scholarly journals Factors influencing Ludwig’s Angina

2015 ◽  
Vol 20 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Sharfuddin Mahmud ◽  
Rojibul Haque ◽  
Abdullah Al Mamun ◽  
Rafiul Alam ◽  
Siddiqur Rahman ◽  
...  
Keyword(s):  
Systemic Disease ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tooth Cleaning ◽  
Clinical Presentations ◽  
Poor Nutritional Status ◽  
Causative Agents ◽  
History Of ◽  
Response Method

Introduction: Ludwig‘s angina is a rapidly progressive, potentially fulminant cellulitis involving the sub-lingual, submental and sub-mandibular spaces. It typically originates from an infected or recently extracted tooth, most commonly the lower second and third molars. Besides, poor nutritional status, lack of proper medical supports are still major predisposing factors in developing Ludwig‘s angina in countries like Bangladesh. Aim: Our study aimed to observe etiological factors, clinical presentations, causative agents and treatment response. Method: We carried out a cross sectional study among 26 patients with Ludwig‘s angina admitted in the department of ENT and Head-neck surgery in Mitford Hospital from January- December-2012. Results: In this study we found that males are predominantly affected than females (22 males and 4 females, ratio-5.5:1) with odontogenic infection (15, 57%) as source. We found history of recent tooth extraction in 5 cases (19.2%) & organism was isolated from pus culture, Klebsiella in 5 cases (19.2%) out of 13 cases. In this study we found tooth cleaning habit of patients by tooth brush18 cases (69.2%). We elicited underlying systemic disease mainly Diabetes Mellitus in 4 cases (15.3%) and Chronic renal failure in some of our cases but could not reach in a conclusion as to whether systemic illness predisposes to Ludwig‘ angina. Conclusion: Our study suggests that prompt and thorough clinical evaluation and definitive care will considerably improve patient condition and reduce morbidity and mortality. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22010 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 5-7

scholarly journals Causative Factors of Ludwig’s Angina

2017 ◽  
Vol 26 (1) ◽  
pp. 3-7
Author(s):  
Dipali Biswas ◽  
Mashuque Mahamud ◽  
Sharfuddin Mahmud ◽  
Md Shaikhul Islam ◽  
DGM Akaiduzzaman ◽  
...  
Keyword(s):  
Systemic Disease ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Odontogenic Infection ◽  
Cross Sectional ◽  
Medical College ◽  
Causative Factors ◽  
Poor Nutritional Status ◽  
Improve Patient

Introduction: Ludwig’s angina is a rapidly progressive, potentially fulminant cellulitis involving the sub-lingual, submental and sub-mandibular spaces. It typically originates from an infected or recently extracted tooth, most commonly the lower second and third molars. Besides, poor nutritional status, lack of proper medical supports are still major predisposing factors in developing Ludwig’s angina in countries like Bangladesh.Aim: Our study aimed to observe the role of odontogenic infection in development of Ludwig’s Angina.Method: We carried out a cross sectional study among 26 patients with Ludwig’s angina admitted in the department of ENT and Head-neck surgery in SSMC &Mitford Hospital from January-December-2014.Results: In this study we found that males are predominantly affected than females (21 males and 5 females, ratio-4.2:1) with odontogenic infection (18, 69%) as source. We found historyof recent tooth extraction in 6 cases (23%) & organism was isolated from pus culture,Klebsiella in 10 cases (19.2%) out of 26 cases. We elicited underlying systemic disease mainly is Diabetes Mellitus in 9 cases (35%) that predisposes to Ludwig’s angina.\Conclusion: Our study suggests that prompt and thorough clinical evaluation and definitivecare will considerably improve patient condition and reduce morbidity and mortality.J Dhaka Medical College, Vol. 26, No.1, April, 2017, Page 3-7

scholarly journals Prevalence, Severity and Factors Associated with Dental Caries Among School Adolescents in Uganda: A Cross-Sectional Study

2020 ◽  
Vol 31 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Barbara Ndagire ◽  
Annet Kutesa ◽  
Ronald Ssenyonga ◽  
Harriet Mayanja Kiiza ◽  
Damalie Nakanjako ◽  
...  
Keyword(s):  
Dental Caries ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Tooth Cleaning ◽  
High Prevalence ◽  
Cleaning Device ◽  
History Of ◽  
Dmft Index

