scholarly journals AN OBSERVATIONAL STUDY ON ACUTE POISONING IN PAEDIATRIC POPULATION IN A RURAL MEDICAL COLLEGE.

2020 ◽  
pp. 56-58
Author(s):  
Madhunandan Krishnegowda ◽  
Rohan Yadav
Keyword(s):  
Young Children ◽  
Observational Study ◽  
Paediatric Population ◽  
Acute Poisoning ◽  
Medical Sciences ◽  
Toxic Agent ◽  
Medical College ◽  
Toxicological Profile ◽  
Childhood Poisoning ◽  
Spread Sheet

Backgound: In paediatric emergencies acute poisoning is frequently encountered and is the leading cause of morbidity and mortality in developing countries. There is natural division of acute poisoning in paediatric population in to two groups i.e. young children and adolescents. The first group comprises of young children who innocently ingest small amount of single substances. Second group comprises of adolescents who purposefully ingest substantial quantity of multiple substances secondary to emotional outburst or psychiatric illness. This study aimed to study the clinical, toxicological profile and outcome of Acute poisoning in paediatric population in Adichunchanagiri institute of medical sciences, Mandya, Karnataka, India. Subjects and methods: This is a retrospective observational study done from January 2018- December 2019, in Adichunchanagiri institute of medical sciences, Mandya, Karnataka, India, involving childhood poisoning. Data was noted on a predesigned proforma, it was compiled and entered in MS Excel spread sheet; descriptive statistics was applied. Results: Out of 50 cases 24 cases (48%) were males and 26 cases (52%) were females. Majority of cases were distributed in the age group of 1-4 years 24 cases (48%), followed by 15-18 years 19 cases (38%). Suicidal poisoning was more seen in adolescent females 15 cases (30%). Pesticide and insecticide remains the most common toxic agent i.e. 21 cases (42%), followed by hydrocarbons 16 cases (32%). 42 cases (84%) got improved, 5 cases (10%) got referred and there was 1 (2%) death. Majority of the cases (52%) got discharged between 1-3 days. Conclusions: Pesticides and hydrocarbons remains most easily accessible toxins in rural area hence, are most commonly implicated toxins in childhood poisoning. Though poisoning remains worrisome problem, it is preventable.

Acute poisoning in southern part of Bangladesh – The case load is decreasing

1970 ◽  
Vol 37 (2) ◽  
pp. 61-65 ◽  
Author(s):  
FR Chowdhury ◽  
AU Rahman ◽  
FR Mohammed ◽  
A Chowdhury ◽  
HAMN Ahasan ◽  
...  
Keyword(s):  
Copper Sulphate ◽  
Tertiary Hospital ◽  
Acute Poisoning ◽  
Age Group ◽  
Toxic Agent ◽  
Female Ratio ◽  
Medical College ◽  
Group I ◽  
Unknown Substance ◽  
Puffer Fish

This retrospective study was carried out in the Medicine Department of Khulna Medical College, the biggest tertiary hospital in the southern part of Bangladesh to observe the trends of poisoning in southern part of Bangladesh over four years including age and sex variation, mode of poisoning, type of poison used and outcome of poisoning. The hospital medical records of all patients, aged 10 years and above with history of acute poisoning from January, 2003 to December, 2006 were enrolled. Patients were categorized into four age group including Group (Gr.) I, Gr. II, Gr. III & Gr. IV having age range of 10-20, 21-30, 31-40 & >40 respectively. Underlying causes of poisoning were also observed totally and individually in different mode with male, female ratio and the percentage. Death cases according to mode of poisoning with demographic alignment were also observed. Statistical analysis were done using epi-info version 3.5.1 and measures were presented as proportion and percentage. Among 1903 cases, 1012 (53.1%) were male and 891 (46.8%) female with a ratio of 1.4: 1. The year wise total number of cases were progressively decreased from 627 (2003) to 353 (2006). Most commonly found toxic agent was Organo-Phosphate compound (526; 27.64%) with a very little sexual variation & this trend remained same in all study years. Poisoning with unknown substance was the second leading cause (16.03%) followed by Copper-sulphate (14.03%), Sedative (13.35%), Snakebite (12.93%) etc. Incidence of unknown poisoning, sedatives, snake-bite and corrosives were found to be gradually decreased over the study years. Male were found mostly affected in majority type of poisoning except Copper-sulphate, kerosene, puffer fish, paracetamol and other drugs category. Age group II (710; 37.3%) was the most vulnerable group with male (57.89%) preponderance followed by group I (643; 33.7%), III (329; 17.2%) and IV (221; 11.6%) respectively. Highest 1308 (68.7%) cases were suicidal in mode followed by 304 (15.9%) accidental and 291 (15.2%) homicidal. Out of 1903, 140 (7.3%) patients died. Death rate was highest in OPC poisoning (52.1%) followed by unknown substance (13.5%), snakebite and copper-sulphate (11.4%) etc. In an agro-based country like Bangladesh, it’s very difficult to reduce the poisoning cases and mortality. Prospectively designed multi-centered studies are needed to reflect the epidemiological properties of poisonings throughout Bangladesh, and would be very valuable for the determination of preventive measures. DOI: http://dx.doi.org/10.3329/bmrcb.v37i2.8436 BMRCB 2011; 37(2): 61-65

