scholarly journals Prevalence of Coronary Artery Atherosclerosis in Different Age Groups: A Post-Mortem Study

2020 ◽  
Vol 15 (1) ◽  
pp. 21-23
Author(s):  
Nasir Uddin Ahmed ◽  
Suranjit Kumar Saha ◽  
Kamal Uddin Ahmed ◽  
Gias Uddin Ahmed ◽  
Syed Golam Kibria
Keyword(s):  
Coronary Artery ◽  
Left Coronary Artery ◽  
Histopathological Examination ◽  
Age Groups ◽  
The Elderly ◽  
Age Group ◽  
Post Mortem ◽  
Medical College ◽  
Younger Age ◽  
Coronary Artery Atherosclerosis

Coronary artery atherosclerosis (CAA) leads to ischemic heart disease and that is the most common cause of cardiac deaths worldwide. The incidence is more among the elderly people, but now gradually increasing among the young. The study was done to evaluate the prevalence of CAA in different age group by post-mortem study. An observational study was conducted in the department of Pathology of Faridpur Medical College (FMC). In this study total 53 postmortem histopathological examination of heart were done and analyzed, of them 37 were male and 16 were female. Among all, CAA was found in 8 cases and all were male. Regarding age, 4(50%) cases were in the age group from 41 to 50 years, 3 cases were in age of above 60 years and one case was in the age group from 51 to 60 years. Left CAA was observed in 6(75%) cases, both right and left CAA was found in remaining 2(25%) cases but none was found to involve only right coronary artery. Lowest age of involvement of CAA was 42 years that involved left coronary artery. This study shows that the prevalence of CAA is increasing among the younger age group. Faridpur Med. Coll. J. Jan 2020;15(1): 21-23

scholarly journals Nasal Polyposis: An Experience in Mid and Far Western Region of Nepal

2018 ◽  
Vol 14 (2) ◽  
pp. 15-17
Author(s):  
A Sharma ◽  
RK Saxena ◽  
L R Verma
Keyword(s):  
Nasal Polyposis ◽  
Age Groups ◽  
College Teaching ◽  
Distribution Patterns ◽  
Nasal Discharge ◽  
Western Region ◽  
Antrochoanal Polyp ◽  
Age Group ◽  
Medical College ◽  
Younger Age

Background: Nasal polyposis is an unpleasant disease in the developing countries which severely interferes with quality of life but still there is a lack of data on nasal polyposis in Mid and Far Western Region of Nepal.Aim of study: The aim of this hospital based study was to find out the distribution, patterns, presentations and management of nasal polyposis in Mid and Far Western Region of Nepal with a view to improve our understanding of its clinical and epidemiological characteristics.Methods: This prospective descriptive study was conducted from January 2015 to June 2016 in 80 patients diagnosed clinically as nasal polyposis, in the department of otorhinoloryngology, Nepalgunj Medical College Teaching Hospital, Kohalpur. Results: The most common age group affected in the study was comparatively younger ranging from 10-20 yrs. Ethmoidal Polyp were more frequent than antrochoanal polyp (56.25% vs 43.75%). Antrochoanal polyp were more common among the younger age groups 10-20 yrs (30%) where as the ethmoidal polyp were more common among higher age group. All antrochonal polyps (100%) were unilateral while majority of the ethmoidal polyps (89%) were bilateral. The main presenting clinical features were nasal obstruction (100%), nasal discharge (93.75%), sneezing (72.5%) and headache (40%).Conclusion: Nasal polyposis is common in Mid and Far western region of Nepal. Ethmoidal polyps are more common than antrochoanal polyps and are usually bilateral. Antrochoanal polyps are unilateral and mostly present in 10-20 yrs age group patients. Patients usually present late when the polyps are large. NGMC, Vol. 14 No. 2 December 2016, Page: 15-17

scholarly journals An Analytical Study on Anemia in Rural Population

2020 ◽  
Vol 3 (2) ◽  
pp. 28-33
Author(s):  
Shirish Ardhapuskar ◽  
Raghu Rammulu
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Medical Problem ◽  
Morbidity And Mortality ◽  
Common Symptom ◽  
Age Group ◽  
Expert Group ◽  
Adult Males ◽  
Medical College ◽  
The Common

