STUDY THE CLINICO-DEMOGRAPHIC-ETIOLOGIC PROFILE OF DIAGNOSED CHRONIC LEG ULCER PATIENTS AT SKMCH, MUZAFFARPUR, BIHAR

2021 ◽  
pp. 49-50
Author(s):  
Kumar Vikram ◽  
Sanjay Kumar ◽  
Manoj Kumar ◽  
Debarshi Jana
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Wounds ◽  
Systemic Disease ◽  
Leg Ulcer ◽  
Prospective Clinical Study ◽  
Age Group ◽  
Diabetic Ulcers ◽  
Medical College ◽  
Venous Ulcers ◽  
Management Policies

Aim: to study the clinico-demographic-etiologic prole of the patients diagnosed with chronic leg ulcer. Materials and methods: prospective clinical study was conducted among 50 patients of lower limb ulcers who attended Surgery OPD of Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar. The selected cases were studied with respect to detailed history along with clinical examination and required investigations were done to reach the denitive diagnosis. Result: Most common age group involved in our study is <60 years (42%) followed by <40 years (34%). Male was the predominant sex involved accounting for 41 cases (82%) and females had the disease in 9 cases (18%). Majority of the patients i.e. 21 patients (42%) were farmers by occupation. The most common etiological type was Diabetic ulcers present in 17 cases (34%) followed by trauma 14 (28%). Diabetes Mellitus was the most common systemic disease in our study accounting for 21 patients (48%). The venous ulcers occurred more commonly in the gaiter zone (100%) whereas arterial and diabetic ulcers occurred mainly on the foot i.e., 100% and 52.9% respectively. Conclusion: The present study concluded that the most common etiologies for chronic leg ulcer were diabetes mellitus and trauma. Results of this study may benet development of clinical management policies concerning chronic wounds.

Leg ulcer

2015 ◽  
Author(s):  
Hugo Farne ◽  
Edward Norris-Cervetto ◽  
James Warbrick-Smith
Keyword(s):  
Diabetes Mellitus ◽  
Time Course ◽  
Pressure Ulcers ◽  
Leg Ulcer ◽  
The Other ◽  
Venous Stasis ◽  
Leg Ulcers ◽  
Venous Ulcers ◽  
Patients With Diabetes ◽  
Neuropathic Ulcers

Venous ulcers account for by far the majority (about 70%), with mixed arterial/venous (about 10%) and arterial (about 10%) most of the remainder. Pressure ulcers have become increasingly common because of the increase in elderly, frail, and relatively immobile patients. The other causes are relatively rare with the exception of neuropathic ulcers in patients with diabetes mellitus. Note that many leg ulcers may have a multifactorial aetiology, i.e. they may involve more than one of the pathologies listed in Figure 29.1. The first thing is to ask about the ulcer. You should consider: • Is the ulcer painful? ■ Venous ulcers are caused by venous stasis in the leg and are thus less painful when elevated and drained of blood. However, only about 30% of venous ulcers are painful. ■ Arterial (atherosclerotic) ulcers are caused by ischaemia to the leg and are thus more painful when elevated and drained of blood. Patients often say the ulcers are painful enough to wake them up at night and that they obtain relief by lowering their leg over the side of the bed. ■ Neuropathic ulcers are caused by loss of sensation (which predisposes to constant trauma) and are thus not painful. ■ Pressure ulcers are caused by, as the name suggests, prolonged pressure on the affected site. They tend to be exquisitely tender but not necessarily painful if no pressure is being applied. • How long has the ulcer been there? ■ Venous ulcers are less painful and can therefore present late. They often have a long and recurring history. ■ Arterial ulcers tend to present relatively early because of pain. They often occur secondary to trivial trauma. ■ Neuropathic ulcers are associated with a loss of sensation and thus often present late. ■ Pressure ulcers can develop surprisingly rapidly (e.g. days in immobile patients if they are not turned regularly during their admission, even hours in patients who suffer a long lie following a fall), but can have a more indolent course depending on how much pressure is put on for how long. Thus the time course is not especially helpful. ■ A long history should arouse suspicion of a Marjolin ulcer, which only occurs in long-standing ulcers.

