CHARACTERISTICS OF DEMOGRAPHIC AND CLINICAL MANIFESTATIONS OF TRAUMATIC IN PATIENTS ADMITED AT THONG NHAT HOSPITAL

Background: Trauma is the most common cause of death in labor population. Polytrauma, especially hypovolemic shock and trauma brain injury, has higher mortality rate than the others. Objectives: We conducted this study to determine demographic, cause and clinical manifestations of traumatic inpatients at Thong Nhat hospital. Method: A prospective study was done on traumatic patients at department of Emergency Medicine from January to June 2016. Results: 672 traumatic patients were enrolled, The mean age was 48.84, male : female ratio 2:1. Labor population was prominant with 67.7%. Traffic accident was 306 cases (45.2%). The common traumatic sites were extremity injury, head trauma with 61.9%; 23.5%, respectively. ISS and Glasgow score indicated the prediction to mortality. Death and severe disability were 1.9%. Conclusions: Traumatic patients were young, mainly in labor population. Male was more common than female.Traffic accident was common cause. Extremity injury was the most common traumatic site. Key words: Trauma patient, ISS score, Deparment of Emergency Medicine

Download Full-text

Clinical Manifestations of Cholelithiasis in Quito, Ecuador. A Cohort Study

American Journal of Surgical Research and Reviews ◽

10.28933/ajsrr-2020-12-2205 ◽

2021 ◽

pp. 12

Author(s):

◽

Keyword(s):

Epigastric Pain ◽

Medical Center ◽

Clinical Manifestations ◽

Abdominal Ultrasound ◽

Common Symptom ◽

Low Back ◽

Female Ratio ◽

Male Female Ratio ◽

The Right ◽

A Prospective Study

Introduction: A prospective study was carried out, with the aim of establishing the clinical manifestations of cholelithiasis in the population of Quito, Ecuador. Methods: During the period from January 2012 to October 2017, 534 patients were referred from different outpatient clinics of the Ecuadorian Institute of Social Security to the Batan Medical Center with the diagnosis of cholelithiasis after a clinical assessment and abdominal ultrasound, to be treated surgically. Results: Sixty-nine percent of patients were female with a male-female ratio of 1:2.21. Mean age was 44.9 years. Pain was the most common symptom in our study: 95.7%. Among these patients, pain was located in the epigastrium in 49.8%, in the right hypochondrium in 45.1% and only 0.8% had low back pain. Pain ranged from moderate and even severe. The remaining 4.3% of patients had dyspepsia or were asymptomatic. Conclusions: This finding highlights the fact that epigastric pain must be always considered as a clinical manifestation on cholelithiasis.

Download Full-text

Predictors of hepatocellular carcinoma in patients with liver cirrhosis

Acta Medica Marisiensis ◽

10.1515/amma-2015-0017 ◽

2015 ◽

Vol 61 (1) ◽

pp. 47-50

Author(s):

Crina Pop ◽

B. Kozma ◽

Silvia Drasovean ◽

Daniela Dobru ◽

Alina Boeriu

Keyword(s):

Hepatocellular Carcinoma ◽

Liver Cirrhosis ◽

Abdominal Ultrasound ◽

Study Data ◽

Statistical Association ◽

Viral Etiology ◽

Female Ratio ◽

Male Female Ratio ◽

Important Health ◽

A Prospective Study

Abstract Background and aim: Hepatocellular carcinoma (HCC) is one of the most important health problem, with an increasing incidence worldwide. The aim of the present study was to determine the factors that predict HCC occurrence in a group of patients with liver cirrhosis developed on various etiologies. Material and Methods: A total of 282 consecutive patients with liver cirrhosis seen between January 1, 2013 and July 31, 2014 were enrolled in a prospective study. Data from patient’s history, physical exams, laboratory tests and abdominal ultrasound were collected. Results: 282 patients were included in the study with a median age of 59.6 and a male/female ratio of 1.38/1; 12.41% (35) were diagnosed with HCC. Alcohol consumption was documented in 19 cases (54.28%), without statistical association (p=0.621), and 7 (20%) were smokers (p=0.403). According to etiological factors of liver cirrhosis: 7 (20%) had background B virus infection, 15 (42.85%) HCV infection and 11 (31.42%) cases incriminated other causes of cirrhosis (alcohol). Chi2 test identified a statistically significant association between the occurrence of HCC and viral etiology of cirrhosis (p = 0.001, r = 18,830). No statistical association was found between Child Pugh scoring of cirrhosis and HCC (p=0.774) and a statistically significant association but inversely proportional was identified between neoplasia and obesity (p=0.008, r= -0.157). Conclusion: In conclusion the viral etiology of liver cirrhosis is found to be an important risk factor for HCC, and liver cancer was inversely associated with nutritional status.