Background: Anemia is one of the common Hematological disorders in India and worldwide. It affects all the age groups both in Males and Females. Moderate to Severe Anemia causes increased morbidity and mortality in elderly patients (AWHO expert group) - According to Worlds Health Organization, Anemia is a define when adults males are having Hemoglobin less than 13.5gr% when adults females non-pregnant less than 12 gr% and when pregnant females are having less than 11 ger%. The incidence of Anemia is very high in old age people who are more than 75 years of age. It ranges from 9% to 41%. In India Anemia is commonly due to nutrition, pregnancy, Hookworm infestation, DUB in the case of females, and Malignancy. The prevalence of anemia in the elderly has been found to range from 9% to 42% with the highest prevalence in 80 years and above. The common causes of anemia in India are Nutritional, Pregnancy, Hookworm infestation, and DUB in the case of Females and Malignancy. The common symptom is General weakness, Fatigue, Lack of concentration, Shortness of Breath, and Palpitations. A WHO expert group proposed that anemia should be considered when hemoglobin level below 13.5gr& in adult males; 12gr% in adults females non-pregnant; 11 gr% in adult female pregnant; 12gr% in children over 14yrs(1). The aim is to evaluate the etiology and clinical features of anemia in adults in rural medical colleges. Subjects & Methods: This study is conducted at GEMS Medical College, Srikakulam, A.P for the period of 1 year from April 2018 to March 2019. This study includes 120 patients with Anemia. The age group is between 20 years and 70 years. Males were 56 and females were 64. Results: We have conducted this study at GEMS Medical College, Srikakulam for 1 year, from April 2019 to March 2019 total no. of patients included in this study are 120 males 56 and females 64. The age group is between 20 years and 70 years. The maximum patients are in between 30 years and 70 years in both sexes. Conclusion: Anemia is a common medical problem in developing countries. In a rural part of India, the disorders will complicate the pregnancy also. So periodical examination and education of the people can decrease morbidity and mortality. In our area still, the common cause is nutritional.

scholarly journals Primary Antiphospholipid syndrome presenting with acute ST elevated MI with normal coronaries

2017 ◽  
Vol 12 (1) ◽  
pp. 49-50
Author(s):  
Lohani Md Tajul Islam ◽  
Abdul Wadud Chowdhury ◽  
AKM Fazlur Rahman ◽  
Sarjana Sultana ◽  
DMM F Osmany ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Antiphospholipid Syndrome ◽  
Young Patients ◽  
Primary Antiphospholipid Syndrome ◽  
Age Group ◽  
Coronary Angiogram ◽  
Comprehensive Investigation ◽  
Younger Age ◽  
Coronary Artery Atherosclerosis ◽  
Artery Disease

Myocardial infarction (MI) under the age of 40 years accounts for around 3% of cases of coronary artery disease. Coronary artery atherosclerosis is less commonly the underlying aetiology in this age group and more comprehensive investigation of the cause is required. Antiphospholipid syndrome is a rare cause for MI which can be found younger age group. Here,We report a22 years young patients with MI who had normal coronary arteries on coronary angiogram that proved to have primary APS.University Heart Journal Vol. 12, No. 1, January 2016; 49-50

Migraine in The Elderly: A Review

Cephalalgia ◽  
2007 ◽  
Vol 27 (2) ◽  
pp. 97-106 ◽  
Author(s):  
J Haan ◽  
J Hollander ◽  
MD Ferrari
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Older Age ◽  
Medical Attention ◽  
Clinical Aspects ◽  
Age Group ◽  
Absolute Increase ◽  
Treatment Choices ◽  
Younger Age ◽  
The Absolute