scholarly journals Role of Four Layer Compression Dressings in Management of Chronic Venous Ulcers

2019 ◽  
Vol 5 (02) ◽  
pp. 42-45
Author(s):  
Luv Luthra ◽  
Rajendra Prasad ◽  
Ranjith Kumar ◽  
Nivedita Mitta ◽  
Tinku Varghese
Keyword(s):  
Lower Extremity ◽  
Healing Rate ◽  
Randomized Study ◽  
Compression Therapy ◽  
High Morbidity ◽  
Age Group ◽  
Duration Of Treatment ◽  
Medical College ◽  
Venous Ulcers

Abstract Introduction Nonhealing venous ulcers are one of the most common forms of lower extremity ulcers in the present population. It is cumbersome to treat and is associated with high-morbidity and immense treatment expenses. The current treatments include compression therapy. Four-layer compression dressings have proven to be an effective treatment for venous ulcers. Objective This study aimed to evaluate the efficacy of four-layer compression dressings and to study the rate of healing and duration of treatment with four-layer compression dressings. Materials and Methods A prospective randomized study conducted at MS Ramaiah Medical college which included 70 patients who completed the course of weekly dressings depending on the size of ulcer. The regular four-layer dressings were done by a trained podiatrist in vascular outpatient department (OPD) once a week. The area of the ulcer was calculated using the modified Gilmen formula. Results A total of 70 patients who were compliant with the treatment were included in the study. A considerable percentage (74%) of patients were male and all the ulcers were located at the gaiter area. Most belonged to the age group between 41 to 50 years (25%). The healing rate of ulcers at the end of 4, 8 and 12 weeks were 46.87, 28.12, and 25%, respectively. At the end of 12 weeks, all the ulcers healed.

scholarly journals Early Puerperal Complications - A Prospective Clinical Study on Caesarean Deliveries

2018 ◽  
Vol 27 (1) ◽  
pp. 68-71
Author(s):  
Tahamina Akhter ◽  
Tabassum Ghani ◽  
Subinoy Krishna Paul ◽  
Noorjahan ◽  
Afrina Begum ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Wound Infection ◽  
Fetal Distress ◽  
Medical College Hospital ◽  
Prospective Clinical Study ◽  
Age Group ◽  
College Hospital ◽  
Normal Delivery ◽  
Medical College

Introduction : when a healthy pregnant woman with no obstetric or medical risk factors goes into spontaneous labour, she should anticipate a normal delivery. But still 580, 000 women in the world die from pregnancy and childbirth each year.1 Lack of attention to postpartum care in developing countries is neglected tragedy and requires immediate attention. This study evaluates the incidence of complications of early puerperium and also focuses the specific types of complications and to detect the risk factors associated with these complications. Aims and objectives : Main aim of the study is to evaluate the common complications in early puerperium with special attention to identify the risk factors. Materials and method : This study was carried out in Dhaka Medical College Hospital and Sir Sallimullah Medical College Hospital within the period of March ’2004 to August’ 2004. Two hundred patients were selected for this study who were delivered by caesarean section in these two institutions and complications occurring within 7 days excluding first 24 hours. Patients delivered outside the hospital and with known medical diseases were excluded from this study. Detailed history taking and appropriate clinical examination and specific investigations were done for diagnosis of complications. All relevant informations was noted in prescribed data sheet and results were tabulated and statistical analysis was done. Results : Among 200 cases only 44(22%) cases had early puerperal morbidity.Most of the patients who suffered complications underwent caesarean section for obstructed labour and fetal distress who had trial at home. Many of the patients suffered from wound infection and endometritis (40.9%). Among patients, age group -<20 years suffered from wound infection(53.8%) and endometritis(45.8%) were common in age group 21-30 years. VVF was common in patients in age <20 years.Endometritis (42.2%) was maximum in women with parity 1-3 and wound infection (50%) in women with parity 4-6. Some of the patients had more than one early puerperal morbidity. Maximum number of poor class suffered from wound infection (42.4%).Early puerperal morbidity was more prevalent in women with duration of labour <18 hours and Premature rupture of membrane had relationship with endometritis (15.9%), wound infection (13.6%) and UTI (11.4%). Conclusion : Incidence of early puerperal morbidities is still quite high (22%) and many patients experiences more than one problem at a time.Long term sequelae of early puerperal infectious morbidity should not be neglected as this may interfere quality of life of a woman. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 68-71

