CLINICAL PROFILE OF PAEDIATRIC PATIENTS OF VERNAL KERATOCONJUNCTIVITIS PRESENTING TO THE TERTIARY HEALTH CARE CENTRE

2021 ◽  
pp. 4-6
Author(s):  
Jitendra Kumar ◽  
Rashmi Kumari ◽  
Apoorva Jain

PURPOSE - to study the clinical prole of patients of vernal keratoconjunctivitis presenting to the tertiary health care centre. METHODS- This was a prospective observational study that involved 100 eyes of 50 patients with vernal keratoconjunctivitis complaining of itching, burning and ropy discharge. Slit lamp examination was done in all the patients. RESULTS-There were 37 males and 13 females and the age group taken was 1 to 15 years. 4 patients belonged to the age group of 1 to 5 years, out of which all 4 were males. 32 patients belonged to age group of 6 to 11 years, out of which 24 were males and 8 were females. 14 patients belonged to the age group of 12 to 15 years, out of which 9 were males and 5 were females. On slit lamp examination cobblestone papillae were seen in 46% patients, pseudogerontoxon was seen in 32% patients, Horner Tranta's spots were seen in 18% patients and shield ulcer was seen in 4% patients. CONCLUSION-VKC is a common form of allergic conjunctivitis and the disease tends to occur in males of 6 to 11 years age group. Most common is palpebral form followed by mixed and bulbar forms. Some cases showed history of dust exposure, atopy and other allergic conditions.

Trauma ◽  
2016 ◽  
Vol 19 (3) ◽  
pp. 216-218
Author(s):  
Shashank Pooniya ◽  
Sanjeev Lalwani ◽  
Nirupam Madaan ◽  
Manju Mehta ◽  
Ashu Bhalla ◽  
...  

The problem of battered baby and child abuse is a much underreported condition, easily missed by the attending physician and autopsy surgeon. According to a study by the Ministry of Women and Child Development, India, in 2007, more than two-thirds (69%) of children, particularly in the age group of 5–12 years, faced physical abuse, mostly (89%) by parents. Sexual abuse occurred in over half of them (53%) and every second child faced emotional abuse, mostly by parents (83%). In this presentation, we will be sharing the experience of managing two cases of battered baby syndrome, reported at a tertiary health care centre in India.


2020 ◽  
Vol 5 (10) ◽  

Background: Diabetes Mellitus (DM) is considered a major public health problem in South Africa and Globally. The condition is not well-managed globally and in SA. The most important known intervention for prevention and management of DM is lifestyle modification which depends largely on the knowledge, attitude and practices of DM patients and general population. The objective of the study was to investigate the knowledge, attitudes, and practices on diabetes among DM patients. Method: This was a cross-sectional prospective study conducted on diabetic patients attending a primary health care centre in South Africa between January to June 2018. Students t-test and ANOVA tests were conducted to find the mean difference of the knowledge, attitude, and practice scores among the demographic variables. Pearson’s correlation test was conducted to find the relationship between Knowledge, attitudes, and practice towards DM. All statistical tests were performed using two-sided tests at the 0.05 level of significance. Results: Most of the respondents were over the age of 45 years (87%), female (74%), had no education (58%) and unemployed (52%). Results showed that DM patients had poor level of knowledge, had better positive attitudes towards DM and the respondents were practicing positively towards the management of DM. DM patients in the age group of 46-55 years were practicing better towards DM compared to patients from age group of 25-35 years. It was also found that those had no income practiced significantly better than those earning >R3001 per month (p<0.05). It was found that knowledge was moderately positively correlated with practice towards DM (p<0.05). Conclusion: The knowledge and practice levels of lifestyle modifications and control of type 2 diabetes mellitus patients attending KwaDabeka Community Health Centre were generally poor. Nevertheless, majority of these patients have positive attitude toward healthy lifestyle habits which could potentially be harnessed and translated into healthy lifestyle practices. Health education intervention through Health Care Workers might improve the knowledge, attitudes and practices of the DM patients regarding DM


2018 ◽  
Vol 5 (1) ◽  
pp. 154
Author(s):  
Yogesh M. Paikrao ◽  
Prashant M. Deshpande ◽  
Kailas N. Chintale

