scholarly journals “STUDY OF CLINICAL, BIOCHEMICAL AND HEMATOLOGICAL PROFILE IN MALARIA PATIENTS”

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Neha Rawat ◽  
Sonia Kukreti
Keyword(s):  
Standard Deviation ◽  
Iron Deficiency ◽  
Physical Examination ◽  
Chi Square ◽  
General Physical Examination ◽  
Points Of Interest ◽  
Examination Time ◽  
Chi Square Test ◽  
General Physical ◽  
Key Words Malaria

Points and destinations of current examination were to contemplate the clinical, biochemical and hematological profiles in smear positive jungle fever patients and its connection to prompt result of patient. To investigate the biochemical and hematological awkward nature and its connection with clinical introduction and kind of malarial parasites. To explain the connection of hematological and biochemical changes in kids contaminated with jungle fever and their effect on prompt result of patients.  All patients conceded with a finding of intestinal sickness in branch of Pediatrics at Shri Mahant Indiresh Hospital, Dehradun, Uttarakhand amid the examination time of 10 January 2018 to 12 December 2018. Test measure was 109 cases. The investigation was done in the wake of getting a definite history, complete general physical examination and fundamental examination. The patients were exposed to pertinent examinations. The information with respect to understanding points of interest, analysis and examinations is gathered in an uncommonly structured case recording structure and exchanged to an ace graph exposed to measurable techniques like mean, standard deviation, extent, rate computation and wherever fundamental chi square test for extent are utilized.  Complete 106 patients were enlisted in study. Complexities of PF (N=32): Jaundice 17%, extreme pallor 22%, thrombocytopenia 28%, leukopenia in 24%, hyponatremia in 30 %, cerebral intestinal sickness in 17% and hyperkalemia in 16%. Intricacies of PV (N=66): Jaundice 21%, serious iron deficiency 21%, thrombocytopenia 19%, leukopenia in 12%, hyponatremia in 45.8%, hyperkalemia in 10%, cerebral intestinal sickness in 11.7% and hypoglycemia in 4.02%. Key words: Malaria, Smear positive malaria, RFT, LFT, Hemogram

General Physical Examination

1988 ◽  
pp. 67-77
Author(s):  
Randolph B. Schiffer ◽  
Robert F. Klein ◽  
Roger C. Sider
Keyword(s):  
Physical Examination ◽  
General Physical Examination ◽  
General Physical

scholarly journals Persistent Lower Lid Swelling in an Infant – Impacted Foreign Body!

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Javeria Nasir ◽  
Anum Javed ◽  
Owais Arshad ◽  
Mohammad Hanif` Chatni
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
General Practitioners ◽  
Foreign Bodies ◽  
General Physical Examination ◽  
Care Givers ◽  
Impacted Foreign Body ◽  
General Physical ◽  
The Right ◽  
In Infants And Children

Ophthalmologists, including general practitioners definitely encounter ocular foreign bodies in their clinics. Theconjunctival fornices are potential sites of impaction. We report a case of a 9-month infant boy who was referred to us for a persistent lower lid swelling for one month. He had already been to an eye specialist before presenting to us. Upon examination, a round, pink coloured, toy cart-wheel came out of his lower eye lid of the right eye. Surprisingly, there was no associated conjunctival or adnexal damage. The authors wish to emphasize the importance of taking a thorough history and adequate general physical examination. A missing part of a toy, elucidated on history, should always raise the suspicion among parents and/or care givers for a probable foreign body in infants and children.

Badanie fizykalne stosowane przez pielęgniarki na wybranych oddziałach szpitalnych

2018 ◽  
Vol 21 (1) ◽  
Author(s):  
Wioletta Mędrzycka-Dąbrowska ◽  
Renata Piotrkowska ◽  
Katarzyna Kwiecień-Jaguś ◽  
Piotr Jarzynkowski ◽  
Sandra Popiołek
Keyword(s):  
Blood Pressure ◽  
Body Temperature ◽  
Physical Examination ◽  
Work Experience ◽  
The United States ◽  
Arterial System ◽  
System Level ◽  
Factors Affecting ◽  
General Physical Examination ◽  
General Physical

