scholarly journals RELATION BETWEEN OBESITY AND THYROID STATUS IN GERIATRIC INDIVIDUALS OF AHMEDABAD CITY

2021 ◽  
pp. 94-101
Author(s):  
Jayshree Tolani ◽  
Rosy Lekharu ◽  
Nitinkumar Shah

Background: Hypothyroidism is a significant possibility factor for cardiovascular diseases. And autoimmune thyroiditis (AIT) is the prominent reason of hypothyroidism. Recent studies exhibited that even AIT patients with euthyroidism still had an increased number of premature atherosclerotic lesions. However, the specific procedure is not yet established. This study aimed to investigate the relation of thyroid status and obesity risk factors in geriatric individuals. Methods: The present study was carried out at a tertiary care centre in Ahmedabad. A total of 1000 geriatric individuals (aged more than 60 years) were included, which were randomly selected from the O.P.D. and indoor patients. Results: The geriatric patients were found to have significantly lower FT3 and FT4 levels with higher TSH and antithyroid peroxidase antibodies (Anti TPO) levels. Obesity was found to have a positive correlation with TSH and Anti TPO levels. Regression analysis also demonstrated that the Anti TPO level was one of the influencing factors for Obesity and Cholesterol. Conclusion: The Anti TPO level is positively associated with Obesity.

Author(s):  
Yamini Marimuthu ◽  
Radhika Kunnavil ◽  
NS Anil ◽  
Sharath Burugina Nagaraja ◽  
N Satyanarayana ◽  
...  

COVID-19 is an emerging viral disease affecting more than 200 countries worldwide and it present with varied clinical profile throughout the world. Without effective drugs to cure COVID-19, early identification and control of risk factors are important measures to combat COVID-19.  This study was conducted to determine the clinical profile and risk factors associated with mortality among COVID-19 patients in a tertiary care hospital in South India. This record-based longitudinal study was conducted by reviewing the case records of COVID-19 patients admitted for treatment from June 2020 to September 2020 in a tertiary care centre in South India. The clinical details, discharge/death details, were collected and entered in MS Excel. Potential risk factors for COVID-19 mortality were analysed using univariate binomial logistic regression, generalized linear models (GLM) with Poisson distribution. Survival curves were made using the Kaplan-Meier method. Log-rank test was used to test the equality of survivor functions between the groups. Out of 854 COVID-19 patients, 56.6% were men and the mean (standard deviation) age was 45.3(17.2) years. The median survival time was significantly lesser in male COVID-19 patients (16 days) as compared to female patients (20 days). Increasing age, male gender, patients presenting with symptoms of fever, cough, breathlessness, smoking, alcohol consumption, comorbidities were significantly associated with mortality among COVID-19 patients. Patients with older age, male gender, breathlessness, fever, cough, smoking and alcohol and comorbidities need careful observation and early intervention.  Public health campaigns aimed at reducing the prevalence of risk factors like diabetes, hypertension, smoking and alcohol use are also needed.


2020 ◽  
Vol 9 (1) ◽  
pp. 1-5
Author(s):  
Jatinder Singh ◽  
Vaneeta Bhardwar ◽  
Harshdhawann Singh ◽  
Isha Bhardwaj ◽  
Sushmita Choudhary ◽  
...  

Author(s):  
Shrusti Parmar ◽  
Nalini Sharma ◽  
Vimla Dhakar

Background: One among the three chief obstetric causes of bleeding in first trimester, ectopic pregnancy is the first thing to rule out as a gestation is suspected. The present study observes and analyses sociodemographic distribution, risk factors, presentation, diagnosis and treatment modalities in a tertiary care centre.Methods: An observational cross-sectional study, conducted among patients who were diagnosed and managed in department of obstetrics and gynaecology of a tertiary care centre. Data analyzed and explained as frequency, percentage, mean and standard deviation.Results: Age group between 21 to 30 years (69.9%) and multigravida (68.5%) are high risk for ectopic pregnancy (EP). Menstrual history was regular in 86.3%. Risk factors identified were previous abortion (30%) and history of pelvic inflammatory disease (30%). In 80.9% pain in abdomen was presenting complaints followed by bleeding per vaginum (60%), amenorrhoea (60%) and nausea and vomiting (32.9%). Right salpingectomy was most common in 43.8%, followed by left salpingectomy in 28.8%, methotrexate in 15.1%, left salpingo-ophorectomy in 5.5%, right salpingo-opherectomy in 5.5% and removal of tubal abortion in 1.3% patients. Laparoscopy was chosen route in majority 64.4% patients.Conclusions: Ectopic pregnancy - a gynecological catastrophe as well as a major challenge to the reproductive performance of women worldwide, should be considered a relevant public health issue. By providing adequate materials, manpower, well-equipped health facilities as well as a prompt and efficient referral system, good access roads and efficient transportation, will ensure early presentation in hospitals and prompt management of cases.


2019 ◽  
Vol 51 (10) ◽  
pp. 738-744 ◽  
Author(s):  
Hicaz Zencirkiran Agus ◽  
Serkan Kahraman ◽  
Cagdas Arslan ◽  
Gamze Babur Guler ◽  
Ali Kemal Kalkan ◽  
...  

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