Role of Sampling Neck Dissection in Early Oral Tongue Carcinoma

2020 ◽  
Vol 26 (2) ◽  
pp. 147-152
Author(s):  
Md Shoukat Ali ◽  
SM Masudul Alam ◽  
Md Mahbubul Alam ◽  
Md Abdus Sattar ◽  
Md Mosleh Uddin ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Early Stage ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Nodal Metastasis ◽  
Stage Migration ◽  
Tongue Carcinoma ◽  
Oral Tongue ◽  
Cross Sectional ◽  
Male Patients

Background: Carcinoma of oral tongue has a great potential for metastatic spread to neck nodes, which may not be clinically detected in early stage. To detect frequency of occult neck metastasis in clinically No patients with early oral tongue carcinoma (stage I & II) the study has done. Methods: It was a 2 years cross sectional study among fifty patients in three tertiary care hospitals of Dhaka from 2016 to 2018. Results: Majority of the patients were male (M:F=3:2) with age ranged 25 to 80 years. Among these patients 38(76%) were in T1 and remaining 12(24%) in T2 stage. Tongue ulceration was most common(84%) presenting feature followed by dysphagia(64%) and pain(52%).Only 32(64%) patients revealed no histopathological proved metastasis(true N0). Occult nodal metastasis was significantly common(83.33%) among male patients than females(p<0.01) and also common(72.22%) among < 50 years age group(p<0.01).Sampling node positive was significantly more(66.67%) in T2 stage(p<0.01). Conclusion: Regarding clinical, radiological and histopathological stages and stage migration of early carcinoma in oral tongue this study revealed significant differentiation among these methods. This study implies sampling neck dissection of sentinel neck nodes in early oral tongue carcinoma for management. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 147-152

scholarly journals Erectile dysfunction: prevalence and determinants among T2DM men attending a tertiary care hospital in northern India

2019 ◽  
Vol 6 (4) ◽  
pp. 1115 ◽  
Author(s):  
Raja Langer ◽  
Elias Sharma ◽  
Bhavna Langer ◽  
Rajiv K. Gupta ◽  
Rashmi Kumari ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Diabetic Complications ◽  
Family Income ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Northern India ◽  
Male Patients ◽  
Associated Risk Factors

Background: Erectile dysfunction (ED), though an important complication of T2DM is grossly under reported in this part of the world. The present study aimed to determine the prevalence and associated risk factors of ED in T2DM men in northern India.Methods: A cross-sectional study was conducted from January to August 2018 among male patients with T2DM in the medical OPD of a tertiary care teaching hospital in Jammu. IIEF- international index of erectile function was the tool used in the present study.Results: ED prevalence was 62.08%. Among socio-demographic variables, age was significantly associated with ED (p<0.05) while no association was found with education, occupation and family income. Smoking as a life style and hypertension as a co-morbid condition were significantly associated with ED (p<0.05). Duration of diabetes and type of diabetic complications were also found to be statistically significant.Conclusions: Prevalence of ED in T2DM men was quiet high in this region of India. Preventive interventions, early diagnosis and detection of T2DM along with treatment adherence to prevent diabetic complications is strongly recommended. Further research is recommended to establish temporal causality of ED in T2DM.

scholarly journals Study on prevalence and surgical management of haemorrhoids in a tertiary care teaching hospital in a rural area

2018 ◽  
Vol 5 (4) ◽  
pp. 1263
Author(s):  
A. Farook ◽  
A. Periasamy ◽  
S. Arvind ◽  
I. Kannan
Keyword(s):  
Anal Canal ◽  
Surgical Management ◽  
Surgical Complications ◽  
Prevalence Rate ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Surgical Ward ◽  
Male Patients

