scholarly journals The clinical, laboratory and prognostic characteristics of haemorrhagic stroke cases related to COVID-19 infection

2021 ◽  
Vol 8 (11) ◽  
pp. 636-641
Author(s):  
Sibel Üstün Özek ◽  
Canan Emir
Keyword(s):  
Diabetes Mellitus ◽  
Mortality Rate ◽  
Clinical Laboratory ◽  
Haemorrhagic Stroke ◽  
City Hospital ◽  
Anticoagulant Treatment ◽  
Cross Sectional ◽  
Risk Patients ◽  
Male Patients ◽  
Neurologic Findings

Objective: Although ischemic and thrombotic vascular processes are more widely reported in COVID-19, the ratio of haemorrhagic cerebrovascular disease is lower. However, it needs to be evaluated because the mortality rate is higher in haemorrhages, and they may appear iatrogenically. Material and Methods: Patients observed at the Prof. Dr. Cemil Taşçıoğlu City Hospital between March 11th, 2020, and March 11th, 2021, were included in the study. Cases diagnosed as consecutive full intracerebral haemorrhage and concomitant with COVID-19 were observed during the study period. This study is a cross-sectional, retrospective, and observational study. Results: Within the 1-year period, 11 patients (7 men and 4 women) with a mean age of 64.45±18.68 years related to COVID-19 were recorded. Risk factors were high blood pressure at a frequency of 64%, diabetes mellitus at 45%, and the use of antiaggregants/anticoagulants at 36%. The ratio of male patients was 64% (n=7). The location of haemorrhage was intraparenchymal in 91% (n=10), and subdural in 9% (n=1). The mortality rate was 64%. Conclusion: Neurologic findings that develop, especially in noncooperating and prone patients in wards and intensive care units, must be observed carefully. Caution must be exercised in prophylactic antiaggregant and anticoagulant treatment, especially in high-risk patients. Intracranial haemorrhages are important due to high mortality.

ASSESSMENT OF ASSOCIATION OF DEMOGRAPHIC CHARACTERISTICS, DIET AND DISEASE WITH HAEMORRHAGIC STROKE AND FACTORS CAUSING STROKE LEADING TO CEREBRAL HAEMORRHAGE IN MALE PATIENTS IN QUETTA, BALOCHISTAN, PAKISTAN

2021 ◽  
Vol 20 (2) ◽  
pp. 183-189
Author(s):  
Anila Alam ◽  
◽  
Musa Bin Bashir ◽  
Mirwais Khan ◽  
Asad Khan ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Low Income ◽  
Past History ◽  
Cerebral Haemorrhage ◽  
Haemorrhagic Stroke ◽  
Demographic Characteristics ◽  
Urban Residence ◽  
Cross Sectional ◽  
Number Of Children ◽  
Male Patients

Objectives. This study aimed to assess and make a pattern of factors causing stroke leading to cerebral haemorrhage in male patients as well as to assess association of demographic characteristics, diet and disease with haemorrhagic stroke in Quetta, Balochistan, Pakistan. Methods. In a cross sectional questionnaire based interviewing study, a questionnaire was designed to access the pattern of factors causing stroke leading to cerebral haemorrhage in male patients. Total 339 cases (adult male who had haemorrhagic stroke) were identified from two government and four private hospitals in Quetta City, Province Balochistan, Pakistan. The study was conducted within the time period of 9 months, from March to November, 2015. The data was piloted and then final data was analysed by using IBM SPSS 22. Results. In demographic characteristic study of patients, majority 219 (64.6%) were among the age group between 51 years and above, 330 (97.3%) were married, majority 186 (54.9%) were having urban residence and 277 (81.7%) were having own residence ownership, 127 (37.5%) were having addiction to smoking and 120 (35.4%) were addicted to tobacco and snuff. 124 (36.6%) were reluctant to mention whether their patients were either smokers or not. Among total 339 patients, majority 284 (83.8%) were not doing physical exercise routinely or if they were recommended by the physician. Among the 339 patients, all 339 (100%) of patients selected the multiple options among all given options (headache, unconscious/loss of consciousness, pain in neck). Conclusions. Demographic characteristics, low level of education, low income, urban residence in combined family setup, married, increased number of children are associated with hemorrhagic stroke. Smoking, tobacco and snuffing may also cause stroke. Lack of physical exercise, past history of stroke, diabetes mellitus, cardiovascular disease, hypertension (personal or family) of any type does not significantly cause stroke but may increase the risk of stroke. The order of events suddenly happened to the hemorrhagic patients are headache, pain in neck, vomiting and finally state of unconsciousness.