Background: The term lymphadenopathy refers to nodes that are abnormal in size, consistency or number. Cervical lymphadenothy is one of the common and important presentations of the underlying pathology of the head and neck region which has large number of differential diagnosis like neoplasms, infections (specific and non-specific) and in immune deficiency disorders and also, the rare disorders like Inflammatory pseudotumour (Plasma cell granuloma) and Kikuchi-Fujimoto diseases. Etiological profile of cervical Lymphadenopathy varies from region to region, in developing countries like India, acute respiratory infection, suppurative skin infection and tuberculosis are the main causes for cervical lymphadenopathy while in developed countries secondary carcinoma are the most frequent causes for cervical lymphadenopathy.Methods: This hospital based cross sectional study was carried out in the Department of Otorhinolaryngology in Rural Tertiary Health Care Centre. The period of the study was from January 2014 to June 2016.Results: In our study of 176 patients the youngest patient was 13year of age and oldest patient was 68 years old. The majority of patients affected were in the age group of 21 to 30 years (30.68%) followed by 13 to 20 years (23.86%). The least affected age group was 60 to 70 years (5.8%). There were 80 men and 96 women. The male to female ratio in present study was 1:1.2 The frequently affected age group was 21 to 30 years in men (26.25%) as well as women (34.38%). In our study Neck swelling was present in all cases (100%). fever was the second most common symptom in 54 cases (30.68%) followed by cough in 45 cases (25.56%). In our study most frequently involved lymph node group was posterior cervical in 68 cases (38.39%), followed by upper deep cervical in 66 cases (37.50%).Conclusions: In the present study it was found that tuberculosis was the most frequent cause of cervical Lymphadenopathy in 48.29% of patients, followed by reactive Lymphadenopathy in 17.34%, metastatic lymphadenopathy in 15.34% chronic nonspecific Lymphadenopathy in 14.77% and primary lymphoreticular malignancy in 4.35%. In our study out of 176 cases of cervical lymphadenopathy 141 cases (80.11%) were non neoplastic and 35 cases (19.88 %) were neoplastic.


2021 ◽  
Vol 28 (3) ◽  
pp. 294-296
Author(s):  
Nikhil Rajendra Dhorje ◽  
Kshitij Dhaval Shah ◽  
Madhusudhan V ◽  
Pushkaraj Abhay Kulkarni ◽  
Renuka Anil Bradoo

Introduction  Foreign body in the eye is one of the leading causes of temporary as well as permanent visual problems in developing world. Case Report We are presenting a case of 17 year old male with alleged history of traumatic insertion of foreign body acrylic glass in right orbit due to bursting of cracker in acrylic bottle and its subsequent management. Discussion It was removed with endoscopic guidance and floor of orbit was reconstructed to provide stability to eyeball and also to prevent secondary complications. We present this case to highlight importance of multidisciplinary approach in tertiary health care centre.


2021 ◽  
Vol 19 (3) ◽  
pp. 155-159
Author(s):  
Sanjay Girmaji Mutyepod ◽  

Background: Co-infection of Human Immunodeficiency Virus (HIV) and tuberculosis(TB) is considered to be one of the emerging medical conditions responsible for huge social and economic burden globally. Tuberculosis is leading cause of mortality among people living with HIV/AIDS. Methodology: The present cross-sectional study was carried out in a tertiary care centre of a city in Maharashtra between the periods of 1st August 2019 to July 2020. Study population were IPD patients from department of pulmonary medicine of tertiary health care centre. Sampling technique: Every fifth PTB diagnosed patient admitted in ward of pulmonary medicine department was included in the study till the sample size was achieved. The data was entered to excel sheet and analyzed by Windows 10 excel software. Result: study subjects were from age group 16-30 years of age, in this age group 2 (0.75%) patient was co-infected with PTB and HIV. 86(32.33%) study subjects were from age group 31 – 45 years of age from this age group 8 (3.00%) patients were HIV PTB co-infected. 2(0.75%) patient was there in age group 13-15 years of age. Symptoms of study subjects in PTB with HIV patients most common symptoms were weight loss(100%), Loss of appetite(100%) and evening rise of fever (85.71%).While in PTB without HIV patients loss of appetite evening rise of fever and weight loss was most common symptoms. In patients of PTB and HIV co-infection, sputum smear positive rate was lower, 6 out of 14 patients (42.86%) as compared to patients without PTB and HIV co-infection, 148 out of 252(i.e., 58.73%). Conclusion: It can be concluded from our study that there is difference n demography of HIV co-infection with Tuberculosis also it differed in clinical and radiological features also we have noted that the mortality of HIV –TB co-infection was having higher mortality i.e. 14.28% as compared to without co-infection i.e. 3.96%, hence prompt treatment by antiviral drugs and timely screening for TB and timely treatment is mandatory.


