scholarly journals Study of Determinant Profiles of Cutaneous Tuberculosis in Bangladesh

2013 ◽  
Vol 1 (1) ◽  
pp. 3-7
Author(s):  
Muhammad Hasibur Rahman ◽  
Nazma Parvin Ansari ◽  
Khondoker Golam Sabbir Ahmed ◽  
Md Hadiuzzaman ◽  
Nahida Islam Nipa ◽  
...  
Keyword(s):  
Young Patients ◽  
Mantoux Test ◽  
Community Based ◽  
Cutaneous Tuberculosis ◽  
Economic Class ◽  
Medical College ◽  
Negative Results ◽  
Abnormal Chest ◽  
Skin Tuberculosis ◽  
Generalized Lymphadenopathy

The determinant spectra coupled with laboratory parameters of cutaneous tuberculosis in patients attending the Department of Dermatology and VD of the Community Based Medical College, Mymensingh, Bangladesh were studied for a period of over four years. A total of 110 patients (males, 75 and females, 35) having ages between 1 to 60 years were detected to infected. The result evidenced that skin tuberculosis is becoming mostly a disease of young patients between the ages of 16 to 30 years (44.55 %). There was a trend of appearance of Lupus vulgaris as the most common variant (49.09%) followed by Tuberculosis verrucosa cutis (29.09%). Skin tuberculosis was found more frequently in males than females (ratio 15: 7) and all patients belonged to lower socio-economic class. In 64 cases (58.18%) BCG vaccination coverage could not yield protection against cutaneous tuberculosis. Abnormal chest x-ray reports were available in 12 patients. It is interesting to note that enlargement of hilar lymph nodes, pleural effusion, ascites and generalized lymphadenopathy were not detected. Mantoux test revealed positive reactors in 100 patients (90.90%). Raised ESR (>20) was found in all patients. The validity of histopathology associated with FNAC was confirmed in 95 cases of patients (86.36%). There was evidence of Scrofuloderma in 20 patients and ICT indicated 74 positive cases. Bacteriological examination generated negative results in all cases. The response to antitubercular therapy was excellent except in 3 cases which required further monitoring of using additional drug and took much more time. The coexistence of pulmonary tuberculosis was determined in 2 patients.DOI: http://dx.doi.org/10.3329/cbmj.v1i1.13817 Community Based Medical Journal Vol.1(1) 2012 3-7

scholarly journals Community Based Study of Rural, Tribal Women Seeking Induced Abortions in a Extremely Low Resource Region

2020 ◽  
Vol 2 (2) ◽  
pp. 22-29
Author(s):  
S. CHHABRA ◽  
Jain S ◽  
Thool K
Keyword(s):  
Contraceptive Use ◽  
Group Discussions ◽  
Community Based ◽  
Private Hospitals ◽  
Economic Class ◽  
Medical College ◽  
Tribal Women ◽  
Primary Health Centres ◽  
Induced Abortions ◽  
Unskilled Workers

Background Induced abortions are globally sought, whether permitted, or not permitted. Community based information about abortion seeking by rural tribal women is scarce. Objectives Community based study was carried out to know the magnitude, profile, reasons, places, persons performing IA for rural tribal women. Material Methods Study was conducted in 118 villages to get the study subjects . Women from every fourth house were interviewed for desired information. Results and Conclusion Of all abortions, 2.17% in Melghat and 24.38 %in Sewagram were IA. Most women who had IA were young and 19% in Melghat region, 2.6% in Sewagram region were illiterate. Majority of Sewagram region, were housewives of low middle class, in Melghat unskilled workers of low economic class. In Melghat region all women reported seeking IA at health facilities,63% Private hospitals (PH), 18.5% Sub centres (SC), 7.4% Medical College (MC), 7.4% District hospital(DH), 3.7% Primary Health Centres (PHCs) and In Sewagram region 58% PH, 23% MC, 6.7% PHCs, 3.9% DH, 3.9% SCs and 3.9% at home. Most women said they had IA for spacing with no contraceptive use or contraceptive failure, poor health, poverty, IA were done medically in 76.2%, surgically 23%. No sex–selective IA were reported and there was no evidence Many women lacked awareness and had misconceptions, more so in Melghat region. In focus group discussions, common reasons for disfavoring IA were personal beliefs (34%), practice restrictions (19%). There was extreme poverty, still PH were used. Lot of awareness is required.

scholarly journals Clinico-epidemiological profile of childhood cutaneous tuberculosis

