scholarly journals HRCT Features of Covid-19 Pneumonia In Male Patients of Adult Age Group – A Cross Sectional Study

2020 ◽  
Vol 7 (4) ◽  
pp. 143-146
Author(s):  
Dr. Dhananjay Wagh ◽  
Dr. Suma Wagh ◽  
Dr. Shikha Krishnani
Keyword(s):  
Clinical Manifestations ◽  
Case Fatality ◽  
Cross Sectional Study ◽  
Virus Infections ◽  
Radiological Findings ◽  
Cross Sectional ◽  
Adult Age ◽  
Group A ◽  
Male Patients ◽  
Age Studies

COVID-19 is a new-age pandemic which has spread ferociously all over the world in a matter of a few months having worldwide humanitarian and economic repercussions. HRCT has become the mainstay of radiological investigations in this pandemic and often shoed diagnostic accuracy before the onset of clinical manifestations. Men are more predisposed for fatal outcomes in other SARS virus infections.1 In a study by Karlberg et al, males had a significantly (p < 0.0001) higher case fatality rate than females did, 21.9 percent versus 13.2 percent after adjustment for age.  Studies found that the severity of the illness was more and clearance of SARS-CoV-2 virus was less in males as compared to females.2 Hence it is of utmost importance to study the pattern of lung involvement on HRCT to aid the clinician in starting the treatment at the earliest, even before the symptoms manifest. Thus this study was conducted to look for specific and also unusual patterns of radiological findings of COVID-19 pneumonia.

RESEARCH ON CLINICAL MANIFESTATIONS AND AEROBIC BACTERIA OF ACUTE TONSILITIS IN HUE CENTRAL HOSPITAL AND HUE UNIVERSITY HOSPITAL

2012 ◽  
pp. 30-37
Author(s):  
Kim Tri Truong ◽  
Tu The Nguyen ◽  
Lam Phuoc Vo
Keyword(s):  
Antibiotic Prescription ◽  
White Blood Cells ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Aerobic Bacteria ◽  
Central Hospital ◽  
Cross Sectional ◽  
Group A ◽  
Bacteria Culture

Objective: To study the paraclinical and clinical mannifestations, aerobic bacteria and antibiogramme of acute tonsilitis. Materials and method: A cross-sectional study was conducted upon 34 patients with acute tonsilitis at Hue Central hospital and of Hue University Hospital. Results: Clinical and paraclinical characteristics: odynophagy 94.1%, tonsillar hyperaemia 88.2%. Having treatment with antibiotics before hospitalization 50%. White blood cells >10-15.109/l (58.8%). Positive bacteria culture is 67.6% in which streptococcus β hemolytic group (A) 25%, streptococcus α hemolytic 25%, hemophilus influenzae 25%. Antibiogramme: Sensitization: gentamycin 100%, cefuroxim 100%, ceftriaxone 93.8%, cefalexin 90.9%, vancomycin 86.7%; Resistance: Tetracyclin 85.7%, erythromycin 69.2%, ofloxacin 42.9%, ampicillin 33.3%, ciprofloxacin 33.3%. Consclusions: The priority of antibiotic prescription for acute tonsilitis should be based on the frequency of bacteria found in bacteria culture and depending on antibiogramme to choose appropriate antibiotics.

scholarly journals Clinical Manifestations and Hematological Profiles of Pediatric Acute Myeloblastic Leukemia Patients: 3 Years Observational Study in A West Java Tertiary Hospital, Indonesia

2019 ◽  
Vol 7 (2) ◽  
pp. 61-66
Author(s):  
Agustinus Wiraatmadja ◽  
Nur Suryawan Hidayat ◽  
Adhi Kristianto Sugianli
Keyword(s):  
Pediatric Patients ◽  
Clinical Manifestations ◽  
Bone Marrow Examination ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Acute Myeloblastic Leukemia ◽  
West Java ◽  
Cross Sectional ◽  
Male Patients ◽  
First Time