Abstract Dental caries is one of the most prevalent diseases in developing countries. However, there is limited data on the prevalence and factors associated with dental caries in Ugandan adolescents. The purpose of the present study was to describe the prevalence, severity of dental caries and to determine the factors associated with the disease among school adolescents in Uganda. A cross sectional study was conducted at two secondary schools from Kampala (n=197) and Mukono (n=209) districts, Uganda. At both schools, random sampling was used to select the participating classes and the 406 adolescents (11-19 years) eligible to participate in the research. Dental caries was examined using the Decayed, Missing and Filled Teeth (DMFT) index, and a questionnaire was used to collect other relevant data in form of an oral interview. The data were analyzed using STATA version 12. The data was declared as survey data and all analyses were done with svy command. The prevalence of caries was determined as a percentage of individuals with DMFT score ≥1. Modified Poisson regression models were utilized to assess the association between prevalence, severity of dental caries and independent variables. The overall prevalence of dental caries was 66.0% and mean DMFT score of 2.18±2.67. Dental caries prevalence and severity were significantly (p<0.05) associated with tooth cleaning device, age and history of previous dental visit. There was a high prevalence and severity of dental caries among adolescents, which emphasizes the urgent need to develop and design appropriate interventions to reduce the disease burden.

scholarly journals Role of Contact with Tuberculous Patients in Cases of Tuberculous Cervical Lymphadenitis.

2004 ◽  
Vol 43 (152) ◽  
pp. 79-82
Author(s):  
D K Baskota ◽  
RCM Amatya ◽  
RP Shrivastav ◽  
BK Sinha
Keyword(s):  
Communicable Disease ◽  
Disease Process ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Cervical Lymphadenitis ◽  
Cross Sectional ◽  
History Of ◽  
One Year

A prospective, analytical and cross-sectional study to find out the role of contact with tuberculous patientsduring the process of development of Tuberculous Cervical Lymphadenitis was currently carried out in theDepartment of ENT- Head & Neck Surgery of Tribhuvan University Teaching Hospital Kathmandu, Nepal.Altogether 103 cases of histopathologically confirmed cases of Tuberculous Cervical Lymphadenitis of morethan six weeks of duration were included in the study during the period of one year from March, 2000 toFebruary, 2001.History of contact with tuberculous patients in the past during the development of the disease process wasfound to be positive in 19(18.4%) of the 103 cases. In rest of the 84 cases history of contact with tuberculouspatients was found to be negative (81.6%).The result of this study so far indicates that there is a minimal role of contact with tuberculous patients forthe development of tuberculous cervical lymphadenitis. Although tuberculosis is known as a chroniccommunicable disease, in our study majority cases of Tuberculous Cervical Lymphadenitis did not give anyhistory of contact with tuberculous patients in the past.Key Words: Tuberculous cervical lymphadenitis, tuberculous patients, communicable disease.

scholarly journals Facial Papules Are Early Sign of Frontal Fibrosing Alopecia: A Cross-Sectional Study

2020 ◽  
Author(s):  
Parvin Mansouri ◽  
Masoumeh Rohani Nasab ◽  
Zahra Safaei Naraghi ◽  
Safoura Shakoei ◽  
Reza Chalangari ◽  
...  
Keyword(s):  
Premenopausal Women ◽  
Cross Sectional Study ◽  
Metabolic Disturbances ◽  
Cross Sectional ◽  
Lichen Planopilaris ◽  
Early Signs ◽  
Clinical Presentations ◽  
Mucosal Involvement ◽  
History Of ◽  
First Time

Frontal fibrosing alopecia (FFA), a form of lichen planopilaris (LPP), is primary cicatricial alopecia commonly affecting postmenopausal women. For the first time, we investigated the diagnosis of FFA and LPP in patients presenting with the chief complaint of facial papules and roughness. This cross-sectional was performed among 68 patients with facial papules. We described the epidemiology, comorbidities, clinical presentations, and the association between facial papules and LPP or FFA. All the patients were female with a mean age of 47.84 years. Scalp alopecia was observed in all the patients presenting with facial papules, of which 89.7% had FFA. Five patients were diagnosed with LPP without FFA. Most of the patients were premenopausal (73.5%), and 70.6% had grade I FFA. Concomitant cutaneous lichen planus involvement was observed more frequently than mucosal involvement. The most frequent comorbidities were hypothyroidism, dyslipidemia, and hypertension. History of alopecia areata was detected in 8.8% of the patients. Androgenetic alopecia (AGA) was present in 17 patients (25%). Facial papules are the silent and early signs of FFA and LPP.  Paying attention to these early signs along with metabolic disturbances can help with the early diagnosis of the disease, especially among premenopausal women.

scholarly journals Coincidence of COVID-19 epidemic and olfactory dysfunction outbreak