2016 ◽  
Vol 13 (1) ◽  
pp. 45-51
Author(s):  
Sanju Babu Shrestha ◽  
G P Pokhrel ◽  
S B Pradhan
Keyword(s):  
Pulmonary Tuberculosis ◽  
Teaching Hospital ◽  
Pediatric Population ◽  
Lupus Vulgaris ◽  
Extra Pulmonary Tuberculosis ◽  
Systemic Involvement ◽  
Cutaneous Tuberculosis ◽  
Medical College ◽  
Skin Tuberculosis ◽  
Epidemiological Profile

Introduction: Although cutaneous tuberculosis constitutes a small percentage of extra pulmonary tuberculosis, it has not been fully documented in Nepal and more so in the pediatric population.  Objectives: The aim of the study was to assess the epidemiology and clinical profile of childhood cutaneous tuberculosis at Kathmandu Medical College and Teaching Hospital, Nepal. Material and Methods: Children (below 15 years of age) with cutanesous tuberculosis who attended the teaching hospital between April 2008 and March 2014 were studied. Results: A total of 17 children with skin tuberculosis were identified during the study period, which constituted 34% of all patients with skin tuberculosis. There were 11 boys and 6 girls with a mean age of 8.8 years. The duration of the lesions ranged from 1 month to 4 years and 13 (76.5%) were brought for medical help after six months of onset of the disease. Lower limb was the most common site of involvement. Of the various patterns of cutaneous tuberculosis; scrofuloderma was the most common 7 (41.2%) followed by lupus vulgaris 6 (35.3%), erythema nodosum 2 (11.7%) and gumma 1 (5.8%). Combination of lupus vulgaris and scrofuloderma was noted in one patient. Three patients (17.6%) had internal organ involvement as pulmonary tuberculosis. Conclusion: The pattern of skin tuberculosis had wide variation with a few of them having systemic involvement. Therefore, these patients need a thorough evaluation or an uniform standard therapeutic regimen to cover both internal organ and cutaneous tuberculosis.NJDVL Vol. 13, No. 1, 2015 Page: 45-51

Desigualdade social em doentes renais crônicos/ Social inequality in chronic renal patients

1970 ◽  
Vol 1 (1) ◽  
pp. 44-49
Author(s):  
Beatriz Bertolaccini Martínez ◽  
Fernanda Marcelino Da Silva ◽  
Vinícius Tavares Veiga ◽  
Rodrigo Pereira Custódio ◽  
José Vítor Da Silva
Keyword(s):  
Social Inequality ◽  
Access To Health Care ◽  
Young Patients ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Access To Treatment ◽  
Cross Sectional ◽  
Economic Class ◽  
Access To Health ◽  
Clinical Background

Introdução: A pobreza influencia na evolução dos pacientes com doenças crônicas, porque contribui para o seu agravamento e dificulta o acesso à assistência médica. O objetivo deste trabalho foi avaliar os aspectos relacionados à desigualdade social de pacientes em hemodiálise. Métodos: Estudo transversal com 123 pacientes em hemodiálise no Hospital Samuel Libânio – Pouso Alegre, MG, divididos, de acordo com a classe econômica, em 3 grupos: AB (n=23), C (n=60) e DE (n=40),. Foram coletados dados sociodemográficos e econômicos, antecedentes clínicos e informações sobre o acesso a serviços de saúde. Para a análise dos resultados, foi utilizada estatística analítica e descritiva. Adotou-se p £ 0,05. Resultados: O grupo AB apresentou um menor número de pacientes jovens (4,3% em AB vs 40% em C e 25% em DE, p < 0,05), um maior número de indivíduos com mais anos de escolaridade (65,3% em AB vs 18,3% em C e 2,5% em DE; p < 0,05), predomínio de pacientes com menos de um ano em tratamento de hemodiálise (65,2% em AB vs 10% em C e 5% em DE, p < 0,05), menor número de usuários do SUS (40% em C e 25% em DE vs 4,3% em AB; p < 0,05) e maior acesso ao tratamento com nefrologista (73,9% em AB vs 46,7% em C e 52,5 em DE; p < 0,05). Conclusão: Classes economicamente desfavorecidas agregam indivíduos mais jovens, com menor escolaridade, usuários do SUS, com maior tempo em hemodiálise e pior acesso ao tratamento com nefrologista.Introduction: The poverty influence on the evolution of patients with chronic diseases because it contributes to your aggravation and hinders access to health care. Our goal was to evaluate the aspects related to social inequality on hemodialysis patients. Methods: cross-sectional study with 123 patients on hemodialysis in Samuel Libânio Hospital – Pouso Alegre, MG, divided according to the economic class, into 3 groups: AB (n = 23), C (n = 60) and DE (n = 40). Were collected socio-demographic and economic data, clinical background and information about access to health services. For analysis of the results has been used statistical analytical and descriptive. We take p £ 0,05.  Results: The AB group has fewer young patients (4,3% in AB vs 40% in C and 25% in DE, p< 0,05), a greater number of individuals with more years of schooling (65,3% in AB vs 18,3% in C and 2,5% in DE; p< 0,05), predominance of patients with less than a year on haemodialysis treatment (65,2% in AB vs 10% in C and 5% in DE, p< 0,05), smaller number of users of SUS (40% in C and 25% in DE vs 4,3% in AB; p< 0,05), greater access to treatment with nephrologist (73,9% in AB vs 46,7% in C and 52,5% in DE; p< 0,05). Conclusion: Economically disadvantaged classes bring younger patients, with less schooling, users of SUS, patients with greater time on hemodialysis and worse access to treatment with nephrologist. 

