scholarly journals DERMATOGLYPHIC STUDY OF BETA THALASSEMIA IN A TERTIARY CARE HOSPITAL – A CASE CONTROL STUDY

2020 ◽  
pp. 58-61
Author(s):  
Oindrila Chhatui ◽  
Pranab Mukherjee ◽  
Premananda Bharati ◽  
Debarshi Jana

BACKGROUND: The term “thalassemia” was coined by Whipple and Bradford in 1932, in their classical paper of pathology of the condition. Thalassemia is a heterogenous group of genetic disorder affecting haemoglobin synthesis which results from a reduced rate of production of one or more globin chains of haemoglobin. AIM: The current study will try to find out the dermatoglyphic correlation between thalassemic children and children not having thalassemia in respect of gender as well as bilateral asymmetry. METHODS: The sample for the present case control study was collected from Thalassemia unit, under Paediatric department at R.G. Kar Medical College and Hospital, Kolkata. Among 204 individuals- 102 are cases, who are diagnosed Beta Thalassemia patients up to 12 yrs of age and 102 are normal children upto 12yrs of age taken as control groups. Among 102 in each case and control groups, 51 are male and 51 are female individuals. RESULT: Association of control male and Beta thalassemic male vs. Triradial count right was statistically significant (p<0.0001). Association of control male and Beta thalassemic male vs. Triradial count left was statistically significant (p<0.0001). CONCLUSION: In female thalassemia patients, there was complete absence of radial loops. But, significant lower incidence of radial loops of left hand was observed in male Beta thalassemics than the control group.

Author(s):  
Samira Jamal ◽  
Sheikh Anwarul Karim ◽  
Sheikh Mahee Ridwan Raihan ◽  
Rajat Biswas ◽  
Mansurul Alam

Background: In this study our main goal was to evaluate the association of psoriasis as a risk predictor for the occurrence of diabetes mellitus (DM) and hypertension (HTN).Methods: This case control study was carried out in the department of dermatology and venereology, Chittagong medical college hospital (CMCH), Chittagong, Bangladesh from 15 June 2011 to 14 May 2012. Where 60 patients with psoriasis and 60 patients with skin diseases other than psoriasis were included according to availability within the study period.Results: During study, among the psoriatic patients, most of the patients with DM and HTN had body mass index (BMI) within normal limit. During analysis of different clinical findings in psoriatic patients scaling was present in all the cases followed by Auspitz sign, koebnerization, itching, scalp involvement and nail changes. Patients with psoriasis were found to have higher incidence of DM and HTN in comparison to their non-psoriatic control group. It was also observed that psoriatic patients having DM and HTN had longer duration of diseases (p<0.05).Conclusions: In conclusion, our study indicates that patients with psoriasis have an increased risk of DM and HTN, confirming the findings from previous several case control and cross sectional studies. These data illustrate the importance of considering psoriasis as a systemic disorder rather than simply a skin disease. Awareness of concurrent diseases will provide the clinician an opportunity of screening .for others systemic diseases.


2021 ◽  
Vol 19 (2) ◽  
pp. 45-47
Author(s):  
Y Satish Reddy ◽  

Background: patients with breast pain are often referred to surgery department. The present study was conducted to determine the factors associated with Mastalgia among women attending a tertiary care hospital Methods: This case control study was conducted on 120 women between the age 18 to 65 in the department of General surgery. The study included case subjects (n = 50) with Mastalgia and the control subjects (n = 50) without Mastalgia. The severity of breast pain was calculated with visual analog scale. questionnaire was given to all the participants and data is collected. Data was analysed by SPSS version 16 and P value of < 0.05 was considered statistically significant value. Results: Among those who had experienced mastalgia, 76% (46) had cyclical mastalgia and 24% (14) had non-cyclical mastalgia. The mean of pain score was 4.72 ± 2.28 and most of the women(18%) had pain score of “6” which is moderate pain The mean age and Body mass index were higher in the case group than control group (p<0.005). Stressful lifestyle, caffeine consumption, smoking, higher BMI and higher breast-fed infants were significantly associated with mastalgia (p < 0.001). postmenopausal women have decreased frequency of mastalgia which is significantly associated with mastalgia (p < 0.001). Conclusion: age, BMI, Stress, caffeine, smoking, lactation frequency, menopause state were found to be related with mastalgia.