scholarly journals Shoulder pain and functional disability in type 1 diabetic patients: A cross-sectional survey

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Muhammad Nazim Farooq ◽  
Aqsa Mehmood ◽  
Fatima Amjad ◽  
Jaweria Syed
Keyword(s):  
Diabetes Mellitus ◽  
Shoulder Pain ◽  
Functional Disability ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Male Patients ◽  
And Gender ◽  
Type 1 Diabetic Patients

Objective: To assess the prevalence of shoulder pain and functional disability (SPFD) in Type-1 diabetic patients, and to explore its association with duration of the disease, age and gender. Methods: A cross-sectional survey was carried out on previously diagnosed patients with Type-1 diabetes mellitus between April 2019 and March 2020. Data was collected from six hospitals including three tertiary care hospitals of Islamabad and Rawalpindi. Three hundred and twenty-eight patients were recruited through convenience sampling. Shoulder Pain and Disability Index was used to determine SPFD among participants. Point-biserial and Pearson correlation coefficients were calculated to find out the correlation between the variables. Independent t-test was used to determine the difference in the mean scores between the variables. Results: The prevalence of SPFD was found 85.7%. A significant correlation was found of the SPFD with age (r = 0.332, p < 0.001), duration of the diabetes mellitus (r = 0.154, p = 0.005) and gender (rpb = 0.171, p = 0.002). A significant difference was found in SPFD mean scores between female and male patients (female patients = 43.42±22.80, male patients = 35.31±22.91, p = 0.002). Conclusion: SPFD seems prevalent among Type-1 diabetic patients. Increasing age, long history of diabetes mellitus and female gender appear the associated risk factors for the shoulder pain and disability. doi: https://doi.org/10.12669/pjms.37.4.3401 How to cite this:Farooq MN, Mehmood A, Amjad F, Syed J. Shoulder pain and functional disability in type 1 diabetic patients: A cross-sectional survey. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3401 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals ERECTILE DYSFUNCTION

2016 ◽  
Vol 23 (03) ◽  
pp. 268-273
Author(s):  
Ansari Muhammad Rafique ◽  
Pooran Mal ◽  
Jairamani Bhagwan Das ◽  
Shafique-Ur-Rehman Memon ◽  
Syed M Tahir ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Erectile Dysfunction ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Male Patients

Objectives: Erectile dysfunction (ED) is a very common and distressing healthproblem in chronic maintenance hemodialysis patients. There is no such data available fromSind province of Pakistan on this issue; we want to highlight the factors and prevalence oferectile dysfunction among hemodialysis patients in this part of our country. Study Design:This hospital based observational, cross-sectional study Setting: It was conducted at 04hemodialysis centers of Hyderabad city Perod: In 2014 Methods: The Study was conductedby using International Index of Erectile Dysfunction (IIEF-5) for determination of prevalence& severity of ED among these patients. Comparative analysis for frequency of ED was alsodone between urban & rural patients. Adapted Urdu version of IIEF-5 was used for those whocannot understand English pro forma. Results: There were total 62 male patients; all of themwere on maintenance hemodialysis for more than 6 months. Their ages were between 20 to59 years with mean 36±11. In this series of patients 80% (n=50) were < 50 years of age whilethe diabetic patients were 58% (n=36). The overall prevalence of ED observed in patients was88.7% (n=55) in our study. Severe ED was seen in 30 (48.4%) patients. The prevalence &severity of ED was significantly higher in diabetes mellitus and over 50 years of age. There washigher incidence of ED 94% observed in patients who are living in rural areas as compared tourban areas patients 82%. Conclusions: It has been concluded in this study that majority ofmale hemodialysis patients were suffering from ED problem. Diabetes mellitus and & > 50 yearsof age has the highest prevalence of ED. Erectile dysfunction is very common and distressinghealth related issue among hemodialysis patients and this should be addressed with routine

scholarly journals Cost of hospitalisation and length of stay due to hypoglycaemia in patients with diabetes mellitus: a cross-sectional study

