scholarly journals Clinical Features of Cluster Headache: A Hospital-Based Study in Taiwan

2021 ◽  
Vol 12 ◽  
Author(s):  
Chien-An Ko ◽  
Guan-Yu Lin ◽  
Chi-Hsin Ting ◽  
Yueh-Feng Sung ◽  
Jiunn-Tay Lee ◽  
...  
Keyword(s):  
Family History ◽  
Cluster Headache ◽  
Tertiary Care ◽  
Time Lag ◽  
Age At Onset ◽  
Positive Family History ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical College

Most previous studies on cluster headache (CH) focus on Western populations. This study aimed to investigate the clinical characteristics of CH in a neurology outpatient population in Taiwan. A cross-sectional survey was conducted from July 2015 to June 2019 in a medical college affiliated with a tertiary care hospital (Tri-Service General Hospital) in Taiwan. All consecutive patients reporting headache as their chief complaint were asked to participate in a face-to-face interview with a qualified headache specialist and to complete a detailed self-administered questionnaire. The diagnosis of CH was made according to the Third edition of the International Classification of Headache Disorders. The subjects comprised 80 consecutive new CH patients (13 women and 67 men; ratio, 1:5). The mean age at presentation was 36.0 ± 10.8 years (range, 16–64 years), mean age at onset was 27.2 ± 12.1 years (range, 5–65 years), and mean time lag before diagnosis was 9.3 ± 10.5 years (range, 0–46.4 years). Of the total CH patients, 25.3% reported feelings of restlessness during headache episodes. A seasonal predilection was reported by 18% of the CH patients. The use of tobacco was the most common (44/80 patients). Chronic CH was only observed in 5% of the patients and only one patient (1.3%) reported both a positive family history for CH and aura. Features of CH in Taiwanese patients differed from that of Caucasian patients; a lower prevalence of chronic CH, positive family history of CH, and occurrence of aura may be less common in the former than in the latter.

scholarly journals Interns willingness to serve in rural area: a cross sectional survey in a government medical college, Mysore

2018 ◽  
Vol 5 (8) ◽  
pp. 3496
Author(s):  
Sajja Jayashree ◽  
Manjunatha S. N.
Keyword(s):  
Rural Area ◽  
Health Workers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Government Regulations ◽  
The Public ◽  
Medical College ◽  
Willingness To Serve

Background: India's health workforce has a diversity of health workers offering health services in several systems of medicine. There is uneven distribution and this scarcity is due to both the disinclination of qualified private physicians to work in underserved areas and the inability of the public sector to adequately staff rural health facilities. The objective of the study was to assess willingness of interns to comply with their commitment of serving in a rural area after internship completion and to identify the factors which influence their decision regarding compulsory rural service.Methods: A cross sectional survey was conducted among interns of a tertiary care hospital Mysore, India from September 2017-December 2017. Statistical methods like frequency, mean, proportions, Z test was used to analyze the data.Results: Amongst the 100 students who participated in the study, 42% were willing to comply with the bond of serving rural area for a period of 1 year against a penalty of 10 lakhs signed while enrolling to the course.Conclusions: Majority of the interns are still not willing to comply with the bond, therefore achieving mandatory posting as per government regulations still remains a challenge.

scholarly journals A retrospective study of febrile seizures among children admitted in a tertiary care hospital

2018 ◽  
Vol 5 (7) ◽  
pp. 3121
Author(s):  
Pralhad Sureshrao Potdar
Keyword(s):  
Family History ◽  
Febrile Seizure ◽  
Tertiary Care ◽  
Positive Family History ◽  
Complex Form ◽  
Febrile Convulsion ◽  
Febrile Seizures ◽  
Care Hospital ◽  
Cross Sectional ◽  
Co Morbidity

