scholarly journals A clinicopathological study of Rhinosporidiosis

2016 ◽  
Vol 21 (2) ◽  
pp. 94-96 ◽  
Author(s):  
Sharfuddin Mahmud ◽  
Rojibul Haque ◽  
Abdullah Al Mamun ◽  
Rafiul Alam ◽  
DGM Akaiduzzaman ◽  
...  
Keyword(s):  
Age Distribution ◽  
Cross Sectional Study ◽  
Anatomical Site ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Male Predominance ◽  
Medical College ◽  
Site Distribution ◽  
The Common

Introduction: Rhinosporidiosis is one of the common tropical diseases in ENT practice in this subcontinent having the affinity for the mucosa of upper respiratory tract –chiefly the nose & nasopharynx. Though this chronic granulomatous disease is quite common in this subcontinent but its distribution is not even.Objectives: The aim of this study is to find out the age distribution, clinical sign-symptoms& attachment of rhinosporidiosis, that’s mean to establish the clinical profile of the patient.Method: A cross sectional study was done at the department of ENT & HNS, Sir Salimullah Medical College Mitford Hospital from January to December 2012. The study included 49 patients treated in this department and histologically proved.Rersults: Among 49 patients there was male predominance(37), female were-12. Majority of the patient presented with the feature of nasal obstruction(27), nasal mass(23) and it’s majority site of attachment was nasal septum(30). In anatomical site distribution majority cases(39) it was distributed in nose & nasopharynx.Conclusion: This study suggests total excision, wide base cauterization and regular follow up to prevent recurrence.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 94-96

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta
Keyword(s):  
Pleural Effusion ◽  
Cross Sectional Study ◽  
Pleural Space ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
The Common ◽  
The Mean ◽  
Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

scholarly journals Study of Patients with First unprovoked Seizure in the Eastern Part of Nepal

2019 ◽  
Vol 8 (1) ◽  
pp. 22-26
Author(s):  
Dilli Ram Kafle ◽  
Surendra Sah ◽  
Miluna Bhusal
Keyword(s):  
Recurrence Risk ◽  
Cross Sectional Study ◽  
P Value ◽  
Seizure Recurrence ◽  
Unprovoked Seizure ◽  
Cross Sectional ◽  
Medical College ◽  
Increased Risk ◽  
Neuro Imaging

Background: About 5-10% of the population get at least one seizure in their lifetime. Treatment is started in patients with first unprovoked seizure if the risk of seizure recurrence is predicted to be high. If patients with first seizure are not treated 40-50% of patients develop recurrence within 2 years of the initial seizure. Starting treatment may cause reduction in the risk of recurrence by almost one half. The aim of the study was to identify the factors causing recurrence in patients with first unprovoked seizure. Materials and Methods: It is a prospective cross-sectional study conducted at Nobel Medical College from March 2015 to March 2019. Patients who presented to Nobel Medical College with first unprovoked seizure were enrolled in the study with follow up during the hospital visit. Results: Eighty six patients participated in our study. Recurrence of seizure occurred in 21(24.4%) patients within the study period of 4 years. Abnormal Electroencephalography was significantly associated with recurrence of seizure in patients with first seizure. (P value<0.001) Neuro imaging abnormality was also associated with increased risk of seizure recurrence (Pvalue<0.001) .Starting an antiepileptic after first seizure reduced the risk of further seizure. Conclusion: Recurrence of seizure was observed in almost a quarter of patients within the study period of four years. Recurrence risk was higher in those patients with abnormal Electro encephalography and in those patients with identified cause than those patients whose seizure was assumed to be idiopathic.

scholarly journals Bacteriological Evaluation of Tonsillar Surface and Tonsillar Core Micro Flora in Patients Undergoing Tonsillectomy

2016 ◽  
Vol 12 (3) ◽  
pp. 149-153 ◽  
Author(s):  
S Manandhar ◽  
S Bhandary ◽  
S T Chhetri ◽  
B Khanal ◽  
S P Shah ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Common Disease ◽  
Recurrent Tonsillitis ◽  
Acute Tonsillitis ◽  
Cross Sectional ◽  
Male Predominance ◽  
The Core ◽  
Hilly Region ◽  
The Common ◽  
Bacteriological Evaluation