Download Full-text

Current trends of adenotonsillar hypertrophy presentation in a developing country, Nigeria

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20173030 ◽

2017 ◽

Vol 3 (3) ◽

pp. 501 ◽

Cited By ~ 1

Author(s):

Waheed A. Adegbiji ◽

Shuaib Kayode Aremu ◽

Clement C. Nwawolo ◽

Chinyere N. Asoegwu

Keyword(s):

Developing Country ◽

Age Groups ◽

Clinical Manifestations ◽

Failure To Thrive ◽

Developed Countries ◽

Predisposing Factors ◽

Upper Respiratory Tract ◽

Female Ratio ◽

Adenotonsillar Hypertrophy ◽

A Prospective Study

Background: Adenotonsillar hypertrophy is a common paediatric disorder in Otorhinolaryngological practice worldwide. The prevalence, clinical manifestations and predisposing factors are well documented in developed countries. However, available data shows differences between the various studies. There is paucity of data from developing countries. Thus, this study is aimed at assessing the age group distribution, predisposing factors, clinical manifestation and complications of adenotonsillar hypertrophy in a developing country. Methods: It is a prospective study of children under 10 years over a period of 24 months. Interviewer assisted questionnaire was administered. Data obtained were statistically analysed using SPSS version 18. Results: Two hundred and fifty three, 253 subjects were enrolled into the study. Adenotonsillar hypertrophy affected all age groups studied. A high incidence was noted among the under 2 year olds. The Male: Female ratio was 2:1. Chronic cases constituted 55.7% of our study population. Common predisposing factors were atopy (73.9%), familial history (67.3%) and recurrent upper respiratory tract infection (58.2%). The Commonest clinical features were snoring, noisy breathing, tonsillar enlargement and narrowing of postnasal space air column. Failure to thrive, otitis media and rhinosinusitis were the commonly associated complications observed. No death was recorded. Conclusions: Adenotonsillar hypertrophy is common in our environment. It is important for all primary health care physicians, paediatricians and otorhinolaryngologists to have a clear knowledge on this ailment. Prevention or reduction in incidence is possible.

Download Full-text

Complications of Total Thyroidectomy in 50 Cases in The Department of Endocrine Surgery in BSMMU

Journal of Surgical Sciences ◽

10.3329/jss.v17i1.43700 ◽

2019 ◽

Vol 17 (1) ◽

pp. 25-29

Author(s):

Md Alamgir Hossain Sikder ◽

AEM Mahfuzur Rahman ◽

Abul Khair ◽

Md Jahangir Alam ◽

Mohammed Rafiqul Lslam

Keyword(s):

Total Thyroidectomy ◽

Multinodular Goiter ◽

Endocrine Surgery ◽

Published Data ◽

Female Ratio ◽

Male Female Ratio ◽

A Prospective Study ◽

Surgery Department

Objective: To determine the complications of the patients undergoing total thyroidectomy. Method: A prospective study was held at Department of Endocrine Surgery in BSMMU from January 2006 to December 2006 Method: Fifty patients with multinodular goiter and carcinoma thyroid of both sexes were selected from admitted patient of endocrine surgery department. All patients were evaluated preoperatively and total thyroidectomy was done and post operative was followed up. Out of 50 patients 35 patients were female and 15 patients male, male - female ratio 1 :2.3. 40 patients were carcinoma thyroid, 10 patients were multinodular goiter. The overall incidence of postoperative complication in this series was 4. out of 50 patients 1 patient developed haematoma. 1 patient developed wound infection and 1 patient developed transient tetany on 2nd postoperative day which was improved later on. 1 patient developed a thyroid nodule 6th month after total thyroidectomy for carcinoma thyroid. In long term from total thyroidectomy 40 patients were followed up, 10 patients did not attend an subsequent follow up. Out of 40 patients 36 patients were out of complication. Conclusion: The results are comparable with the current published data and demonstrate that total thyroidectomy can performed with minimum complication rate. Journal of Surgical Sciences (2013) Vol. 17 (1) : 25-29