2020 ◽  
Author(s):  
Seyed Hamidreza Bagheri ◽  
Alimohamad Asghari ◽  
Mohammad Farhadi ◽  
Ahmad Reza Shamshiri ◽  
Ali Kabir ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Olfactory Dysfunction ◽  
P Value ◽  
Spearman Correlation ◽  
Cross Sectional ◽  
Respiratory Problems ◽  
Home Town ◽  
Clinical Presentations ◽  
Olfactory Disorder ◽  
History Of

AbstractBackgroundRecent surge of olfactory dysfunction in patients who were referred to ENT clinics and concurrent COVID-19epidemic in Iran motivated us to evaluate anosmic/hyposmic patients to find any relation between these two events.MethodsThis is a cross-sectional study with an online checklist on voluntary cases in all provinces of Iran between the 12th and 17th March, 2020. Cases was defined as self-reported anosmia/hyposmia in responders fewer than 4 weeks later (from start the of COVID-19 epidemic in Iran). Variables consist of clinical presentations, related past medical history, family history of recent respiratory tract infection and hospitalization.ResultsIn this study 10069 participants aged 32.5±8.6 (7-78) years, 71.13% female and 81.68% non-smoker completed online checklist. They reported 10.55% a history of a trip out of home town and 1.1% hospitalization due to respiratory problems recently. From family members 12.17% had a history of severe respiratory disease in recent days and 48.23% had anosmia/hyposmia.Correlation between the number of olfactory disorder and reported COVID-19 patients in all 31 provinces till 16th March 2020 was highly significant (Spearman correlation coefficient=0.87, p-Value<0.001). The onset of anosmia was sudden in 76.24% and till the time of filling the questionnaire in 60.90% of patients decreased sense of smell was constant. Also 83.38 of this patients had decreased taste sensation in association with anosmia.ConclusionsIt seems that we have a surge in outbreak of olfactory dysfunction happened in Iran during the COVID-19 epidemic. The exact mechanism of anosmia/hyposmia in COVID-19 patients’ needs further investigations.

scholarly journals Ocular pathologies emerging in pregnancy.

2019 ◽  
Vol 26 (09) ◽  
pp. 1457-1460
Author(s):  
Arif Hussain ◽  
Kishwar Naheed ◽  
Nasir Mahmood
Keyword(s):  
Pregnant Women ◽  
Systemic Disease ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Department Of Ophthalmology ◽  
History Of ◽  
Systemic Examination ◽  
Study Setting ◽  
In Pregnancy

Objectives: To determine ocular pathologies that appear in pregnant women with no history of ocular or systemic disease prior to conception. Study Design: Cross-sectional study. Setting: Department of Ophthalmology in association with Department of Gynecology, Pak Red Crescent Medical and Dental College Dina Nath District Kasur. Period: January 2018 to April 2018. Materials and Methods: One hundred and twenty pregnant females with no history of previous ocular or systemic co morbidity were included in study. After obtaining informed consent detailed ocular and medical history was taken and complete ocular examination was done. Results: Mean age of the participant female was 24.7 years (Range 19- 40 years). Four of them (3.33%) had bilateral optic disc edema, 2 of them had central serous chorioretinopathy (CSCR) and one female had unilateral macular hole. Conclusions: Ocular pathologies emerging in pregnancy are not uncommon and should not be overlooked. Pregnant women with ocular complaints should undergo a thorough ocular and systemic examination along with necessary investigations so that the pathological eye changes and associated systemic diseases could be managed timely and properly.

Suicidal Ideation Among Medical Students in Dammam, Saudi Arabia

Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Students ◽  
Suicidal Ideation ◽  
General Health Questionnaire ◽  
Cross Sectional Study ◽  
Eastern Province ◽  
Cross Sectional ◽  
The Past ◽  
Depression Subscale ◽  
History Of

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.

DYSLIPIDEMIA IN THYROID DISORDERS

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Kashish Narula ◽  
Narendra Kumar Dara ◽  
Shyam Lal Meena
Keyword(s):  
Lipid Metabolism ◽  
Thyroid Dysfunction ◽  
Cross Sectional Study ◽  
Control Group ◽  
Thyroid Disorders ◽  
Cross Sectional ◽  
Carbohydrate And Lipid Metabolism ◽  
History Of ◽  
Thyroid Profile ◽  
Basal Energy Expenditure