Background: Acute tonsillitis is the most common disease for the ENT surgeons. Effective treatment of the tonsillitis depends on knowledge of the infecting organism but there is always a dilemma whether the antibiotics prescribed for the tonsillitis is sufficient for the different organisms in the surface and core of the tonsils.Objective: To study the microorganism on the surface and in the core of the tonsil among the patients undergoing tonsillectomy and to correlate clinical profile of the patients with various microorganisms isolated.Methods: This was a cross sectional study conducted on fifty patients’ age ranging from 3 years to 45 years. The swabs obtained from the surface of the tonsil prior to tonsillectomy and core of the tonsil post tonsillectomy were sent for isolation of micro organism and microbial susceptibility technique by standard microbial method.Results: The common age group for tonsillitis was below 15 years (n= 26) and having male predominance and more common in patients from hilly region. The commonest indication for tonsillectomy was recurrent tonsillitis (n=47). There was 82% similarity in microorganisms isolated from the surface and core of the culture. Conclusion: This study highlights that the culture from the surface of the tonsil reflects the organism in the core. Staphylococcus aureus was the commonest isolated organism in the surface and core of the tonsil.Health Renaissance 2014;12(3): 149-153

scholarly journals Dermatophytes in Skin, Nail and Hair among the Patients Attending Out Patient Department

2019 ◽  
Vol 16 (41) ◽  
pp. 434-437 ◽  
Author(s):  
Beena Jha ◽  
Sabina Bhattarai ◽  
Jyotshna Sapkota ◽  
Manisha Sharma ◽  
Chandra Prakash Bhatt
Keyword(s):  
Laboratory Diagnosis ◽  
Cross Sectional Study ◽  
Age Group ◽  
Aetiological Agent ◽  
Cross Sectional ◽  
Female Ratio ◽  
Direct Microscopy ◽  
Male Predominance ◽  
Medical College ◽  
Patient Department

Background: Dermatophytosis are the most common types of cutaneous fungal infection seen in human and animals affecting skin, hair and nails caused by dermatophytes. The diagnosis of dermatophytes is based on the clinical observation and laboratory diagnosis by direct microscopic examination and fungal cultures. The present study is undertaken to isolate different type of dermatophytes causing fungal infection.Methods: A prospective cross-sectional study design was used in a total of 90 clinically suspected cases of dermatophytic infection attending the out patient department of Kathmandu Medical College and Teaching hospital (KMCTH). Skin scraping, hair and nail samples were collected from the patients and were processed by direct microscopy and culture using standard protocol. Dermatophytes were identified based on the microscopic arrangement of microconidia and macroconidia.Results: Dermatophytosis was more common in the age group of 21-40 years and was more predominant among male with male to female ratio of 1.7: 1. Among the total clinically suspected cases of dermatophytosis, 53 were positive in direct microscopy and only a total of 20 were positive by culture. Most common clinical type observed in our study was Tinea corporis(25%) followed by Tinea cruris. Trichophyton rubrum(50%) was the commonest aetiological agent in majority of clinical types followed by Trychophyton mentagrophytes(35%). Conclusions: The study highlighted T. corporis followed by T. cruris and T. unguim as the most common clinical pattern of dermatophytosis with a male predominance and 21-40 years being the most affected age group. T. rubram was the most common aetiological agent causing dermatophytosis.Keywords: Dermatophytes; dermatophytosis; epidermophyton; tinea; trychophyton.

scholarly journals Clinician's practices and perspectives regarding tobacco cessation in a teaching Hospital, Karnataka, India

2017 ◽  
Vol 4 (3) ◽  
pp. 634
Author(s):  
Sumana M. ◽  
Sreelatha C. Y. ◽  
Sundar M. ◽  
Narottam Das
Keyword(s):  
Teaching Hospital ◽  
Tobacco Cessation ◽  
Smoking Status ◽  
Cross Sectional Study ◽  
Smoking History ◽  
Cross Sectional ◽  
Medical College ◽  
Quit Smoking ◽  
Self Administered Questionnaire