Incidence of writing double NSAIDs in a single prescription for osteoarthritis.

2021 ◽  
Vol 28 (05) ◽  
pp. 702-706
Author(s):  
Niaz Hussain Keerio ◽  
Nasrullah Aamir ◽  
Nuresh Kumar ◽  
Masood Ahmad Qureshi ◽  
Hassan Amir us Saqlain ◽  
...  
Keyword(s):  
Elderly Population ◽  
Cross Sectional Study ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Medical College ◽  
Bleeding Ulcers ◽  
Study Setting

 Objective: To determine how frequent NSAIDs are used for osteoarthritic patients because OA is common old age patients and NSAIDs can cause divesting complications on their health. In our study we tried to identify the main reasons and suggest a best possible solution. Study Design: Community Based Cross-sectional study. Setting: Mohammad Medical College and Hospital Mirpurkhas Pakistan. Period:  June 2018 to August 2018. Material & Methods: In this study, we included more than 300 prescriptions written for Osteoarthritis, a degenerative joint disease. Prescriptions collected from hospital pharmacy (80%) and from other pharmacies (20%). Data was collected on preformed proforma and was analyzed in SPSS version 25. Results: Osteoarthritis mainly affects elderly population. NSAIDs are used for pain relief but can cause acute renal failure and GIT bleeding ulcers. In our study 69% patients were prescribed double NSAIDs. Traditional NSAIDs were used 95% of the time and only 5% percent of the time selective cox 2 were used. Along with these NSAIDS only 20% patient were given prophylactically gastroprotective agents like PPI and other medications. Conclusion: Prescription osteoarthritis include multiple NSAID without any protocol and over dosage was observed commonly.

scholarly journals UTILITY OF ANTIGEN DETECTION TEST AND POLYMERASE CHAIN REACTION IN THE DIFFERENTIATION OF TUBERCULOUS AND NON-TUBERCULOUS MYCOBACTERIA

2017 ◽  
Vol 10 (6) ◽  
pp. 289
Author(s):  
Yogita Singh ◽  
Raji Vasanth ◽  
Shrikala Baliga ◽  
Dhanashree B
Keyword(s):  
Polymerase Chain Reaction ◽  
False Negative ◽  
Diagnostic Methods ◽  
Clinical Samples ◽  
Chain Reaction ◽  
College Hospital ◽  
Medical College ◽  
Negative Results ◽  
Polymerase Chain ◽  
Mycobacterium Spp

Objectives: Cultivation and identification of mycobacteria to species level remains difficult and time-consuming. Hence, easy and rapid diagnostic methods are necessary for the differentiation of Mycobacterium tuberculosis (MTB) from non-tuberculous mycobacteria (NTM). The present study aims to detect and differentiate MTB from NTM isolated from clinical samples by immunochromatographic test (ICT) and polymerase chain reaction (PCR). Methods: Over a period of 1 year, clinical samples (n=496) received from suspected cases of TB, at the Department of Microbiology, Kasturba Medical College Hospital, Mangalore were cultured to isolate Mycobacterium spp. Identification of all the isolates was done by conventional biochemical technique, ICT, and PCR. Results: Among the 496 samples processed, 49 (9.87%) were acid-fast bacilli smear positive and 59 (11.89%) samples showed the growth of Mycobacterium spp. Among these, 10 were rapid growers, 49 were slow-growing mycobacteria, out of which 30 were MTB as identified by conventional biochemical reaction. Out of 59 Mycobacterial isolates subjected to ICT for the detection of MPT 64 antigen, only 28 were identified as MTB. However, all the 30 isolates were correctly identified as MTB by PCR. Conclusion: Hence, PCR is essential for rapid differentiation of non-tuberculous Mycobacterium from MTB. False negative results seen with immunochromatographic MPT 64 antigen assay could be due to mutations within the mpt64 gene. Further studies are necessary to characterize these PCR-positive and immunochromatographic assay negative MTB isolates.

