scholarly journals Clinical Evaluation of Headache Patients attended at Eye OPD in a Secondary Level Hospital in Bangladesh

2017 ◽  
Vol 2 (2) ◽  
pp. 75-78
Author(s):  
Mohammad Iftekhar Hassib ◽  
AKM Shoab ◽  
Syed Abul Foez ◽  
MAM Shakhawat Hossain Khan ◽  
Ajoy Roy Chowdhury

Background: Headache may occur due to different pathological condition in eye, brain or nasal cavity.Objective: The purpose of the study was to evaluate the pattern of headache patients in Eye OPD.Methodology: This retrospective study was carried out in the OPD of eye in the Sadar Hospital of Moulvibazar district of Bangladesh which was conducted from October 2014 to April 2015 for a period of seven (7) months. Here data of headache patients were collected from hospital record book with patterns of headache. Then total data were tabulated on age, sex, pattern of headache and chief complains. Result: The total study showed that out of 2206 patients 308(13.96%) patient came in Eye OPD. Among the headache patients, female were more (65%). Headache patients were more in 11 to 20 years (37.66%) age group and then 21 to 30 years (21.1%). However patients were less below 10 years (7.46%) with male and female nearly equal numbers. Above 10 years, female patients are more than male. In this study, we found migraineheadache (69%) which included both purely migraine headache and mixed type headache comprising both migraine and tension, to be much more than non migraine headache (31%). Besides most headache patients (45.12%) complains of not only of headache also of dimness of vision, redness of eye, watering, nausea and vomiting. Conclusion: This study shows that a significant number of patients are suffering from headache. Its prevalence is more among female and young age group. Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 75-78

2016 ◽  
Vol 15 (1) ◽  
pp. 12-16
Author(s):  
Abdul Qayum Chowdhury

Background: Rhinosporidiosis has been known for over a hundred years since its first description in Argentina. It is a chronic granulomatous,non contagious infective condition characterized by a production of nasal polyps and other manifestation of nasal hyperplasia, with frequent recurrence after surgery. The objective of this present study was Impact of Socio-economic condition of patients on Rhinosporidiosis.Methods: 34 number of patients were included in this study with symptomatic Rhinosporidiosis.The main outcome of study were age, sex, socioeconomic status, Occupation, bathing habit and living area of patients.Results: The study showed that 61.76 percent of patients were in the age group of 6-20 years. The mean age of 20.62 (SD±13.87) years. Most of the Rhinospridiosis patiets were from lower economic class 24(70.59%) followed by middle class 9(26.47%) and 1(2.94%) patients were upper class of socioeconomic status.Student was the most common occupation of Rhinosporidiosis 17(50%) followed by farmer 7(20.59%). Most of the Rhinosporidiosis patients 31(91.18%) were taking bath in pond where cattle also take bath.Conclusion: Rhinosporidiosis are very common in male and frequent age incidence are 6-20 years. Most of the Rhinospridiosis patient were from lower economic class and most of the Rhinosporidiosis patient were taking bath in pond where cattle also take bath.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 12-16


Cephalalgia ◽  
2003 ◽  
Vol 23 (5) ◽  
pp. 381-388 ◽  
Author(s):  
E Köseoglu ◽  
M Naçar ◽  
A Talaslioglu ◽  
F çetinkaya

In a female population of Turkey (1146 adult females), some epidemiological and clinical characteristics of migraine and tension type headache and their subtypes were investigated. The relation of the headache severity to clinical characteristics were inquired. Migraine prevalence was found to be statistically higher in the 35-44 years age group ( P < 0.01) and those who were university graduates ( P < 0.001), married ( P < 0.01) and living in urban areas ( P < 0.01). Tension type headache was found to be higher in the 45-64 years age group ( P < 0.05). Chronic tension type headache patients were found to be older than episodic type ( P < 0.01) and frequently were in the lowest education level ( P < 0.05). Presence of impact on daily activities because of the severity of headache was found to be related to aggravation by physical activities ( P = 0.001) in tension type headache, with no clinical characteristics in migraine headache and on consideration of all headache patients with throbbing nature ( P < 0.05), aggravation on physical activities ( P = 0.001), nausea ( P < 0.01), vomiting ( P < 0.05) and phonophobia ( P < 0.05).


Cephalalgia ◽  
2005 ◽  
Vol 25 (6) ◽  
pp. 444-451 ◽  
Author(s):  
N Karli ◽  
M Zarifoglu ◽  
N Calisir ◽  
S Akgoz