Background: Haemorrhoids, which is also termed as piles characterized by the enlarged and bulged blood vessels surrounding the supporting tissues present in the anal canal of an individual. In the present study, an attempt has been made to find the prevalence of haemorrhoids and surgical management done in our geographical area.Methods: The present study was retrospective, cross-sectional study from the period of 1st January 2013 to 31st December 2017. A total of 351 haemorrhoids patients were admitted in inpatient surgical ward during that period. The demographic details of all the patients were noted from the medical records.Results: 219 (62%) patients were male and 132 (38%) were females. Most of the patients are predominantly adults above the age of 21 years. The post-operative stay in hospital is almost less than 10 days as it indicates that most of the patients were discharged without any complication.Conclusions: The male patients are predominant compared to female patients. The surgical complications are less. The exact prevalence rate may be high as some patients may either undergo a self-treatment or native medicine treatment.

scholarly journals Awareness and screening practices of cervical cancer among nursing staff working in tertiary care hospital

2017 ◽  
Vol 4 (10) ◽  
pp. 3590
Author(s):  
Swati M. Mahajan ◽  
Vijaykumar S. Jadhav ◽  
Anwaya R. Magare ◽  
Sangita A. Adchitre ◽  
Sobha B. Salve
Keyword(s):  
Cervical Cancer ◽  
Nursing Staff ◽  
Early Stage ◽  
Tertiary Care ◽  
Female Genital Tract ◽  
Hpv Infection ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Screening Process ◽  
Cross Sectional

Background: In India there are an estimated of 1,32,000 new cases and 74,000 deaths each year of cervical cancer. Out of all the female genital tract cancers, it is the only pre­ventable cancer if detected at its early stages. More than one fifth of all new cases are diagnosed in India due to a lack of screening that allows detection of precancerous and early stage cervical cancer. Staff nurses if trained properly, can make aware and screen all the women coming to detect suspicious cases. The present study was carried to assess knowledge regarding cervical cancer, screening procedures and attitude and practices regarding prevention and screening of cervical cancer among nursing staff.Methods: A cross-sectional study was carried out among the nursing staff between March to June 2016. A total of 215 nursing staff was enrolled in the study.Results: Majority 75 (34.88%) of the participants were from 41-50 years of age and 147 (67.90%) were married. The majority of the participants received information about cervical cancer and screening from hospital 135 (71.05%) and 40 (21.05%) from the newspaper. Majority of females 68 (35.78%) said HPV infection as major risk factor for cervical cancer. Majority of the females 125 (65.78%) mentioned that discharge p/v is the main symptom. Majority of the participants 66 (38.82%) replied that married Women and sexually active 54 (31.76%) women must be screened.Conclusions: It can be concluded that presently the knowledge and understanding of cervical cancer, as well as its screening process, is satisfactory, but there is a vast scope for improvement. 

scholarly journals Socio-demographic Characteristics of Extradural Haematoma (EDH) Patients: Expeience of 63 Cases in Bangladesh

2018 ◽  
Vol 15 (2) ◽  
pp. 52-56
Author(s):  
MM Ehsanul Haque ◽  
Shamima Sultana ◽  
Md Saiful Alam ◽  
Kamalesh Saha ◽  
Wahida Begum
Keyword(s):  
Head Injury ◽  
Tertiary Care ◽  
Young Male ◽  
Cross Sectional Study ◽  
Intracerebral Haematoma ◽  
Extradural Haematoma ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Male Patients

Banckgroud: Extradural haematoma can occur due to head injury to different group of people.Objectives: The purpose of the present study was to see the socio-demographihc characteristics of extradural haemorrahge (EDH) patients attended at a tertiary care hospital Dhaka city.Methodology: This cross-sectional study was carried out in the Department of Neurosurgery at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2001 to July 2003 for a period of two (2) years. Patients with  the history of head  trauma admitted in Neurosurgery unit of  Dhaka Medical College and Hospital which were being diagnosed as EDH both clinically and radiologically were included as study population. Head injury patient with subdural haematoma, intracerebral haematoma, EDH associated with ASDH or  ICH were excluded form this study. The diagnosis of EDH was made by clinically and by non contrast CT-scan in all patients. The details of socio-demographihc chacteristics among the patients were recorded.Result: A total 63 patients were  included. In this study maximum patients were in the age group 21 to 30 years which was 26(41.3%) cases. The ratio between male and female was 14.75:1. Among 59 male patients, 15(25.4%) cases were pedestrian; 10(16.9%) cases were driver or helper; 14(23.7%) cases were passenger; 13(22.0%) cases were labourer and 7(11.8%) caseswere rickshaw puller. Among  female out of 4 patients, 2 (3.1%) were garment workers , 2(3.1%) were house wife. Majority were poor socio-ecnomic condition which was 41(65.1%) cases followed by middle and high which were 17(27.0%) and 5(7.9%) cases respectively.Conclusion:  In conclusion young male patients coming from poor socio-economic condtion are the most common acute extra dural haemorrahge patients.Journal of Science Foundation, July 2017;15(2):52-56

