scholarly journals Right sided arcus aorta as a cause of dyspnea and chronic cough

2012 ◽  
Vol 7 ◽  
Author(s):  
Sevket Ozkaya ◽  
Bilal Sengul ◽  
Semra Hamsici ◽  
Serhat Findik ◽  
Unal Sahin ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Chronic Cough ◽  
Recent Article ◽  
Rare Condition ◽  
Exertional Dyspnea ◽  
Female Ratio ◽  
Thoracic Ct ◽  
Asymptomatic Patients ◽  
Number Of Patients ◽  
Male To Female

Background: Right sided arcus aorta (RSAA) is a rare condition that is usually asymptomatic. Patients may present with exertional dyspnea and chronic cough. A recent article suggested that RSAA should be included in the differential diagnosis of asthma, especially in patients with intractable exertional dyspnea. We aimed to present the clinical, radiologic and spirometric features of thirteen patients with RSAA observed in four years at the Rize Education and Research Hospital and Samsun Chest Diseases and Thoracic Surgery Hospital. Methods: The characteristics of patients with RSAA, including age, gender, symptoms, radiologic and spirometric findings, were retrospectively evaluated. Results: A total of thirteen patients were diagnosed with RSAA. Their ages ranged from 17 to 86 years and the male to female ratio was 11:2. Seven of the patients (54%) were symptomatic. The most common symptoms were exertional dyspnea, dysphagia and chronic cough. Five patients had received treatment for asthma with bronchodilators. Spirometry showed intrathoracic tracheal obstruction in five patients. Conclusions: The RSAA anomaly occurs more frequently than might be estimated from the number of patients who are detected. Patients with intractable exertional dyspnea and chronic cough should be evaluated for the RSAA anomaly by thoracic CT.

scholarly journals OUTCOME OF DACRYOCYSTORHINOSTOMY WITH OR WITHOUT SILICON INTUBATION IN PRIMARY NASOLACRIMAL DUCT OBSTRUCTION

1969 ◽  
Vol 1 (2) ◽  
pp. 55-59
Author(s):  
Haroon Rashid ◽  
Faizur Rahman ◽  
Abid Naseem ◽  
Arshad Iqbal.
Keyword(s):  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Interventional Study ◽  
Female Ratio ◽  
Duct Obstruction ◽  
Number Of Patients ◽  
Silicon Tube ◽  
Complications Rate ◽  
Age Range ◽  
Male To Female

Objectives: The objective of the study was to compare the outcome of Classical Dacrocystorhinostomy(DCR) alone or with Slicon intubation in patients of primary nasolacrimal duct obstruction.Study design: This is a randomized prospective interventional study performed at Saidu Teaching Hospitalform from 1st January'2006 to 31st December 2006.Material and methods: Diagnosis of nasolacrimal duct obstruction was made on basis of history, clinicalexamination, regurgitation test and syringing of the nasolacrimal passage. Patients were selected byconvenient sampling and were randomized to two groups, for DCR with and without Silicon tube. Silicontube was removed after 4 months of surgery. Patients were followed up to 6 months.Results: Total number of patients was one hundred. Fifty (50%) patients were operated with siliconintubation and 50 (50%) without silicon intubation. Male to female ratio was 1:1.27.Age range was 15 yearsto 80 years. Mean, median and mode ages were 42.54, 47 and 30 years respectively. Eleven patients werelost from the study at various stages and were not included in the results of the study. The complicationsnoted were silicon tube loss in 2 cases, silicon tube displacement in 3 cases and DCR failure in 4 cases.Among the failure, 2 cases belonged to each group with and without silicon intubation.Conclusions: We conclude that the complications rate with and without silicon intubation is the same inprimary nasolacrimal duct obstruction. It is therefore, recommended that silicon intubation may not benecessary in such cases.Key words: DCR, Intubation, NLD Obstruction.

scholarly journals Accuracy of GRK-2200T Auto-refkeratometer in Subjective Acceptance for Refractive Errors

2019 ◽  
Vol 4 (1) ◽  
pp. 645-648
Author(s):  
Bishwa Nath Adhikari ◽  
Pramod Sharma Gautam ◽  
Shishu Upadhyay ◽  
Uday Chandra Prakash
Keyword(s):  
Refractive Errors ◽  
Spherical Equivalent ◽  
Female Ratio ◽  
Medical College ◽  
Spherical Component ◽  
Number Of Patients ◽  
Prospective Comparative Study ◽  
The Mean ◽  
Male To Female ◽  
Day By Day