scholarly journals A study on adverse drug reactions of oral anti-diabetic agents in patients with type II diabetes mellitus in Hi-Tech Medical College and Hospital, Bhubneswar, Odisha, India

2019 ◽  
Vol 8 (5) ◽  
pp. 837
Author(s):  
Indrani Dey ◽  
Srikanta Mohanty ◽  
Anju Prasad ◽  
Chaitali Patnayak ◽  
Ratna Palit
Keyword(s):  
Diabetes Mellitus ◽  
Adverse Drug Reactions ◽  
Endocrine System ◽  
Type Ii Diabetes Mellitus ◽  
Therapeutic Interventions ◽  
Severity Assessment ◽  
Age Group ◽  
Drug Reactions ◽  
Medical College ◽  
Female Predominance

Background: Diabetes mellitus is an emerging non communicable, life style disease & the use of anti-diabetics has been increasing. Adverse drug reactions (ADRs) are well known to occur with any class of drugs when used in normal doses for the management of diseases. Anti-diabetic agents are no exception to this. The study of ADRs is the concern of the field known as pharmacovigilance. The objective of the present study was to analyze and describe the patterns of adverse events associated with the use of oral Anti-diabetic agentsMethods: A hospital based prospective observational study at Hi-Tech Medical College and Hospital, Bhubaneswar, Orissa. Convenience samples of 266 adult patients, prescribed with oral anti-diabetic agents from October 2016 to November 2018 were selected, out of which 74 patients developed ADRs. Data collected from available prescriptions. The severity assessment is done using the Hartwig and Siegal scale and preventability assessment using modified Schumock and Thornton is done.Results: Study suggests that female predominance in 41 (55.40%) patients with maximum cases of 43.24% in age group of 61-70 years age group. Maximum ADRs reported related to endocrine system seen in 36 (48.67%) patient population. Sulfonylureas 38 (51.35%) shows the largest numbers of ADR. The maximum ADRs reported were probable (56.73%). The severity assessment using the Hartwig and Siegal scale indicated that the majority of the ADRs were 63 (81.63%) as mild cases respectively.Conclusions: This study has provided evidence of monitoring and detecting ADRs and their management through therapeutic interventions which is beneficial in the better patient outcome.

scholarly journals GAMBARAN XEROSTOMIA PADA MASYARAKAT DI DESA KEMBUAN KECAMATAN TONDANO UTARA

e-GIGI ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Brian Tumengkol
Keyword(s):  
Diabetes Mellitus ◽  
Systemic Disease ◽  
Antihypertensive Agents ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Salivary Flow ◽  
Subjective Perception ◽  
Age Group ◽  
Purposive Sampling ◽  
Diabetes Melitus