scholarly journals Role of Selective Neck Dissection in Primary T1, T2, N0 Neck Oral Tongue Carcinoma

2021 ◽  
Vol 27 (2) ◽  
pp. 130-138
Author(s):  
Mohammad Nazrul Islam ◽  
Kazi Shameemus Salam ◽  
Belayat Hossain Siddique ◽  
Md Lutfor Rahman ◽  
Rashedul Islam ◽  
...  
Keyword(s):  
Lymph Node ◽  
Neck Dissection ◽  
Cervical Lymph Node ◽  
Nodal Metastasis ◽  
Selective Neck Dissection ◽  
Occult Metastasis ◽  
Tongue Carcinoma ◽  
Oral Tongue ◽  
N0 Neck ◽  
Number Of Patients

Background: Oral tongue is one of the common site for carcinoma. 22% to 39% of oral cancer develops at this site. The high incidence of cervical lymph node metastasis, occult cervical metastasis, Provide a logical basis for treatment of the neck. The aim of this is study was to find out the importance of selective neck dissection in primary T1, T2, N0 Neck Oral Tongue Carcinoma. Methods: This cross-sectional study was conducted in the Department of Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Medical College Hospital and National Institute of ENT, Dhaka. Thirty cases of primary T1, T2, N0 Neck Oral Tongue Carcinoma with inclusion criteria was enrolled as a study sample. Patients were evaluated by a complete clinical head and neck examination as well as Imaging (MRI) of the primary tumor and neck. All the data were compiled and sorted properly and the numerical data were analyzed statistically. The results were expressed as percentage and mean ± SD. Chi-square (x2) test or Fisher’s Exact test was done for comparison of data presented in categorical value and p value <0.05 was considered as the level of significance. Among the patients 23(76.7%) were T1 lesion and remaining 7(23.33%) were T2 lesion. Extended Supraomohyoid Selective Neck Dissection (SOSD) (I-IV) was done in all patients. Following histopathological examination, 8(26.67%) patients of N0 neck became positive for nodal metastasis. Results: The study showed that most commonly (50%) involved group of occult metastasis was upper deep cervical lymph node in submandibular area (level-I). Occult nodal metastasis was significantly common 87.5% among male patients than females (p=0.039) and also common 87.5% among <50 years age group (p=0.023). Neck node positive was significantly more 62.5% in T2 lesion (p=0.002) of oral tongue carcinoma. Conclusion: In this study, we found that a number of patients had been histopathologicallly detected micro-metastases in regional neck nodes in clinically N0 patients.So, Extended Supraomohyoid Selective neck dissection (I-IV) was appropriate in T1,T2, N0 Neck Oral Tongue Carcinoma. Bangladesh J Otorhinolaryngol 2021; 27(2): 130-138

scholarly journals Breast cancer; awareness of breast cancer, self-breast examination and its practice in educated women

2021 ◽  
Vol 8 (6) ◽  
pp. 1809
Author(s):  
Lisha Suraj ◽  
Pallavi Sanjay Kadam
Keyword(s):  
Breast Cancer ◽  
Early Stage ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Cancer Awareness ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Care Institute ◽  
Main Medium