Background: Convulsion is the most common neurologic finding in children (10%). Prevention of febrile convulsions is therefore desirable, and is of particular relevance in children with factors carrying a high risk of recurrence. Aim and Objectives were to study the demographic profile and some risk factors of febrile seizures among children.Methods: A record based descriptive cross-sectional study was conducted at paediatric department of Dr. S.C.GMC, Nanded. Considering inclusion & exclusion criteria all children in the 6 month to 6 year age who were diagnosed as having febrile convulsion admitted during January to December 2015 were included in the study.Results: Of the 288 children 173 (60.1%) were boys and 115 (39.9%) were girls. 46.9% children were in the 1-3 year age group. Mean age of occurrence was 2.8 years (±1.5 years). In this study, 80.2% (231) of the patients had simple and 19.8% (57) had the complex form of febrile seizure. In our study, 51.73% (149) of affected children had positive family history of febrile seizure. URTI (9.7%) followed by AGE (7.3%) was the most common co-morbidity. 54.2% children were hospitalized for 1-3 days.Conclusions: Most of the children had a positive family history and the most common causative factor was URTI, LRTI, AGE etc. are associated with febrile convulsion and these diseases can be managed effectively thereby reducing the occurrence of febrile convulsion. 

scholarly journals Correlation of days of illness on which oseltamivir was started with outcome in swine flu patients, in Government Medical College, Aurangabad (Jan-2015 to May 2015)

2015 ◽  
Vol 1 (6) ◽  
pp. 245
Author(s):  
Mangala S. Borkar ◽  
Sagar P. Patil ◽  
Vimlesh R. Pandey ◽  
Gajanan A. Surwade ◽  
Uddhav S. Khaire
Keyword(s):  
Tertiary Care ◽  
Time Lag ◽  
Cross Sectional Study ◽  
Swine Flu ◽  
Care Hospital ◽  
Government Medical College ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
Medical College ◽  
Non Invasive Ventilation

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong><span lang="EN-US"> Since 2009, Government Medical College, Aurangabad, a tertiary care hospital in the Marathwada region of Maharashtra, India, has been regularly admitting cases of pneumonia and ARDS, that are labeled as swine flu suspects.</span> Oseltamivir is effective in swine flu cases if given within 48 hours and better, within 24 hours of start of illness. However most of our patients do not get oseltamivir within 48 hours. Hence we decided to compare the outcome in patients who received oseltamivir within 48 hours and after that.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> This is an observational, cross-sectional study comparing the time lag between the start of symptoms and getting the first dose of oseltamivir. 59 H1N1 positive patients were admitted to the swine flu ward between January to May 2015. We compared the two groups, one that received oseltamivir within 48 hours of start of symptoms and one that received after 48 hours and compared it with the outcome, i. e survival or death.</span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>38 patients (64.40%) in our study belonged to the age group of 31-50. Out of 59 positive patients, only 7 received oseltamivir within 48 hours, of whom 4 died. 52 received oseltamivir after 48 hours of whom 20 died. All the 11 who were given non-invasive ventilation, whereas only 1 of the 25 on invasive ventilation survived.  </p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Oseltamavir does not appear to have made a difference for survival whether it was given within 48 hours as compared to after 48 hours of onset of symptoms. However, these two groups were not comparable.</p>

scholarly journals USE OF TOBACCO

2018 ◽  
Vol 25 (06) ◽  
pp. 941-946
Author(s):  
Raheela Saleem ◽  
Fahad Jibran Siyal ◽  
Abdullah Dayo ◽  
Naheed Memon ◽  
Muhammad Ali Ghoto ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Survey Period ◽  
Cross Sectional ◽  
Medical College ◽  
Free Zone ◽  
Frequent Form ◽  
Medical University

Objective: To evaluate the frequency and trend of tobacco use among thedoctors of Medical University. Study Design: Cross-sectional survey. Period: 06 Months fromAug 2016 to Jan 2017. Setting: Medical College and Tertiary Care Hospital affiliated with MedicalUniversity of Larkana, Sindh, Pakistan. Methods: Collection of data through the modifiedquestionnaire of IUATLD, on a total of 140 doctors of Medical University, Larkana. Results:A total of 140 respondents, 116 were male and 24 were females. Out of 116 males, 65 (56%)were smokers and out of 24 females, 04(16.66%) were smokers. Sixty four (45.7%) were currentsmokers, 5(3.6%) were ex-smokers and 71(50.7%) were non-smokers. Majority 37(26.4%) ofsmokers start smoking between the age of 21-30 years. Most frequent form of tobacco usedis cigarettes. Non-smokers were affected by passive smoking in their environment. Majorityof smokers use caffeinated drink with smoking cigarettes. 23(16.4%) smokers need properguideline of smoking cessation plan. Conclusion: Mostly male doctors involved in smokingas compared to female doctors. Most of them lie in the moderate addiction index. There isa extreme need for special trainings in the educational institutes for both the students andteachers so that to make it smoke free zone.

