scholarly journals Clinical Profile of Patients Presenting with Carcinoma Stomach in North-East District of Bangladesh

2014 ◽  
Vol 15 (2) ◽  
pp. 118-121
Author(s):  
Aparna Das ◽  
Modhusudan Saha ◽  
Bimal Chandra Shil ◽  
Rubina Yasmin ◽  
Gobinda Banik ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Metastatic Lymph Node ◽  
Outlet Obstruction ◽  
Western World ◽  
Age Group ◽  
Female Ratio ◽  
Upper Gi ◽  
North East ◽  
Number Of Patients ◽  
Carcinoma Stomach

Background: The pattern and incidence of Carcinoma Stomach vary widely in different parts of the world. Overall it is the 2nd most common cause of death but in some Asian countries, it is still the commonest cause of cancer death in patients of > 50 years.Aim: To analyze the clinical presentation and histological findings of patients of carcinoma of the stomach. Methods and materials: This study was done over a period of 2 years between January 2011 and December 2012. Adult patients (Age more than 18 years) of histologically confirmed as having carcinoma stomach were included in the study. Studied variables included age, gender, socioeconomic status, clinical presentations, site of lesion, histopathological subtypes. Diagnostic modalities included abdominal ultrasound, upper GI (gastrointestinal) endoscopy and endoscopic biopsy to confirm the diagnosis. Results: Total number of patients included in this study was 150. The number of patients in <50 years age group and >50 years age group were 50 (33.33%) & 100 (66.66%) respectively. The median age at presentation was 57 years. The peak incidence was in 61-70 years age group. In our study,male: female ratio being 2.3:1. By occupation, farmer 74 (49%), housewife 37(24.6%), serviceholder12(8%), business man 5(10%) and others12 (8%). 71 (47.4%) patients were from lower socioeconomic group, middle74 (49.4%), upper class 5 (3.4%) & only 63 (42%) were literate. The common clinical features were vomiting 28%, abdominal pain 18%, weight loss and anorexia 17.3% , dyspepsia 16% , Anaemia (26% ), Abdominal mass 4%, Metastatic lymph node 4%, Ascites 1.3%. lesions are involved in Cardia 14%, Body &Antrum 6.6%, Antrum 2.6%, Body 23.3%, Fundus 2% and Diffusely in 1.3% cases. Conclusion: As regards to clinical presentation, patients in our country are presenting more with features of gastric outlet obstruction whereas abdominal lump and upper GI bleeding are more common in Western world. If gastric carcinoma is diagnosed at an early stage, patients can have a highly favorable prognosis.DOI: http://dx.doi.org/10.3329/jom.v15i2.20683 J MEDICINE 2014; 15 : 118-121

scholarly journals The Spectrum of Gastroenteritis at the Pediatric Outpatient Clinic,. Department of Child Health, School of Medicine, University of North Sumatera in 1982

2019 ◽  
Vol 28 (1-2) ◽  
pp. 1-13
Author(s):  
Taheng Sebayang ◽  
Atan Baas Sinuhaji ◽  
Tyahaya Bangun ◽  
Manihar D. Marbun ◽  
A. H. Sutanto
Keyword(s):  
Outpatient Clinic ◽  
Oral Rehydration Solution ◽  
Age Group ◽  
Female Ratio ◽  
Oral Rehydration ◽  
Number Of Children ◽  
School Of Medicine ◽  
Number Of Patients ◽  
Rehydration Solution ◽  
Male To Female

The number of children attending the Pediatric Outpatient Clinic of Pirngadi Hospital, Medan, during 1982 was 15.375. Out of these, 1246 (8.1%) had gastroenteritis. Most of the patients (1046 or 83.94%) were under two years old. The male to female ratio was 1.6: I. The peak incidence for allendance was in January, April, and May. Of 1057 patients under  five years old, 383 (36.2%) also had malnutrition. The highest percentage (70. 75%) of those who had malnutrition was found in the I to 2 years age group. Of 370 patients whose Hb level was examined, 185 (50%) had anemia. The highest percentage (67.02%) was in the below 1 year group. Only 360 (28.8%) of gastroenteritis cases received oral rehydration solution. There were 23 (1.85%) cases in which diarrhea lasted longer than 7 days. The number of patients admitted to the ward was 213 (17.07%), and the highest percentage was in the above 3 years age group. The largest number of hospitalized patients was in January (43), February (21), and April (28); while the highest percentage was in April (20.40%), June (21.42%) and August (31.42%). Peak rainfall in Medan during 1982 was in October, November, and December, i.e. much 322.2 mmm,  366.4 and 382 mm, respectively.