Background: The incidence of breast cancer in India is showing an increasing trend and more patients are diagnosed with breast cancer at a younger age. The prognosis of breast cancer is better when it is diagnosed at an early stage and proper treatment started early. Breast self-examination (BSE) remains as an important inexpensive tool which help in detecting any breast abnormality and diagnosing breast cancer, especially in Indian scenario. This survey was conducted among the young ladies working or studying in a tertiary care centre in Mumbai to assess the awareness about breast cancer, BSE and its practice in educated women.   Methods: This is a cross sectional study conducted among 553 females studying and working in a tertiary care institute at Mumbai. A questionnaire was prepared and response was noted down and analysed statistically.Results: According to our study even the educated women working in medical institute were not completely aware of the BSE, its practice and its importance in day-to-day life.Conclusions: The awareness  about breast cancer among students and staff  was found to be  good  in this  health care institute but most of them are not aware of proper method  and interval of BSE. The main medium of information was audiovisual. The awareness programmes need to be more for encouraging people to do a BSE and take an early medical help.

scholarly journals Assessment of Selfie addiction, and Selfitis among Allied Health Sciences students of a tertiary care hospital in Chennai, Tamil Nadu

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 308-313
Author(s):  
Siddharth A R ◽  
Shiny Chrism Queen Nesan G ◽  
Timsi Jain
Keyword(s):  
Tamil Nadu ◽  
Allied Health ◽  
Tertiary Care Hospital ◽  
Early Stage ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Health Science ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional

A selfie is a self-portrait photograph typically taken with a camera phone held in hand or supported by a selfie stick. Studies suggest that the level of selfie addiction among youngsters has been increasing over the years. is the term that is being widely used to denote selfie addiction. This study aims at assessing the level of selfie addiction and various factors associated with it, and to evaluate the relationship between selfie addiction and addictive selfie habits. A cross-sectional study was conducted among the Allied Health Science students of a tertiary care hospital in Chennai. Two hundred seventy-three students were studied by convenient sampling method. A , validated, structured and self-administered questionnaire was given, and the desired information was elicited. Chi-square test was used to test the significance (p &lt;0.05)A total of 287 students were studied, of which 65 (22.6%) were males, and 222 (77.4%) were females. It is observed that age, year of study, the place from which they come, place of stay and father's occupation have a statistically significant relationship with selfie addiction. Most of the selfie addictive have a female preponderance. A significant portion of the youth is in the early stage of selfie addiction. it is highly essential to spread awareness about the ill effects of selfie addiction among the youngsters to curb this addiction earlier.

scholarly journals Localization Of Cyst Of Myelomeningocele Among Pediatric Patients

2019 ◽  
Vol 09 (02) ◽  
pp. 117-119
Author(s):  
Urooj Fatima ◽  
Hussain Mehdi ◽  
Farrukh Mustafa Memon ◽  
Rubina Ghani ◽  
Hasan Ali
Keyword(s):  
Pediatric Patients ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Outpatient Department ◽  
Lumbar Region ◽  
Care Hospital ◽  
Cross Sectional ◽  
Male Patients ◽  
Average Size

Objective: To determine the frequency distribution of myelomeningocele cyst location among pediatric patients at a tertiary care hospital of Karachi. Study Design and Setting: This cross sectional study was conducted in outpatient department of neurosurgery ward of JPMC. Methodology: All fifty male and female babies having myelomeningocele, newly born to more than 12 months of age, who presented in outpatient department of neurosurgery ward of JPMC during the period of six months were included in the study. Verbal informed consent of the parents was taken and babies were examined for the location, size and associated complains of myelomeningocele. Results: The patients presented mainly in the age group of newly born to 3months. Majority of them were males. Atonic bladder and bowel along with paralysis of lower limbs were uniformly found associated features. Among male patients distribution of myelomeningocele was 3% each in cervical and thoracic while 96% in lumbar region whereas female patients had 6% cervical and 84% lumbar cysts with no cyst in the thoracic region. The average size of MMC cyst in lumbar region was 4.0×4.2 cm. Conclusion: Cyst of myelomeningocele was found to be more in male children up to 3months of age with location in the lumbar region. The average size of cyst was 4.0×4.2 cm and accounted for atonic bladder and bowel along with paralysis of lower limbs

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

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.

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