Although migraine is less prevalent in older than in younger age groups, the absolute increase in the number of subjects in older age groups may lead to an increase in the total number of migraine patients. Consequently, more elderly migraine patients may seek medical attention. In this review, the epidemiology and clinical aspects of migraine in the age group of ≥60 years are summarized, with special attention to comorbidity. The review will focus on treatment choices in elderly migraine patients. These must be based on knowledge of mechanisms of physiological and pathological ageing.

scholarly journals A study of pattern, risk factors, types, complications and outcome of stroke in geriatric age group

2017 ◽  
Vol 4 (5) ◽  
pp. 1364
Author(s):  
Prashant Pramod More ◽  
Samveda Shirish Samel ◽  
Dilip Ratan Patil
Keyword(s):  
Risk Factors ◽  
Heart Diseases ◽  
Age Groups ◽  
Age Group ◽  
Stroke Patients ◽  
Geriatric Population ◽  
Medical College ◽  
Younger Age ◽  
Significant Difference ◽  
One Year

Background: Stroke is the number one cause of disability and third leading cause of death in the world after heart diseases and cancer with an incidence approximately 150 to 200 in 100,000. The objective of this study was to study how the pattern of stroke in elderly differs from that of younger population.Methods: This is a prospective observational comparative study of stroke patients done over a period of one year at ACPM Medical College, Dhule. We studied 100 consecutive patients of stroke admitted in neuro-medicine department of this hospital. We have studied the risk factors, incidence, pattern, severity, complication and outcome of stroke in Geriatric age group compared to stroke in younger age group. The individuals who were 60 and above (≥60) are included in the ‘geriatric group’ and those below 60 were considered as ‘younger patients’. Those more than 85 years were classified as ‘very elderly’.Results: There is an increased incidence of both ischemic and hemorrhagic strokes in geriatric population compared to younger people. Statistically there is increased incidence of ischemic stroke compared to hemorrhagic stroke in geriatric age group. PAC subtype of stroke has highest predilection to develop in both age groups and also PAC is the most common subtype of stroke leading to stroke related complications in geriatric population. There is no statistically increase incidence of severe stroke seen in elder age as compared to the younger people.Conclusions: The geriatric population does not have a poorer stroke outcome as compared to younger people. There is also no statistically significant difference in mortality rate in stroke patients between geriatric vs. younger age group.

scholarly journals Histopathological Pattern of Endometrial Biopsies in Patients with Abnormal Uterine Bleeding Attending Birat Medical College Teaching Hospital

2020 ◽  
Vol 5 (2) ◽  
pp. 1035-1039
Author(s):  
Neeta Kafle ◽  
Shilpi Shaukin ◽  
Santosh Upadhaya Kafle ◽  
Mrinalini Singh ◽  
Surya Bahadur Parajuli
Keyword(s):  
Teaching Hospital ◽  
Histopathological Examination ◽  
Age Groups ◽  
College Teaching ◽  
Abnormal Uterine Bleeding ◽  
Endometrial Biopsy ◽  
Uterine Bleeding ◽  
Age Group ◽  
Histological Pattern ◽  
Medical College

Introduction: Abnormal uterine bleeding (AUB) is one of the commonest gynaecological problems. Etiology of AUB may be structural and functional and varies according to age group. Histological pattern of endometrial sampling along with clinical and radiological findings remains the diagnostic standard for clinical diagnosis of endometrial pathology which ultimately helps in deciding the management of the patients. Objectives: To determine histopathological pattern of endometrial biopsies in patients with AUB attending Birat Medical College Teaching Hospital. To determine the pattern of menstrual abnormality in patients with AUB in different age groups. Methodology: We conducted a prospective hospital based cross sectional study for a period of one year (1 April 2019 to March 31 2020). Histopathological findings of all endometrial biopsy samples in patients with AUB were examined. Patients were categorized into different age groups and the patterns of menstrual abnormality were also documented. Results: 166 patients presenting with AUB underwent endometrial biopsy. Most of them were of perimenopausal age group (42.77%). Menorrhagia was the most common presenting menstrual abnormality. Histopathological examination predominantly revealed normal cyclical endometrium. Hyperplasia was seen more frequently in patients > 40 years of age. Malignancy was diagnosed in 2.41%, all were adenocarcinoma and was seen in > 50 years age. Conclusion: AUB is a common gynaeco-pathological problem with varied clinical presentation and multiple causes. Functional endometrial changes account for the highest histological pattern. However hyperplasia and malignancy are important cause of AUB in perimenopausal and post menopausal age group's women.