Introduction: Globally, the most common cause for diminution of vision is refractive errors and the number of patients with refractive errors is increasing day by day. The Auto-refraction (AR) is quick and patient friendly procedure as compared to retinoscopy and subjective refraction in finding out refractive errors. Hence, the accuracy of Auto-refractometer in terms of subjective acceptance (SA) should be taken into account before prescribing optical correction based on findings of that particular model of Auto-refractometer. So, this study is directed towards analysis of the accuracy of GRK-2200T Auto-retieratometer in terms of acceptance by comparing findings of AR with that of SC. Objectives: The aim of this study was to assess the refractive status of patient's eyes using auto refractometer (GRK-2200T auto-retierato meter) and to estimate the agreement of it in terms of accuracy in acceptance of subjective correction by the patient. Methodology: A hospital based prospective comparative study conducted on 226 eyes of 113 patients who visited out-patient department (OPD) of Ophthalmology at Nobel Medical College and Teaching Hospital (NoMCTH), Biratnagar diagnosed with Myopia, Hyperopia and Astigmatism. Duration of study was 4 months from 2nd October, 2018 to 2nd February, 2019. All data thus collected was subjected to statistical analysis by using SPSS version 22. Result The mean age of the study subjects was 26.91±7.79 years with male to female ratio of 0.47. When spherical power, cylindrical power and the axis are taken into consideration together, only 13.3% of the total tested eyes subjectively accepted the AR values unchanged. On subjective correction, 32.7% of the tested eyes accepted spherical power while 46.5% accepted cylindrical power and 50.9% accepted axis of AR unchanged. About 52.2% of the total eyes examined fall within the deviation of spherical equivalent (SE) of ±o.25D and up to 67.3% of them fall within the deviation of ±o.50D. Conclusion The auto refraction by GRK-2200T auto-retieratometer was found to be satisfactory for a preliminary refraction but not satisfactory as substitutes for conventional subjective refraction. However, auto refraction values obtained by GRK-2200T auto-retieratometer could be important in order to accurately prescribe the cylindrical power as well as its axis than the spherical component.

scholarly journals The Spectrum of Gastroenteritis at the Pediatric Outpatient Clinic,. Department of Child Health, School of Medicine, University of North Sumatera in 1982

2019 ◽  
Vol 28 (1-2) ◽  
pp. 1-13
Author(s):  
Taheng Sebayang ◽  
Atan Baas Sinuhaji ◽  
Tyahaya Bangun ◽  
Manihar D. Marbun ◽  
A. H. Sutanto
Keyword(s):  
Outpatient Clinic ◽  
Oral Rehydration Solution ◽  
Age Group ◽  
Female Ratio ◽  
Oral Rehydration ◽  
Number Of Children ◽  
School Of Medicine ◽  
Number Of Patients ◽  
Rehydration Solution ◽  
Male To Female

The number of children attending the Pediatric Outpatient Clinic of Pirngadi Hospital, Medan, during 1982 was 15.375. Out of these, 1246 (8.1%) had gastroenteritis. Most of the patients (1046 or 83.94%) were under two years old. The male to female ratio was 1.6: I. The peak incidence for allendance was in January, April, and May. Of 1057 patients under  five years old, 383 (36.2%) also had malnutrition. The highest percentage (70. 75%) of those who had malnutrition was found in the I to 2 years age group. Of 370 patients whose Hb level was examined, 185 (50%) had anemia. The highest percentage (67.02%) was in the below 1 year group. Only 360 (28.8%) of gastroenteritis cases received oral rehydration solution. There were 23 (1.85%) cases in which diarrhea lasted longer than 7 days. The number of patients admitted to the ward was 213 (17.07%), and the highest percentage was in the above 3 years age group. The largest number of hospitalized patients was in January (43), February (21), and April (28); while the highest percentage was in April (20.40%), June (21.42%) and August (31.42%). Peak rainfall in Medan during 1982 was in October, November, and December, i.e. much 322.2 mmm,  366.4 and 382 mm, respectively.

scholarly journals Gender Differences in Psychiatric Outpatients: A Before and During COVID-19 Pandemic Study in General Hospitals From China