Author(s):  
Surender Kumar ◽  
Neha Salaria ◽  
Deepak Verma ◽  
Uma Garg ◽  
Monika Verma

Background- Head and neck squamous cell carcinomas(HNSCC) are one of the most widespread malignancies worldwide. Trace elements such as magnesium are essential at cellular level, and it has been suggested that magnesium plays a role in carcinogenesis. Methods- A hospital based case control study was conducted in a tertiary care medical college with an aim to determine the levels of serum magnesium in patients with head and neck cancer and to  compare  the  levels  of  serum  magnesium  of head and neck cancer patients   with healthy matched control  group  and  derive significance if any. Results- HNSCC was mainly found in males of age group 46 to 55 years. The mean serum Mg value of head and neck cancer patients was 0.71± 0.18 mmol/l while that seen in controls was 0.85± 0.09 mmol/l which was significantly lower(p<0.001). Average serum magnesium levels in stages I, II, III and IV were 0.85, 0.849, 0.682 and 0.554 mmol/l respectively, and a statistically significant association was determined between the two. Conclusion- As the stage of cancer progressed, average magnesium levels decreased congruently, hence establishing that magnesium levels were undeniably correlated to onset as well as progression of HNC. These evidences could be utilized to identify role of magnesium asa potential prognostic biomarker to assess progression of disease or clinical response to various modes of therapy in head and neck cancer patients.


Author(s):  
Vandna Singh ◽  
Neeta Natu ◽  
Artika Sudhir Gupta

Background: Thyroid disease is one of the commonest endocrine disorder affecting women of reproductive age, and when untreated during pregnancy is associated with an increased risk of complications. The objective of this review was to increase awareness and to provide a review on adverse effect of thyroid dysfunction on maternal and perinatal outcome.Methods: This prospective, observational hospital-based case-control study carried on women coming for antenatal check-up in a Tertiary Care Hospital in INDORE from May 2018-December 2018. 50 known booked antenatal (case) patient with established thyroid disorder, more than 32 week of gestation, and 50-matched euthyroid patients (control) were taken.Results: Women suffering from overt and subclinical hypothyroidism and hyperthyroidism are nulliparous in 72% cases as compared to 32% in euthyroid patient. Increased maternal age was associated with higher incidence of thyroid dysfunction. Normal vaginal delivery by spontaneous labour seen in 56% of euthyroid, while it is reduced with thyroid dysfunction. 38% of altered thyroid profile patient undergo induction of labour and 24% cases undergo caesarean section as compared to control (17%). Adverse fetal outcome like intrauterine growth retardation, preterm birth and ICU admission seen increased with thyroid dysfunction  as compared to euthyroid patients.Conclusions: Thyroid dysfunction in pregnancy, although has a low incidence, but is associated with adverse maternal and fetal implications. Thus, thyroid screening should be done in antenatal period to improve fetomaternal outcome.


2020 ◽  
pp. 025371762094715
Author(s):  
MT Manoj ◽  
KA Joseph ◽  
Govindan Vijayaraghavan

Background: Coronary heart disease (CHD) is an impending global pandemic in developed countries as well as developing countries and economies in transition, such as India. A significant increase in the incidence of myocardial infarction (MI), one of the most common types of CHD, is being reported in India, and the incidence and severity of the disease are more among the youth in Kerala. Studies assessing the association between psychological factors and MI are few in India. Methods: We adopted a case-control study design. A total of 150 cases (with MI) and 150 controls (without MI and matched for age and gender) from a tertiary care hospital in Trivandrum, Kerala, India, were selected using convenient sampling method, between September 2016 and August 2017. Results: As compared to 33.3% of the controls, 50.7% of patients with MI had type D personality characteristics. Multivariate logistic regression analysis after adjusting for the confounders indicated a positive and statistically significant association between type D personality and MI: OR = 4.14, 95% CI = 2.19–8.85, P = 0.003. Conclusion: Type D personality is associated with MI.


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