Download Full-text

Screening household members of shepherds in brucellosis endemic areas in China and reporting follow-up results of asymptomatic infections

10.21203/rs.3.rs-30753/v1 ◽

2020 ◽

Author(s):

Jing Hu ◽

Huixin Yang ◽

Xiangyi Zhang ◽

Siwen Zhang ◽

Taijun Wang ◽

...

Keyword(s):

Clinical Manifestations ◽

Asymptomatic Infection ◽

Female Ratio ◽

Brucella Infection ◽

Male Female Ratio ◽

History Of ◽

Household Members ◽

Asymptomatic Infections ◽

Endemic Areas

Abstract Background: Brucellosis is a zoonotic infectious disease caused by brucella, patients often show obvious clinical manifestation, however, many cases of asymptomatic brucella infection were reported. Previous scholars have described or screened the asymptomatic infection, but little attention has been paid to the results. This research focused on the short-term results in patients with asymptomatic brucella infectionMethods: 595 household members of shepherds in brucellosis endemic areas were included, all of them have questionnaires and laboratory tests. Based on inclusion and exclusion criteria for the cohort, 15 asymptomatic infections were included and followed-up for 18months.Results: Among 595 subjects, 34(5.7%) were asymptomatic infections, 460(77.3%) were healthy, 58patients (9.7%) were diagnosed as brucellosis, 13(2.2%) suspected cases, 19(3.2%) cured cases and 11(1.8%) unclear diagnosis. Among 15 asymptomatic infections, the median age was 34 [12, 50] years, there were 40%cases <18 years old and the male-female ratio was 1.5:1, 60% cases were farmers and herdsmen, 11(73.3%) cases had a history of possible exposure to brucella. Average follow-up time was 10.47 ± 8.47 months. A total of 7 asymptomatic infections developed into brucellosis, of which five patients turned in the first month of follow-up, one patient in the second month, and one minor case turned in the seventh month. Remaining asymptomatic infections showed negative outcomes after 7 months of follow-up, among them, SAT titer decreased in two cases, no changes in SAT titer and clinical manifestations in six cases.Conclusions: Continued exposure to brucella may be a major risk factor for asymptomatic infection turn to brucellosis.

Download Full-text

Common sites and causes of chronic cervical lymphadenopathy among a sample of Iraqi patients

International Surgery Journal ◽

10.18203/2349-2902.isj20180798 ◽

2018 ◽

Vol 5 (3) ◽

pp. 892

Author(s):

Hussein Ali Alkumasi ◽

Mohammed Reda Al Ghadhban ◽

Faris Talib Mohammed

Keyword(s):

Age Distribution ◽

Cervical Lymphadenopathy ◽

Metastatic Tumor ◽

Living Standard ◽

Major Health Problem ◽

Female Ratio ◽

Common Cause ◽

Reactive Hyperplasia ◽

A Prospective Study ◽

Underlying Diseases

Background: Chronic cervical lymphadenopathy may result from a variety of different underlying diseases. It could be a sign of inflammation, metastatic tumor or lymphoma.Methods: This is a prospective study of 60 patients with cervical lymphadenopathy who attended Al Karama Teaching Hospital for the period (1/12/2008 to 1/2/2010). Data includes their demographic information, clinical presentation, investigations and histopathological results.Results: Twenty six patients were males (43.3%) and 34 were females (56.7%). The male to female ratio was 1:1.3. Age distribution had shown that the highest incidence occurred in those between (11-20) years old (15 patients, 25%), followed by those between (1-10) years old. The mean age was 31.2±21.5 SD. The most common cause of cervical lymphadenopathy was reactive hyperplasia (23 patients, 38.3%) followed by Tuberculous lymphadenopathy (15patients, 25%). Lymphomas (13 patients, 21.7%) and metastatic deposits (7 patients, 11.7%).Conclusions: The most common cause of cervical lymphadenopathy was reactive hyperplasia followed by tuberculous lymphadenopathy. Tuberculous lymphadenopathy continues to be a major health problem, and this may be explained by situation in this country in the last few decades that affected the socio-economic, health care and the living standard of population.

