scholarly journals Determinants of Preterm Labour in a Rural Medical College Hospital in Western Maharashtra

2013 ◽  
Vol 8 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Sunil Avachat Shubhada ◽  
SV Kambale ◽  
BD Phalke
Keyword(s):  
Socioeconomic Status ◽  
Rural Area ◽  
Teaching Hospital ◽  
Low Socioeconomic Status ◽  
Preterm Labour ◽  
Previous History ◽  
College Hospital ◽  
Low Socioeconomic ◽  
Medical College ◽  
History Of

Aims: This study was done to estimate the incidence of preterm labour and to study the causes of preterm labour in a teaching hospital. Methods: A cross sectional study was conducted in a medical college hospital in rural area among all patients who delivered during study period. Data was collected by interview technique and analyzed by appropriate statistical methods. Results: Total 2105 deliveries occurred during study period and the incidence of preterm delivery in the study was 15%. Incidence of preterm labour was comparatively more among multigravida (49.5%). Out of 315 preterm labour cases, 234 (74.25%) were from low socioeconomic status. Forty-one percent preterm labors were idiopathic, 17% cases had maternal- fetal complications and 15% cases had recurrent urinary tract infections. Significant association was observed between previous history of preterm labour and current preterm labour after applying Z test. Conclusions: Incidence of preterm labour was 15% among the hospital deliveries in a teaching hospital in rural area. Preterm labour was more common among women of low socioeconomic status, among multigravida and among women having previous history of preterm labour. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 31-33 DOI: http://dx.doi.org/10.3126/njog.v8i1.8858

scholarly journals Clinical Pattern of Liver Abscess among the Patients Admitted in Rajshahi Medical College Hospital

2015 ◽  
Vol 26 (2) ◽  
pp. 55-60
Author(s):  
Chanchal Kumar Ghosh ◽  
Fakhrul Alam ◽  
M Mahmuduzzaman ◽  
AKM Shamsul Kabir ◽  
M Saif Uddoula ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Liver Abscess ◽  
Low Socioeconomic Status ◽  
Middle Aged ◽  
College Hospital ◽  
Low Socioeconomic ◽  
Clinical Pattern ◽  
Palm Wine ◽  
Medical College ◽  
History Of

Introduction: Liver abscess is an important clinical problem in tropical regions of the world. Current assessment of liver abscesses should allow for better understanding of the aetiopathogenesis of the disease. This study was conducted to find the clinical pattern and aetiopathogenesis of liver abscess in patients admitted in Rajshahi Medical College Hospital.Methodology: The present cross-sectional study was carried out in the Department of Medicine, Rajshahi Medical College Hospital (RMCH) on consecutive 34 patients of liver abscess admitted between the period of July 2002 and June 2003. Detailed history and clinical examination were performed in all patients. All routine investigations were done. Liver abscess was confirmed by ultrasonography (USG). Aspiration of liver abscess was done under sonographic guidance in the Nuclear Medicine Department of RMCH to diagnose the cause of liver abscess. Aspirated materials were sent for microscopical examination and culture and sensitivity in the Department of Microbiology of the same Institute.Result: The findings showed that early middle-aged population were usually affected by liver abscess followed by middle aged (mean age around 40 years). The patients were predominantly male with males being 16 times more likely to suffer from the disease than the females. Most of the patients belong to low socioeconomic status (82.4%). All patients had fever and malaise. Other common manifestations were loss of appetite, lump in the abdomen, intercostal tenderness, nausea/ vomiting, loss of weight. Less common presentations were diarrhoea (29.4%), jaundice (23.5%), cough (11.8%), chest pain (11.8%) and breathlessness (2.9%). Liver span of the patients measured by ultra-sonogram showed hepatomegaly in all cases. All patients with pyogenic liver abscess and 75% of the patients with amoebic abscess had the history of prolonged intake of fermented palm juice (palm wine). Microscopic examination of the pus/aspirate drawn from the liver revealed trophozoite in 7(20.6%) cases. However, on culture of the specimen, 12(35.3%) were culture positive and 22(64.7%) were culture negative.Conclusion: Middle-aged male with low socioeconomic status with the history of prolonged palm wine intake are the most common characteristic of patients with liver abscess. Multi-center study with large sample size is recommended to verify the findings of the present study.Bangladesh J Medicine Jul 2015; 26 (2) : 55-60