Abstract: Xerostomia is a symptom of subjective perception of dry mouth, generally associated with reduced salivary flow. This was a descriptive study that aimed to determine the profile of xerostomia among the community in Kembuan village, North Tondano. There were 83 samples obtained by using purposive sampling technique. Data were obtained by questionnaire and examination of salivary flow of the respondents. The results showed that there were 33 respondents with xerostomia. Females were 18 respondents meanwhile males were 15 respondents. The age group 61-70 years consisted of 15 respondents showed the highest percentage 45.45%. Diabetes mellitus is found in 11 respondents (78.57%). Antihypertensive agents were the most common drugs that were used by the respondents (38.46%). Conclusion: In Kembuan village, North Tondano, xerostomia was more frequent among the groups: age 61-70 years, females, suffering from diabetes mellitus, and using anti hypertensive agents.Keywords: xerostomia, gender, age, systemic disease, drugsAbstrak: Xerostomia merupakan gejala atau tanda-tanda yang dirasakan oleh seseorang yang merupakan persepsi subjektif dari mulut kering yang pada umumnya berhubungan dengan berkurangnya aliran saliva. Penelitian ini bersifat deskriptif yang bertujuan untuk mengetahui gambaran Xerostomia pada masyarakat di desa Kembuan, kecamatan Tondano Utara. Sampel penelitian sebanyak 83 orang yang diambil dengan teknik purposive sampling. Data diperoleh berdasarkan kuesioner penelitian dan pemeriksaan laju aliran saliva terhadap responden. Hasil penelitian menunjukkan bahwa xerostomia pada masyarakat desa Kembuan, kecamatan Tondano Utara berjumlah 33 responden. Jenis kelamin perempuan ditemukan sejumlah 18 responden, dan laki-laki 15 responden. Rentang usia tersering 61-70 tahun sejumlah 15 responden. Diabetes mellitus merupakan penyakit sistemik yang tersering menyertai xerostomia dibandingkan penyakit sistemik lainnya yaitu sejumlah 11 responden. Obat-obat antihipertensi merupakan kelompok obat tersering menyertai xerostomia seumlah 5 responden. Simpulan: Di desa Kembuan, Tondano Utara, xerostomia lebih sering ditemukan pada kelompok usia 61-70 tahun, jenis kelamin perempuan, menyandang diabetes melitus, dan menggunakan obat antihipertensi.Kata kunci: xerostomia, jenis kelamin, usia, penyakit sistemik, obat

scholarly journals A COMPARATIVE STUDY OF CONJUNCTIVAL AUTOGRAFT AND BARE SCLERA TECHNIQUES IN THE TREATMENT OF PTERYGIUM

2020 ◽  
pp. 100-102
Author(s):  
M. MUHAMMAD IDRIS ◽  
N. DIVYA ◽  
V. PANIMALAR A. VEERAMANI ◽  
BINDU BHASKARAN
Keyword(s):  
Diabetes Mellitus ◽  
Comparative Study ◽  
Recurrence Rate ◽  
Treatment Options ◽  
Age Group ◽  
Conjunctival Autograft ◽  
Medical College ◽  
Operative Complications ◽  
Minimum Age ◽  
The Mean

Objective: Pterygium is a fibrovascular growth encroaching from the conjunctiva into the cornea. This study deals with the comparison of conjunctival autograft and bare sclera technique as treatment options for pterygium. Methods: This study was done in the ophthalmology department of Saveetha Medical College, Thandalam, Chennai. A total of 100 patients were diagnosed of pterygium was taken for the study, out of which 60 patients were operated on with conjunctival autograft and 40 patients were operated with bare sclera technique. Patients with hypertension, diabetes mellitus were excluded. Post-operative complications and recurrence were noted. All the patients were between the age group of 20-65 y. Results: The mean age of patients operated with conjunctival autograft was 43.6, whereas in bare sclera technique was 46.625. The maximum age was 63 and the minimum age was 23 in conjunctival autograft whereas in bare sclera technique, the maximum age was 64 and the minimum age was 22. The recurrence rate of pterygium in conjunctival autograft was 1 and the recurrence rate of pterygium in bare sclera technique was 4. Conclusion: The present study revealed that conjunctival autograft was a better treatment option compared to the bare sclera technique for excision of pterygium

scholarly journals Study on clinical profile and risk factors associated with pneumonia

