scholarly journals Role of atd Angle of Palm in Diagnosis of Pulmonary Tuberculosis

2017 ◽  
Vol 8 (2) ◽  
pp. 85-88
Author(s):  
Afrose Ahmed ◽  
Shamim Ara ◽  
KM Monjurul Alom ◽  
Saida Rashed ◽  
Sadia Rahman ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Interleukin 1 ◽  
High Risk Population ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Medical College ◽  
Non Invasive ◽  
Control Subjects ◽  
Mannose Binding Protein ◽  
The Difference

Background: Dermtoglyphics are the lines and ridges forming a skin pattern, especially on the palm of the hands, fingertips and soles of feet. Differentiations of dermal ridges in early life are genetically determined1. Any disturbance by genetic factors causes development of unusual dermatoglyphics. On the other hand, deficiency of Mannose binding protein (MBP) gene and Interleukin-1 (IL-1) gene cause spread of pulmonary tuberculosis2. The dermatoglyphic pattern in patient with pulmonary tuberculosis can represent an anatomical, non-invasive, inexpensive tool for screening high-risk population, and facilitates early prediction of vulnerable population of PTB.Materials and Methods: A Cross-sectional, analytical type of study was conducted in Department of Anatomy, Dhaka Medical College, Dhaka, from January 2012 to December 2012. The study was performed in 100 patients suffering from pulmonary tuberculosis and 100 healthy individuals.Results: There was significant reduction in mean±SD of atd angle in pulmonary tuberculosis patients in comparison to control subjects. Mean±SD of atd angle was 37.87±3.403 in pulmonary tuberculosis patients and 49.77±4.628 in the control subjects. The difference was highly significant (P<0.001).Conclusion: The atd angle was found significantly narrower in the study group compared to the control subjects.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 85-88

scholarly journals IL-4 Level in Rifampicin-Sensitive and Rifampicin-Resistant Lung Tuberculosis Patients

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Joko Susanto ◽  
Jusak Nugraha ◽  
Soedarsono Soedarsono
Keyword(s):  
Pulmonary Tuberculosis ◽  
Operating Characteristics ◽  
Mycobacterium Tuberculosis Infection ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Lung Tuberculosis ◽  
Characteristics Analysis ◽  
Resistant Group ◽  
The Difference ◽  
Sensitive Group

Tuberculosis remains a global health burden. Mycobacterium tuberculosis infection causes humoral and cellularresponses. Macrophages of patients with pulmonary tuberculosis evolve M1 polarization that blocks infection orimmunosuppressive M2, promoting tissue repair mediated by IL-4, IL-10, and IL-13. Previous research showed a decrease ofIL-4R and IL-10 expression in lung macrophages of anti-TB drug resistance. A molecular test can detectrifampicin- resistance. There has been no study, which showed the difference in serum IL-4 levels in rifampicin-sensitive andrifampicin-resistant tuberculosis patients. This study aimed to determine the difference between circulating IL-4 levels inrifampicin-sensitive and rifampicin-resistant pulmonary tuberculosis patients. This cross-sectional observational studyconsecutively recruited subjects based on positive molecular and acid-fast bacilli microscopic examination from MDR-TBClinic of the Dr. Soetomo Hospital between December 2018 to March 2019. Subjects were classified into arifampicin-sensitive and rifampicin-resistant group. On ELISA measurement, IL-4 data were analyzed with SPSS version 17.Mann-Whitney U test and ROC analysis tests were performed, and p < 0.05 was significant for α=0.05 (95% CI). There wassignificant difference between rifampicin-sensitive group (420±281 pg/mL) and rifampicin-resistant group(253±279 pg/mL) (p=0.014). Receiver operating characteristics analysis showed AUC 0.70, the sensitivity of 81.5%, thespecificity of 63.6%, and the cut-off value of 235.6 pg/mL. There was a significantly higher level of circulating IL-4 in therifampicin-sensitive group than the rifampicin-resistant group. IL-4 level in healthy subjects should be measured as thenormal value in the population. Immunology and metabolic parameters should be performed to increase samplehomogeneity. Further study was also needed to understand the IL-4 role in rifampicin resistance of lung tuberculosispatients in the Indonesia population.

scholarly journals SEROPREVALENCE OF HIV INFECTION IN PULMONARY TUBERCULOSIS PATIENTS.