Download Full-text

Wheat Pill Poisoning: Management and outcome in cases reported in DG Khan District.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.08.4791 ◽

2021 ◽

Vol 28 (08) ◽

pp. 1096-1100

Author(s):

Alina Nawaz Khan ◽

◽

Rabia Khan ◽

Naheed Siddiqui ◽

Salman Pervaiz Rana ◽

...

Keyword(s):

Clinical Manifestations ◽

Coconut Oil ◽

Symptomatic Treatment ◽

Aluminum Phosphide ◽

Female Ratio ◽

Male Female Ratio ◽

History Of ◽

Recovery Result ◽

Study Setting ◽

Overall Mortality

Objective: To determine the clinical manifestations and prognosis of victims presenting with wheat pill poisoning. Study Design: Prospective Cohort Study. Setting: Emergency Department in District Headquarter Hospital DG Khan. Period: February 2019 to January 2020. Material & Methods: Patients admitted with history of accidental or suicidal wheat pills poisoning were followed over a period of 3 to 6 months. Symptomatic treatment was initially given for 2-3 hours. The patients were retained in CCU for 24 hours before shifting to ward. Research tool (proforma) was designed for collection and interpretation of data. Acute Physiology and Chronic Health Evaluation Score 2 (APACHE-2) score was used for prognosis and recovery. Result: Out of 96 victims of aluminum phosphide ingestion male/female ratio was 2:1, 64% (n= 64) were females and 36% (n=32) were males. Higher incidence was found in age group (16–25 years (n= 27 victims). Overall mortality was 63 (65.6%). Conclusion: Wheat pill was a poison of choice among teens and adults in Pakistan as it is freely available and cheap. Arrhythmia and metabolic acidosis are the major causes of death after wheat pills ingestion. Coconut oil was found effective in delaying the absorption.

Download Full-text

The problem of burns

International Surgery Journal ◽

10.18203/2349-2902.isj20164847 ◽

2017 ◽

Vol 4 (2) ◽

pp. 500

Author(s):

Bhimanagouda V. Goudar ◽

Sidharth Agarwal ◽

Yamanur P. Lamani ◽

Shankar Gururaj ◽

Veerbhadra Gouda

Keyword(s):

Medical Care ◽

Cause Of Death ◽

Age Groups ◽

Hypovolemic Shock ◽

Total Mortality ◽

Morbidity And Mortality ◽

Female Ratio ◽

Male Female Ratio ◽

Very High ◽

Length Of Hospitalization

Background: Burns due to accidents are a common cause of morbidity and mortality in the Indian sub-continent. The causes being preventive, warrant a better understanding of the epidemiology to know the seriousness of the situation, implement better medical care and prevent such accidents. Aim was to study the morbidity and mortality related to percentage of burns.Methods: This is a retrospective observational study where patients admitted with burns 2013 and 2015 were evaluated. Data with respect to sex, age, percentage of burns, air-way burns, mode and cause of burns, cause of death and length of hospitalization were analyzed.Results: 65.3% of the patients were females and 34.7% males, with a male: female ratio of 0.53:1. A total mortality of 43.71% was seen. Maximum patients belonged to age group 21-40 years which also constituted 28.74% (highest) of the above total mortality. More than 50 % mortality was seen in patients with more than 41% burns. Air way burns were present in 41.31% of the cases; of which 85.51% of cases did not survive. Death due to hypovolemic shock (42.47%) was the main cause of death in the initial 4 days of admission; whereas septicemic shock (57.53%) from the 5th day onward.Conclusions: Morbidity and mortality due to burns is still very high in India, especially in young adults of age groups 21- 40 years. A higher case load for females as seen, being nearly double in in relation to males. Better fluid resuscitation regimens with adequate control of infection is the need of the hour to bring down the mortality. Female sex and more than 41% burns predicts higher mortality. Involvement of the respiratory tract, also predicts higher mortality and may be taken as a reliable indicator of the severity of burns. In the present scenario, we should stress more over the prevention of burns, to easily make available affordable and cheap medical care for the patients and to minimize post burn disability as much as possible.