scholarly journals Study of common clinical types of cutaneous tuberculosis: two years study experience in a tertiary care centre

2020 ◽  
Vol 6 (2) ◽  
pp. 199
Author(s):  
Raghu M. T. ◽  
Ashwini S. ◽  
Yogendra M. ◽  
Virupakshappa H. E. ◽  
Gangaraju Harish ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Age Group ◽  
Lupus Vulgaris ◽  
Tertiary Care Centre ◽  
Cutaneous Tuberculosis ◽  
Medical College ◽  
Plaque Type ◽  
Study Experience ◽  
The Common ◽  
Work Up

<p class="abstract"><strong>Background:</strong> Cutaneous tuberculosis (TB) is frequently found worldwide, especially in tropical countries. The number of extrapulmonary TB reaches up to 14%, and 1% to 2% are cutaneous TB. Diagnosis of cutaneous tuberculosis (CTB) is complicated and requires a full work-up. Clinical manifestation of cutaneous TB is varied and causes difficulties to diagnose. Scrofuloderma and plaque type of lupus vulgaris (LV) are common forms of cutaneous TB.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted on patients attending Department of Dermatology, Venereology and Leprosy, at Basaveshwara Medical College and Hospital, Chitradurga over a period of 2 years. A total of 15 cases of cutaneous tuberculosis were diagnosed.</p><p class="abstract"><strong>Results:</strong> A total of 15 cases out of which included predominantly males, with age group being affected commonly are 20-40 decades, histopathology showing tuberculoid granuloma in 11 cases, and common clinical variant being lupus vulgaris seen in 66.6% of the cases and. Second common being scrufuloderma seen in 26.6% of the cases and least common is TB verrucosa cutis (TBVC) seen in 6.6% of the cases.</p><p class="abstract"><strong>Conclusions:</strong> The study showed that the common clinical type of cutaneous tuberculosis during the study period was lupus vulgaris, scrofuloderma and less common being TBVC.</p>

scholarly journals Knowledge, attitude and practice regarding various tobacco products and their effects on health and COTPA act among ≥15 years age group persons in urban field practice area of a medical college in Telangana

2020 ◽  
Vol 7 (6) ◽  
pp. 2180
Author(s):  
Jyothi Veleshala ◽  
Varun Malhotra
Keyword(s):  
Tobacco Use ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Community Based ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Medical College ◽  
Attitudes And Practices ◽  
Supply And Distribution ◽  
Almost All

Background: Tobacco use is a major public health problem. The prevalence of tobacco use among men has been reported to be high (generally exceeding 50%) from almost all parts of India. “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act 2003”, which came into effect since 1st May 2004. Information on knowledge, attitudes, and practices of population regarding COTPA is necessary to effectively implement the legislation. Hence the present study was undertaken.Methods: The present study was a cross-sectional community-based survey carried out in urban slums of Nalgonda town. Data was collected using a structured schedule by interviewing 300 participants, aged above 15 years.Results: The current use of any tobacco was reported by 45.7% of the participants. Overall awareness of COTPA was 58.2%. Marital status, type of family, unemployment, Illiterates, lower SES, and age had a significant influence on tobacco use. Television (77.05%) was the major source of awareness regarding COTPA. The majority of smokers were aware of various sections of COTPA (>50%). About 34.8% of the participants had a favorable attitude towards COTPA. The positive attitude was more (53.7%) towards the display of health warnings on tobacco products among smokers. 11.2% had paid penalty for violation of the act and 32.4% have noticed a reduction in their habit to some extent.Conclusions: A concerted effort has to be made to increase the awareness of the act amongst the vulnerable population.