2020 ◽  
pp. 1-3
Author(s):  
K.G.R. Mallan ◽  
A. Fathahudeen ◽  
Manjula V.D.
Keyword(s):  
Pulmonary Tuberculosis ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sputum Smear ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Pulmonary Tb ◽  
Medical College ◽  
Elimination Programme ◽  
Kerala State

Aim : To Determine the seroprevalence of Human immunodeficiency virus infection among Pulmonary Tuberculosis patients in a tertiary care teaching institution, in Ernakulam district of Kerala state in India. Methods : Study was conducted in Respiratory medicine department and integrated counselling and testing centre (ICTC) of Government Medical College, Ernakulam With approval of IEC after getting written informed consent , a cross sectional study was conducted among 384 pulmonary TB patients who were registered under the National TB elimination Programme (RNTCP). Result :The prevalence of HIV among study population was 1.3 %. There was no gender difference while the highest age group less than 30 followed by 30-60. The major respiratory pathology among study subjects was consolidation (42.7%) followed by fibrosis(25.3%).Consolidation was a predominant presenting pathology seen in female pulmonary TB patients.The sensitivity of sputum smear against CBNAAT was 60.4% and specificity was 83%. Conclusion : The prevalence is low compared with the national average of 3 to 3.4 % HIV co infection among Tuberculosis patients during the study period.

scholarly journals Impact of Smoking and Diabetes Mellitus on Clinico-Bacterio-Radiological Profile of Pulmonary Koch’s Patients

2020 ◽  
Vol 9 (1) ◽  
pp. PM09-PM13
Author(s):  
Surinder Pal Singh ◽  
Kailash Meena ◽  
Chungath Jain
Keyword(s):  
Pulmonary Tuberculosis ◽  
Clinical History ◽  
Sputum Smear ◽  
Klebsiella Pneumonia ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Medical College ◽  
Common Organism ◽  
Number Of Patients ◽  
Serious Disease

Background: Both smoking and diabetes are attributed to be strongly linked with pulmonary tuberculosis. The significance of the study lies in assessing severity of manifestations in pulmonary tuberculosis patients due to smoking and diabetes. Subjects and Methods:This is a cross sectional observational study among patients presenting to Department of Tuberculosis and Chest Diseases, Government Medical College, Patiala.  200 Patients were enrolled in this study who are sputum smear positive pulmonary kochs patients already on ATT and admitted in this department were evaluated by clinical history, blood and radiological investigations and the data was statistically analyzed.Results:Non smoker non diabetic group had maximum of females, n=28(56%), whereas purely diabetic study group has maximum of males, n=30(60%).The total number of patients whose sputum showed bacterial culture was 19 (9.5%). In the patients having both diabetes and smoking as risk factor there was maximum culture positivity, n=6 (31.5%)and most common organism isolated was klebsiella pneumonia, n=3 (50%), Klebsiella was also the most common organism isolated overall, n=10 (62.5%).Conclusion: The combination of smoking and diabetes can lead to serious disease, sputum positivity and complications.  

scholarly journals Determinan Kepatuhan Minum Obat Pasien Tuberkulosis Paru

2019 ◽  
Vol 1 (2) ◽  
pp. 176-185
Author(s):  
Christine Vita Gloria ◽  
Zulmeliza Rasyid ◽  
Sherly Vermita W ◽  
Elmia Kursani ◽  
Bizanti Umayyah
Keyword(s):  
Pulmonary Tuberculosis ◽  
Health Center ◽  
Family Support ◽  
Health Workers ◽  
Treatment Compliance ◽  
P Value ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Lung Tuberculosis

This study aims to see whether the determinants are related to treatment compliance for pulmonary tuberculosis patients at the 2019 health center. This type of research is a quantitative observational cross-sectional design. The results showed that with a P value of 0.05, there was a significant relationship between knowledge (P value = 0.005 and POR = 14.276), attitudes (P value = 0.506 and POR = 1.615), family support (P value = 0.038 and POR = 1,961), the role of health workers (P values = 0.026 and POR = 4.440), with medication adherence for pulmonary tuberculosis patients. Conclusions, of the 4 variables there are 3 variables related to adherence to taking pulmonary TB drugs in the Work Area of the Siak Hulu II Health Center, namely knowledge, family support, and the role of health workers and 1 unrelated variable, attitude.   Keywords: Obedience, Medicine, Lung Tuberculosis

scholarly journals The Effect of Side Effects Tuberculosis Treatment in the Early Stage Towards Compliance with Tuberculosis Patients

2021 ◽  
Vol 5 (01) ◽  
pp. 29-32
Author(s):  
Joko Sapto Pramono ◽  
Nilam Noorma ◽  
Andi Lis Arming Gandini ◽  
Sopia Fitriani
Keyword(s):  
Side Effects ◽  
Pulmonary Tuberculosis ◽  
Health Workers ◽  
Early Stage ◽  
Treatment Compliance ◽  
Tuberculosis Treatment ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Early Stages ◽  
Significant Difference

