scholarly journals Ringer’s Lactate Hydration and Incidence of Post ERCP Pancreatitis: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Ashis Pun ◽  
Amit Dhungana ◽  
Dipendra Neupane
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Analogue Scale ◽  
Serum Amylase ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Endoscopic Retrograde ◽  
Cross Sectional ◽  
Pain Abdomen ◽  
Ringer’S Lactate ◽  
Lactate Solution

Introduction: Endoscopic retrograde cholangiopancreatography is one of the most frequently used treatment modality for various pancreatobiliary problems. Frequent complications of endoscopic retrograde cholangiopancreatography include pancreatitis, cholangitis, hemorrhage and perforation. This study was done to see the prevalence of post endoscopic retrograde cholangiopancreatography pancreatitis in patient aggressively hydrated with Ringer’s Lactate solution. Methods: A descriptive cross sectional study was carried out on patient undergoing endoscopic retrograde cholangiopancreatography at Bharatpur Hospital from June 2018 to August 2020. Ethical clearance was taken from Institutional Review Committee Bharatpur Hospital (reference number 16/076/77). The convenient sampling method was applied. Data were collected and analyzed in statistical package for the social sciences version 16. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: Pain abdomen was assessed using Visual Analogue Scale and it was found that 8.1% of patients (15 patients) complained of pain abdomen with visual analogue scale> 3. Serum amylase was sent only in those patients who complained of pain abdomen and only in three patients (1.6%) serum amylase was increased more than 3 times the upper limit of normal value suggestive of pancreatitis. All three patients who had pancreatitis had precut sphincterotomy. Conclusions: In this study we found that incidence of pancreatitis slumped after aggressive hydration with Ringer’s lactate solution and adjunct use of other prophylactic measures for prevention of post endoscopic retrograde cholangiopancreatography pancreatitis might yield further better results.  

scholarly journals The Correlation of Supra Patella Effusion With Pain and Disability in Patients With Knee Osteoarthritis

2020 ◽  
Vol 18 (2) ◽  
pp. 155-162
Author(s):  
Anahita Hasannejad ◽  
◽  
Hasan Namvar ◽  
Kamran Ezzati ◽  
Fatemeh Ghiasi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Knee Osteoarthritis ◽  
Analogue Scale ◽  
Sampling Method ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knee Oa ◽  
Relationship Of ◽  
The Relationship

Objectives: The present research aimed to evaluate the relationship of supra patella effusion with pain and disability in patients with knee osteoarthritis by Ultrasonography (US). Methods: In a cross-sectional study, 60 patients with knee OA (Mean±SD score of body mass index: 29.81±5.64 kg/m2 and age: 50.48±7.57 years) were selected by nonprobability sampling method. Supra patella effusion was evaluated using an US. All study subjects completed the Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for pain and disability outcomes, respectively. To evaluate the relationship between effusion, disability, and pain, the Pearson’s correlation coefficient was employed.  Results: There was a poor but significant relationship between the area of effusion (r=0.27, P=0.03), the thickness of effusion (r=0.32, P=0.01), with pain. No correlation was found between the trace of effusion (r=-0.08, P=0.5) and pain. The area of effusion (r=0.1, P=0.17), the thickness of effusion (r=0.08, P=0.51), and the trace of effusion (r=0.0, P=0.9) were not correlated with disability.  Discussion: The effusion of supra patella was slightly correlated with pain. In contrast, the effusion of supra patella demonstrated no correlation with disability.

scholarly journals Correlation between temporomandibular disorder and quality of sleep in women

2016 ◽  
Vol 29 (3) ◽  
pp. 527-532
Author(s):  
Juliana de Paiva Tosato ◽  
Fabiano Politti ◽  
Marilia Barbosa Santos Garcia ◽  
Tabajara de Oliveira Gonzalez ◽  
Daniela Aparecida Biasotto-Gonzalez
Keyword(s):  
Analogue Scale ◽  
Temporomandibular Disorder ◽  
Cross Sectional Study ◽  
Common Symptom ◽  
Sectional Study ◽  
Quality Of Sleep ◽  
Cross Sectional ◽  
Multiple Factors ◽  
Pain Symptoms