Objective: To determine and describe the clinical manifestations and hematological profiles of pediatric Acute Myeloblastic Leukemia (AML) in Dr. Hasan Sadikin General Hospital (RSHS), Bandung as a tertiary hospital in West Java, Indonesia. Methods: A retrospective cross-sectional study using the total sampling method was performed on the medical records of pediatric patients (0-18 years old)who were diagnosed as AML for the first time through bone marrow examination during the period of January 1, 2015 – December 31, 2017. Results: Of the 54 subjects who met the inclusion criteria, 42.6% were AML patients in the age group 6-12 years with male patients comprised 59.3% of the total number of subjects. Patients generally experienced pallor (83.3%), fever (75.9%), and decreased appetite (70.4%). The hematological profiles showed that 35.2% of patients had Hb <6.5 g/dL and 44.4% had a leukocyte count of of >50,000 cells/mm3. The majority of the subjects had a platelet count of <50,000 cells/mm3 (83.3%) and almost half of them had a peripheral blasts count of >50% (46.3%). Conclusion: Clinical manifestations and hematological profiles are important to diagnose AML, especially in pediatric patients. By assessing the manifestations and profiles, it is feasible to access and detect suspected cases of AML.

scholarly journals ACUTE APPENDICITIS

2015 ◽  
Vol 22 (12) ◽  
pp. 1601-1605
Author(s):  
Khawar Saeed Jamali ◽  
Humaid Ahmed ◽  
Muhammad Jawed ◽  
Ubedullah Shaikh
Keyword(s):  
Acute Appendicitis ◽  
Positive Predictive Value ◽  
Predictive Value ◽  
Cross Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Group A ◽  
Male Patients ◽  
The Mean ◽  
Group B

Objectives: The objective of this study was to compare the efficacy of ClinicalEvaluation and modified Alvarado scoring system in diagnosing acute appendicitis. StudyDesign: Cross sectional study. Place and Duration of Study: This study was conducted atSurgical Unit III of Civil Hospital Karachi from May 2010 to October 2010. Methodology: Thisstudy consisted of eighty patients. Patients were divided in two groups. Group A for completeclinical evaluation comprising of 40 patients and Group B for modified Alvarado scoring systemcomprising of 40 patients. Inclusion criteria were all patients presenting with RIF pain, nausea,vomiting, fever and/or anorexia, diagnosed as having acute appendicitis preoperatively andundergoing emergency appendectomy during this period, age >12 years and both gender.Exclusion criteria included not willing for surgery, General anesthesia problem, pregnant femalepatients and those who did not give written consent. Results: A total of 80 patients were includedin the study, placed alternatively into two groups of 40 patients each with majority being male(n = 61, 76.3%). The mean age was 22.46 years. The positive predictive value for patients ofGroup A was 92.5% while for Group B was 77.5%. When diagnostic accuracy was compared onthe basis of Gender for the two groups, the positive predictive value for male patients of GroupA and B was 90.09% and 89.28% respectively, but for females the positive predictive valueof Group A and B was 100% and 50% respectively. Conclusion: We conclude that modifiedAlvarado score can be used safely and effectively in diagnosing acute appendicitis in adultmales especially as the score increases from seven to nine.

scholarly journals Visual Disturbances in Patients With Acute Methanol Poisoning: A Cross-sectional Study

2021 ◽  
Vol 11 (3) ◽  
pp. 33949-33949
Author(s):  
Razieh Sadat Mousavi Roknabadi ◽  
◽  
Mahdi Alibeigi ◽  
Mehrdad Sharifi ◽  
Reyhaneh Sadat Mousavi Roknabadi ◽  
...  
Keyword(s):  
Data Gathering ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Blurred Vision ◽  
Cross Sectional ◽  
Methanol Poisoning ◽  
Male Patients ◽  
Study Participants ◽  
Visual Disturbances

Background: Methanol poisoning is a serious problem in public health, especially in developing countries. The present study aimed to evaluate the incidence of visual disturbances in patients with acute methanol poisoning in the south of Iran. Methods: This cross-sectional study (from 21/March/2014 to 21/March/2019) was conducted on all adult patients’ medical records who were referred to Ali-Asghar Hospital in Shiraz City, Iran, with acute methanol poisoning. The required data were collected using a data-gathering form and were then analyzed. Results: Twenty male patients were enrolled in this research, with Mean±SD age of 33.15±10.40 years. Visual disturbances were observed in 15(75%) of the study subjects, as the most common clinical manifestations. Blurred vision (40%) and blindness (35%) were the most frequent visual disturbances in the study participants. None of the study subjects reported photophobia. The explored variables did not differ between patients with visual disturbances and those without visual disturbances. Only one patient who encountered blindness was expired. Conclusion: The incidence of visual disturbances in the study patients with acute methanol poisoning was higher than that of similar studies

scholarly journals Outcome of SARS-CoV-2 Infection in 121 Patients With Inborn Errors of Immunity: A Cross-sectional Study