Trigger factors, signs and symptoms of the preheadache phases of episodic tension-type headache (ETTH), typical aura with non-migraine headache (TANMH), migraine with (MA) and without aura (MwA) may show similar features. Our objective was to investigate the preheadache phases and trigger factors of these headache types. Questionnaires including trigger factors, signs and symptoms of preheadache phases were answered by all headache patients. A total of 96 patients, 31 ETTH, nine TANMH, 23 MA and 33 MwA patients were included in this study. Analysis of seven groups consisting of 18 individual trigger factors showed that only two groups and five individual trigger factors were significantly different between groups. Hunger and odour were significantly more common in MA, MwA and TANMH patients. Foods were a significant precipitant factor for headache in MA patients. Head and neck movements were important trigger factors in ETTH. In prodrome phase only one out of three groups differed significantly between headache types. Migraine and TANMH patients reported significantly more general signs and symptoms. Analysis of aura signs and symptoms showed that only two out of six groups were significantly more frequent in MA and TANMH patients. Visual aura symptoms were more frequent in MA and TANMH groups, where sensorial auras were reported to be the most frequent in the MA group. Our results showed that different type of headaches share common prodrome and aura signs and symptoms as well as the same trigger factors. We suggest that similar trigger factors may trigger similar mechanisms and may cause common preheadache signs and symptoms in all headache types.


2019 ◽  
Author(s):  
Cristina Contreras Pascual ◽  
Paloma Gonzalez Lazaro ◽  
Julia Silva Fernandez ◽  
Val Zaballos Florentino del ◽  
Francisco Javier Gomez Alfonso ◽  
...  

This paper examined the socio-economic profile of farm households in the cotton belt of Rural Punjab. The result revealed that as a whole, more than two-thirds fall in the working-age group of 15-59 years. The average size of the family worked out to be 5.74 and the average size of owned land holdings was 11.50 acres. The data highlights that 34.96 percent were earners, 31.39 percent were earning dependents and 33.65 percent of the persons were dependents. The major proportion (88.46 percent) of total sampled households followed Sikhism and as many as 87.50 percent were from the general category. About 23 percent of the sampled persons were illiterate and literacy levels were found to be positively linked with the size of landholdings. About 34 percent of the heads of sampled farmer households were illiterate and the majority of the heads of sampled farmer households had education below secondary level. None of the heads among marginal farmers had obtained education up to graduation level, whereas, this proportion was 7.41 for the large farmers. The study points out that overall only 11.54 percent of the sampled farm households read the newspaper. There is a need for effective measures which could enhance the educational and awareness levels of farmers and their family members for raising their levels of living.


Author(s):  
Sabrina R Raizada ◽  
Natasha Cleaton ◽  
James Bateman ◽  
Diarmuid M Mulherin ◽  
Nick Barkham

Abstract Objectives During the COVID-19 pandemic, face-to-face rheumatology follow-up appointments were mostly replaced with telephone or virtual consultations in order to protect vulnerable patients. We aimed to investigate the perspectives of rheumatology patients on the use of telephone consultations compared with the traditional face-to-face consultation. Methods We carried out a retrospective survey of all rheumatology follow-up patients at the Royal Wolverhampton Trust who had received a telephone consultation from a rheumatology consultant during a 4-week period via an online survey tool. Results Surveys were distributed to 1213 patients, of whom 336 (27.7%) responded, and 306 (91.1%) patients completed all components of the survey. Overall, an equal number of patients would prefer telephone clinics or face-to-face consultations for their next routine appointment. When divided by age group, the majority who preferred the telephone clinics were &lt;50 years old [χ2 (d.f. = 3) = 10.075, P = 0.018]. Prevalence of a smartphone was higher among younger patients (&lt;50 years old: 46 of 47, 97.9%) than among older patients (≥50 years old: 209 of 259, 80.7%) [χ2 (d.f. = 3) = 20.919, P &lt; 0.001]. More patients reported that they would prefer a telephone call for urgent advice (168, 54.9%). Conclusion Most patients interviewed were happy with their routine face-to-face appointment being switched to a telephone consultation. Of those interviewed, patients &gt;50 years old were less likely than their younger counterparts to want telephone consultations in place of face-to-face appointments. Most patients in our study would prefer a telephone consultation for urgent advice. We must ensure that older patients and those in vulnerable groups who value in-person contact are not excluded. Telephone clinics in some form are here to stay in rheumatology for the foreseeable future.


Cephalalgia ◽  
1994 ◽  
Vol 14 (3) ◽  
pp. 215-218 ◽  
Author(s):  
T Shimomura ◽  
H Kowa ◽  
T Nakano ◽  
A Kitano ◽  
H Marukawa ◽  
...  

Superoxide dismutase (SOD) is a radical-scavenging enzyme. We determined Cu, Zn-SOD concentrations and activities in platelets from subjects with migraine and tension-type headaches. Thirty migraine without aura (MWoA) patients, 9 migraine with aura (MWA) patients, and 53 tension-type headache patients were selected for study. Thirty healthy volunteers composed the control group. Concentrations of platelet SOD were determined using enzyme-linked immunosorbent assay techniques. The activity of platelet SOD was determined by measuring reductivity of nitroblue tetrazolium. Low concentrations of platelet SOD were found in patients with MWA and MWoA. Platelet SOD activity decreased in MWA patients but not in patients with MWoA or tension-type headaches. These findings suggest vulnerability to oxidative stress in patients with migraine. It is suggested that low platelet SOD levels may play an important role in the etiology of migraine.


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