Abstract Introduction: Temporomandibular Disorder (TMD) is caused by multiple factors and exhibits various symptoms. Its most common symptom is pain, a factor that can influence the quality of an individual's sleep. Objective: The aim of the present study was to assess the correlation between TMD and sleep. Methods: A cross-sectional study was conducted with 60 women, aged between 18 and 40 years, who had been diagnosed with TMD based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Fonseca's anamnestic index (FAI) was used to classify the severity of the dysfunction. To complete the assessment, each volunteer was assessed using the visual analogue scale (VAS) for pain. They also responded to two questions related to their quality of sleep and the average hours of sleep per night. Results: The more severe the TMD, the fewer hours of sleep per night (r = -0.5663). In total, 63.33% of the volunteers reported not sleeping well. Concerning pain, the greater the VAS score, the less hours of sleep (r = -0.516) and the more severe the TMD. Conclusion: It was found that the severityof TMD was correlated with pain symptoms and the number of hours of sleep per night.

scholarly journals Korelasi otitis media dengan temuan nasoendoskopi pada penderita rinosinusitis akut

2015 ◽  
Vol 45 (2) ◽  
pp. 101
Author(s):  
Ariel Anugrahani ◽  
Teti Madiadipoera ◽  
Arif Dermawan
Keyword(s):  
Visual Analogue Scale ◽  
Otitis Media ◽  
Nasal Obstruction ◽  
Analogue Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Acute Rhinosinusitis ◽  
Mucosal Edema

Latar belakang: Rinosinusitis akut adalah inflamasi pada hidung dan sinus paranasal yang berlangsung kurang dari 12 minggu. Adanya sumbatan pada hidung dapat menyebabkan sumbatan pada tuba Eustachius sehingga dapat terjadi gangguan ventilasi dan inflamasi yang dapat menimbulkan otitis media. Tujuan: Melihat adanya hubungan hidung tersumbat, nasal edema, dan rinore pada pasien rinosinusitis akut dengan otitis media. Metode: Penelitian dengan desain cross sectional study dan data diambil secara deskriptif retrospektif dari rekam medis, di Poliklinik Rinologi Alergi Ilmu Kesehatan THT-KL RSHS Bandung, dalam periode Januari 2013 - Juni 2014. Didapatkan jumlah sampel sebanyak 93 pasien yang terdiri dari 38 pasien dengan OMA, 27 pasien dengan OME, dan 28 pasien dengan OMSK, dengan usia 1 sampai 79 tahun, berdasarkan derajat berat penyakit menurut Visual Analogue Scale (VAS), gejala hidung berdasarkan Weeke, Davis dan Okuda, pemeriksaan nasoendoskopi berdasarkan Lund-Kennedy. Analisis data menggunakan uji Kruskal-Wallis, chi square (p<0,05), dan analisis korelasi Spearman. Hasil: Terdapat korelasi yang bermakna antara otitis media dengan temuan nasoendoskopi yaitu edema mukosa dan rinore. Kesimpulan: Terdapat hubungan antara peningkatan gejala obstruksi hidung dan edema mukosa serta rinore pada temuan nasoendoskopi pada penderita rinosinusitis akut dengan otitis media. Kata kunci: rinosinusitis akut, nasoendoskopi, otitis mediaABSTRACT Background: Acute rhinosinusitis is an inflammation of the nose and paranasal sinuses, which going on less than 12 weeks. If the Eustachian tube obstruction occurs, there will be ventilation and inflammatory disorders that can cause otitis media.rPurpose: This study aimed to find out the correlation of nasal obstruction, nasal edema, and rhinorrhea in acute rhinosinusitis patients with otitis media. Methods: The study was a cross sectional study which data were collected from retrospective descriptive study based on medical record at Rhinology-Allergy Clinic of ORL-HNS Department, Dr. Hasan Sadikin General Hospital, Bandung, from January 2013 to June 2014, involved 93 patients from 1 to 79 years old. Data were analyzed by using the Kruskal-Wallis, chi square, and Spearman statistical test based on anamnesis, severity of the disease using Visual Analogue Scale, nasal symptoms from Weeke, Davis and Okuda, nasoendoscopy findings from Lund-Kennedy. Results: There was a significant correlation between otitis media with mucosal edema and rhinorrhea from nasoendoscopy. Conclusion: There was a correlation between the increased symptoms of nasal obstruction,mucosal edema, and rhinorrhea in nasoendoscopy findings in patients with acute rhinosinusitis with the occurrence of otitis media. Key words: acute rhinosinusitis, nasoendoscopy, otitis media