A STUDY OF RISK FACTORS, CLINICAL PRESENTATION AND CORONARY ANGIOGRAPHIC PROFILE IN YOUNG PATIENTS WITH ACUTE MYOCARDIAL INFACTION IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA

2021 ◽  
pp. 24-26
Author(s):  
Auriom Kar ◽  
Mainak Mukhopadhyay ◽  
Shivesh Sahai ◽  
Kajal Ganguly ◽  
Sukanya Banerjee
Keyword(s):  
Tertiary Care ◽  
Geographical Area ◽  
Young Patients ◽  
Myocardial Necrosis ◽  
Regional Wall Motion ◽  
Healthy Person ◽  
Cerebrovascular Diseases ◽  
Care Hospital ◽  
Medical College ◽  
Coronary Syndrome

INTRODUCTION Acute coronary syndrome is a devastating disease because an otherwise healthy person may die or become disabled without warning. Cerebrovascular diseases (CVD) are no longer conned by geographical area or by age, sex, or socioeconomic boundaries. Heart disease has already reached epidemic proportions in poorer countries also. AIMS AND OBJECTIVESAMI was dened as typical rise and fall of cardiac markers of myocardial necrosis with at least one of the following: Ischemic symptoms, Electrocardiogram (ECG) changes indicative of ischemia (ST elevation or depression), Development of Pathological Q waves in ECG and Echocardiograph evidence of new regional wall motion abnormality. MATERIALS AND METHODS SETTING AND STUDYPOPULATION- Hospital based study in Nil Ratan Sircar Medical College and Hospital among the patients admitted in department of Cardiology SAMPLE SIZE- 50 patients STUDYPERIOD- From January 2016-December 2017 STUDYDESIGN- Prospective observational study. RESULT AND ANALYSIS We found that 30% of our patients were hypertensive this is more than reported in various studies .61,62 Though Hypertension is therefore less common in young MI patients than in older patient but in my study 30% of patients less than 40 yrs were hypertensive. CONCLUSION Normotensive and non obese patients had more likelihood of normal CAG and their association was statistically signicant. Young patients with positive family h/0 CAD had more prevalence of LMCAdisease and thrombus and their correlation is statistically signicant.

scholarly journals Death due to Poisoning - a Medicolegal Study at Dhaka Medical College, Dhaka

2015 ◽  
Vol 9 (2) ◽  
pp. 76-79 ◽  
Author(s):  
Mushtaq Ahmad ◽  
Farial Naima Rahman ◽  
Md Mozaharul Islam ◽  
Md Rakib Uddin Majumder
Keyword(s):  
Social Factors ◽  
Rapid Development ◽  
Cross Sectional Study ◽  
Accidental Poisoning ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Manner Of Death ◽  
Medical College ◽  
Negative Results

Self destruction or suicide by pesticide poisoning is a burning problem of Bangladesh. Rapid development in science and rapid growth in agricultural activities has led to the increase in the incidences of poisoning. The objective of this study was to find out the incidences and pattern of poisoning in an urban area, different aspects of poisoning along with demographic pattern, social factors related and other related perimeter, and modality to prevent loss of precious life due to poisoning. This retrospective cross sectional study was conducted among victims of poisoning at Dhaka Medical College, Dhaka Morgue during the period of January 2008-December 2009. Specific identification of poisons was made from Chemical Examiner's report. All the data were later on analyzed. A total of 5114 medico legal post mortems were performed during this study period. Among these 300 (5.87%) cases were suspected poisoning. Out of these cases specific poisons were identified in 131 (43.66%) cases. Among the detected poisoning cases OPC was the commonest agent 103 (78.63%) followed by alcohol/rectified spirit 12 (9.16%) and barbiturate 7 (5.34%). No poison was detected (Negative results) in 116 (38.66%) cases and no reports from chemical examiner were received in 53 (17.66%) cases during the study period. Out of 300 victims 174 (58%) were male and 126 (42%) were female. Highest incidence of poisoning was observed in 21-30 years age group 117 (39%) followed by age group of 31-40 years 84 (28%). Most of the victims were agricultural workers/ farmers 108 (36%) followed by housewives 51 (17%). Among the study subjects 178 (59.33%) were illiterate and 198 (66%) were married. Considering manner of death 274 (91.33%) victims committed suicide by poisoning and rests 26 (8.67%) were due to accidental poisoning. To reduce poisoning cases proper emphasis should be given for safe use of pesticides and consciousness should be created among the population about poisonous compounds. Detail study regarding death due to poisoning is required to be carried out in this country.Faridpur Med. Coll. J. 2014;9(2): 76-79

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