scholarly journals Gender Determination by Linear Dimension of Permanent Canine: An Odontometric Analysis

2014 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
B Sharma ◽  
N Balaji ◽  
MK Sumathi
Keyword(s):  
Sexual Dimorphism ◽  
Sex Determination ◽  
Linear Dimension ◽  
Medical Sciences ◽  
Medical College ◽  
Type Iv ◽  
Racial Background ◽  
Significant Difference ◽  
Natural Change ◽  
The Individual

Background and objectives: Identification, an aspect of forensic anthropology, is the recognition of an individual based on the physical characteristics unique to the individual. Among the four main attributes i.e. gender, age, stature and ethnic or racial background of an individual’s biological identity, sex determination is usually the first step in the human identification process. Teeth can be used as a means of sex determination as teeth are resistant to post-mortem degradation and survive deliberate, accidental or natural change. This study was carried out with an objective to determine the sexual dimorphism of maxillary and mandibular canine by linear tooth diameter for permanent dentition in Moradabad population. Material and Methods: A total number of 40 subjects (20 Males and 20 Females) were included in this study. After obtaining an informed written consent, alginate impression was taken with help of perforated impression trays and study models were prepared with type IV dental stone. Linear (MD, BL, Crown Height) were taken with digital vernier caliper. Results: It was observed that males’ shows more mean linear crown diameter as compared to females. Also, the mesiodistal and buccolingual measurement shows statistically significant difference for all canines, being higher for males than females. Conclusion: The present study has expressed sexual dimorphism of permanent canine using Student’s test and indicate that linear dimension of maxillary canine can be used for sexual diamorphism with accuracy along with other accepted procedure for sex determination. DOI: http://dx.doi.org/10.3126/jmcjms.v2i1.11392   Janaki Medical College Journal of Medical Sciences (2014) Vol. 2 (1): 23-27

scholarly journals Watching Videos and Television Is Related to a Lower Development of Complex Language Comprehension in Young Children with Autism

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 423
Author(s):  
Elisabeth Fridberg ◽  
Edward Khokhlovich ◽  
Andrey Vyshedskiy
Keyword(s):  
Young Children ◽  
Observational Study ◽  
Language Comprehension ◽  
Expressive Language ◽  
Children With Autism ◽  
Television Watching ◽  
High Quartile ◽  
Young Children With Autism

The effect of passive video and television watching duration on 2- to 5-year-old children with autism was investigated in the largest and the longest observational study to date. Parents assessed the development of 3227 children quarterly for three years. Longer video and television watching were associated with better development of expressive language but significantly impeded development of complex language comprehension. On an annualized basis, low TV users (low quartile: 40 min or less of videos and television per day) improved their language comprehension 1.4 times faster than high TV users (high quartile: 2 h or more of videos and television per day). This difference was statistically significant. At the same time, high TV users improved their expressive language 1.3 times faster than low TV users. This difference was not statistically significant. No effect of video and television watching duration on sociability, cognition, or health was detected.

Aetiological Outcome of Mesenteric Lymphadenopathy and Pain Abdomen in Paediatric Population at a Tertiary Care Hospital (MRIMSHyderabad) - A Hospital Based Prospective Observational Study

2021 ◽  
Vol 8 (29) ◽  
pp. 2601-2608
Author(s):  
Dileep Kumar Allagadda ◽  
Harikrishna Appana ◽  
Ramu Pedada ◽  
Deepika Gurram ◽  
Ditin Joseph
Keyword(s):  
Abdominal Pain ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Paediatric Population ◽  
Etiological Agent ◽  
Parasitic Infections ◽  
Care Hospital ◽  
Age Group ◽  
Mesenteric Lymphadenitis