scholarly journals Comparison of Prevalence of Periodontitis with Different Indices in Population of District Ghaziabad

2016 ◽  
Vol 04 (01) ◽  
pp. 023-030
Author(s):  
Vimal Kumar ◽  
Pallak Arora ◽  
Manish Khatri ◽  
Shivani Sharma ◽  
Sumit Malhotra ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Total Population ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Sample Population ◽  
Age Group ◽  
Cross Sectional ◽  
Multi Stage ◽  
Younger Age ◽  
Study Population

Abstract Objective: To estimate the prevalence of periodontal disease with different indices. Methods & materials: The study population consisted of multistage stratified random sample of 1300 subjects from total population of district Ghaziabad. A cross-sectional study was conducted with multi stage stratified random sampling techniques to select the sample population. The subjects were divided into different age groups and the periodontal assessment was made on the basis of CPITN index and ESI Index. Results: The CPITN has shown to estimate incorrect periodontal disease prevalence because of its underestimation of the disease severity. A huge difference was noticed in the prevalence rate of periodontitis when subjects were examined with ESI index. Conclusion Periodontal disease was found to be highly prevalent in the study population and severity of disease increased with age. More number of subjects in younger age group were found to be healthy.

scholarly journals Hip fractures among the elderly in Kyoto, Japan: a 10-year study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Maki Asada ◽  
Motoyuki Horii ◽  
Kazuya Ikoma ◽  
Tsuyoshi Goto ◽  
Naoki Okubo ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Femoral Neck ◽  
Incidence Rate ◽  
Acute Care ◽  
Hip Fractures ◽  
Age Groups ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Age Group ◽  
Trochanteric Fractures

Abstract Summary In Kyoto Prefecture, Japan, the number of hip fractures increased during 2013–2017 compared to 2008–2012. However, the estimated overall incidence rate increased only in femoral neck fractures in men aged ≥75 and women aged ≥85. Purpose The incidence rate of hip fractures in Japan has plateaued or decreased. We investigated the annual hip fracture occurrences in Kyoto Prefecture, Japan, from 2008 to 2017. Methods Patients aged 65 years and above who sustained hip fractures between 2008 and 2017 and were treated at one of the participating 11 hospitals were included. The total number of beds in these institutions was 3701, accounting for 21.5% of the 17,242 acute-care beds in Kyoto Prefecture. The change in incidence rate was estimated utilizing the population according to the national census conducted in 2010 and 2015. Results The total number of hip fractures was 10,060, with 47.5% femoral neck fractures and 52.5% trochanteric fractures. A decrease in number was seen only in trochanteric fractures in the group of 75- to 84-year-old women. The population-adjusted numbers of femoral neck fractures showed a significant increase in all age groups in men, whereas in women, there was an increase in femoral neck fractures in the ≥85 group and trochanteric fractures in the age group 65–74, and a decrease in trochanteric fractures in the age group 75–84. The estimated change in incidence rate showed an increase in femoral neck fractures in men aged ≥75 and women aged ≥85. Conclusion In Kyoto Prefecture, the number of hip fractures increased in the second half of the study period (2013–2017) compared to the first half (2008–2012). However, the incidence rate had not increased, except in femoral neck fractures in men aged ≥75 and women aged ≥85.

scholarly journals Histopathological Analysis of Endometrial Biopsy in Gandaki Medical College Teaching Hospital, Pokhara, Nepal