Background: Cessation of tobacco is important to prevent non-communicable diseases and mortality. Smokers frequently approach doctors for various health ailments. This opportunity can be utilized to give tobacco cessation advice. This study aims to assess the clinician’s practice perspectives barriers and need for the training related to tobacco cessation.Methods: A cross-sectional study was conducted to explore tobacco cessation practices of clinicians of a teaching hospital attached to Medical College in Hassan, Karnataka, India. Pre-tested, pre-structured self-administered questionnaire was distributed to all the clinicians in person. All the Professors, Associate Professors, Assistant Professors, Senior Residents and Junior Residents in the departments coming in contact with smokers were included in the study and patients were also interviewed to assess their smoking status, willingness to quit and counselling by physicians using pre-structured oral questionnaire.Results: Almost 84.4% of clinicians said they ask about smoking history but only 50.9% said they assess patients’ willingness to quit smoking. 37% assist patients to quit smoking and 29.8% arranged follow up visits. 25% of clinicians mentioned undergraduate and postgraduate training prepared them to help patients quit smoking. Remaining said it was inadequate. All agreed that it is their role to help, motivate, discuss, speak, refer and monitor patients who smoke to quit.Conclusions: Majority of the doctors believed that they play a very important role in tobacco cessation activities. There is a need for Undergraduate and postgraduate skill based training to assist patients quit the tobacco habit. The study showed a need for adherence and reinforcement of tobacco cessation guidelines. 

scholarly journals Unmet need for contraception and associated factors among women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia: a cross-sectional study

2021 ◽  
Author(s):  
Negalign Mechal ◽  
Mustefa Negash ◽  
Hailemichael Bizuneh ◽  
Ferid A Abubeker
Keyword(s):  
Cardiovascular Disease ◽  
Associated Factors ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Contraception Use ◽  
Unmet Need For Contraception

Abstract Background Pregnancies complicated by cardiovascular disease carry a high risk of morbidity and mortality. Contraception offers a unique opportunity to avoid unintended pregnancy and/or optimize preconception cardiac health status. Such planning will also allow possible modification of medical therapy that can be detrimental to the growing fetus. However, unmet need for contraception can become a barrier to achieving these goals. This research was aimed to determine the rate of unmet need for contraceptives and associated factors among women with cardiovascular disease. Methods A facility-based cross-sectional study was conducted from February 1 – May 31/2020. A convenient sampling technique was used to enroll 284 reproductive age women with cardiovascular disease having follow-up at Saint Paul’s Hospital Millennium Medical College. Data was collected through an exit interview using a structured and pretested questionnaire. Descriptive, bivariate, and multivariate methods were used to analyze the level of unmet need and its associated factors. Results The overall unmet need for contraception was 36%. The majority of the respondents lack counseling on contraception use. The most common reasons for non-use of a contraceptive method was fear of drug side effects and drug interaction. Unmet need for contraception was found to be more likely among those who have not been counseled on contraceptive utilization (AOR 6.7, CI 1.8–24.7) and those who lack partner support on contraception use (AOR = 6.2, CI: 1.91–19.8). Unmet need was also found to be more likely among women who have never used contraception before (AOR = 3.2, CI 1.12–8.92). Conclusion Unmet need for contraception was high in this high-risk population group. Tailored counseling can alleviate fear and concerns about contraceptive use. Appropriate strategies that enhance male partner involvement should also be implemented.

scholarly journals A comparative study of elective and emergency tracheostomy

1970 ◽  
Vol 14 (2) ◽  
pp. 57-62
Author(s):  
A Allam Choudhury ◽  
Tuhin Sultana ◽  
Md Abul Hasnat Joarder ◽  
Kamrul Hassan Tarafder
Keyword(s):  
Head Injury ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
The Common ◽  
Elective Tracheostomy

This is a cross sectional study done in I.C.U & Dept. of otolaryngology - Head & Neck Surgery, B.S.M.M.U, Dhaka and Dhaka Medical College Hospital during the period of 1st March, 2003 to 30th August, 2003. 60 cases of tracheostomies, were included in this study, among them 30 cases of elective tracheostomies and 30 cases of emergency tracheostomies. In this study mean age of elective tracheostomy was 40.46 years & mean age of emergency tracheostomy was 50.50 years. Here Male was predominant both in elective (M:F= 6.5:1) and emergency tracheostomy (9:1). The common indications of elective tracheostomy were ICSOL (26.67%) & Head injury (26.67%) where as commonest indication of emergency tracheostomy was laryngeal carcinoma (53.33%). The frequency of complication for elective tracheostomy was 9.99% and emergency tracheostomy 33.35%. Here complications were 3.33 times more common in cases of emergency tracheostomy then elective tracheostomy. Key-words: Tracheostomy, elective and emergency.  DOI: 10.3329/bjo.v14i2.3282 Bangladesh J of Otorhinolaryngology 2008; 14(2) : 57-62