scholarly journals Gender Differences in Psychiatric Outpatients: A Before and During COVID-19 Pandemic Study in General Hospitals From China

2021 ◽  
Author(s):  
Wenli He ◽  
Danhong Xu ◽  
Jiafeng Wang ◽  
Yuze Shen ◽  
Zheng Lin ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Virus Disease ◽  
Age Groups ◽  
Psychiatric Clinic ◽  
Age Group ◽  
General Hospitals ◽  
Female Ratio ◽  
Psychiatric Outpatient ◽  
Number Of Patients ◽  
Male To Female

Abstract BackgroundLittle is known about the gender characteristics and the Corona Virus Disease 2019(COVID-19) impact on psychiatric department outpatients in general hospitals in China. MethodsWe retrospectively collected 225,947 outpatient clinic records before and during COVID-19 pandemic from January 1, 2019 to December 31, 2020 in the psychiatric clinic of 3 general hospitals, gender composition of patients was analyzed in different five age groups and nine diagnostic categories at three levels: total patient visits, number of patients and number of first-visit patients. ResultsThe total male-to-female ratio of psychiatric outpatient records in 3 general hospitals from 2019 to 2020 was 1:1.69. Women were more common in all age groups and the male-to-female ratio of 2020 was expanded compared to that of 2019, especially in age group below 34 years old and anxiety disorders category. Most mental disorders showed higher demands for females than that for males except Mental and behavioral disorders due to psychoactive substance use with the male-to-female ratio was 1:0.05. Compared to 2019, the proportions of women were expanded especially in age group below 34 years old, and anxiety disorder and undetermined diagnosis categories were significantly increased in 2020. ConclusionsThe demand for female psychiatric outpatient services is obviously higher than that for males. It is necessary to pay more attention to explore targeted mechanism or psychosocial service strategy for female patients with mental disorders. Trial registration: ChiCTR2100044894, March 31,2021 retrospectively registered.

scholarly journals An observational study of clinicoetiological profile of stroke patients in a new tertiary care hospital in North Odisha, India

2019 ◽  
Vol 7 (8) ◽  
pp. 3095
Author(s):  
Bibhu P. Behera ◽  
D. N. Maharana ◽  
Partha S. Mohanty
Keyword(s):  
Risk Factor ◽  
Hemorrhagic Stroke ◽  
Clinical Presentation ◽  
Age Group ◽  
Common Risk Factor ◽  
Anterior Circulation ◽  
Female Ratio ◽  
Common Clinical Presentation ◽  
Male To Female ◽  
The Brain

Background: Stroke is one of the leading causes of morbidity and mortality in India. The objective was to study the clinical profile, risk factors, neurological characters, pattern of brain stroke, areas of brain affected as per CT scan findings in patients with stroke.Methods: This observational study was carried out from June 2018 to Jan 2019 of all new patients admitted with stroke in Pandit Raghunath Murmu Medical College and Hospital, Baripada, Mayurbhanj, Odisha, India.Results: The incidence of stroke is maximum in 46-60 years of age group. The average age+SD was 59.3+13.5 in our study. 274 (46.52%) patients had ischemic stroke and 315 (53.48%) patients had hemorrhagic stroke. The male to female ratio was 1.46:1. Anterior circulation (86.42%) was the most common territory involved in the brain. The most common risk factor was hypertension with 77.76% followed by dyslipidemia (53.99%). The most common clinical presentation was hemiplegia (85.23%).Conclusions: The incidence of stroke is maximum in 46-60 years of age group. The average age+SD was 59.3+13.5 in our study. 274 (46.52%) patients had ischemic stroke and 315 (53.48%) patients had hemorrhagic stroke. The male to female ratio was 1.46:1. Anterior circulation (86.42%) was the most common territory involved in the brain. The most common risk factor was hypertension with 77.76% followed by dyslipidemia (53.99%). The most common clinical presentation was hemiplegia (85.23%). 