2021 ◽  
Author(s):  
Wenli He ◽  
Danhong Xu ◽  
Jiafeng Wang ◽  
Yuze Shen ◽  
Zheng Lin ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Virus Disease ◽  
Age Groups ◽  
Psychiatric Clinic ◽  
Age Group ◽  
General Hospitals ◽  
Female Ratio ◽  
Psychiatric Outpatient ◽  
Number Of Patients ◽  
Male To Female

Abstract BackgroundLittle is known about the gender characteristics and the Corona Virus Disease 2019(COVID-19) impact on psychiatric department outpatients in general hospitals in China. MethodsWe retrospectively collected 225,947 outpatient clinic records before and during COVID-19 pandemic from January 1, 2019 to December 31, 2020 in the psychiatric clinic of 3 general hospitals, gender composition of patients was analyzed in different five age groups and nine diagnostic categories at three levels: total patient visits, number of patients and number of first-visit patients. ResultsThe total male-to-female ratio of psychiatric outpatient records in 3 general hospitals from 2019 to 2020 was 1:1.69. Women were more common in all age groups and the male-to-female ratio of 2020 was expanded compared to that of 2019, especially in age group below 34 years old and anxiety disorders category. Most mental disorders showed higher demands for females than that for males except Mental and behavioral disorders due to psychoactive substance use with the male-to-female ratio was 1:0.05. Compared to 2019, the proportions of women were expanded especially in age group below 34 years old, and anxiety disorder and undetermined diagnosis categories were significantly increased in 2020. ConclusionsThe demand for female psychiatric outpatient services is obviously higher than that for males. It is necessary to pay more attention to explore targeted mechanism or psychosocial service strategy for female patients with mental disorders. Trial registration: ChiCTR2100044894, March 31,2021 retrospectively registered.

scholarly journals Angiographic characteristics of contralateral asymptomatic eyes in acute Central serous chorio-retinopathy in an Asian population

2018 ◽  
Vol 10 (1) ◽  
pp. 33-37
Author(s):  
Rajya L Gurung ◽  
Afaque Anwar
Keyword(s):  
Serous Retinal Detachment ◽  
Asian Population ◽  
Systemic Steroid ◽  
Asian Studies ◽  
Female Ratio ◽  
Number Of Patients ◽  
Acute Central Serous Chorioretinopathy ◽  
Angiographic Evidence ◽  
Age Range ◽  
Male To Female

Background: Acute Central serous chorioretinopathy (CSCR) is characterised by an idiopathic circumscribed serous retinal detachment, usually confined to the central macula. Aims and Objective: We aimed to analyse the angiographic characteristics of contra-lateral asymptomatic eyes of  patients presenting with acute CSCR in an Asian population. Materials and methods: This is a retrospective study of 70 consecutive patients presenting with acute CSCR who underwent detailed fundus evaluation and fluorescein angiography within 1 year period. Results: Fluorescein angiograms of 70 patients were analysed . Male to female ratio was 10.66 : 1. The age range of patients was ( 24-54 ) years , median 37 years and mean age  38.37 years with standard deviation 6.78 . Active tobacco use was found in 34 (48.6%) eyes and  systemic steroid use in 2 (2.8%) eyes. Majority, 48 (34.3% ) of symptomatic and all 70(100% ) of contralateral asymptomatic eyes had presenting best corrected visual acuity ( BCVA ) of  ≥ 20/60.  All 70 (100%) of symptomatic eyes had angiographic evidence of leakage in comparison to only 25(35.7%) of contralateral asymptomatic eyes.  Multi-focal leakage was seen in 21 (30%) of symptomatic eyes and 6(8%) of asymptomatic eyes , inkblot  leakage  pattern being the most common in seen in 57 (81.4%) of  symptomatic and 16 (22.8%) of asymptomatic  eyes.  The most common site of leakage was central seen in 62 (88.5%) of symptomatic eyes and 19 (27.1%) of contralateral asymptomatic eyes. Conclusion: The findings in our study was comparable to other Asian studies.  A considerable number of patients had angiographic evidence of CSCR in the contralateral  asymptomatic eye. 

scholarly journals A clinical and epidemiological study of non-venereal genital dermatoses: A cross-sectional, hospital-based study from Nepal