2019 ◽  
Vol 6 (5) ◽  
pp. 1926
Author(s):  
Gangina Sriram ◽  
Akula Satyanarayana
Keyword(s):  
Risk Factors ◽  
Economic Status ◽  
Significant Risk ◽  
Severe Pneumonia ◽  
Control Programme ◽  
Morbidity And Mortality ◽  
Prospective Clinical Study ◽  
Age Group ◽  
Factors Affecting ◽  
Medical College

Background: Modernization, industrialization and urbanization are now posed with the problem of increase in ARI morbidity and mortality. The epidemiological information regarding risk factors and management is scanty. A large gap exists in our knowledge about these factors, which needs to be fulfilled by systematic studies. The present study is designed to identify the risk factors of pneumonia in our area.Methods: This was a prospective clinical study of pneumonia conducted on 94 children who were admitted to Paediatric ward in GSL Medical College General Hospital, Rajahmundry in study duration. Epidemiological factors affecting the same were studied and bronchoscopy was done whenever it was needed. A detailed history of the relevant symptoms, such as fever, cough, rapid breathing, refusal of feeds, noisy breathing, bluish discolouration etc., was collected.Results: The most affected children belonged to the age group of 1 year to 3 years (64.9%). Bronchopneumonia (86.2%) was the most common clinical diagnosis made at admission. According to WHO ARI control programme, 28.7% had pneumonia, 54.3% had severe pneumonia and 17% very severe pneumonia. It was found that younger age group, malnutrition, kutcha house, crowding, poor sanitation facilities, cooking with fuel other than LPG (indoor pollution) and low socio economic status and high respiratory rate were significant risk factors for pneumonia in children.Conclusions: ARI, especially pneumonia is one of the major causes of morbidity and mortality in children. Bronchopneumonia is the predominant form of presentation in infants and preschool children.  

scholarly journals Levels of interluekin-6 and its correlation with maternal outcome in patients of gestational diabetes mellitus

2021 ◽  
Vol 10 (4) ◽  
pp. 1545
Author(s):  
Ujjwala Anand ◽  
Manish Kumar ◽  
Rashmi B.
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Maternity Hospital ◽  
Maternal Outcome ◽  
Age Group ◽  
Maternal Complications ◽  
Medical College ◽  
A Prospective Study ◽  
First Time

Background: Gestational diabetes mellitus (GDM) is a glucose tolerance disorder that occurs or is diagnosed for the first time during pregnancy. Objective was to see the levels of interluekin-6 and its correlation with maternal outcome in patients of gestational diabetes mellitus.Methods: The source of data for the study is the antenatal patients attending the Outpatient Department or admitted in “Upper India Sugar Exchange Maternity Hospital”, Department of Obstetrics and Gynaecology, G.S.V.M. Medical College, Kanpur. This study was a prospective study done on 120 patients.Results: Most patients in the study group belonged to the age group 20-24 years followed by age group 25-29 years. Level of interleukin-6 was significantly raised in gestational diabetes mellitus patients compared to non-gestational diabetes mellitus. 13.19% patients of GDM had PROM, which was only 6.5% in non GDM patients. 25.79% patients of GDM had preterm, which was only 12.8% in non GDM patients. 5.16% patients of GDM had polyhydramnios, which was only 2.64% in non GDM patients. 17.20% patients of GDM had IUGR, which was only 10.31% in non GDM patients.Conclusions: Gestational diabetes is associated with various maternal complications i.e. preeclampsia, preterm, PROM, IUGR, polyhydramnios, increased operative morbidity, development of type 2 DM.

scholarly journals Prevalence of type 2 diabetes mellitus among non teaching staff of a medical college in North Karnataka: a cross sectional study