scholarly journals A study on clinicopathological evaluation of rhinosporidiosis

2017 ◽  
Vol 5 (10) ◽  
pp. 4519
Author(s):  
Prangya Panda ◽  
Bijaya Kumar Sadangi ◽  
Dhaneswari Jena ◽  
Sarita Panda
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Pond Water ◽  
Lacrimal Sac ◽  
Low Socioeconomic ◽  
Medical College ◽  
Palpebral Conjunctiva ◽  
History Of ◽  
The Common ◽  
Almost All

Background: Rhinosporidiosis is a chronic granulomatous disease. Aim of the study was to do a clinicopathological evaluation of the cases of rhinosporidiosis. Study design was longitudinal.Methods: The study was undertaken in MKCG medical college. 151 cases of rhinosporidiosis were taken. Pedunculated or sessile, fleshy, polypoidal, reddish looking mass with spores on the surface were clinically diagnosed as rhinosporidiosis. Age, sex distribution, site of presentation and socioeconomic status was studied. The swellings of lacrimal sac were doughy in consistency. The conjunctival mass was excised and thermocautery applied. For the cases of lacrimal sac dacryocystectomy was done.Results: The cases were more common in male children of low socioeconomic status. Palpebral conjunctiva is the common site of involvement. History of pond bath was present in almost all the cases. History of bleeding from nose and eye was present in many cases.Conclusions: Rhinosporidiosis is a common condition of our locality. Treatment is simple by excising the growth and cauterising the site. Taking bath in pond water is supposed to be the cause of the disease. The disease can be prevented by avoiding pond bath.

scholarly journals Familial Trend and Socioeconomic Status of the Hypertensive Patients attending at Hypertension Clinic

2012 ◽  
Vol 13 (1) ◽  
pp. 10-15
Author(s):  
Kazi Jahangir Hossain ◽  
Nazma Parvin ◽  
A Wazed ◽  
Md Shamsul Alam ◽  
Md Mustafa Kamal
Keyword(s):  
Socioeconomic Status ◽  
College Hospital ◽  
Hypertensive Patients ◽  
Positive History ◽  
Medical College ◽  
First Degree Relatives ◽  
Hypertension Clinic ◽  
History Of ◽  
Prevention Of Hypertension ◽  
Second Degree

The aim of the study was to investigate familial trend and socioeconomic status of the hypertensive patients attending at the Hypertension Clinic of Dhaka Medical College Hospital, Dhaka. The study period was from July 2009 to June 2010.  A total of 417 patients were recruited of which 245 were male and 172 female respectively, and selected consecutively on the basis of defined criteria.  The research instrument was an interviewer-administered questionnaire. For assessment of familial trend of hypertension, first and second degree relatives of the respondents were investigated.   Results showed that majority of the respondents were educated of which 22.1%(n=92), 18.2%(n=76), 19.9%(83) and 13.7%(n=57) were secondary, higher secondary, graduate and postgraduate educated respectively. In profession, 64.4%(n=111) female had household works, and 56.8%(n=139) male were in service and 41.2%(n=101) businessmen and had monthly income of  Tk. 10,000 to 80,000. The mean age of them was 47.4±6.9 years and BMI was 25.5±3.0 kg/m2. The nutritional status of them were normal in 40.5%(n=169) and rest had different degree of malnutrition.  In malnutrition, 53.1%(n=130) male were overweight, 2.9%(n=7) obese and 0.8%(n=2) undernourished; and 51.2%(n=88) female were overweight, 11.0(n=19) obese and 1.2%(n=2) undernourished respectively.   About 70.5%(n=294) of the studied hypertensive patients had positive history of hypertension in first and second degree relatives of which 17.3%(n=72) had single member positive history of hypertension, 18.2%(n=76) two, 16.8%(n=70) three, 14.1%(n=69) four and 4.1%(n=17) five members. In single member positive, most of them were in first degree relatives; in two members, 67.1%(n=51) were in first degree relatives and 27.6%(n=21) in both first and 2nd degree relatives; in three members, 64.3%(n=45) were in 1st degree and 31.4%(n=22) in both 1st and 2nd degree; in four members, 31.9%(n=22) were in 1st degree relationship, 17.4%(n=12) in 2nd degree and 50.7%(n=35) in both 1st and 2nd degree; and in five members, 17.6%(n=3) and 82.4%(n=14) in second degree, and both 1st and 2nd degree relatives respectively. Heath education and behavioral change intervention programs among the hypertensive population may be one of the most important applicable ways to control and/or prevention of hypertension and its complications in Bangladesh. DOI: http://dx.doi.org/10.3329/jom.v13i1.5941 JOM 2012; 13(1): 10-15