PREVALENCE OF CARCINOMA GALLBLADDER IN PATIENTS OF CHOLELITHIASIS

2021 ◽  
pp. 1-3
Author(s):  
Mishra Braja Mohan ◽  
Mishra Sandeep ◽  
Bedbak Biswajeet
Keyword(s):  
Open Surgery ◽  
Histopathological Examination ◽  
Gall Stone ◽  
P Value ◽  
Age Group ◽  
Female Ratio ◽  
Carcinoma Gallbladder ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Surgery Department

Gall stone is the most common risk factor for carcinoma gall bladder. The aim of this study nds out the prevalence of malignancy in patients with Cholelithiasis. All the radiologically diagnosed cased of cholelithiasis underwent surgery were taken into consideration. All the cases of cholelithiasis operated of in General Surgery Department of VSSIMSAR, Burla were considered for study. The diagnosis conrmed by Ultrasonography /MRCP in Department of Radio diagnosis. Total numbers of patients operated are 347, out of which 279 undergone laparoscopic surgery, 58 cases undergone open surgery and 10 cases converted from laparoscopic to open surgery. Most number of patients belongs to age group 31-40, consisting of 32.85% of total number, followed by age group 41-50, and consisting of 25.07%. A female patient constitutes about 77.81 % of total number. Male: female ratio is 1: 3.5. The mean age of the patients of study group is 41 .71. Mean age of female patients is 41.09 and male is 43.88, p value 0.072 (no signicant deference between mean of female and male). The excised specimens sent for histopathological examination in Department of Pathology, VSSIMSAR, Burla. Out of 347 cases nine cases found to have carcinoma specically adenocarcinoma of gallbladder.

scholarly journals Clinical, Surgical and Outcome Predictive Factor Analysis of Operated Acute Subdural Hematoma Cases: A Retrospective Study of 114 Operated Cases at Tertiary Centre

2021 ◽  
Author(s):  
Rahul Singh ◽  
Ravi Shankar Prasad ◽  
Kulwant Singh ◽  
Anurag Sahu ◽  
Nityanand Pandey
Keyword(s):  
Retrospective Study ◽  
Subdural Hematoma ◽  
Surgical Outcome ◽  
Motor Response ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
Acute Subdural Hematoma ◽  
Age Group ◽  
Female Ratio ◽  
Severity Of Injury

Abstract Objective To analyze clinical, surgical and outcome predictive factors of operated acute subdural hematoma (SDH) cases for prognostication and surgical outcome prediction. Material and Methods This retrospective study includes 114 patients operated for acute SDH in the Department of Neurosurgery of IMS BHU, Varanasi, India, a tertiary care center, between 1 August 2018 and 1 November 2019. Each patient was evaluated for age, sex, mode of injury, localization of hematoma, clinical presentation, comorbidity, severity of injury, best motor response, CT findings, and Glasgow outcome scale (GOS) at discharge. The outcome was also evaluated by further making a dichotomized group using GOS in death/dependent (1–3) versus independent (4–5). Statistical tests were done using the GraphPad Prism version 8.3.0. Results The most common age group operated upon in this study was the 40 to 60 years age group (n = 45, 39.48%). Males were 78% with male to female ratio of 3.56:1. The most common clinical presentation was altered sensorium (98.25%). The most common comorbidity was hypertension (n = 32, 28.07%). GCS at admission, severity of injury, pupillary changes, and best motor response (p < 0.0001) were significantly associated with surgical outcome. Conclusion GCS at admission, severity of injury, pupillary changes, and best motor response were significantly (p < 0.05) associated with surgical outcome. Age and gender of patients were not found to be significantly associated.

scholarly journals A prospective study of clinical profile of patients with acute kidney injury following acute gastroenteritis

2020 ◽  
Vol 16 (1) ◽  
pp. 53-56
Author(s):  
Dnyaneshwar Malharrao Ghuge ◽  
Keyword(s):  
Acute Kidney Injury ◽  
Acute Gastroenteritis ◽  
Early Recognition ◽  
Kidney Injury ◽  
Clinical Profile ◽  
Common Symptom ◽  
Age Group ◽  
Female Ratio ◽  
Number Of Patients ◽  
Co Morbidity

Background: Increasing number of patients of AGE are now diagnosed with AKI.. Over the recent years there has been increasing recognition that relatively small rises in serum creatinine in a variety of clinical settings are associated with worse outcomes. In present study, we aimed to study clinical profile of patients with acute kidney injury following acute gastroenteritis at our tertiary hospital. Material and Methods: Present study was conducted in patients who were diagnosed to have AKI following acute gastroenteritis. Statistical analysis was done using descriptive statistics. Results were expressed as mean and standard deviation for continuous data and frequency as number and percentage. Results: After applying inclusion and exclusion criteria, total 72 patients of AGE with AKI were considered for this study. Most common age group in this study was age group of 61–70 years (28%), followed by age group of 51–60 years (25%). Mean age of study patients was 53.8 ± 11.7 years. Male patients (64%) were more than female patients (36%). Male to female ratio was 1.8:1. According to clinical presentation most common symptom was loose stools (100 %), followed by fever (76 %) and vomiting (68 %). Other complaints were shortness of breath (18 %) and altered sensorium (8 %). Diabetes was the most common co-morbidity noted (39 %) followed by hypertension (34%). AKI was staged for severity according to the KDIGO criteria. At the time of diagnosis most patients were in stage 1 (57%), while 32% and 11% were in stage 2 and 3 respectively.In this study hypotension, hyperkalemia were common complications of Acute Kidney Injury. Other complications were metabolic acidosis, encephalopathy, pulmonary edema, anemia, multi organ dysfunction syndrome (MODS), hypokalemia and hyponatremia. In present study, 11% patients underwent hemodialysis and 3 % mortality was noted. Conclusion: Acute kidney injury in patients with acute gastroenteritis had good prognosis if detected earlier. Early recognition of AKI is essential to ensure prompt and appropriate management, and to avoid progression to deadlier stages of the disease.