BACKGROUND Abdominal pain is a common disorder in children and adolescents worldwide with prevalence rate ranging from 20 - 25 % in school-going children in India. It is a frustrating concern to the child, parents and the physician. Even though abdominal pain is one of the most common complaints in children, it poses a diagnostic challenge owing to the variety of underlying causes. The purpose of this study was to evaluate the aetiology of abdominal pain associated with significant mesenteric lymphadenopathy in a paediatric population. METHODS This is a hospital based prospective, observational study done in Department of Paediatrics, Malla Reddy Institute of Medical Sciences (MRIMS), Hyderabad. RESULTS Out of the 65 children studied, 30.8 % were of 5 - 8 years age group, 36.9 % were 9 - 12 years age group and 32.3 % were 13 - 15 years age group. In our study, we found 50.8 % were boys and 49.2 % were girls. 20 % of them were having fever, 16.9 % were having cough, 16.9 % were having diarrhoea, 13.8 % were having sore throat, 16.9 % dysuria, and 15.4 % were having constipation. All patients in our study group underwent ultrasound of abdomen. All cases were having significant mesenteric lymphadenopathy (more than 5 mm in short axis with three or more number of lymph nodes). In 53.8 % cases, etiological agent for the mesenteric lymphadenopathy was not proved with our investigations. In the remaining 46.2 % of children, cause of mesenteric lymphadenopathy was proved and 38.5 % were bacterial infections, 6.2 % were viral infections and 1.5 % were parasitic infections. CONCLUSIONS It is important to recognise mesenteric lymphadenitis as a clinical entity in paediatric cases presenting with abdominal pain. They should be evaluated for an etiological agent and if no proven source of infection and etiological agent is found, it can be considered as functional abdominal pain. If we are able to get a proper etiological diagnosis in these cases, we could treat them and we could make huge difference in terms of quality of life. KEYWORDS Abdominal Pain, Mesenteric Lymphadenitis, Ultrasound, Significant Mesenteric Lymphadenopathy

Intracranial Lesions Presenting as Bony Swellings of Scalp – An Observational Study of 13 Cases at King George Hospital, Visakhapatnam, A Tertiary Care Government Hospital

2021 ◽  
Vol 8 (31) ◽  
pp. 2822-2829
Author(s):  
Yarlagadda Srinivas Rao ◽  
Manda Venkata Vijayasekhar ◽  
Patirla Prahalad ◽  
Kadali Satyavaraprasad ◽  
Atla Bhagyalakshmi ◽  
...  
Keyword(s):  
Observational Study ◽  
Tertiary Care ◽  
Neurological Deficits ◽  
Intracranial Tumours ◽  
Medical College ◽  
Long Duration ◽  
Intracranial Lesions ◽  
Histological Characteristics ◽  
Malignant Lesions ◽  
King George Hospital

BACKGROUND The purpose of this study was to evaluate the intracranial lesions eroding the calvarium and presenting as bony swellings of the scalp. This kind of presentation is usually rare. This is because intracranial tumours usually manifest early with focal neurological deficits, seizures or features of raised intracranial pressure. Only a few patients, in whom the intracranial lesions, despite being present for a long duration, do not have neurological manifestations but erode the overlying bone and may present as bony swellings of the scalp. We studied the clinical presentation of such lesions, analysed their radiological and histological characteristics. METHODS This is an observational study from October 2018 to September 2020. A total of thirteen cases were studied in the Department of Neurosurgery, Andhra Medical College, Visakhapatnam, Andhra Pradesh. After clinical examination, an appropriate diagnostic workup was done, and all the cases were taken up for surgery. The clinical behaviour and histopathological features of the lesions were analysed. RESULTS In our study of thirteen cases, the most common cause of an intracranial lesion presenting as bony scalp swelling is meningioma which comprised almost 53.8 %, the second most common lesion is secondaries. Others included fibrous dysplasia and malignant small blue round cell tumour. CONCLUSIONS Intracranial lesions eroding the bone and presenting as scalp swellings are rare. In our study, the spectrum of these scalp swellings has ranged from benign lesions like meningioma to malignant lesions like secondary deposits. KEYWORDS Bony Scalp Lesions, Intracranial Tumours with Bony Erosion, Dumbbell Brain Tumours

scholarly journals Single Stages Repair of Hypospadias Using The Snodgrass Technique: A Modern Choice

2018 ◽  
Vol 14 (2) ◽  
pp. 50-52
Author(s):  
Binod Karn ◽  
N. M. Shrestha
Keyword(s):  
Observational Study ◽  
Plastic Surgery ◽  
Teaching Hospital ◽  
The Other ◽  
Fistula Formation ◽  
Meatal Stenosis ◽  
Proximal Hypospadias ◽  
Medical College ◽  
Cosmetic Appearance

