scholarly journals INCIDENCE AND AETIOLOGY OF GASTROINTESTINAL PERFORATION: A HOSPITAL BASED PROSPECTIVE STUDY.

Author(s):  
Shwetabh Pradhan ◽  
Abhinav Bisht ◽  
Abhijit Acharya

Objectives: This study was to evaluate the incidence and various aetilogical factors in patients of gastrointestinal perforation. Methods: A detail history clinical examinations and relevant investigations were performed to all cases of gastrointestinal perforation. A total of 50 patients of gastrointestinal perforation with age group 0 to 80 years were enrolled. Patients were included on the presenting signs and symptoms like pain, vomiting, distension, alteration of bowel habits, fever, h/o loss of appetite and weight, dyspnoea and duration of illness. Clinical examination was followed by haematological, biochemical and radiological investigations were performed to all cases of gastrointestinal perforation. Results: Data was analysed by using SPSS version 26 software. All data was tabulated and percentages were calculated. One sample t test was applied. Mean and standard deviation were observed. P value was taken less than or equal to 0.05 for significant differences. Conclusions: Gastrointestinal perforation was commonly seen in younger age group. Ileum was the most common site for gastrointestinal perforation. Enteric fever and drugs were the most common aetiological factors of gastrointestinal perforation. Hence, awareness, early recognition of symptoms and referral of patients to hospital is very important for prevention and management of gastrointestinal perforation. Key words: gastrointestinal perforation, aetiological factors, age, sex

2013 ◽  
Vol 14 (6) ◽  
pp. 1161-1164 ◽  
Author(s):  
Sanket S Shah ◽  
Abhishek Apratim ◽  
Manish Sinha ◽  
Nidhi Chhaparia ◽  
Abu Abubakkar

ABSTRACT Objective To determine the denture hygiene habits in complete denture patients according to their age and time of dentures. Methods In this study a self administered structured was developed to know the attitude of the patients regarding denture hygiene in the department of Prosthodontics. The total study sample consisted of 230 subjects including 124 (53.9%) males and 106 (46.1%) females. Data was analyzed using SPSS version 15.0 with chi-square test at p-value <0.05. Results Nearly half of the subjects clean their dentures daily once. Participants from the younger age group and who had been wearing dentures since 2 years maintain better frequency of cleaning. The majority of these subjects used water and brush for denture cleansing. After seeing the condition, half of the dentures were rated as good 50.3%, followed by fair and poor as 29.5 and 20.2% respectively. Clinical significance Poor condition of complete dentures seen in the population is mainly due to irregularly cleansing habits and also less usage of cleansing solutions. Dentists should give proper instructions regarding maintenance of denture hygiene. How to cite this article Apratim A, Shah SS, Sinha M, Agrawal M, Chhaparia N, Abubakkar A. Denture Hygiene Habits among Elderly Patients Wearing Complete Dentures. J Contemp Dent Pract 2013;14(6):1161-1164.


Author(s):  
PAVAN KUMAR M ◽  
REVATHI G ◽  
SUPRAJA K, SECHANA K

Objective: To study the demographic analysis, clinical characteristics, diagnosis, and management in covid-19 patients. To assess the complications in covid-19 patients. Methods: A retrospective observational single centered study is carried out to study the demographic analysis, clinical characteristics, diagnosis, management, and complications in covid-19 patients. Results: Among 100 covid-19 patients 58% were male and 42% were female. Percentages of age group between 60-70 years (27%), 50-60 (20%), 40-50 (16%), 70-80 (16%), 30-40 (8%), 20-30 (5%), 80-90 (4%), and 10-20 (4%). Co-morbidities were diabetes (44%), hypertension (28%), CAD (21%), thyroid (19%), COPD (12%), anemia (8%), and renal impairment (4%). Signs and symptoms were fever (88%), cough (80%), SOB (72%), fatigue (68%), myalgia (60%), loss of appetite (52%), cold (24%), loss of smell and taste (20%), diarrhea and vomiting (12%). (97%) of the patients had two or more symptoms. Diagnostic test include RT-PCR (100%), HRCT (100%), O2 saturation (99%), D-dimer (65%), c-reactive (60%), Procalcitonin (60%), and also LDH, IL-6,PT, INR, ferritin, CBP, WBC. Treatment includes antiviral (100%), antibiotics (100%), corticosteroids (73%), immunosuppressant (54%), and antihypertensive, antidiabetic, Antiplatelets, bronchodilators, vitamins, and mineral supplements. Conclusion: Covid-19 infects the males more and average ages of 65 years are at risk. Hypertension and diabetes were most common co-morbid condition. Fever and cough are major followed by weakness sob and cold. RT- PCR and HRCT are accurate tool to detect covid-19. Although standard treatment is not yet available antibiotics and antiviral are used followed by corticosteroids. Majority of the patients have mild and moderate injection and with the lowest death rate. Older age and co-morbid conditions are major risk factors.


