CLINICAL PROFILE OF PATIENTS WITH SINONASAL MASSES - A CROSS SECTIONAL STUDY

2021 ◽  
pp. 1-2
Author(s):  
Aiswarya Gopalakrishnan ◽  
Pramod Menon

It is challenging to diagnose and distinguish sinonasal masses as they can have varying clinical presentations. This study was done to see if sinonasal masses can be detected by clinical symptoms, signs and examination itself without resorting to investigations. This cross sectional study was conducted in the department of Otolaryngology, Government Medical College Thrissur, Kerala for a period of one year from December 2017 to December 2018. Total 104 cases were studied. Most of the sinonasal masses were identied by doing proper anterior and posterior rhinoscopy which don’t require much expertise to master. This can be considered only as a screening because any intervention should be preceded by radiological investigations and biopsy for a denitive management.

Author(s):  
Khan I. Aqeel ◽  
S. K. Misra

Background: Internet has become an essential part of one’s life in this modern era where technology is taking over the world. Risk of Internet addiction (IA) has increased in this year 2020, due to Coronavirus disease 2019 (COVID-19) pandemic, where most of time students are restricted to their homes thus relying on social media to be in touch with outer world, moreover surfing of web, as well as online learning practices increased their screen and internet exposure time. Hence, we conducted a study to assess internet addiction among medical undergraduate students of Government Medical College in Agra.Methods: This descriptive cross-sectional study was conducted among 600 medical undergraduate students of S.N. Medical College, Agra. A self-administered, pre-validated questionnaire was used and a total of 488 students responded. E-questionnaire consist of questions about demographic information and internet usage pattern, it also contains Young’s IA test scale to measure internet addiction. Data obtained was analyzed and inferences were drawn.Results: The prevalence of IA was 61.5%. Mean ± Standard deviation (SD) age of the participants was 22.27±1.59 years and 48.36% were males. IA was significantly associated with male students, higher family income group and higher year of academic course. IA was also statistically significant with higher number of years since using internet, greater screen and internet usage time.Conclusion: Internet addiction is a growing problem among students of professional courses especially in medical colleges. IA has psychological, physical, and social impact on student’s life. So, it is necessary to develop strategies for prevention of internet addiction.


Author(s):  
Atif Ahmed ◽  
Kuldeep Poorani ◽  
Mohammad Amjad Kalhoro ◽  
Nisar Ahmed Khokar ◽  
Abdul Ghaffar Dars

Aim: To study the incidence of HbA1c elevation in patients with ischemic stroke whose blood glucose levels were normal within the last six months. Study Design: A cross-sectional study. Place and Duration: This cross-sectional study of the 96 patients with cerebral ischemic disease selected from the internal medicine department of Bilawal medical college Hospital Kotri, Sindh, Pakistan for one-year duration from August 2019 to August 2020. Methods: Crossectional study was conducted in the internal medicinal department of Bilawal Medical college Hospital, Kotri Sindh, Pakistan for the period of one year from August 2019 to August 2020. Total 96 study subjects were selected with cerebral ischemic disease, 62 were males and 34 were females. Many factors such as age more than 20 years, ischemic stroke and RBG (Random Blood Glucose) were also evaluated from each participant. SPSS 23.00 version was used for statistical analysis of research data. Results: 57.01 ± 13.4 years was the mean age of the patients. 62 (64.6%) patients were male and 34 (35.4%) were female. The male to female ratio was 2:1. HbA1c was elevated in 35 (36.5%) of 96 patients, while 61 (63.5%) had normal HbA1c.  The distribution of HbA1c elevation by gender showed that 20 (57.1%) patients with elevated HbA1c were men and 15 (42.9%) were women. Forty-three (70.5%) of 61 patients with normal HbA1c were male and 18 (29.5%) were female. Conclusion: it was concluded that glycated haemoglobin plays an important role for reducing the macro complication of Diabetes and the major macro complication observed was cerebral ischemic stroke among the people with elevated HbA1c.


Author(s):  
Christina Ann George ◽  
Shibu Thadathil Sreedharan ◽  
Smitha Kalarikkal Satheesan ◽  
Sindhu Panakkaparambil Surendranath