scholarly journals Food Insecurity and Preeclampsia: A Case-Control Study

2021 ◽  
Author(s):  
Junaid Bigdeli ◽  
Golnaz Ranjbar ◽  
Lida Jarahi ◽  
Nayereh Khadem Ghaebi ◽  
Davood Soleimani ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Food Insecurity ◽  
Low Socioeconomic Status ◽  
Case Control Study ◽  
Case Control ◽  
Low Socioeconomic ◽  
History Of ◽  
Safe Food ◽  
Control Study ◽  
Risk Of Preeclampsia

Background: Household food insecurity is defined as the limited or uncertain access to adequate and safe food or limited ability to obtain food in a socially acceptable manner. Preeclampsia is a severe case of high-risk pregnancy, which endangers the health of women across the world, especially in developing countries. The current study aimed to use the nutritional deficiencies theory in pathogenesis of preeclampsia and determine the correlation between food insecurity and preeclampsia. Methods: This case-control study was conducted on 100 women with preeclampsia and 200 normal pregnant women with the gestational age of 20 weeks. Participants were selected via purposive sampling according to the eligibility criteria. Data were collected using the USDA questionnaire for food insecurity, socioeconomic data, and demographic data through interviews. Results: The findings indicated that the frequency of food insecurity was significantly higher in the preeclampsia women than the healthy women (71% vs. 21%; P < 0.001). Logistic regression indicated that the risk of preeclampsia was six times higher among pregnant women in the unsafe food status group than those in safe food status group [odds = 6.4; 95%CI: 3.3-12.4; P < 0.001]. Among the studied variables, socioeconomic status, history of stillbirth, history of preterm delivery, and ethnicity were significantly associated with preeclampsia during pregnancy (P < 0.05). In addition, women with low socioeconomic status were twice at the higher risk of preeclampsia compared to those with favorable socioeconomic status [odds = 2.7; 95%CI: 1.1-6.2; P = 0.01]. Conclusion: The current study indicated that the prevalence of food insecurity was high in Iranian women with preeclampsia, especially those with a history of preterm labor, history of stillbirth, low socioeconomic status, or non-Persian.

scholarly journals Incidence of H. pylori in all Endoscopies Done at Saveetha Medical College over the Last Two Years (2018-2020)

2021 ◽  
pp. 293-298
Author(s):  
S. Kirthika ◽  
M. Vinoth
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Study Group ◽  
Age Group ◽  
Major Health ◽  
Low Socioeconomic ◽  
Medical College ◽  
Prompt Treatment ◽  
Increased Risk ◽  
H Pylori