2021 ◽  
Author(s):  
ekaterini goudouris ◽  
Fernanda Pinto-Mariz ◽  
Leonardo Oliveira Mendonça ◽  
Carolina Sanchez Aranda ◽  
Rafaela Rolla Guimarães ◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Case Fatality ◽  
Cross Sectional Study ◽  
Antibody Deficiency ◽  
Weak Correlation ◽  
Inborn Errors ◽  
Cross Sectional ◽  
Inborn Errors Of Immunity ◽  
Inflammatory Syndrome ◽  
Determining Factor

Abstract Purpose: There is still scarce data on SARS-CoV-2 infection in patients with Inborn Errors of Immunity (IEI) and many questions. We aimed to describe the clinical outcome of SARS-CoV-2 infection in Brazilian IEI patients and to identify factors influencing the outcome of infection.Methods: We did a cross-sectional, multicenter study that included patients of any age affected by IEI and SARS-CoV-2 infection. The variables studied were sex, age, type of IEI, comorbidities (number and type), treatment in use for IEI, clinical manifestations and severity of SARS-CoV-2 infection. Results: 121 patients were included: 55.4% female, ages from six months to 74 yo (median age = 25.1 yo). Most patients had predominantly antibody deficiency (n=53). The infection presented mostly as asymptomatic (n=21) and mild (n=66), and one child had multisystem inflammatory syndrome (MIS-C). We could not observe sex related susceptibility and observed a weak correlation between age and severity of infection. The number of comorbidities was higher in severe cases, particularly bronchiectasis and cardiopathy. There were no severe cases in hereditary angioedema patients. Six patients aged 2 to 74 years died, three of them with antibody deficiency. Conclusion: The outcome was mild in most patients, but the Case Fatality Ratio was higher than in the general population. Patients with complement deficiencies had milder COVID-19. However, the type of IEI was not a determining factor for severity. The severity of SARS-CoV-2 infection seems to be more related to older age, higher number of comorbidities and type of comorbidities (bronchiectasis and cardiopathy).

scholarly journals Prevalensi anomali jumlah gigi ditinjau dari radiografi panoramik di RSGM UNHAS Makassar

2020 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Barunawaty Yunus ◽  
Kahfi Iczanul Iman
Keyword(s):  
Cross Sectional Study ◽  
Age Group ◽  
Research Subjects ◽  
Supernumerary Teeth ◽  
Cross Sectional ◽  
Tooth Formation ◽  
General Picture ◽  
Adult Age ◽  
Number Of Teeth ◽  
Male Patients

Objectives: Abnormalities in the number of teeth is a change of dental structure that arises from abnormalities during tooth formation, can be due to congenital or growth. For anomalies, the number of teeth consists of anadontia and supernumerary teeth. This research is aimed to obtain a general picture of the prevalence of abnormalities in the number of teeth in terms of panoramic radiographs at RSGM UNHAS. Material and Methods: This type of research is observational descriptive and the design of this study is Cross Sectional Study. The research subjects were all panoramic radiographic photo data in the Teaching and Mouth Hospital of Hasanuddin University in the last 1 year. Data is processed in tables and diagrams. Results: The results showed that the majority of anadontia prevalence by sex occurred in women, as a breakdown of hypodontia with a presentation of 68.04%, oligodontia with a presentation of 26.93%, and anadontia with a presentation of 5.21%. The prevalence of anadontia based on the majority age group occurs in the adult age group, as a breakdown of hypodontia with a presentation of 77.73%, oligodontia with a presentation of 21.40%, and anadontia with a presentation of 0.87%. The prevalence of anadontia by month occurred at most in August 2018 with 70 people, while the lowest number was in July 2018 with 1 person. The prevalence of supernumerary teeth based on the majority sex occurs in male patients with a total of 4 people, as detailed mesiodens with 25% presentation, laterodens with 75% presentation, and no distomolar. Conclusion: The prevalence of anomaly deficiency in the number of teeth by sex is most experienced by women, the prevalence of supernumerary teeth is more experienced by men. When viewed from the age group, abnormalities in the number of teeth are most experienced by the adult age group and supernumerary teeth are most experienced by the adolescent age group.  