2013 ◽  
Vol 7 (1) ◽  
pp. 8-11
Author(s):  
Z Singh ◽  
Senthilvel LNU

ABSTRACT Background Very few data are available on the oral health condition among fisherfolk in rural areas of India. The external factors like diet, quality of dental hygiene and environmental factors have an effect on caries occurrence. The aim of the study was to assess the dental morbidity among fishermen community. Materials and methods A community based observational study was done among the fishermen community. Descriptive statistics, percentages and Chi square methods were used for analysis. p value <0.05 has been taken as statistically significant. Results and conclusion Majority of patients had sought treatment for symptomatic caries and younger age group patients sought treatment more than older age group. Education level and social class also reflected the morbidity status of the community. Findings have implications to develop strategies to increase the public awareness of oral hygiene in rural community.


2016 ◽  
Vol 9 (2) ◽  
pp. 62-64
Author(s):  
Rohit Sharma ◽  
Ashish Mehrotra ◽  
Vinit K Sharma ◽  
Zafar Iqbal ◽  
Kunal Nigam

ABSTRACT Erosion of bone with or without extension of disease into adjacent anatomic spaces is observed among some patients with fungal rhinosinusitis (FRS). Preoperative computed tomographies is very important to determine the sites of bony erosion. Patients with bony erosions are classified based on the involved subsite and the extent of erosion. Bony erosions was seen in 37.5% cases. Six patients were having bone erosions on CT scan. 40 % erosions were present in patients belonging to younger age group. Erosion of sinus boundaries were more common in male patients (60%). The ethmoid sinus complex was most commonly involved (46.6%). This was followed in frequency of involvement by the maxillary sinus (26.6%), the sphenoid sinus (20%) and the frontal sinus (6.6%). The most common site of erosion was the lamina papyracea (33.3%), followed by the medial maxillary wall (20%). Bony erosions due to FRS were mainly due to long-term mechanical compression by the fungal mass. A case of chronic rhinosinusitis with bony erosions in CT scan may indicate a fungal etiology. How to cite this article Sharma VK, Sharma R, Mehrotra A, Iqbal Z, Nigam K. A Retrospective Study of Bony Erosion Patterns in Cases of Fungal Rhinosinusitis. Clin Rhinol An Int J 2016;9(2):62-64.


2021 ◽  
Vol 32 (2) ◽  
pp. 113-119
Author(s):  
Mohd Abul Quader

Background: Blood donors are the backbone of a transfusion service. To ensure a safe and appropriate transfusion service, donor demography is to be optimized for proper strategic management. The purpose of this study was to assess the socio-demographic profile of blood donors to make targets for national interventions and to promote blood donation. Methods: This descriptive type cross sectional study was conducted in Transfusion Medicine department of Popular Medical College Hospital from 1st January 2015 to 30th June 2018. All the blood donors who came to donate blood in this department were included in this study. Their signed consent was obtained to include in this study with their socio-demographic determinants. Frequency, percentage and p value<0.05 were calculated for statistics. Results: Out of the 15702 blood donors, male donors were more with a ratio of 6.78:1. Though the younger age group (25-31 years) showed highest donor population (32.61%), but the younger age group (18-38 years) have maximum donation (86.21%). Unmarried donors were 59.07% among the donors and middle class income group also showed highest donors (59.09%). Student donors (30.55%) were more among the donors. Muslims donors (79.01%) were more than others religious donors. Regarding education level of donors, higher secondary and above level showed highest donation (90.97%) which was statistically significant (p<0.001). Among the donors 78.05% showed their future intension to donate. Conclusions: Works on differences in socio-demographic characteristics of blood donors in times of increasing demand appears to be fruitful to target national interventions and to promote blood donation. Bangladesh J Medicine July 2021; 32(2) : 113-119


2021 ◽  
Vol 11 (01) ◽  
pp. e65-e67
Author(s):  
H. C. Krishna Kumar ◽  
K. Jagadish Kumar ◽  
Shaarangdhar Nadagoud ◽  
Manjunath VG

AbstractCroup is an acute inflammatory condition affecting upper airways and commonly seen in children with younger age group. Croup is most commonly due to acute viral infection and rarely because of bacterial and atypical agents. Here, we report a 3-month-old child who presented to us with classic signs and symptoms of croup and was also positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Child's mother also tested positive for SARS-CoV-2. SARS-CoV-2 infection presenting with stridor and croup is very rare and probably represents a new manifestation which should be considered in a young infant presenting with croup.