Background: H. pylori infection is a major health ailment in most of the developing countries. The infection is associated with increasing morbidity and mortality ranging from chronic gastritis to gastric malignancies. The aim of this study is to assess the prevalence of H. pylori among patients tested positive for the same in Saveetha Medical College, Thandalam over the period of 2018-2020 and assess the incidence with factors like socioeconomic status, age and sex of the patients. Objectives: To determine the incidence of pylori for the patients who tested positive for the same over the period of 2018-2020. To assess the patients infected with pylori for various factors like age, sex and socioeconomic status. Materials and Methods: It is a retrospective type of study. The patients who tested positive for H. pylori infection in Saveetha Medical College over the period of 2018-2020 was taken into study. A total of 300 H. pylori infected patients were assessed for various factors like age, sex and socioeconomic status. Results: Out of 300 patients who tested positive for H.pylori were categorized based on age sex and socioeconomic status. Among 300 infected patients, 230 turned out to be men while only 70 cases seen among women. The prevalence was high among the age group > 60 (n=150; 50%) while the 40-60 recorded the second highest number of cases (30% n=90). 20-40 was the least affected group. Most of the cases were associated with low socioeconomic status, alcohol and smoking which contributes to the increased risk of acquiring the H. pylori infection. Conclusion: The incidence of H. pylori infection is high among the study group. Hence it is essential to provide prompt treatment and take adequate measures to prevent the risk factors.

scholarly journals Evaluation of molar pregnancy in Rajshahi Medical College Hospital

KYAMC Journal ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 24-27
Author(s):  
Mosammat Nargis Shamima ◽  
Rubayet Zereen ◽  
Mohd Alamgir Hossain ◽  
Nargis Zahan ◽  
Nurjahan Akter ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Hydatidiform Mole ◽  
Treatment Protocol ◽  
Medical College Hospital ◽  
Molar Pregnancy ◽  
College Hospital ◽  
Low Socioeconomic ◽  
Medical College ◽  
One Year ◽  
Abnormal Vaginal Bleeding

Background: A molar pregnancy is also known as hydatidiform mole which is a benign tumour that develops in the uterus. It begins when an egg is fertilized but normal viable pregnancy not occurs, rather than the placenta develops into an abnormal mass of cyst. In all cases of molar pregnancy observation is essential to detect the reawakening of chorionic activity.Objectives: The aim of the study was to explore the incidence, clinical presentation, management and outcome of the molar pregnancy in our hospital.Materials & Methods: This prospective study was conducted in Rajshahi Medical College Hospital, Rajshahi, Bangladesh over a period of one year from July 2016 to June 2017. All pregnant women who were diagnosed as molar pregnancy were included in the study.Results: In this study the incidence of molar pregnancy was 5.3 per 1,000 deliveries that was 1 in 188 deliveries. Among the patients 54.7% were between (23 - 27 years) age group, 81.2% cases were multiparous and 58.4% patients belonged to low socioeconomic status. The prevalent blood group was A and constitute 56.6%. About 62.2% patient presented with amenorrhoea and abnormal vaginal bleeding. 45.3% admitted between (12-16) weeks of gestation. Most of the patients 58.4% were managed by suction and evacuation. Among all the cases 92.4% were complete mole and only 16.9% came for follow up.Conclusion: Results from this study showed that a small portion of patient of molar pregnancy came for routine follow up. To achieve high cure rate and low chemotherapy rate an effective registration programme and treatment protocol should be established.KYAMC Journal Vol. 9, No.-1, April 2018, Page 24-27

The “Homogamy” of Road Rage Revisited

2008 ◽  
Vol 23 (6) ◽  
pp. 758-772 ◽  
Author(s):  
Lynne D. Roberts ◽  
David W. Indermaur
Keyword(s):  
Socioeconomic Status ◽  
Violent Crime ◽  
Low Socioeconomic Status ◽  
Demographic Characteristics ◽  
Aggressive Driving ◽  
Road Rage ◽  
Low Socioeconomic ◽  
Young Males ◽  
Driving Behaviors ◽  
History Of

The principle of homogamy, the tendency for victims and offenders to share behavioral and demographic characteristics, has been applied to various forms of violent crime. This article explores how this principle relates to types of “road rage” using a survey of 1,208 Australian drivers. Two-thirds of drivers who perpetrated violent forms of road rage also reported being victims of the same crime, providing support for the homogamy thesis. Perpetrators were predominantly young males with low socioeconomic status who lacked the ability to control their temper. Perpetrator-victims were more likely than other victims to have a history of driving violations and higher levels of general aggression and report more frequent aggressive driving behaviors. The implications for theories of violence are discussed.

scholarly journals HEPATITIS 'B' AND 'C'