scholarly journals Carcinoma of the Rectum: A Clinicopathological Evaluation of Patients in Tertiary Care Hospitals

2020 ◽  
Vol 24 (1) ◽  
pp. 15-20
Author(s):  
Mohammad Arif Hossain ◽  
Md Jahangir Kabir Bhuiyan ◽  
Tutul Talukdar ◽  
Feroze Quader
Keyword(s):  
Early Stage ◽  
Tertiary Care ◽  
High Risk Group ◽  
Western World ◽  
Age Group ◽  
College Hospital ◽  
Female Ratio ◽  
Carcinoma Of The Rectum ◽  
End Colostomy ◽  
Carcinoma Rectum

Background: Colorectal carcinoma is the fourth most commonly diagnosed cancer and the third leading cause of cancer deaths worldwide. The rectum is the most frequent site involved. The disease is no less common in our country in comparison to western world. The aim of this study was to determine the incidence and to review the clinicopathological aspects of carcinoma rectum in different ages in our country. Methods: This is a prospective observational study which includes 50 cases of carcinoma rectum which were admitted under different surgical units of Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University during the period of November 2007 to December 2008. Results: The present study showed maximum incidence of carcinoma rectum in the age group 21-30 years. Next common age group was 31-40 years. Incidence declined after 60 years. Majority of victims were male giving a male to female ratio of 1.17:1. As regards the mode of clinical presentation, most patients presented with bleeding per rectum. Majority of patients in this study was moderately anaemic. Curative resection was possible in 54% cases, palliative resection in 38% and palliative end colostomy was done in 4% cases. Only 2% mortality was reported in this study. Histopathological grading showed that poorly differentiated adenocarcinoma of rectum was more common in younger age group. Conclusion: Younger patients with carcinoma rectum have several distinct clinicopathological features. Since early diagnosis is essential to improve the cure rate for carcinoma rectum, all known procedure tools must be used to detect carcinoma of the rectum in an early stage, in addition to periodic selective investigations of high-risk group. Journal of Surgical Sciences (2020) Vol. 24 (1) : 15-20

scholarly journals Study of incidence and clinical presentation of tubercular abdominal emergencies

2020 ◽  
Vol 7 (4) ◽  
pp. 1021
Author(s):  
Mahendra Kumar
Keyword(s):  
Clinical Presentation ◽  
Uttar Pradesh ◽  
Abdominal Tuberculosis ◽  
Age Group ◽  
Microsoft Excel ◽  
Female Ratio ◽  
Abdominal Emergencies ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
Male To Female

Background: Tuberculosis is a common surgical problem in our community. Emergency surgery is usually required and surgical procedure depends upon the location and extent of the disease. Objective of the study was to determine the incidence of abdominal emergencies due to tuberculosis.Methods: This observational study involved 300 patients with abdominal tuberculosis admitted either as a case of acute of subacute abdominal emergencies and tract in Lal Lajpath Rai hospital Kanpur, Uttar Pradesh, India, and associated hospitals. Data was entered into Excel worksheet and analyzed using SPSS version 16.0. Detailed data of each patient was entered on a Microsoft excel. Data were presented in number and percentages.Results: The maximum number of cases were in third decade of life, age group 21-30. There were 120 males and 180 females. Male to female ratio was 1:1.5. Most of cases not having evidence of tuberculosis. History of pulmonary tuberculosis and abdominal tuberculosis were observed in 25% and 13% of the total cases. Abdominal pain was the commonest symptoms. Generalized pain was present in 136 cases and localized pain was present in 154 cases. 186 cases were presented as subacute intestinal obstruction and 114 cases patients were presented as acute abdomen.Conclusions: Acute abdominal condition is one of the most frequent emergencies, early diagnosis with prompt treatment is essential for a promising prognosis.

