) ◽  
pp. 242-247
Author(s):  
A. K. Khudyk ◽  

Currently, fractures of the middle face area remain a serious problem of maxillofacial traumatology because there is not only an increase in the number of injuries to the bones of the facial skull, but also the sever character of these injuries, and an increasing number of post-traumatic complications. This is due to the increase in crime, alcoholism, the proliferation of weapons among the population, the increase in traffic accidents, and injuries in the war zone. The purpose of the study was a retrospective analysis of the features of the damage to the middle face area of patients in a large industrial region. Material and methods. We conducted a retrospective analysis of the injury features of the middle face area in 416 patients who became patients of the department of head and neck surgery for the period from January 1, 2010 to December 31, 2019. Results and discussion. The study results showed that the vast majority (χ2 = 529.9; F = 0.000000; p <0.05) of patients were male. Men had by 79.3 (OR = 79.29; F = 0.000000) times higher risk of middle face injury than women. The risk of traumatic face injury in women increased with the age. Thus, in the group of women aged 61+ it was by 29.6 times higher than in the group of women aged 21-30 (OR = 29.6; F = 0.003203). The greatest number of injuries was observed in the age group of 21-30 years. Assessment of the injury risk in this age group showed that it was by 35.5 times higher than in the group of patients aged 61+ and by 2.1 times higher than in the group aged 31-40. Conclusion. The main etiological factor of injuries of the middle face area was domestic trauma, which was 369 (88.7±1.5)% of cases, which was significantly more (χ2 = 498.5; F = 0.000000; p <0.05) than other types of injuries. The risk of domestic injury was by 61.6 times higher than other types of injury. The study results proved that criminal injuries had the highest frequency among all types of injuries (50% of all types of injuries), fall injury was on second place (38%), and road accidents injuries were on third place (7%). A significant majority of the middle face injuries had men, the number of women with injuries of the middle face area increased significantly with the age. The largest number of patients (71.4%) with injuries of the middle face area occurred in the age groups 21-30 and 31-40, that is people of working age


2021 ◽  
Author(s):  
Wenli He ◽  
Danhong Xu ◽  
Jiafeng Wang ◽  
Yuze Shen ◽  
Zheng Lin ◽  
...  

Abstract BackgroundLittle is known about the gender characteristics and the Corona Virus Disease 2019(COVID-19) impact on psychiatric department outpatients in general hospitals in China. MethodsWe retrospectively collected 225,947 outpatient clinic records before and during COVID-19 pandemic from January 1, 2019 to December 31, 2020 in the psychiatric clinic of 3 general hospitals, gender composition of patients was analyzed in different five age groups and nine diagnostic categories at three levels: total patient visits, number of patients and number of first-visit patients. ResultsThe total male-to-female ratio of psychiatric outpatient records in 3 general hospitals from 2019 to 2020 was 1:1.69. Women were more common in all age groups and the male-to-female ratio of 2020 was expanded compared to that of 2019, especially in age group below 34 years old and anxiety disorders category. Most mental disorders showed higher demands for females than that for males except Mental and behavioral disorders due to psychoactive substance use with the male-to-female ratio was 1:0.05. Compared to 2019, the proportions of women were expanded especially in age group below 34 years old, and anxiety disorder and undetermined diagnosis categories were significantly increased in 2020. ConclusionsThe demand for female psychiatric outpatient services is obviously higher than that for males. It is necessary to pay more attention to explore targeted mechanism or psychosocial service strategy for female patients with mental disorders. Trial registration: ChiCTR2100044894, March 31,2021 retrospectively registered.


2019 ◽  
Vol 28 (11-12) ◽  
pp. 255-8
Author(s):  
Hadi Soekma Siregar ◽  
Ridwan M. Daulay ◽  
Lily Emsyah ◽  
Bistok Saing

A retrospective study had been done, to find out the incidence of hydrocephalus during 1984-1985 in the Pediatric Neurology Sub Division of the Child Health Department Medical Faculty University of North Sumatera/Pirngadi Hospital Medan. The number, age groups, causes and treatment were reviewed. The cases consist of 17 children, 9 males (52,09%) and 8 females (47,01%). Most of the patients 12 (70,58%) were found in the age group of 1 year or less, and the others 5 (29,42%) in the age group of more than 1 year. The youngest was 1 year of age and the oldest 3 1/2 years. Six cases were caused by congenital abnormalities, 1 case by meningitis and in 10 cases the probable cause was unknown. Conservative treatment had been given to all cases.  


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S282-S282
Author(s):  
M Skalinskaya ◽  
E Skazyvaeva ◽  
M Zhuravleva ◽  
I Bakulin ◽  
D Komarova ◽  
...  

Abstract Background Untimely diagnosis increases the number of severe forms of IBD, which enlarges the possibility of life-threatening complications, extraintestinal presentations, and the patient’s need for surgical treatment. Methods We analysed the data of 1130 patients with an established diagnosis of UC or CD. The dynamics of the timing of diagnosis of IBD, the nature of the disease, the frequency of occurrence of intestinal complications, extraintestinal presentations were evaluated. Results The maximum frequency of start of both UC and CD falls on the young age of patients - from 19 to 38 years. The duration of symptoms before diagnosis is established is 2.3 years (27.4 months) for CD, 1.1 years (12.1 months) for UC. 81.8% of patients with UC are diagnosed no more than 4 years, but in 10.9% of patients this interval was 4–9 years; in 3.6%, 9–13 years; in 1.9%, 13–18 years, and in another 1.8%, more than 20 years. In CD 59.5% of patients fall into the diagnosis interval up to 4 years, in 27.4% this period takes from 4 to 9 years, in 7%—10–15 years, and in 6% more than 6 years. At the age of 18–25 years severe course of IBD is observed in 12% of patients, at the age of 26–30 years—in 18%, 31–40 years—in 9%. Older people are more likely to experience mild IBD, and the percentage of severe and moderate forms is 4% and 29%, respectively, after 60, and less than 0.5% and 19.5%, respectively, after 70 years. Extraintestinal presentations were observed in 43.4% of patients, with 25% of them having more than one of them. In patients with CD, the development of complications in the first 4 years of the disease was noted in 62%, in UC—in 58.9%. In patients with intestinal complications, the diagnosis period was 2.9 years, without them—2.4 years. However, in patients with a history of surgical treatment of IBD, the diagnosis period was less than 1 year. 69, 3% of revealed patients with a history of needing one or more hospitalisations associated with IBD, and 15.8% underwent surgery for IBD. Conclusion Based on the data obtained, it can be concluded that the main part of complications occurs in the first few years after the onset of the disease. With late diagnosis, the probability of developing not only intestinal complications, but also extra-intestinal presentations significantly increase, which reflects a more severe form of the disease. The shorter time of diagnosis of IBD in patients who need surgical treatment is explained by more pronounced symptoms that require urgent medical care. However, the proportion of IBD with severe and moderate form is greater in young age groups, and as the ‘growing up’ groups - the number of patients with mild IBD begins to prevail.


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