2020 ◽  
Vol 18 (2) ◽  
pp. 1847 ◽  
Author(s):  
Abdallah Y. Naser ◽  
Hassan Alwafi ◽  
Zahra Alsairafi
Keyword(s):  
Diabetes Mellitus ◽  
Length Of Stay ◽  
Cross Sectional Study ◽  
Hospitalisation Cost ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
Patients With Diabetes ◽  
History Of ◽  
Male Patients

Objective: This study aims to estimate the length of stay and hospitalisation cost of hypoglycaemia, and to identify determinants of variation in the length of stay and hospitalisation cost among individual patients with type 1 or 2 diabetes mellitus.  Methods: A cross-sectional study was conducted using inpatients records for patients with diabetes mellitus who had been hospitalised due to hypoglycaemic events in two private hospitals in Amman, Jordan between January 2009 and May 2017. All hospitalisation costs were inflated to the equivalent costs in 2017. Hospitalisation cost was estimated from the patient’s perspective in Jordanian dinars (JOD). Descriptive analyses and correlation between sociodemographic or clinical characteristics with the cost and length of stay were explored. Predictors of hypoglycaemic hospitalisation cost and length of stay were determined using logistic regression. Results: During the study period a total of 126 patients with diabetes mellitus were hospitalised due to an incident of hypoglycaemia. The mean patient age was 64.2 (SD=19.6) years; half were male. Patients admitted for hypoglycaemia stayed in hospital for a median duration of two days (IQR=2 days). The median cost of hospitalisation for hypoglycaemia was 163.2 JOD (USD 230.1) (IQR=216.3 JOD). We found that the Glasgow coma score was positively associated with length of stay (0.345, p=0.008), and older age was correlated with higher hospitalisation cost (0.207, p=0.02). Patients with a family history of diabetes had higher hospitalisation costs and longer duration of stay (0.306 and 0.275, p<0.05). In addition, being a male patient (0.394, p<0.05) and with an absence of smoking history was associated with longer duration of stay (0.456, p<0.01), but not with higher hospitalisation cost. Conclusions: Costs associated with the incidence of hypoglycaemic events are not low and constitute a large cost component of managing and treating diabetes mellitus. Male patients and patients having a family history of diabetes should receive extra care and education on the prevention of hypoglycaemic events, and a treatment de-intensification approach should be considered if necessary, so we can prevent its associated hospitalisation costs and length of stay.

Mucormycoses in Covid-19 Patients

2021 ◽  
Vol 15 (9) ◽  
pp. 2837-2840
Author(s):  
Samar Nazir ◽  
Athar Khan ◽  
Asif Noor ◽  
Rohana Rehman ◽  
Basil Khalid
Keyword(s):  
Diabetes Mellitus ◽  
Mortality Rate ◽  
Urban Areas ◽  
Virus Disease ◽  
Predisposing Factor ◽  
Common Cause ◽  
Corona Virus ◽  
Frequent Consumption ◽  
Risk Patients ◽  
Duration Of Disease