scholarly journals SPECTRUM OF PANCYTOPENIA

2016 ◽  
Vol 23 (05) ◽  
pp. 620-626
Author(s):  
Tariq Hameed Rehmani Rehmani ◽  
Mizna Arif ◽  
Sajjad Heraid ◽  
Sarah Arif ◽  
Rabia Ahmad ◽  
...  
Keyword(s):  
Blood Count ◽  
Complete Blood Count ◽  
Megaloblastic Anemia ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Male Predominance ◽  
Medical College ◽  
Study Setting

Pancytopenia refers to a reduction in all the three cellular elements of blood.Pancytopenia is a common but important hematological problem encountered in routineclinical Practice. It may be a presenting feature of many underlying serious and life threateningillnesses. Objective: Present study was planned to appraise various clinico- etiologicalfactors underlining Pancytopenia. Study Design: Cross-sectional study. Setting: HematologyDepartment of Allama Iqbal Medical College/ Jinnah Hospital Lahore (AIMC&JHL). Period:July 2011 to Jun 2015. Materials and Methods: Two hundred and forty four patients withPancytopenia were included in the study. Complete blood count, bone marrow aspirations andtrephine biopsies were performed after clinical history and physical exam. Data were analyzedby using SPSS 20.0 version. Results: Out of total 244 Pancytopenia cases, hypoplastic bonemarrow 66 (27.04%) and Megaloblastic anemia 49 (20.08%) were the most common etiologicalfactors with male predominance. Fever and pallor were striking presenting clinical features.Conclusion: We conclude that Pancytopenia is a common problem with an exhaustive listof differential diagnosis, some of which are easily treatable and reversible. Therefore earlydetection with optimal diagnostic approach to Pancytopenia is required for better managementof patients.

scholarly journals Clinical Profile of Patients with Partial Seizure

2014 ◽  
Vol 3 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Dilli Ram Kafle
Keyword(s):  
Partial Seizure ◽  
Age At Onset ◽  
Age Distribution ◽  
Complex Partial Seizure ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Mesial Temporal Sclerosis ◽  
Cross Sectional ◽  
Medical College ◽  
History Of

In partial seizure the epileptic discharge begins in one area of the brain and may or may not spread to other areas of the brain.When the discharge spreads to both the hemisphere it may lead to partial seizure with secondary generalization.It is a descreptive cross sectional study carried out at Tribhuvan University Teaching Hospital between April 2012 to April 2013. A total of 70 patients with partial seizure attended medical opd and admitted to medical ward. There were 40 males and 30 females. Age distribution of patient’s presentation with partial seizure was as follows. Less then 20 years of age: 27 patients. 20-40:24 Patients. 41-60: 21 Patients. 60-80: 8 patients. 20 patients had simple partial seizure. 20 patients had complex partial seizure: 30 patients had partial seizure with secondary generalization. Age at onset of partial seizure: Less than 20 years:45 Patients. 21-40 years:12 patients 41-60 years:20 patients. More than 60 years: 3 patients. Duration before starting treatment: Less than 6 months:33 Patients. 6 month – 1year: 6 patients. More than 1 year: 31 Patients.Status epilepticus: 3 patients.Drug history: carbamazepine, Phenytoin. EEG : Normal in 36 patients.Abnormal in 34 patients.Neuroimaging: Tuberculoma: 6 patients, Calcifed granuloma:39 patients,Tuberous sclerosis:2 patients,mesial temporal sclerosis:3 Patients,Cerebral infarction:12 Patients.Normal :18 patients.Family history of seizure was present in 10 patients. DOI: http://dx.doi.org/10.3126/jonmc.v3i1.10051 Journal of Nobel Medical College Vol.3(1) 2014; 31-34

Sign in / Sign up

Export Citation Format

Share Document