Download Full-text

Evaluation of Selected Outcomes of Combination Antiretroviral Therapy: Yemen Cohort Retrospective Descriptive Studies

Scientific Reports ◽

10.1038/s41598-019-56314-0 ◽

2019 ◽

Vol 9 (1) ◽

Author(s):

Mayada Faisal Nabih ◽

Sharifa Ezat Wan Puteh ◽

Amrizal Muhammad Nur

Keyword(s):

Public Health ◽

Treatment Outcomes ◽

Retention Rate ◽

Clinical Manifestations ◽

Hiv Treatment ◽

Female Ratio ◽

Treatment Services ◽

Male Female Ratio ◽

Poor Treatment ◽

The Mean

AbstractIn 2007, HIV treatment services were established in five main governorates out of twenty-two which resulted in low access to services and poor treatment outcomes. The main goal of this study was to evaluate and analyse the selected treatment outcomes of eight cohorts of PLHIV who were treated with cART during 2007–2014. The method used was a retrospective descriptive study of 1,703 PLHIV who initiated cART at five public health facilities. The results: Retention rate was less than 80%, male: female ratio 1.661, with a mean age of 35 years (±9.2 SD), 85% had been infected with HIV via heterosexual contact. 65% of patients presented with clinical stages 3 and 4, and 52% of them were initiated cART at a CD4 T-cell count ≤200 cells/mm. 61% of cART included Tenofovir and Efavirenz. TB treatment started for 5% of PLHIV, and 22% developed HIV-related clinical manifestations after cART initiation. 67% of PLHIV had experienced cART substitution. The mean AIDS-mortality rate was 15% and the mean LTFU rate was 16%. Conclusion: Although cART showed effectiveness in public health, mobilization of resources and formulation of better health policies are important steps toward improving access to cART and achieving the desired treatment outcomes.

Download Full-text

Profile of congenital digital anomalies in children seen in two tertiary health facilities in Southern Nigeria

International Surgery Journal ◽

10.18203/2349-2902.isj20201373 ◽

2020 ◽

Vol 7 (4) ◽

pp. 966

Author(s):

Okoro Philemon Ekemenye ◽

Otene Cletus Ikechukwu

Keyword(s):

Surgical Care ◽

Health Facilities ◽

Female Ratio ◽

Limb Anomalies ◽

Southern Nigeria ◽

Male Female Ratio ◽

Congenital Limb ◽

The Common ◽

A Prospective Study ◽

And Training

Background: Anomalies of the digits are among the common congenital limb anomalies seen worldwide. Whereas the majority of these digital malformations are relatively minor and require simple treatment, some of them are complex and often associated with other anomalies and systemic disorders. Reports on the occurrence of these anomalies and their treatment are scanty in our region. The study sought to evaluate the burden of these digital anomalies among paediatric patients seen in our centres and outcome of treatment.Methods: Study was carried out as a prospective study in two tertiary health facilities in Southern Nigeria between June 2014 and May 2019. Data obtained and analyzed were the patients’ gender, age, family history, type of digital anomaly, the limb/s involved, other limb anomalies, systemic disorders, treatment given, outcome, and duration of follow up.Results: A total of 113 children with anomalies of the fingers and or toes were seen during the study period, but 104 were analyzed. They comprised, 63 (60.6%) were males and 41 (39.4%) females giving a male female ratio of 1.5:1. Polydactyly was by far the commonest digital anomaly and the upper limbs were mostly affected. Associated anomalies contributed significantly to morbidity and mortality in those cases.Conclusions: Digital anomalies are fairly common surgical problems in our region. Though majority of cases are mild and are easily treated, the more complex ones still pose a challenge to treatment in our practice. There is need for more interest and training among surgeons in our region to improve the surgical care and outcome of treatment of these digital anomalies in our region.

Download Full-text