Objective: The goal of the study was to report clinical characteristics, contributing variables and outcome of patients with coronavirus disease 2019 (COVID-19)-associated mucormycosis (CAM). Study Design: Observational/descriptive study Place and Duration: Multan Medical and Dental College and Bakhtawar Amin Medical and Dental College. Duration Jan 2021 to July 2021. Methods: Total 90 patients of both genders had symptoms of mucormycosis during pandemic corona virus disease were presented in this study. Patients were aged between 22-80 years. Patients detailed demographics age, sex, body mass index and duration of disease were calculated after taking informed written consent. Patients were admitted in COVID-19 emergency ward and underwent for RT-PCR and MRI. Comorbidities, symptoms and cause of mucormycosis were assessed. At the end of study mortality rate, hospital stay and ICU admission were calculated. The SPSS 20.0 version was used to examine the entire set of data. Results: Majority of the patients 65 (72.2%) were males and the rest were females 25 (27.8%). Mean age of the patients were 51.42±12.64 years with mean BMI 28.44±8.72 kg/m2. 55 (61.1%) cases had COVID-19 and 35 (38.9%) were recovered from corona virus in this study. Mean duration of mucormycosis was 18.08±7.11 days. Most common symptoms of disease were eye pain/swollen of eyes, nasal stiffness, headache and blurring of vision. Rhino-orbital mucormycosis found in 63 (70%) cases. Majority of the cases were from urban areas 60 (66.7%) and 38 (42.2%) were literate. Diabetes mellitus was the most common comorbidity found in 70 (77.8%). Frequent consumption of the steroids during pandemic disease was the most common cause found in 59 (65.6%) cases. Mortality rate was 32 (35.6%) at the end of study. Conclusion: In this study we found that the complication of COVID-19 in high-risk patients can be mucormycosis. Poor diabetes mellitus is a significant CAM predisposing factor and frequent usage of excess steroids were the most common cause. Systematic surveillance for diabetes mellitus control and to educate the doctors are indicated for early detection of CAM. Keywords: COVID-19, Mucormycosis, Diabetes Mellitus, Steroids, Mortality

scholarly journals Codetection ofTrichomonas vaginalisandCandida albicansby PCR in Urine Samples in a Low-Risk Population Attended in a Clinic First Level in Central Veracruz, Mexico

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
A. López-Monteon ◽  
F. S. Gómez-Figueroa ◽  
G. Ramos-Poceros ◽  
D. Guzmán-Gómez ◽  
A. Ramos-Ligonio
Keyword(s):  
Trichomonas Vaginalis ◽  
Clinical Laboratory ◽  
Cross Sectional Study ◽  
Low Risk ◽  
Urine Samples ◽  
Cross Sectional ◽  
Primary Health ◽  
Risk Patients ◽  
June July ◽  
The City

The aim of this study is to estimate the prevalence ofTrichomonas vaginalisandCandida albicansin low-risk patients treated at a first level clinic (primary health care represents the first level of contact of individuals, families, and the community with the system national health). Using a cross-sectional study in patients treated in clinical laboratory of the Sanitary District no. 7 of the city of Orizaba during the months June-July, 252 urine samples were collected for the identification ofT. vaginalisandC. albicansby PCR. Furthermore, we analyzed the sociodemographic characteristics of the studied population. We observed an overall prevalence of 23.41% (95% CI 22.10–24.72) forT. vaginalisand 38.88% (95% CI 37.73–40.03) forC. albicans. There was also presence of coinfection in 14.28% (95% CI 13.10–15.46), which was associated with the presence of pain. Most of the positive cases were observed in women house-maker (80%, 95% CI 50.36–48.98). The results of this study provide evidence that the majority of positive cases observed in the studied population are presented in an asymptomatic form and usually are not associated with any risk factor.

scholarly journals GAMBARAN KADAR ALBUMINURIA PADA SUBJEK DIABETES MELITUS DENGAN DAN TANPA PENYAKIT JANTUNG KORONER

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Sandy Cendra ◽  
Emma Moeis ◽  
Yuanita Langi
Keyword(s):  
Diabetes Mellitus ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Renal Physiology ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Female Patients ◽  
Patients With Diabetes ◽  
Male Patients ◽  
Diabetes Melitus