2022 ◽  
Vol 13 (1) ◽  
pp. 16-21
Author(s):  
Vikash Paudel ◽  
Deepa Chudal ◽  
Upama Paudel ◽  
Dwarika Prasad Shrestha
Keyword(s):  
Fungal Infections ◽  
Venereal Diseases ◽  
Cross Sectional ◽  
Female Ratio ◽  
Inflammatory Dermatoses ◽  
Number Of Patients ◽  
Tertiary Center ◽  
Ethical Approval ◽  
One Year ◽  
Male To Female

Background: Non-venereal genital dermatoses are the conditions of the genitalia that are not transmitted sexually. They may be confused with venereal diseases and be responsible for concerns among patients as well as diagnostic dilemmas for physicians. This study was conducted to determine the prevalence and describe the patterns of non-venereal genital conditions. Methods: This was a hospital-based, cross-sectional, prospective study conducted in a tertiary center in Kathmandu, Nepal, over a period of one year. Non-probability purposive sampling was employed to select the samples. Two hundred patients were enrolled in the study. Ethical approval was taken prior to the study. Detailed history taking along with a complete cutaneous examination were conducted for all patients and recorded in a preformed proforma. Results: Among 21366 patients, two hundred patients had non-venereal genital dermatoses. The prevalence of non-venereal dermatoses was 0.93 %. The mean age of the patient was 29.5 ± 15 years, ranging from 2 months to 81 years. The male-to-female ratio was 2.7:1. Itching was the most common presentation (46%). Fifty-four different types of non-venereal diseases were encountered and classified into inflammatory lesions (n = 84; 42%), infections and infestations (n = 43; 21.5%), normal variants and benign abnormalities (n = 41; 20.5%), and miscellaneous (n = 21; 10.5%). The most common were, among inflammatory dermatoses, drug reactions (11.5%) and eczema (6.5%) and, among infections and infestations, scabies (9.5%) and fungal infections (7.5%). Conclusion: Non-venereal genital dermatoses are important yet less common dermatological conditions. A number of patients have misconceptions about them as venereal. A comprehensive study of non-venereal dermatological genital conditions is required for careful management to minimize morbidity.

scholarly journals Đặc điểm bệnh u nguyên bào gan và kết quả điều trị ở trẻ em tại bệnh viện Nhi Đồng 2

2020 ◽  
Author(s):  
Ngọc Phú Đặng
Keyword(s):  
Survival Rate ◽  
Liver Transplant ◽  
Clinical Symptoms ◽  
Treatment Protocol ◽  
Female Ratio ◽  
Number Of Patients ◽  
Response To Chemotherapy ◽  
Right Lobe ◽  
The Right ◽  
Male To Female

CHARACTERISTICS AND TREATMENT OF HEPATOBLASTOMA IN CHILDREN AT PEDIATRIC HOSPITAL 2 Objective: To determine the epidemiological, clinical, paraclinical characteristics and evaluate the result in treatment of hepatoblastoma (HB) at Department of Hematology-Oncology, Children’s Hospital 2 from January 2011 to end of May 2019. Method: Cases series study in combination of retrospective and prospective. Results: From January 2011 to end of May 2019, there were 67 patients diagnosed with HB. The mean age at diagnosis was 22.7 ± 22.9 months with the most prevalent age group ranging from 6 months to 3 years. The male to female ratio was 1.8/1. The most common clinical symptoms were abdominal distention and hepatomegaly, approximately 7.5% HB cases were detected accidentally by ultrasound. Nearly 60% and 80% patients presented with anemia and thrombocytosis at admission, respectively.Almost tumors were unifocal locating in the right lobe of the liver and 58.2% cases belonged to standard risk group. Assessing treatment protocol in 54 HB patients demonstrate that number of patients undergoing hepatectomy after preoperative chemotherapy accounted for 82%. The most frequent acuteside effects after chemotherapy were myelotoxicity and infection. The proportion of fatal and relapsed cases was 31.5% and 12.9% respectively. Overall and event-free survival rate of the study after 3 years was 65.7% and 68.1% individually. Conclusion: Hepatoblastoma is a rare malignant childhood disease, pretty good response to chemotherapy followed by surgery. However mortality rate is rather high compared to worldwide reasearchs. Thus development of liver transplant is necessary to improve survival rate. Keywords: Hepatoblastoma, chemothearapy, surgery, liver transplant.