Study of vitiligo at a tertiary care hospital

2021 ◽  
Vol 11 (2) ◽  
pp. 112-114
Author(s):  
P Ravindra Kumar ◽  
Keyword(s):  
Family History ◽  
Tertiary Care Hospital ◽  
Age Of Onset ◽  
Tertiary Care ◽  
Age At Onset ◽  
Positive Family History ◽  
Care Hospital ◽  
Morphological Pattern ◽  
Hla Antigen ◽  
Triggering Factor

Background: Vitiligo is a common acquired, progressive, multifactorial, depigmenting disorder characterized by the appearance of circumscribed white macules varying patterns, varying from small macules with scalloping borders to near total depigmentation of body, supposed to be due to chronic, progressive loss of functional melanocytes in the epidermis. This study was aimed to study vitiligo in our tertiary care hospital. Material and Methods: This prospective, observational and descriptive study was conducted in OPD patients clinically diagnosed as vitiligo during study period. Results: A total of 300 patients were included in the study after applying inclusion and exclusion criteria. Among these 179 (59.67%) were females and 121 (40.33%) were males. The female to male ratio was 1.5:1. The age at onset was found to be in the 11-20 age group in 104 (34.5%) patients. Most common duration was noted as between 1 to 5 years, 169 (56.5%) patients. A positive family history was present in 62 (20.5 %) patients In 67 patients triggering factor was noted. Koebner’s phenomenon was noted in 62 (22.2%) patients while leucotrichia was seen in 33 (11 %) patients in our study. Most common site affected was lower limb in 204 patients (68.17%), followed by upper limb in 194 (64.67%) patients. Clinically most common morphological pattern was vitiligo vulgaris noted in 52.5% patients. Acrofacial, segmental, universal, mucosal patterns were noted in 23.83 %, 7.67 %, 5.67 %, 1 % patients respectively. Conclusion: Vitiligo has a multifactorial origin, unpredictable triggers and progress of disease. Early age of onset, family history, HLA antigen, presence of leucotrichia, other skin problems are predictors for poor prognosis.

scholarly journals Leprosy reactions: a prospective study at tertiary care hospital of South Gujarat

2020 ◽  
Vol 6 (5) ◽  
pp. 658
Author(s):  
Krunal Tralsawala ◽  
Dipak Umrigar
Keyword(s):  
Family History ◽  
Social Stigma ◽  
Tertiary Care ◽  
Positive Family History ◽  
Study Participant ◽  
Clinical History ◽  
Care Hospital ◽  
Cross Sectional

<p><strong>Background:</strong> Clinical diagnosis of early leprosy lesions is important as it is one of the leading causes of physical disabilities which cause social stigma leading to discrimination &amp; isolation. Its diagnosis is based upon detailed cutaneous examination along with peripheral nerves. The objectives were to study associations between reaction types with type of leprosy and various deformities and disabilities relating to treatment for leprosy.</p><p><strong>Methods:</strong> This is a hospital-based prospective, cross-sectional observational study. 110 clinically diagnosed Leprosy patients with reactions visiting Dermatology OPD were analysed after obtaining informed consent. Participants’ data were collected for demographic criteria, clinical history, past medical history and family history. Clinical examination of a study participant was performed. Collected data was entered in Microsoft excel worksheet and analysed for frequency distribution. </p><p><strong>Results:</strong> All subjects were in a mean age of 38.03±14.37 years.13.64% patients had positive family history of leprosy. 59 (53.64%) and 51 (46.36%) cases were of type 1 and type 2 reactions, respectively. Out of 59 patients with type 1 reaction, the most common presenting symptom was inflammation of pre-existing lesion observed in 35 (59.32%) cases while the most common presenting symptom of type 2 reactions was erythema nodosum leprosum seen in 34 (66.67%) cases. Type 1 reaction presented histopathologically as upgrading (67.80%) and downgrading reactions (5.08%). Histopathological finding in type 2 reaction were neutrophillic infiltration with macrophage granuloma seen in 54.90% cases.</p><p><strong>Conclusion:</strong> It is important to identify reactions associated with leprosy and its treatment as they can significantly alter the morbidity of an affected individual.</p>

SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL

2021 ◽  
pp. 12-15
Author(s):  
Smarajit Banik ◽  
Sandip Saha ◽  
Sudipan Mitra ◽  
Ujjwal Pattanayak ◽  
Rajib Sikder ◽  
...  
Keyword(s):  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Medical College ◽  
Study Participants

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.

Distribution of age, gender and body weight in AMI patients in a tertiary care center of Eastern India

2021 ◽  
Vol 12 (6) ◽  
pp. 75-58
Author(s):  
Tanushri Khatua ◽  
Tanima Mandal ◽  
Mita Saha ◽  
Biswajit Majumder
Keyword(s):  
Body Weight ◽  
Family History ◽  
Care Center ◽  
Tertiary Care ◽  
Positive Family History ◽  
Premenopausal Women ◽  
Care Hospital ◽  
Risk Of Mortality ◽  
And Gender ◽  
Risk Predictors

Background: The leading cause of death in the world is coronary heart disease (CHD). In India, CHD manifests almost a decade earlier than in Western countries. Gender differences play an important role in the pathophysiology of AMI. Body weight and family history are claimed to be the indicators of relative risk of mortality. Aims and Objective: To look for the age and gender distribution pattern in patients with recent diagnosed AMI and to find out the association of some of the risk factors like BMI, family history. Materials and Methods: A descriptive study was conducted in a tertiary care hospital with 50 recent diagnosed AMI patients of either sex as cases after considering the inclusion and exclusion criteria. The biochemical parameters were measured by validated methods. Results: On statistical analysis, 58% of total AMI cases occurred before 50 years of age; out of which 18% belong to 31 - 40 years, 40% belong to 41- 50 years. Out of total 50 AMI cases, 60% is male and 40% is female. Obesity seen in 14% cases and 56% is overweight; 16% having positive family history. Conclusion: The study indicates a trend of early age onset AMI. Increased body weight and positive family history can be the risk predictors. It is suggested that younger age males and premenopausal women should not be ignored regarding the risk of MI. Further studies are required for verification.

scholarly journals Satisfaction of women with health service provider in outpatient department of Obstetrics and Gynecology at a Tertiary care hospital

2017 ◽  
Vol 6 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Ashia Khatun ◽  
Khairun Nahar ◽  
Mst Nurunnahar Aktar ◽  
Fatema Mahbooba Akter ◽  
Habibur Rahman
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Environment ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Health Service Provider ◽  
College Hospital ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Medical College

Background: Patient's satisfaction over the health care services is very important issue in Bangladesh.Objective: The purpose of present study was to find out the level of satisfaction of women attending in the OPD of Obstetrics and Gynecology department at a tertiary care hospital in Dhaka.Methodology: This descriptive type of cross sectional study was carried out in the OPD of Obstetrics and Gynecology department at Dhaka Medical College from September 2011 to October 2011 for a period of one month. All the women attending in Obstetrics and Gynecology department in outdoor service at Dhaka Medical College Hospital, Dhaka with the age group of 22 to 40 years were selected as study population. A purposive sampling method was used to collect the data.Results: A total number of 200 cases were taken for this study. Highly satisfied over the services delivered by the doctors was reported in 135 (65.8%) cases and service of nurses was satisfied 111(55.8%) of cases. Satisfactory waiting time (two hours) was 143(7l.9%) of cases and the satisfactory hospital environment was 127 (63.8%) of cases.Conclusion: In conclusion most of the women are satisfied to the treatment delivered by the doctors at the OPD of a tertiary care hospital.J Shaheed Suhrawardy Med Coll, 2014; 6(2):79-81

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