2017 ◽  
Vol 4 (5) ◽  
pp. 1674
Author(s):  
Birendra Babu Yadav ◽  
Shivaswamy M. S. ◽  
M. D. Mallapur
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cross Sectional Study ◽  
Teaching Staff ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Waist Hip Ratio ◽  
High Prevalence

Background: Diabetes threatens to assume pandemic level by 2030 and there is no available statistics of type2 diabetes mellitus on non-teaching staff. The risk factors like bad habits, family history, waist hip ratio (≥ 0.9 in males and ≥0.85 in females), BMI (≥28) and IDRS (>60) all attributed to the high prevalence of pre-diabetic as well as diabetes. Aims: To know the prevalence of Type 2 Diabetes Mellitus among non-teaching staff and to determine the risk factors associated with it.Methods: A facility based cross – sectional study was conducted among all the non-teaching staff of Jawaharlal Nehru Medical College, Belagavi from February to October 2014.A total 500 (394 males and 106 female) participants between age group 20-59 years were selected for the study. After taking written informed consent, information regarding socioeconomic and risk factors were collected though pre – tested questionnaire. Physical examination were done to calculate BMI, Waist –Hip ratio and IDRS (Indian diabetes risk score). The random blood sugar was estimated to identify the diabetes and pre-diabetics. Results: The overall prevalence of diabetics and pre- diabetics was 5 per cent and 17 per cent respectively. The prevalence of diabetes was highest in age group 50-59 years. The risk factor like bad habit, waist hip ratio (≥0.9 in males and ≥0.85 in females), BMI (≥28) and IDRS (>60) attributed to high prevalence of pre diabetics and diabetics. Conclusions: The prevalence of diabetes was more among non-teaching staff so; both preventive and curative services should be provided to them. 

scholarly journals The incidence of thyroid dysfunction in diabetic patients – A study done at a tertiary care center in South India

2022 ◽  
Vol 7 (4) ◽  
pp. 107-110
Author(s):  
Sancy Mary Sam ◽  
Sethu Stephen
Keyword(s):  
Diabetes Mellitus ◽  
Thyroid Dysfunction ◽  
South India ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Thyroid Disorders ◽  
Thyroid Disorder ◽  
Age Group ◽  
Medical College ◽  
The Mean

It has been noted that in the Indian population the incidence of thyroid disorder is common and its incidence rises with advancing age. Screening for thyroid disorder is indicated for the certain high risk patients such as elderly and those already having other endocrinal disorders There are various studies that have shown a finding that a higher than normal prevalence of thyroid disorders in type 2 diabetic patients, of which hypothyroidism is the commonest disorder Owing to this we at the medical college at south India decided to evaluate the occurrence of thyroid dysfunction in patients who have been diagnosed with diabetes mellitus and also to compare the level of thyroid dysfunction in the younger and the older population.Department of surgery, medicine and Pharmacology at Al Azhar Medical College Thodupuzha, Kerala, India for a duration of 3 years on 300 patients. The present study was an observational study during the period of study, the test subjects patients having diabetes mellitus and healthy individuals (Controls)coming for regular health check-up with no co morbidities detected were included in this study as controls.In the non -geriatric age group the mean age was 49.6 years SD + 8.15 years and in the geriatric age group the mean age was 68.78 years SD + 4.83 years. The commonest age group in the study was between the age of 61-70 years with of the study population. The age group in the present study ranged between the age of 30 years and 79 years. The incidence of diabetes mellitus increased with age, but the control of sugars is better with age thyroid dysfunction was as follows 20% had hyperthyroidism (36%) hypothyroidism. There is a linear increase with the prevalence of thyroid disorders with age with a r= 0.77 and p &#60; 0.05.The incidence of thyroid dysfunction also increased with age As compared to the non -geriatric group which was the incidence higher in older age group p &#60; 0.05.This study reveals about at least one in three who have DM are suffering from thyroid dysfunction, that increases with increasing age and uncontrolled sugars in this part of the world, which might warrant routine screening.

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