2011 ◽  
Vol 18 (01) ◽  
pp. 69-74
Author(s):  
MUHAMMAD ZAFAR IQBAL ◽  
MUHAMMAD AZEEM ◽  
MUHAMMAD RAZZAQ MALIK
Keyword(s):  
Risk Factors ◽  
Hepatitis C ◽  
Blood Transfusion ◽  
Hepatitis B ◽  
Previous History ◽  
Medical College Hospital ◽  
History Of Surgery ◽  
College Hospital ◽  
Medical College ◽  
History Of

Background: Hepatitis B and C is a global problem. The prevalence of hepatitis B and C in orthopedic patients is quite high with the common risk factors: previous history of surgery or blood transfusion. Objectives: The objectives of this study were to, "Find out the prevalence of Hepatitis B and C and their risk factors in patients admitted in Orthopedic Unit of Sheikh Zayed Medical College Hospital Rahim Yar Khan.”. Design & Duration: This was a prospective cohort study. The duration was from July 2009 to December 2009. Patients and Methods: This study was conducted in Orthopedic Department of Sheikh Zayed Medical College Hospital Rahim Yar Khan. Patients of either sex and of all ages who were undergoing orthopedic surgery were included in the study. All patients underwent screening for Hepatitis-B and Hepatitis-C and confirmed by Elisa method in positive patients. Data regarding age, sex, HBV, HCV was noted and analyzed by SPSS version 14. Results: Among 745 patients. 581 (77.98%) were male and 164 (22.02%) were female. Hepatitis B and C was present in 165 (22.15) patients. Out of these positive cases 125 (75.76%) were suffering from hepatitis C and 36 (21.81%) were suffering from hepatitis B, and 4 (2.43%) patients were positive for both HBV & HCV. Among the predisposing factors previous history of surgery was positive in 39 patients; history of blood transfusion in 27 patients, dental procedure was in 17 patients’ and 123 patients having injection therapy in the past. Conclusions: All the patients who need surgery should be properly screened for HBV and HCV. It is also necessary that separate operation theaters and instruments should be used for HBV and HCV positive cases.

scholarly journals Clinical Manifestation of Patients Who Died Due to COVID-19; A Retrospective Study from Qom-Iran

2020 ◽  
Vol 23 (12) ◽  
pp. 864-869
Author(s):  
Ahmad Hormati ◽  
Seyed Yaser Foroghi Ghomi ◽  
Masoudreza Sohrabi ◽  
Saeedeh Jafari ◽  
Amir Jabbari ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Psychological Disorders ◽  
Psychological Trauma ◽  
Self Report ◽  
Rome Iii Criteria ◽  
Low Socioeconomic ◽  
Total Prevalence ◽  
Rome Iii ◽  
History Of

Background: Irritable bowel syndrome (IBS) is a functional disease with no exact laboratory or imaging findings. IBS is more common in areas with a history of psychological trauma and war. This study aims to report the prevalence and possible determinants of IBS in southwestern Iran, an area with a notable history of war. Methods: We randomly enrolled 1849 permanent residents in 29 cities aged 20 to 65 years. A validated for Farsi version Rome III criteria and a questionnaire, including demographic data and health history, were administered to each subject. Participants who fulfilled the Rome III criteria were categorized into three groups: Diarrhea dominant (IBS-D), Constipation dominant (IBS-C), and Mixed type (IBS-M). Results: The total prevalence of IBS was 3.2%, with 70% of subjects being of Arab descent (P=0.004). IBS was more common in females, singles, illiterate subjects, and people younger than 30 years; however, none of these differences were statistically significant. People with depression, anxiety, self-report of psychological disorders, and very low socioeconomic status had a significantly higher prevalence of IBS (P<0.05). After multivariable logistic regression analysis, very low socioeconomic status had an independent role in IBS predictivity (OR: 2.28, 95% CI: 1.01–5.15). Conclusion: This study shows a higher prevalence of IBS symptoms in a population-based study in the region compared to counterparts in other regions of Iran. Considering the higher prevalence of self-reported psychological disorders, further studies are recommended to focus on the exact diagnosis of mental disorders and their influence on IBS.

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