scholarly journals Evaluation of Adverse Effects of Sodium Stibogluconate in the Treatment of Visceral Leishmaniasis

KYAMC Journal ◽  
2013 ◽  
Vol 3 (1) ◽  
pp. 239-243
Author(s):  
Md Abdus Sattar Miah ◽  
Md Abdus Salam ◽  
Md Azizul Haque ◽  
Md Azizul Haque Azad ◽  
Md A K M Enamul Haque ◽  
...  
Keyword(s):  
Visceral Leishmaniasis ◽  
Adverse Effects ◽  
Serum Amylase ◽  
Cross Sectional Study ◽  
Sodium Stibogluconate ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Degree Heart Block

This descriptive cross-sectional study was carried out in the Department of Medicine, Rajshahi Medical College Hospital to evaluate the adverse effects of sodium stibogluconate in the treatment of visceral leishmaniasis. Out of 30 patients, 19 patients (63.33%) developed abnormalities in ECG. Among them 14 patients (46.67%) developed prolonged QTc, 6 patients (20%) developed Twave inversion and 1 patient (3.33%) developed transient first degree heart block. No patient developed symptomatic arrhythmia. Five patients (16.67%) developed transient raise of bilirubin, 11 patients (36.67%) developed raised SGPT. None of them developed clinical hepatitis. Twenty three patients (76.67%) developed raised serum amylase but none developed clinical pancreatitis. There was no change in renal function. No adverse effects were noted on complete blood count.DOI: http://dx.doi.org/10.3329/kyamcj.v3i1.13659 KYAMC Journal Vol. 3, No.-1, June 2012 pp.239-243  

scholarly journals Epidemiology of acute abdominal pain: a cross-sectional study in a tertiary care hospital of Eastern India

2019 ◽  
Vol 6 (2) ◽  
pp. 345 ◽  
Author(s):  
Jiwesh Kumar Thakur ◽  
Rakesh Kumar
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Common Cause ◽  
Medical College ◽  
Pain Abdomen ◽  
Life Threatening

Background: Acute abdomen is defined as “a spectrum of surgical, medical and gynecological conditions ranging from trivial to life threatening conditions, which require hospital admission, investigations and treatment. The possible causes of acute abdomen may range from benign and psychogenic pain to life threatening aortic dissection. This study aims to find out the etiological spectrum of surgical acute pain abdomen among patients attending emergency department of a medical college of Eastern India.Methods: An institution based, cross-sectional study was conducted from January- June 2018, among patients admitted with pain abdomen in IQ City Medical College and Narayna Hospital, Durgapur, West Bengal, India. Data were collected on the day of discharge, with the help of pre-tested, semi structured Schedule.Results: Total 8688 patients were admitted through emergency during data collection period. 1236 (14.2%) of them were admitted with complains of pain abdomen. Frequency of surgical and non-surgical pain abdomen was 6.0% and 8.2% respectively. Most consistent symptom and sign were pain abdomen and abdominal tenderness respectively. Most common cause of acute abdomen was acute appendicitis. It was present in 38.9% of cases followed by gall bladder pathology, renal/ ureteric colic, perforation peritonitis, intestinal obstruction, bowel ischemia in 21.0%, 14.2%, 13.7%, 7.8%, and 4.4% of cases respectively.Conclusions: About 15.0% of all emergency hospitalization is due to acute abdominal pain and about 40.0% of all acute abdominal pain was due to surgical causes. Most common cause of surgical acute abdomen was acute appendicitis.