Abstract: Albuminuria is a marker of the decline in renal physiology and function of endothelial. Endothelial dysfunction is an early pathogenesis of coronary heart disease (CHD). High coronary heart disease complications in patients with diabetes mellitus (DM). Objective To know the description and differences in levels of albuminuria in diabetic patients with and without CHD inpoli Metabolic and Endocrine and poli Heart BLU. RSU. Prof. dr. R. D Kandou Manado. Research Method: Cross Sectional descriptive analytic study conducted in patients with diabetes mellitus pieces with and without coronary heart disease in Poli Endocrine Metabolic and poli heart BLU. RSU. Prof. dr. R. D Kandou Manado period November 2012 - November 2013. Results: From 34 patients with diabetes mellitus found the number of diabetic patients with CHD were 17 patients and 17 patients for diabetes without CHD, which consisted of 14 male patients and 20 female patients. The distribution of the sample based on CHD and sex, showed that diabetic patients with CHD were 9 men (26.47%) and 8 women (23.53%). As for diabetic patients without CHD as many as 5 male patients (14.70%) and 12 female patients (35.30%). Distribution of the study sample by CHD and RAKU categories showed diabetic patients with CHD were 7 patients (20.59%) and normal RAKU 10 patients (29.41%) RAKU abnormal. As for diabetic patients without CHD by 16 patients (47.06%) and 1 patient RAKU normal (2.94%) RAKU abnormal. Conclusion: Albuminuria occurs more frequently in patients with diabetes mellitus with coronary heart disease than diabetes mellitus without coronary heart diseaseKeywords: Albuminuria, diabetes mellitus, coronary heart disease.    Abstrak: Albuminuria merupakan petanda terjadinya penurunan faal ginjal dan disfungsi endotel. Disfungsi endotel merupakan patogenesis awal penyakit jantung koroner (PJK). Komplikasi penyakit jantung koroner tinggi pada pasien diabetes melitus (DM). Tujuan: Untuk mengetahui gambaran dan perbedaan kadar albuminuria pada pasien DM dengan dan tanpa PJK di Poli Endokrin Metabolik dan Poli Jantung BLU. RSU. Prof. dr. R. D Kandou  Manado. Metode Penelitian: Dilakukan penelitian deskriptif analitik lintang potong pada penderita diabetes melitus dengan dan tanpa penyakit jantung koroner di Poli Endokrin Metabolik dan Poli Jantung BLU.RSU. Prof. dr. R. D Kandou  Manado periode November 2012 – November 2013. Hasil: Dari 34 pasien Diabetes Melitus ditemukan jumlah pasien DM dengan PJK sebanyak 17 pasien dan 17 pasien untuk DM tanpa PJK, yang terdiri atas 14 orang pasien laki-laki dan 20 pasien wanita. Distribusi sampel berdasarkan PJK dan jenis kelamin, didapatkan hasil pasien DM dengan PJK yaitu sebanyak 9 orang laki-laki (26,47 %) dan 8  orang perempuan (23,53%). Sedangkan untuk pasien DM tanpa PJK yaitu sebanyak 5 orang pasien laki-laki (14,70%) dan 12 orang pasien perempuan (35,30%). Distribusi sampel penelitian berdasarkan PJK dan RAKU Kategori didapatkan hasil pasien DM dengan PJK sebanyak 7 pasien (20,59%) RAKU normal dan 10 pasien (29,41%) RAKU abnormal. Sedangkan untuk pasien DM tanpa PJK sebanyak 16 pasien (47,06%) RAKU normal dan 1 pasien (2,94%) RAKU abnormal. Simpulan: Albuminuria lebih banyak terjadi pada pasien diabetes melitus dengan penyakit jantung koroner dibandingkan diabetes melitus tanpa penyakit jantung koroner Kata kunci: Albuminuria, diabetes melitus, penyakit jantung koroner.

scholarly journals The Incidence of Dysarrhythmias, Their Types and Outcomes in Patients Hospitalized with COVID -19

2021 ◽  
Vol 21 (2) ◽  
pp. 41-51
Author(s):  
Abdulsatar Kamil Faeq ◽  
Keyword(s):  
Atrial Fibrillation ◽  
Mortality Rate ◽  
Sinus Tachycardia ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Cardiac Diseases ◽  
Cross Sectional ◽  
Hospital Patients ◽  
Male Patients