scholarly journals CONGENITAL CHOANAL ATRESIA: A CASE SERIES

2021 ◽  
pp. 1-3
Author(s):  
Mainak Maitra ◽  
Mukesh Kumar Singh
Keyword(s):  
Differential Diagnosis ◽  
Surgical Technique ◽  
Respiratory Distress ◽  
Neonatal Period ◽  
Choanal Atresia ◽  
Case Series ◽  
Nasal Discharge ◽  
Female Ratio ◽  
Oral Airway ◽  
Male To Female

Congenital Choanal Atresia (CA) is the failure in the development in communication between the nasal cavity and the nasopharynx. Its incidence is 1 in 7000 births. The male to female ratio for infants with choanal atresia is 2.2. Approximately two-thirds of cases are unilateral. Structurally there are two main types– a) Osseous-90% b) Membranous. Bilateral CA is an important but rare cause of respiratory distress in newborn. The distress improves with an oral airway. Here 3 paediatric cases of congenital choanal atresia are being discussed. Choanal atresia as a differential diagnosis should always be kept in mind in children presenting with respiratory distress in early neonatal period and in patients presenting with unilateral nasal discharge. Endoscopic surgical technique of choanal atresia repair along with stenting was done in all the 3 cases.

scholarly journals A meta-analysis of 2019 novel corona virus patient clinical characteristics and comorbidities

2020 ◽  
Author(s):  
Subodh Sharma Paudel
Keyword(s):  
High Risk ◽  
Clinical Characteristics ◽  
English Language ◽  
Meta Analysis ◽  
Previous History ◽  
Female Ratio ◽  
Number Of Patients ◽  
New Variant ◽  
History Of ◽  
Male To Female

Abstract IntroductionBeing a new variant of coronavirus, detailed information regarding the virulence, its clinical characters, high risk individuals are yet to be defined. This study was done with the objective of finding out clinical features of corona infection and also studies what are the comorbidities that are associated with it.MethodsThis is a single arm meta-analysis in which relevant data were derived from searches in PubMed. It includes study papers which were written in English language and their completely published article is found. Seven articles published from 24th Jan to 16th March, 2020 are included in this study. ResultsThe total number of patients was 1786 with 1044 males and 742 females with male to female ratio of 1.4:1. The median age of patients was 41 years). Fever was present in 88.8% cases. Dry Cough in 68% followed by fatigue in 33%. Hypertension (15.8%) is the most common comorbidity followed by cardio and cerebrovascular condition (11.7%). ConclusionPatients often presented with symptoms of fever, dry cough, lethargy and fatigue, muscle pain, productive cough. Similarly, patients with previous history of HTN, DM, COPD, cardio and cerebrovascular condition, immune-deficient states are at high risk of developing into the severe COVID-19 infection.

DIFFERENTIAL DIAGNOSIS OF NASAL MASS IN A TERTIARY CARE HOSPITAL OF JHARKHAND

2021 ◽  
pp. 6-7
Author(s):  
Md Raihan ◽  
Suraj Sinha ◽  
Sona Pathak ◽  
Sunil Kumar Mahto
Keyword(s):  
Differential Diagnosis ◽  
Tertiary Care ◽  
Age Groups ◽  
Nasal Discharge ◽  
Care Hospital ◽  
Elderly Age ◽  
Female Ratio ◽  
Nasal Mass ◽  
Abnormal Growth ◽  
Male To Female

Background: Nasal mass is abnormal growth in the nose, which may be benign or malignant and may be unilateral or bilateral. Nasal masses in most patients present with complaints of nasal obstruction. It may cause nasal discharge, epistaxis and anosmia. A nasal mass can have various differential diagnosis which this study aims to explore. Material and Methods: A retrospective study of histopathologically diagnosed cases of nasal masses for a period 3 years from January 2017 to December 2019. Results: Out of 95 patients 55 (57.89%) male and 40 (42.10%) female, male to female ratio is 1.37:1 with a mean age of 23 years (range= 2-63 years). Most of the cases 94(98.95%) were non-malignant and only 1(1.05%) was malignant (Adenoid cystic carcinoma). Malignancy of sinonasal tract is rare. Conclusion: With this study we can say that nasal masses are more common in males than females, adults age groups affected more than elderly age groups. It is also inferred that most of the nasal masses are benign in nature and very few cases are malignant in nature.

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