Introduction. The history of the use of physical examination by nurses in the United States of America dates back to the 1960s. Transformation of nurses’ education and midwives in Poland also enabled the introduction of classes preparing students and nurses for physical examination. Aim. The aim of the study was to assess the scope of physical examination used by nurses in selected surgical and non-surgical departments. Material and methods. The study involved 89 nurses employed in one of the hospitals in the Pomeranian Voivodeship. The study was conducted in 2017. The work involved the method of a diagnostic survey and the research tool was a questionnaire of own authorship. The results of the study were subjected to statistical analysis using the Microsoft Excel 2013 spreadsheet and the IBM SPSS Statistics 23 statistical package. Results. There are statistically significant differences in the physical examination of the general subjects (assessment of the structure and body proportions, nutritional status), as well as the measurement of breathing, heart rate, blood pressure, body temperature during hospitalization and within the head and neck and chest. Conclusions. Nurses working in surgical wards are more likely to perform general physical examination and measurement of breathing, pulse, blood pressure and body temperature during hospitalization compared to nurses from non-surgical wards. However, when admitted to the hospital, they more often assess the arterial system. Level of education and work experience in the profession are factors affecting the frequency of physical examination.

Interpretation of Laboratory Data and General Physical Examination by Pharmacists

2019 ◽  
pp. 91-108 ◽  
Author(s):  
Seeba Zachariah ◽  
Kiran Kumar ◽  
Shaun Wen Huey Lee ◽  
Wai Yee Choon ◽  
Saba Naeem ◽  
...  
Keyword(s):  
Physical Examination ◽  
Laboratory Data ◽  
General Physical Examination ◽  
General Physical

scholarly journals Clinical reasoning in feline spinal disease: which combination of clinical information is useful?

2019 ◽  
Vol 22 (6) ◽  
pp. 521-530 ◽  
Author(s):  
Stephanie L Mella ◽  
Thomas JA Cardy ◽  
Holger A Volk ◽  
Steven De Decker
Keyword(s):  
Logistic Regression ◽  
Physical Examination ◽  
Clinical History ◽  
Spinal Disease ◽  
Multivariate Logistic Regression ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Feline Infectious Peritonitis ◽  
General Physical Examination ◽  
General Physical

Objectives The aim of this study was to evaluate if a combination of discrete clinical characteristics can be used to identify the most likely differential diagnoses in cats with spinal disease. Methods Two hundred and twenty-one cats referred for further evaluation of spinal disease were included and categorised as follows: non-lymphoid neoplasia (n = 44); intervertebral disc disease (n = 42); fracture/luxation (n = 34); ischaemic myelopathy (n = 22); feline infectious peritonitis virus myelitis (n = 18); lymphoma (n = 16); thoracic vertebral canal stenosis (n = 11); acute non-compressive nucleus pulposus extrusion (n = 11); traumatic spinal cord contusion (n = 8); spinal arachnoid diverticula (n = 7); lumbosacral stenosis (n = 5); and spinal empyema (n = 3). Information retrieved from the medical records included signalment, clinical history and clinical presentation. Univariate analyses of variables (clinical history, breed, age, sex, general physical examination findings, onset, progression, spinal hyperaesthesia, asymmetry, ambulatory status and neuroanatomical location) were performed, and variables were retained in a multivariate logistic regression model if P <0.05. Results Multivariate logistic regression revealed that intervertebral disc disease most often occurred in middle-aged, purebred cats with a normal general physical examination and an acute onset of painful and progressive clinical signs. Ischaemic myelopathy occurred most often in older cats with a stable or improving, non-painful, lateralising, C6–T2 myelopathy. Spinal fracture/luxation occurred most often in younger cats and resulted most often in a peracute onset, painful, non-ambulatory neurological status. Concurrent systemic abnormalities or abnormal findings detected on general physical examination were significantly associated with feline infectious peritonitis virus myelitis, spinal lymphoma or spinal empyema. Conclusions and relevance This study suggests that using easily identifiable characteristics from the history and clinical examination can assist in obtaining a preliminary differential diagnosis when evaluating cats with spinal disease. This information could aid veterinary practitioners in clinical decision-making.

scholarly journals Assessment of Procurement Plan in the Nigeria Construction Industry: A Case of Selected Firms in Port Harcourt, Nigeria