Background: COVID-19 infection started in China and became a pandemic, the SARS-CoV-2 virus mainly affects the respiratory system but can insult the cardiovascular system as well, higher rate of cardiac arrhythmias noted during the pandemic, and many studies showed that COVID-19 (especially hospitalized patients) can develop different types of arrhythmias which cause higher mortality rate. Objective: To assess the incidence of dysrhythmias and their types and outcomes in hospitalized patients with COVID-19 in Erbil city. Patients and Methods: Patients with documented COVID-19 infection admitted in Erbil Teaching Hospital respiratory care unit and coronary care unit from 1-8-2020 to 30-10-2020 had been included (255 patients) in this cross-sectional study, demographic data, and outcomes were reported, the ECG analyzed by cardiologists and the type of arrhythmia documented. Results: Mean age was 47±12 years, 61% of the patients were male, 25% of them had previous cardiac diseases, 20% diabetes, 16% multiple comorbidities, 8% hypertension, 8% obesity and 23% had no comorbidities, 20.7% of in-hospital patients developed dysrhythmias, 5.9% of them developed sinus tachycardia, 4.7% atrial fibrillation, 3.9% ventricular premature contractions, 2% ventricular fibrillation, 1.9% ventricular tachycardia and 1.9% heart blocks. Most of the patients who developed ventricular arrhythmias, atrial fibrillation, and heart block had previous comorbidities 82%, 62%, and 80% respectively. Arrhythmias caused a higher in-hospital mortality rate (39.6% versus 21.7%) especially among male patients (mortality rate in male patients 43% compared with female patients 33%). Conclusion: Most of the admitted cases were male. Most of them had comorbidities especially previous cardiac diseases. Sinus tachycardia, atrial fibrillation, and ventricular extra-systoles were the most frequent arrhythmias. The mortality rate was increased by arrhythmias mainly in male patients. Keywords: COVID-19, Dysrhythmias, Outcomes, Pandemic

scholarly journals Epidemiological overview of dementia in Brazil from 2010 to 2020

2021 ◽  
Author(s):  
Bianca Brinques da Silva ◽  
Rebeca Delatorre Fonseca ◽  
Bernardo Neuhaus Lignati ◽  
Lana Caroline Palaver Dall’Ago ◽  
Laura Couto Cosner ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hospital Stay ◽  
Epidemiological Data ◽  
Patient Comfort ◽  
Average Hospital Stay ◽  
Cross Sectional ◽  
Average Hospital ◽  
The North ◽  
West Region ◽  
Male Patients

Background: Brazil is the second country in dementia cases prevalence. The populational aging worsens this situation and overloads the healthcare system. Objectives: To analyze the epidemiological data of dementia in the period from 2010 to 2020 in Brazil. Design and setting: Descriptive cross-sectional epidemiological study with patients with Dementia in Brazil between 2010 and 2019. Methods: Study realized using the SUS Hospital Information Systems (SIH/ SUS), with the information provided by the SUS Informatics Department. Results: From 2010 to 2020, Brazil had 170 million dementia cases notifications and 31 thousand hospitalizations. The southeast region had the highest case prevalence (88%), and the North region the lowest (0.36%). The hospitalized patients number per 100.000 inhabitants was highest in the South region (25.11) and lowest in the North region (4.55). The Center-west region had the highest mortality rate (16.43) and the North the lowest (1). 53% of the reported cases were males, being 51% of the hospitalization rate. The mortality rate was higher in female patients (8.58) and 7.18 for male patients. Patients over 70 years accounted for 75% of the deaths. The patients between 30 and 39 years presented the longest average hospital stay (140,6 days). Southeast and South had the longest (122.2) and shortest (15.1) hospital stay in days, respectively. Conclusion: The data showed the disparity among the regions, from hospitalizations to mortality rates. Hence, politics that can embrace the totality of the territory, improving patient comfort, and disease prognostic are needed.

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