Author(s):  
Suneel Kumar Kaushal ◽  
Navin Kumar ◽  
Mukesh Yadav ◽  
Ashok Kumar Patel

Background: Corona viruses signify a most important group of viruses mostly affecting human beings. It is a respiratory infection with common signs and symptoms of fever, cough, sore throat, headache, and loss of taste, loss of smell, respiratory symptoms. In India till 31st December 2020, the total number of confirmed cases were 1,02,86,310; with active number of cases were 2,52,699 number of cases recovered were 98,81,732 while number of deaths were 1,49,018. Objective of the study was to find the quadratic and cubic model of COVID-19 positive cases at tertiary care hospital of Bundelkhand region of Uttar Pradesh.Methods: A hospital based study was carried out with confirmed covid-19 cases admitted to Government Medical College Banda, UP. 1486 cases have been taken from the period of 1st April 2020 up to 31st December 2020.Results: In this study maximum cases (30.14%) belongs to the age group of 30-45 years. Male population is more than females in all districts. In this study the cubic model shows the best fit with the highest R-square value. Difference in the proportion in each age group (p value<0.001) and sign and symptoms (p value < 0.001) were statistically significant.Conclusions: The current study focused on presenting trends in the Bundelkhand region, Uttar Pradesh with respect to the outbreak of COVID-19. The spread of COVID-19 cases follow cubic model. We conclude that cases of COVID-19 will decline in the coming days heading towards the reduction in daily number of cases. 


Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 1258-1258
Author(s):  
Ashok Malani ◽  
Jaswinder Singh ◽  
Maninder Pabla ◽  
Vijay Patel ◽  
Suman Kambhampati

Abstract Background: Monoclonal gammopathy of unknown significance (MGUS) is characterized by low levels of a monoclonal protein (M protein) in the serum or urine that is produced by a single clone of plasma cells. Though published evidence indicates that the incidence of MGUS increases with age, the clinical differences between young versus older MGUS patients are not completely understood. We investigated the age-dependent clinical characteristics of veteran patients with MGUS. Objective: To identify age-dependent disparities in the clinical characteristics of veteran patients with primary versus secondary MGUS. Methods: A retrospective chart review of 327 MGUS patients seen at the Kansas City Veteran Affairs Medical Center over the last 20 years was performed. “Primary” MGUS was defined as presence of monoclonal immunoglobulin protein (M-spike) in the absence of multiple myeloma (MM), primary amyloidosis, or leukemia/lymphoma. In this report, we use the term “Secondary” MGUS when an M-spike is associated with HIV, or non-HIV-infections, and/or autoimmune diseases. In the final analysis, we broadly subdivided patient with MGUS into age-group ≤ 55 years and ≥ 55 years. Results: Of the total 327 patients, 14% (44/327) belonged to the age group ≤ 55 years. In our analysis, “Secondary” MGUS was more prevalent in patients ≤ 55 years (30/44; 68%) as compared to that in the ≥ 55 years age group (25/283; 8.5%; p-value &lt;0.0001). In the veteran population, the majority of patients ≤ 55 years age had hepatitis C-associated “Secondary” MGUS (45%). HIV-associated MGUS was also more prevalent in the younger age group (4/44; 9%) as compared to age ≥ 55 years (0/283). Secondary MGUS co-existing with autoimmune disorders was comparatively more common in the younger age group than the older patients (13.6% versus 4.5%; p-value &lt;0.05). IgA subtype was surprisingly not seen in MGUS patients with age ≤ 55 years. Most importantly, MGUS transformation into MM was not seen even after a prolonged follow-up of 20 years in the younger age group of patients. Conclusion: MGUS in young patients (age ≤ 55 years) is often found in conditions associated with chronic antigenic stimulation or immunosuppression, such as chronic hepatitis B or C, HIV infections, and autoimmune diseases. We thus recommend that young patients (age ≤ 55 years) with MGUS undergo testing for hepatitis B/C, HIV infection if there is a possible history of exposure to these viruses. Our analysis also suggests that these so-called “secondary” MGUS are benign disorders.


1970 ◽  
Vol 2 (3) ◽  
pp. 198-202
Author(s):  
D Ghartimagar ◽  
A Ghosh ◽  
OP Talwar ◽  
R Narasimhan

Background: Breast cancers rarely occur in young women but are known to have more aggressive behaviors and poorer outcome. We here compare the significance of breast carcinoma in female below the age of 35 to the age over 35 whose specimens were submitted to Manipal teaching hospital, Pokhara. Materials and Methods: All cases of mastectomy with carcinoma from January 2000 to September 2011 were included in the study. Clinical and histopathological datas of all cases were reviewed and collated. Results: A total of 148 mastectomy specimens were received, among which, 23 cases (16%) were below 35 years; whereas 125 cases (84%) were above 35 years of age. In both groups, Stage II was the commonest stage but stage III was much more common in older group (33% versus 9%) and stage I was more common in younger age group (39% versus 27%). Bloom Richardson grading showed that in the older age group, grade 1 is the commonest grade (50%) while in the younger group; grade 3 is the commonest (39%). Patients were followed for a varying period of 6 months to 5 years. Two cases (2% of followed up cases) in older group and 3 cases (15% of followed up cases) in the younger group showed recurrence. Conclusion: Breast carcinoma in the patients younger than 35 years though presented at an early stage has higher grade tumor and poorer outcome. DOI: http://dx.doi.org/10.3126/jpn.v2i3.6021 JPN 2012; 2(3): 198-202


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