2019 ◽  
pp. 1-8
Author(s):  
C. C. Emekoma
Keyword(s):  
Standard Deviation ◽  
Construction Industry ◽  
Construction Projects ◽  
Public Procurement ◽  
Chi Square ◽  
Summary Table ◽  
Professional Body ◽  
Chi Square Test ◽  
Level Of Significance ◽  
Procurement System

The Procurement plan and procedure in Nigeria have gone through a number of changes, with main objective of reducing or at best eliminating corruption in public procurement, realizing values for money, efficiency in procurement process among others. The data of assessment of procurement plan in the Nigerian construction industry was collected through administrating questionnaire to selected members of the companies and was analyzed using three statistical tools, namely; percentage analysis, chi-square and measures of dispersion. The table from which was  drawn the  analysis of  assessment of procurement  plan in the Nigeria construction industry reveal that  among the professionals who responded to the questionnaire 27.6% are members of the Nigeria Institute of Quality Surveyors (NIQS) , 13.2% belong to the Nigeria Institute of Architects (NIA), and 22.4% belong to the Nigeria institute of Builders (NIOB), while 3.9% are members of Nigeria Society of Engineers (NSE), those who belong to other professional body other  than the those above are 9.2% and 23.7% are not registered with any professional body. From the chi-square test of independence, it was found that at 5% level of significance opinion of respondents is not independent of their professional background. The Likert summary table also show reveal the following (i) procurement system affect project cost (ii) procurement system affect quality of work (iii) procurement plans affect design team performance. Also, the statements with low variance and standard deviation are more reliable than those with high variance and standard deviation. Therefore, on commencement of construction projects consultant must advise their clients on the building procurement system available.

scholarly journals Hubungan Variabilitas Glukosa 72 Jam Pertama Perawatan ICU dengan Mortalitas ICU pada Pasien Kritis

2017 ◽  
Vol 3 (1) ◽  
pp. 14 ◽  
Author(s):  
Elizabeth Yasmine ◽  
Arif Mansjoer ◽  
Dyah Purnamasari ◽  
Hamzah Shatri
Keyword(s):  
Logistic Regression ◽  
Standard Deviation ◽  
Glucose Variability ◽  
Lower Quartile ◽  
Icu Mortality ◽  
Chi Square ◽  
High Care ◽  
Mortality Proportion ◽  
Chi Square Test ◽  
The Difference