Introduction: Ischaemic Heart Diseases (IHD) are increasing at an alarming rate globally. Pharmacotherapy, the mainstay of management of IHD, has Dual Antiplatelet Therapy (DAPT) at its crux. DAPT, comprising of clopidogrel and aspirin, is used often for 12 months in medically managed Acute Coronary Syndrome (ACS). Clopidogrel being a prodrug, needs to be activated after ingestion, mainly by Cytochrome family of enzymes, for the desired pharmacological effects. Abnormal enzymes that convert clopidogrel to its active form can reduce the effectiveness of the drug. Therefore, Single Nucleotide Polymorphisms (SNPs) of the enzymes involved, would predispose the patient to therapy failure and recurrence of the illness. This study aims at identifying the presence of a genetic variant associated with clopidogrel responsiveness in patients with ACS. Aim: To estimate the frequency of CYP2C19*2 allele in patients with ACS presenting to Government Medical College, Thrissur, Kerala, India. Materials and Methods: Present study was a cross-sectional study done among 60 patients who presented to Government Medical College, Thrissur with ACS, between June 2018 to June 2019. Having obtained informed consent from the participants blood samples were collected in Ethylene diamine tetra-acetic Acid (EDTA) tubes. Samples were used to look for presence of CYP2C19*2 allele by Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP). Results: Out of 60 patients 38 were males and 22 were females. Most common age group was 61-65 years. The frequency of CYP2C19*2 allele was 41% in the study population and the variant genotype (AA/AG) was present in 62%. Conclusion: The variant genotype was found to be present in a high frequency in the study population implying the high risk for therapy failure in the study population. This asserts the need to probe the matter further, as the gene is also implicated in the metabolism of several other drugs. The introduction of pharmacogenomic testing prior to initiation of therapy may be therefore recommended for better treatment outcome. However, to validate the same, further studies with larger sample size may be necessary.


Author(s):  
Anjana Tiwari

Background: Rabies is a fatal viral zoonotic disease. In India about 20,000 persons die of rabies annually. The aim of present study was to assess the knowledge regarding rabies and its prevention among the medical students.Methods: A cross-sectional study was conducted among183 medical students of Government Medical College Rajnandgaon, Chhattisgarh during August 2017 to September 2017 using a pre-tested questionnaire. Data was entered and analyzed by using descriptive statistics (frequency and percentage).Results: It was seen that majority (83.1%) of medical students knew about the viral cause of rabies, 93.4% knew the dog as most common reservoir of rabies and 91.8% knew the most common mode of rabies transmission by bites of rabid animal. About three fourth (74.3%) of medical students knew that hydrophobia as the symptom of rabies in human. About danger sites of animal bite and fatality of rabies was known by 81.4% and 68.8% of medical students, respectively. Only 45.9% of medical students knew the correct incubation period of rabies. Majority (72.7%) of students knew about the immediate wash of the wound with soap and water but only 42.1% knew about antiseptic use. Majority (71%) of students knew the correct site and only 43.7% knew the correct schedule of vaccination. Only 29% of medical students knew about indication of rabies immunoglobulin.Conclusions: There is a need to organize re-orientation programs and continuing medical education (CME) sessions on rabies and its prevention for medical students, at regular interval.


2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Kriti Thapa ◽  
Sami Lama ◽  
Rita Pokharel ◽  
Rambha Sigdel ◽  
Surya Prasad Rimal

Introduction: Mobile phones are becoming increasingly indispensable in daily life of the studentswhich has resulted in mobile phone dependence. The objective of the study was to find the prevalenceof mobile phone dependence among undergraduate students of a medical college of Eastern Nepal. Methods: A descriptive cross-sectional study was conducted from October 2016 to March 2017on a total of 390 undergraduate students aged between 17 and 25 years using stratified samplingtechnique. Students using mobile phones for more than one year was included in the study. Studentswere requested to complete a pretested self-administered questionnaire which comprised theirsocio-demographic characteristics, pattern of mobile phone usage and mobile phone addiction indexdeveloped by Leung. Results: The prevalence of mobile phone dependence among the undergraduate students was foundto be 85 (21.8%). Mobile phone dependence was found to be related with time spend on mobile; callsper day, money spend on recharge per month and years of ownership of mobile phone. There wasno difference between males and females with regard to mobile phone dependence. Conclusions: The present study found that mobile phone dependence was common among theundergraduate medical students. These results suggest the need to develop educational programmeto educate the students to use mobile phone meaningfully.


Author(s):  
Nidhi Choudhary ◽  
Narendra Singh ◽  
Manish Nigam ◽  
Vinayak Gour ◽  
Vikas Yadav ◽  
...  

The present study is a record based study of Post-mortems performed at Mortuary of District Hospital (Associated with Medical College) Vidisha, MP, India, from January 2018 to December 2018 comprising 330 cases. This study was conducted to determine and evaluate the socio-demographic profile of different types of cases and to assess the nature and cause of their death. Of these cases 247 (74.84%) were males, 54 (25.15%) were females and 276 (83.63%) were identified whereas 54 (16.36%) were unidentified. Accidental deaths were commonest 142(43%), then death due to poisoning 98(29.69%). Pathological deaths were 36(10.89%). Death due to assault were less common 24 (7.27%).


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