scholarly journals Adrenocortical carcinoma’s incidence and mortality in central Serbia

2017 ◽  
Vol 145 (1-2) ◽  
pp. 38-42
Author(s):  
Milan Jovanovic ◽  
Vladan Zivaljevic ◽  
Aleksandar Diklic ◽  
Nikola Slijepcevic ◽  
Katarina Tausanovic ◽  
...  
Keyword(s):  
Age Groups ◽  
World Population ◽  
Age Group ◽  
Female Ratio ◽  
Number Of Patients ◽  
Incidence And Mortality ◽  
Male Patients ◽  
Adrenocortical Carcinomas ◽  
Male To Female ◽  
Sixth Decade

Introduction/Objective. Adrenocortical carcinomas (ACCs) are very rare tumors with grave prognosis despite multimodal treatment. The aim of our study was to determine the incidence and mortality of ACCs in Central Serbia. Methods. The study period was from 1999 to 2012. We used data from the Cancer Registry of Central Serbia. Incidence and mortality rates were sex- and age-standardized according to Segi?s world population. Results. In the defined period of the study, 128 patients with a diagnosis of ACC were registered and the female-to-male ratio was 1.3:1. The median age of affected individuals was 42.3 years. There were two main age peaks ? one in childhood (0?9 years), and the other in the fifth and sixth decade of life. In this period, the average standardized incidence rate of ACC amounted to two per million people with slightly increasing trend. The largest number of male patients with ACC (22; 39.2%) was registered in the age group of 0?9 years, while the largest number of patients in females was shown to be in the age group of 40?49 years (29; 40.3%). During the study period, there were 35 deaths registered in patients with ACC (mean age of 61.2 years). The average mortality rate of ACC was 0.3 per million people. The male-to-female ratio was 1.5:1. Most fatal outcomes were registered in the age groups of 50?59 and 60?69 years, so 91.4% of all deaths took place in the age groups 50+. Conclusion. ACC is an extremely rare tumor that occurs more often in women than in men. However, fatal outcomes occur more frequently in males.

Clinical Presentation and Management of Patients with Peptic Ulcer Perforation in Kashmir - A Prospective Study

2021 ◽  
Vol 8 (27) ◽  
pp. 2368-2372
Author(s):  
Abdul Rashid Ganaie ◽  
Zuneera Banoo ◽  
Aamir Hussain Hela ◽  
Ishfaq Ahmad Hakeem ◽  
Haseeb Mohammad Khandwaw
Keyword(s):  
Peptic Ulcer ◽  
Clinical Presentation ◽  
Perforated Peptic Ulcer ◽  
Patch Repair ◽  
Medical Illness ◽  
Peptic Ulcer Perforation ◽  
Female Ratio ◽  
Ulcer Perforation ◽  
Plain Chest Radiograph ◽  
Number Of Patients

BACKGROUND Around 4 million people are affected by peptic ulcer diseases worldwide annually. The incidence of around 1.5 % to 3 % has been estimated. Peptic ulcer perforation presents with an overall mortality of 10 %. The management is also associated with significant post-operative morbidity and mortality regardless of whether laparoscopic or open repair is performed. In this study, we wanted to find out the incidence of peptic ulcer perforation and its management. METHODS Our study was a prospective observational study conducted in post graduate Department of Surgery, Government Medical College Srinagar, from October 2018 to November 2020. All patients were evaluated properly with all baseline investigations followed by X-ray chest and abdomen and ultrasonography (USG). RESULTS In our study, 136 patients were diagnosed as cases of peptic ulcer perforation. The maximum number of patients were in age group of 41 - 50 years (27.20 %). The male : female ratio was 14.1 : 1. Abdominal pain was present in all patients as presenting symptom followed by abdominal distension. In this study, 124 patients (91.2 %) had perforation in first part of duodenum, 9 patients (6.6 %) had perforation in prepyloric region and 3 (2.2 %) patients had perforation in body of stomach. Graham’s Patch repair was done in 133 patients, 1 patient underwent primary closure, and 2 patients underwent distal gastrectomy with gastrojejunostomy. CONCLUSIONS Our study shows that young people with perforated peptic ulcer have fewer coexisting medical illness, a lower complication rate and a more favorable outcome as compared to elderly patients with perforated peptic ulcer. A majority of such perforations are in 1st part of duodenum with male preponderance. A plain chest radiograph is sufficient to make diagnosis in the classic case of sudden onset epigastric pain. KEYWORDS Perforation Peritonitis, Management of Peptic Ulcer Perforation, Graham’s Repair, Clinical Presentation of Peptic Ulcer Perforation

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