scholarly journals Perception of the risk of medicinal marijuana in postgraduate medical residents

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 381
Author(s):  
Sandra Castillo-Guzmán ◽  
Dionicio Palacios Ríos ◽  
Teresa Adriana Nava Obregón ◽  
Daniela Alejandra Becerril Gaitàn ◽  
Keren Daniela Juangorena García ◽  
...  
Keyword(s):  
Prescription Drugs ◽  
Analogue Scale ◽  
Adverse Reactions ◽  
Medical Marijuana ◽  
Cross Sectional Study ◽  
Medical Residents ◽  
Sectional Study ◽  
Perception Of Risk ◽  
Cross Sectional ◽  
Postgraduate Students

Background: Drugs can often cause adverse reactions, and the perception of the risk of prescription drugs could influence prescription behaviour. Methods: This was a prospective cross-sectional study of the perception of postgraduate physicians in training of the risk of using medical marijuana, comparing it with their perception of paracetamol and sedatives. A visual analogue scale with ranges from 0 (no risk) to 10 (totally risky) was used. Results: A total of 197 postgraduate students were evaluated; 48 women and 149 men took part, with a mean age 27.8 years. Among the different specialties, there was a difference with regard to the perception of medical marijuana and paracetamol and all perceived a greater risk with sedatives. There was no evidence of a risk perception of marijuana in relation to factors such as alcohol consumption and smoking. Conclusions: There is a difference in the perception of risk of medical marijuana and paracetamol with this perception being greater with sedatives. Regarding specialties, the perception of risk was greater for medical marijuana in general surgery than in urology.

LEVETIRACETAM IS INDEPENDENTLY ASSOCIATED WITH FATIGUE IN ADULT GLIOMA OUTPATIENTS

2015 ◽  
Vol 86 (11) ◽  
pp. e4.67-e4
Author(s):  
Karolis Zienius ◽  
Alasdair Rooney ◽  
Robert Grant
Keyword(s):  
Analogue Scale ◽  
High Grade Glioma ◽  
Cross Sectional Study ◽  
High Grade ◽  
Cerebral Glioma ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Fatigue ◽  
Scale Range ◽  
Adult Glioma

AimsTo identify the frequency and severity of fatigue in adults with cerebral glioma, and its association with anti-epileptic drugs (AED).MethodsCross-sectional study. Stable glioma patients attending Edinburgh Neuro-Oncology clinic completed a fatigue Visual Analogue Scale (range 0-100mm, “high” >=60 mm). AED type and dose were recorded.ResultsOne hundred and sixty six patients were enrolled (61% males; mean age 49 yrs; 70% high-grade glioma). Among all patients, 43% reported high fatigue (95% CI 35–50%). Sixty eight percent were taking AEDs (58% of which were non enzyme inducing). Levetiracetam (LEV) was the most common AED. LEV monotherapy correlated with higher fatigue levels (mean=57 mm, SD 5.2, 95% CI 46–67 mm), compared with other AEDs (mean=43 mm, SD 3.9, 95% CI 35–50 mm, ANCOVA p=0.04). Patients taking LEV had poorer Karnofsky Performance Scores (KPS, Mann–Whitney p=0.03). The effect of LEV on fatigue was independent of KPS (LR p<0.0001, R2= 27.7, OR 2.7 [1.1–6.2]).ConclusionsGlioma patients on levetiracetam therapy are more fatigued than patients on other or no anti-epileptic therapy. Changes to AED medications may benefit patients with troublesome fatigue.

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