2019 ◽  
Vol 12 (1) ◽  
pp. 25-30
Author(s):  
B Parajuli ◽  
G Pun ◽  
S Ranabhat ◽  
S Poudel
Keyword(s):  
Histopathological Examination ◽  
Hydatidiform Mole ◽  
College Teaching ◽  
Histopathological Diagnosis ◽  
Age Group ◽  
Medical College ◽  
Dilatation And Curettage ◽  
Partial Mole ◽  
Proliferative Endometrium ◽  
The Common

Objective: To study the spectrum of histopathological diagnosis of endometrial lesions and their distribution according to age. Methods: All the endometrium samples obtained by the procedure of dilatation and curettage and hysterectomy sent for histopathological examination at Pathology Department of Gandaki Medical College Teaching Hospital, Pokhara, Nepal. The study duration was total 12 months ranging from July 2016 to June 2017. All the endometrial samples were processed, sectioned at 4 - 6 μm and stained with routine H & E stain. Patient’s data including age, sex, procedure of the biopsy taken and histopathological diagnosis were noted. A pathologist, using Olympus microscope, reported the slides. Cases were reviewed by a second pathologist whenever necessary. Results: A total of 128 cases were studied. The most common histopathological diagnosis was proliferative endometrium (28.9%) followed by disorder proliferative endometrium (15.65%). Most of the patients were in age group 36 - 45 years comprising 32.03%. Hydatidiform mole comprised of 7.03% and among Hydatidiform mole, partial mole was more common. Dilatation and curettage (82.8%) was the common procedure in compare to hysterectomy for the evaluation of endometrial lesions. Conclusions: In this study, we observed a variety of endometrial lesions. Most of them are benign; among benign, proliferative endometrium was the common histopathological diagnosis followed by disorder proliferative endometrium. Most common presenting age group was found to be at 36 - 45 years. In evaluation of hydatidiform mole, partial mole was more frequent in compare to complete mole. Conventional dilatation and curettage is the preferred method in developing countries with limited resource to screen endometrial lesion and therefore biopsy should be sent for histopathological examination. Thus histopathological examination of routinely stained hematoxylin and eosin is readily available and widely accepted standard technique for evaluation of the endometrial lesions.

scholarly journals Abnormal Uterine Bleeding in Perimenopausal Age: Different causes and its relation with histopathology

2014 ◽  
Vol 13 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Nazlima Nargis ◽  
Iqbal Karim ◽  
Khondaker Bulbul Sarwar
Keyword(s):  
Histopathological Examination ◽  
Medical Science ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Transvaginal Sonography ◽  
Age Group ◽  
Histopathological Findings ◽  
Medical College ◽  
Gynecology And Obstetrics ◽  
Study Results

Background: Abnormal uterine bleeding (AUB) is the most common reason for gynecological visits for perimenopausal bleeding and may account for more than 25% of all hysterectomies. Objective: This study was aimed to review the causes of abnormal uterine bleeding in perimenopausal women establishing the correlation with ultrasonographic and histopathological examinations. Study Method: This descriptive study was conducted in the department of gynecology and obstetrics, Ibn Sina Medical College, Dhaka during January to December 2012. Two hundred and eleven women were selected for this study, who admitted into the hospital with abnormal uterine bleeding in perimenopausal age. The clinical, ultrasonographic and histopathological findings of these women were evaluated in this study. Results: Menorrhagia was the major symptom (52.6%) irrespective of age and parity. All these women underwent D&C followed by either medical management or hysterectomy depending upon the diagnosis. The histopathological findings of endometrium were analyzed and confirmed as fibroid uterus (58.28%) and DUB (17.58%) correlated well with transvaginal sonography (TVS) and histopathological examination. Hysterectomy conferred other uterine lesions as adenomyosis (18.71%), endometrial polyp (4.81%) and malignancy (1.06%). Conclusion: Abnormal uterine bleeding in perimenopausal age group is a common but ill-defined entity which needs proper evaluation. Accurate diagnosis of the causative factors of AUB in this age group is of utmost importance so that appropriate management can be established early that leads the minimization of the patients’ sufferings. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18295 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.135-139

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