Pulmonary tuberculosis treatment causes various side effects including nausea and vomiting, itching, vision problems, and anemia. Drug side effects in the early stages are one of the causes of non-adherence to complete treatment. The purpose of this study was to analyze the effect of the side effects Tuberculosis treatment in the early stages on treatment compliance for tuberculosis patients. This study used a cross sectional design. Samples were taken as many as 71 respondents, the instruments used were side effects of early-stage tuberculosis treatment and compliance with tuberculosis treatment in tuberculosis patients from the Morisky Medication Adherence Scale (MMAS). The results of the study found 97.7% adherent and 2.3% non-adherent, 39.5% mild side effects and 60.5% severe side effects. Chi-square test showed that no significant difference between the side effects of TB treatment in the early stages of tuberculosis treatment compliance in patients p = 0.669 at significant level of 95% (α = 0.05). There was no effect between the side effects of Tuberculosis treatment in the early stages of treatment compliance for Tuberculosis patients. It was recommended that health workers continue to monitor the side effects of tuberculosis treatment and provide motivation to carry out treatment completely. Keywords: side effects; early stage; treatment; pulmonary tuberculosis; compliance

scholarly journals KORELASI KADAR SERUM IFN-γ, EKSPRESI DAN FUNGSI RESEPTOR IFN-γ, DENGAN KEJADIAN TUBERKULOSIS PARU (The Correlation Of Ifn-γ Serum Level, Ifn-γ Receptor Expression And Function, With Pulmonary Tuberculosis)

2013 ◽  
Vol 3 (3) ◽  
Author(s):  
Jahja Teguh Widjaja
Keyword(s):  
Stem Cell ◽  
Serum Level ◽  
Pulmonary Tuberculosis ◽  
Mononuclear Cells ◽  
Receptor Expression ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Ifn Γ ◽  
Cross Sectional Design ◽  
And Function

AbstrakUntuk dapat bekerja dengan efektif menghadapi M. tuberculosis, sistim imunitas seluler memerlukan kadar IFN-γ dan reseptor IFN-γ di sel-sel mononuklear yang bekerja optimal. Tujuan penelitian ini adalah menganalisis korelasi antara kadar serum IFN-, ekspresi dan fungsi reseptor IFN-γ, dengan kejadian penyakit Tuberkulosis Paru. Observasi analitik dengan rancangan potong silang yang membandingkan kadar serum IFN-γ, fungsi dan ekspresi reseptor IFN-γ, pada pasien TB Paru dengan pasangannya yang sehat, serta menganalisis korelasi antara variabel-variabel tersebut dengan kejadian penyakit TB Paru. Penelitian dilakukan pada Juli 2009 sampai September 2010, di RS Immanuel Bandung dan laboratorium Stem Cell & Cancer Institute, Jakarta. Dibandingkan pasangan hidupnya, kadar serum IFN-γ pasien TB tidak berbeda bermakna, ekspresi reseptor IFN-γ pasien TB lebih tinggi (p=0,041), sedangkan fungsi reseptor IFN-γ pasien TB lebih rendah (p=0,011). Analisis korelasi mendapatkan satusatunya variabel yang mempunyai korelasi bermakna dengan kejadian tuberkulosis paru adalah fungsi reseptor IFN-γ yang rendah (p=0,026, OR 5,56). Pada pasien TB Paru ekspresi reseptor IFN-γ lebih tinggi, tetapi fungsi reseptor IFN-γ lebih rendah dari pasangan hidup sehat. Fungsi reseptor IFN-γ yang rendah ini mempunyai korelasi bermakna dengan kejadian tuberkulosis paru.Kata kunci: tuberkulosis, kadar serum IFN-γ, ekspresi dan fungsi reseptor IFN-γ.AbstractIn order to work effectively against M. tuberculosis, the cell mediated immune system needs serum level of IFN-γ and its receptors in the surface of mononuclear cells to function optimally. The objective of this study is to analyze the correlation of IFNγ serum level, expression and function of IFN-γ receptor, with pulmonary tuberculosis. Analytical descriptive method with cross sectional design that compared the serum level of IFN-γ, function and expression of IFN-γ receptor in pulmonary tuberculosis patients with their healthy spouses, and analyzing the correlation between these variables with pulmonary tuberculosis. Study was done from July 2009 until September 2010, in Immanuel hospital Bandung and Stem Cell & Cancer Institute Jakarta. Compared with their healthy spouses the IFN-γ serum level in TB patients was not different statistically, the IFN-γ receptor expression in TB patients was higher (p=0,041), however, the IFN-γ receptor function of TB patients was lower (p=0,011). Correlation analysis showed that the only variable had correlation significantly with pulmonary tuberculosis was low function of IFN-γ receptor (p=0,026,OR 5,56). The expression of IFN-γ receptor in pulmonary tuberculosis patients was higher, while the function of IFN-γ receptor was lower than their healthy spouses. The low function of IFN-γ receptor had significantly correlation with pulmonary tuberculosis. Key Words: Tuberculosis, IFN-γ serum level, IFN-γ receptor expression and function.

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