 Background: Proximal hypospadias with chordee is the most challenging variant of hypospadias to reconstruct. During the last 10 years, the approach to severe hypospadias has been controversial.Materials & Methods: This is a hospital based observational study conducted in the plastic surgery unit of department of surgery at Nepalgunj Medical College and Teaching Hospital Kohalpur from 2012 March to 2016 September. All patients underwent single staged procedures using Snodgrass technique.Results: Thirty three patients were operated. Twenty four patients had no complications. Single fistula was present in 6(18.18%) patients. Two (6.06%) patients had 2 fistulae; one at the original site of the hypospadias and the other was sub-coronal. One (3.03%) patient had moderate meatal stenosis, which was successfully treated by repeated dilatations.Conclusion: Single Staged procedure using the principles of Snodgrass's technique; is a versatile operation that can be used for the proximal hypospadias. It decreases the rate of fistula formation; disruption; stenosis and gives a satisfactory cosmetic appearance. JNGMC,  Vol. 14 No. 2 December 2016, Page: 50-52

scholarly journals Efficacy of vitamin D in children with pneumonia: a randomized control trial study

2016 ◽  
Vol 3 (1) ◽  
pp. 5-13 ◽  
Author(s):  
A Dhungel ◽  
MS Alam
Keyword(s):  
Vitamin D ◽  
Intervention Group ◽  
Vitamin D Supplementation ◽  
Medical Sciences ◽  
Connective Tissues ◽  
Medical College ◽  
Vascular Structures ◽  
Randomized Control ◽  
Group 2 ◽  
Discharge From Hospital

Background and Objectives: Pneumonia is the inflammation of parenchyma of lungs. It strictly represents any inflammatory condition that involves the lungs along with the visceral pleura, airways, alveoli, connective tissues and vascular structures. The objective of the study was to see the efficacy of vitamin D in children with pneumonia.Material and Methods: A randomized control study was conducted in Department of Pediatric Medicine, Mayo Hospital, Lahore, Pakistan. One hundred patients with pneumonia received vitamin D along with appropriate antibiotics and one hundred were treated with antibiotics but without vitamin D. The patients were discharged after the fast breathing and chest in drawing settled. The duration of hospital stay was noted. They were followed up for next 90 days after discharge from hospital and any new episode of pneumonia was noted and recorded.Results: The mean number of days to recovery were similar between the group receiving vitamin D (5.7 ± 2.7 days) and the group not receiving vitamin D (6.1 ± 2.8days), (p=0.28). While comparing repeat episode of pneumonia within next three months, the repeat episode of pneumonia was significantly lower in the intervention group (2%) than the group without supplementation (9%; p = 0.002) within 30 days of supplementation of vitamin D.Conclusion: Vitamin D supplementation in a single dose to the children diagnosed as pneumonia significantly reduces the occurrence of new episodes of pneumonia within one month of discharge.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (1):5-13

scholarly journals Clinical profile of Otomycosis: a hospital based study at central terrain region of Nepal

2016 ◽  
Vol 3 (1) ◽  
pp. 20-24
Author(s):  
N Lageju ◽  
SC Shahi ◽  
NK Goil
Keyword(s):  
Hearing Loss ◽  
High Temperature ◽  
Aspergillus Niger ◽  
Otitis Externa ◽  
Neck Surgery ◽  
Clinical Profile ◽  
Mastoid Cavity ◽  
Medical Sciences ◽  
Presenting Problems ◽  
Medical College

Background and Objectives: Otomycosis is the fungal infection of ear with some complications involving middle ear cavity and mastoid cavity. It is one of commonly encountered problem in otolaryngology clinics. It is commonly present in hot, humid with moisture, high temperature. So, this research is to study the clinical profile of otomycosis in central terrain region of Nepal.Material and Methods: The study was conducted in department of ENT- head and neck surgery in Janaki medical college and teaching hospital from August 2015 to June 2016. All the clinically diagnosed cases were enrolled in the study with typical symptoms and characteristics fungal debris in the external auditory canal (EAC). All the data regarding age, sex, occupation, presenting complaints, type of fugal debris, presence of acute otitis externa, findings of tympanic membrane (TM) taken.Results: Total of 77 patients were enrolled. Among them 27(35.1%) were male and 50(64.9%) were female. The most common presenting complaint is itching followed by earache, ear discharge, hearing loss. Itching was present in 77.9% of the cases followed by earache in 72.7%, aural fullness in 29%, ear discharge in 46.8% and hearing loss in 31.2%. Based on type of fungal debris on otoscopy, blackish was the commonest with frequency of 38 patients (49.4%) followed by whitish debris in 27 patients (35.1%) and yellowish among 12 patients (15.6%).Conclusion: Otomycosis is one of the most common presenting problems in otorhinolaryngology OPD. Females are affected more. Aspergillus niger implicated the most and ear itching is the most common presenting symptom.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (1):20-24

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