Author(s):  
Dr Pratibha. Patil ◽  
Dr. Sanjay Patil

Introduction: Worldwide approximately 830 women die every day from preventable causes related to pregnancy and childbirth; 99% of those 830 daily deaths are women from developing countries. Aims and Objectives: To Study incidence of ante-partum hemorrhage and its types at tertiary health care centre Methodology: This study was conducted in Medical college & General hospital, in the Department of Obsterics & Gynecology. A Total no. of 104 cases of antepartum hemorrhage admitted in hospital were studied & analyzed .In the present study all patients who had bleeding from genital tract after 20 weeks of gestation & before second stage of labor were included . The data was entered in excel sheets and analyzed and presented in tabular form expressed in percentages. Result: In our study we have seen that the majority of the patients were of Placenta previa were 1.39%, followed by Abruption placenta Were -0.93%, Local lesions were 0.05%, Unclassified group were 0.05%, Total APH were - 2.42%, Of the Total No. of deliveries 4307.  The majority of the patients were in the age group of 21-25 were -37.50%, 26-30 - 28.84%, 16-20- 20.20%, 31-35- 9.62%, 35 & above were 2.84%. The majority of the patients of APH were of Third party were -25.00%, Second –21.15%, Primi-18.27%, Fourth –16.34%, Fifth and Sixth & above were -9.62%. Placenta previa was more common in Third- 26.67%, followed by Second – 23.33%, and Primi -16.27%. Abruptio placenta placenta was more common in Primi and Third-22.5%, second and fifth was 17.5%, Sixth & above were 12.5%. This observed difference was not statistically significant (p>0.05) . Conclusion: In our study we have seen that the majority of the patients were of Placenta previa, the majority of the patients were in the age group of 21-25, The majority of the patients of APH were of Third party. Placenta previa was more common in Third parity, Abruptio placenta placenta was more common in Primi and followed by Second Third parity. Key words: Ante-Partum hemorrhage (APH), Abruptio placenta, Placenta previa, Anemia of chronic disease, Microcytic hypochromic anemia.


Author(s):  
Y. G. Anupama ◽  
Geetha Bhaktha ◽  
B. Manjula ◽  
H. J. Dadapeer ◽  
K. S. Govinda Swamy ◽  
...  

<p class="abstract"><strong>Background:</strong> Vitiligo is a common depigmentation disorder involving persons of all ages and both genders uniformly throughout the races. The highest incidence of vitiligo has been recorded in Indians from the Indian subcontinent, along with Mexicans and Japanese.</p><p class="abstract"><strong>Methods:</strong> Patients visiting Dermatology OPD were recruited for the study at the tertiary health care centre, Mc Gann’s teaching district hospital Shivamogga. Data regarding health-related status and other factors were collected between May 2016 and October 2017.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among the potential candidates, 8.6% of our study population was with the positive family history of vitiligo and 50.9% were females and 49.1% were males. Patients with age from 27-36 years were found to be affected mostly. The most common site of onset was the lower limbs (30%) followed by head and neck (25.4%) with the commonest pattern to be of acro-facial type.</p><p class="abstract"><strong>Conclusions:</strong> This study suggests that local epidemiological behavior of vitiligo was not the same across different regions. Variations did exist and may possibly be due to certain clinico-epidemiological parameters of Shimoga viz., prevalence of associated diseases and its extent of involvement.</p>


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