Background: Thyroid hormones influence nearly all major metabolic pathways. Their most obvious and well-known action is the increase in basal energy expenditure obtained by acting on protein, carbohydrate and lipid metabolism. The lipid metabolism is more influenced by the thyroid hormone. Methods: A cross-sectional study was conducted on 100 patients with suspicion of thyroid disorders were taken as cases. One hundred patients with normal thyroid profile and no history of other chronic diseases were taken as control group. Results: The serum TC, TG and LDL levels in hypothyroid individuals (both overt and subclinical) were significantly higher than euthyroid subjects but the levels were comparable between hyperthyroid and euthyroid group. Conclusion: Dyslipidemias are associated with thyroid disorders, so biochemical screening for thyroid dysfunction in all dyslipidemic patients. Therefore, patients presenting with dyslipidemia are recommended for investigation to explore thyroid dysfunction. Keywords: Thyroid profile, Total cholesterol, Triglycerides and LDL

Metabolic Syndrome in HIV-patients in Antiretroviral Therapy

2020 ◽  
Vol 18 (6) ◽  
pp. 388-395
Author(s):  
Daniel Vargas-Pacherrez ◽  
Helma P. Cotrim ◽  
Leonardo Pires ◽  
Vitor Cunha ◽  
Vitor Coelho ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Antiretroviral Therapy ◽  
International Diabetes Federation ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Anthropometric Data ◽  
Cross Sectional ◽  
History Of ◽  
Family History Of Hypertension ◽  
Living With Hiv

Introduction: The global prevalence of metabolic syndrome (MS) among people living with HIV/AIDS varies from 20% to 33%. Objective: to estimate the prevalence of metabolic syndrome and associated factors in a group of HIV-infected patients on antiretroviral therapy. Methods: This is a cross-sectional study with HIV-infected patients from a reference center in Bahia, Brazil. We evaluated clinical, socio-demographic and anthropometric data. MS was defined according to the guidelines of International Diabetes Federation. Results: We evaluated 152 patients with mean age of 47.3±11.6 years, 59.2% male. The main comorbidities detected were diabetes (3.3%) hypertriglyceridemia (9.3%) and metabolic syndrome (MS,38.2%). Patients with MS were predominantly women (55.2% vs 31.9%; p=0.005), older [52.1 (10.4) vs 44.3 (11.3); p<0.001], and had overweight (74.1% vs 23.4%; p<0.001). After multivariate analysis MS remained associated with age (OR = 1.076; 95% CI: 1.030 – 1.125), female sex (OR = 2.452; 95% CI: 1.114 – 5.374) and family history of hypertension (OR = 3.678; 95% CI: 1.431 – 9.395). Conclusion: Almost half of the HIV-infected patients in Bahia presents with MS which seems to be driven by classical risk factors.

Comparison of Non-radiographic Axial Spondyloarthritis and Ankylosing Spondyltis from a Single Rheumatology Hospital in Morocco

2020 ◽  
Vol 16 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Nessrine Akasbi ◽  
Siar Nihad ◽  
Zoukal Sofia ◽  
El Kohen Khadija ◽  
Harzy Taoufik
Keyword(s):  
Disease Burden ◽  
Axial Spondyloarthritis ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Low Back ◽  
New Classification ◽  
Cross Sectional ◽  
Asas Criteria ◽  
History Of ◽  
High Level

Background: According to the new classification criteria developed by The Assessment of SpondyloArthritis International Society, patients with axial spondyloarthritis (axSpA) can be classified in 2 subgroups: Patients with radiographic axial spondyloarthritis: ankylosing spondylitis patients (AS) and those with non-radiographic axial spondyloarthritis (nr-axSpA). Objective: The aim of the present study is to describe and discuss the differences and similarities between the two subgroups. Patients and Methods: A cross-sectional study was conducted in a single rheumatology hospital in Morocco. These included patients diagnosed as having axial spondyloarthritis according to ASAS criteria 2010, during a period of 6 years. The AS and the nr-axSpA subgroups were compared for the various axSpA-related variables. Results: Of the 277 patients with a diagnosis of axial SpA who were included in this study, 160 had AS and 117 had nr-axSpA. AS and nr-ax-SpA shared a similar age at diagnosis, similar prevalence of low back pain, lumbar stiffness, extra-articular manifestations, BASDAI and BASFI. In the multivariate analysis, AS patients were mainly male with cervical stiffness, enthesitis, coxitis and high level of ESR (erythrocyte sedimentation rate). The females generally had a family history of SpA and arthritis and were associated to the nr-axSpA form in the univariate analysis. Conclusion: This was the first study to characterise patients with AS and nr-axSpA in Morocco. Consistent with other studies published, this study showed that patients with nr-axSpA and patients with AS shared a comparable degree of disease burden.

Sign in / Sign up

Export Citation Format

Share Document