Pendahuluan. Hiperglikemia saat perawatan merupakan faktor risiko yang dapat ditatalaksana dengan optimal untuk menurunkan mortalitas. Penelitian hubungan variabilitas glukosa terhadap mortalitas telah diteliti, namun menggunakan indikator yang bervariasi. Penelitian ini dilakukan untuk mengkaji hubungan variabilitas glukosa yaitu rerata perubahan glukosa absolut (mean absolute glucose change, MAG) dan simpang baku glukosa terhadap mortalitas pasien kritis.Metode. Studi kohort retrospektif dilakukan pada 280 pasien yang dirawat di intensive care unit (ICU) dan high care unit (HCU) Rumah Sakit dr. Cipto Mangunkusumo (RSCM) Jakarta periode Januari 2012-Agustus 2013. Variabel MAG dan simpang baku glukosa dibagi menjadi 4 kuartil. Analisis hubungan antara MAG dan simpang baku glukosa dengan mortalitas dilakukan dengan uji chi Square. Untuk mengeluarkan faktor perancu (skor MSOFA, indeks komorbiditas Charlson,hipoglikemia, dan hiperglikemia) dilakukan uji regresi logistik.Hasil. Nilai median MAG dan simpang baku gukosa masing-masing adalah 3,3 mg/dL/jam dan 38,3 mg/dL. Proporsi mortalitas yang lebih tinggi didapatkan pada kuartil atas MAG dan simpang baku glukosa dibandingkan kuartil bawah. Berdasarkan uji chi square, didapatkan hasil OR MAG kuartil atas terhadap mortalitas OR 4,26 (IK 95% 1,98-9,15) dan OR simpang baku glukosa kuartil atas terhadap mortalitas OR 2,78 (IK 95% 1,35-5,71). Setelah dilakukan uji regresi logistik didapatkan fully adjusted OR 3,34 (IK 95% 1,08-10,31) untuk MAG dan 0,90 (IK 95% 0,28-2,88) untuk simpang baku glukosa.Simpulan. Proporsi mortalitas MAG kuartil atas (>8,1 mg/dL/jam) lebih tinggi daripada kuartil bawah (<1,3 mg/dL/jam). Proporsi mortalitas simpang baku glukosa kuartil atas (>59 mg/dL) lebih tinggi daripada kuartil bawah (<22,7 mg/dL). Namun demikian, hasil tersebut tidak bermakna secara statistik.Kata kunci: mortalitas, rerata perubahan glukosa absolut, simpang baku glukosa, variabilitas glukosa Association of Glucose Variability in the First 72 Hours of ICU Care with ICU Mortality in Critically-III PatientsIntroduction. Hyperglycemia during hospitalization is a risk factor that can be managed in order to reduce mortality. Inspite of hyperglycemia, glucose variability also brings negative outcome to cells. Studies about glucose variability effect to mortality had been studied using many variables of glucose variability. Methods. Retrospective cohort study is done to 280 critical ill patient in ICU and HCU in Cipto Mangunkusumo Hospital who admitted to critical care between January 2012-August 2013. MAG change and glucose standard deviation are divided into 4 quartiles. Relationship between MAG change and glucose standard deviation are analyzed using Chi Square test. To control the confounders (MSOFA score, Charlson comorbidities index, hypoglycemia, and hyperglycemia), logistic regression is done.Results. Median of MAG change is 3.3 mg/dL/hour and median of glucose standard deviation is 37.63 mg/dL. Mortality proportion is higher in upper quartile of MAG change and glucose standard deviation compared to lower quartile. OR of upper quartile MAG change to ICU mortality is OR 4.26 (95% CI 1.98-9.15) and OR of upper quartile glucose standard deviation to ICU mortality is OR 2.78 (95% CI 1.35-5.71). These results are adjusted to MSOFA score, hypoglycemia, and hyperglycemia. In logistic regression test, fully adjusted OR are 3.34 (95% CI 1.08-10.31) and 0.90 (95% CI 0.28-2.88) for MAG change and glucose standard deviation, respectively. Conclusions. Mortality proportion of upper quartile of MAG change (>8.1 mg/dL/hour) is higher than lower quartile (<1.3 mg/dL). Mortality proportion of upper quartile glucose standard deviation (>59 mg/dL) is higher than lower quartile(<22.7 mg/dL), but the difference is not statistically significant. Keywords: glucose standard deviation, glucose variability, mean absolute glucose change, mortality

scholarly journals Diagnostic evaluation of causes of bleeding per vagina in pregnancy through ultrasonography

2019 ◽  
Vol 8 (4) ◽  
pp. 1369
Author(s):  
Sumathy K. K.
Keyword(s):  
Vaginal Bleeding ◽  
First Trimester ◽  
Diagnostic Process ◽  
Chi Square ◽  
Emergency Ultrasonography ◽  
Chi Square Test ◽  
Life Threatening ◽  
Abruptio Placenta ◽  
Test Of Significance ◽  
General Physical

Background: Vaginal bleeding is a common obstetric situation ranging from an insignificant episode to life threatening emergency. Ultrasonography is playing an increasing role in the diagnostic process. The objective of present study was to evaluate the uses of ultrasound as new diagnostic aid for patients of bleeding PV in pregnancy.Methods: A hospital-based prospective study was conducted among 100 pregnant patients who have the problem of bleeding. A complete general physical and pelvic examination was done, and patients were then subjected to ultrasound examination. Epi info 7 software was used for statistical analysis. Chi- square test was used as the test of significance. P<0.05 is considered statistically significant.Results: Among these 100 cases, Incomplete abortion was the commonest cause of bleeding. This was observed in 15 cases (27%). There were 8 (20%) cases of complete abortion in the present study in the scan done on <20 weeks. Abruptio placenta was seen in 10 (25%) cases as the most common cause in the scan after 20 weeks.Conclusions: Ultrasound is a valuable tool in the differentiation of causes of first trimester vaginal bleeding. Ultrasound is helpful in the decision-making algorithm about the safe continuation of the pregnancy, timely intervention for abnormal pregnancy.

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