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

scholarly journals The Pandemic and Changes in the Self-Perception of Teacher Digital Competences of Infant Grade Students: A Cross Sectional Study

2021 ◽  
Vol 18 (9) ◽  
pp. 4756
Author(s):  
Rosalía Romero-Tena ◽  
Carmen Llorente-Cejudo ◽  
María Puig-Gutiérrez ◽  
Raquel Barragán-Sánchez
Keyword(s):  
Intervention Group ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Digital Competence ◽  
Cross Sectional ◽  
Self Perceptions ◽  
Group A ◽  
Different Dimensions ◽  
The Difference ◽  
Group B

Without having a reaction time, the pandemic has caused an unprecedented transformation in universities around the world, leading to a revolution from structured models anchored in the conception of transmission of training towards a teaching approach-learning saved thanks to the incorporation of technology. This study aims to verify whether the pandemic situation has influenced the digital competence self-perception of students. Comparing two groups during the academic years 2019/2020 and 2020/2021, the instrument used is the questionnaire for digital competence “DigCompEdu Check-In” for future teachers. After the educational intervention, group A (before COVID-19) presented higher self-perceptions of competence than group B (during COVID-19); the pandemic situation caused by COVID-19 has negatively influenced students’ self-perception of their digital skills in the pretest in the different dimensions under study. Before receiving the training, the group that did not experience the pandemic enjoyed a higher self-perception of their competencies than the group that experienced the pandemic. The data obtained indicate that the difference exists, and that it is statistically significant, and may be a consequence of the clear relationship between self-perception and the way in which students face reality through their personal and subjective vision.

scholarly journals Characteristics, Management, and Case-Fatality of Patients Hospitalized for Stroke with a Diagnosis of COVID-19 in France

2021 ◽  
pp. 1-7
Author(s):  
Amélie Gabet ◽  
Clémence Grave ◽  
Edouard Chatignoux ◽  
Philippe Tuppin ◽  
Yannick Béjot ◽  
...  
Keyword(s):  
Case Fatality ◽  
Cross Sectional Study ◽  
Primary Diagnosis ◽  
Index Hospitalization ◽  
Sectional Study ◽  
Stroke Patients ◽  
National Hospital ◽  
Cross Sectional ◽  
Increased Risk ◽  
Systèmes D’Information

<b><i>Introduction:</i></b> COVID-19 was found to be associated with an increased risk of stroke. This study aimed to compare characteristics, management, and outcomes of hospitalized stroke patients with or without a hospital diagnosis of CO­VID-19 at a nationwide scale. <b><i>Methods:</i></b> This is a cross-sectional study on all French hospitals covering the entire French population using the French national hospital discharge databases (<i>Programme de Médicalisation des Systèmes d’Information</i>, included in the <i>Système National des Données de Santé</i>). All patients hospitalized for stroke between 1 January and 14 June 2020 in France were selected. A diagnosis of COVID-19 was searched for during the index hospitalization for stroke or in a prior hospitalization that had occurred after 1 January 2020. <b><i>Results:</i></b> Among the 56,195 patients hospitalized for stroke, 800 (1.4%) had a concomitant COVID-19 diagnosis. Inhospital case-fatality rates were higher in stroke patients with COVID-19, particularly for patients with a primary diagnosis of COVID-19 (33.2%), as compared to patients hospitalized for stroke without CO­VID-19 diagnosis (14.1%). Similar findings were observed for 3-month case-fatality rates adjusted for age and sex that reached 41.7% in patients hospitalized for stroke with a concomitant primary diagnosis of COVID-19 versus 20.0% in strokes without COVID-19. <b><i>Conclusion:</i></b> Patients hospitalized for stroke with a concomitant COVID-19 diagnosis had a higher inhospital and 3 months case-fatality rates compared to patients hospitalized for stroke without a COVID-19 diagnosis. Further research is needed to better understand the excess of mortality related to these cases.

The influence of prescriber and patient gender on the prescription of benzodiazepines: results from the Florida Medicaid Dataset

CNS Spectrums ◽  
2021 ◽  
pp. 1-5
Author(s):  
Leanna M. W. Lui ◽  
Yena Lee ◽  
Orly Lipsitz ◽  
Nelson B. Rodrigues ◽  
Hartej Gill ◽  
...  
Keyword(s):  
The United States ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Assistance Program ◽  
Patient Gender ◽  
Prescription Rates ◽  
Male Patients ◽  
Using Data ◽  
Main Effects

Abstract Background Benzodiazepine (BZD) prescription rates have increased over the past decade in the United States. Available literature indicates that sociodemographic factors may influence diagnostic patterns and/or prescription behaviour. Herein, the aim of this study is to determine whether the gender of the prescriber and/or patient influences BZD prescription. Methods Cross-sectional study using data from the Florida Medicaid Managed Medical Assistance Program from January 1, 2018 to December 31, 2018. Eligible recipients ages 18 to 64, inclusive, enrolled in the Florida Medicaid plan for at least 1 day, and were dually eligible. Recipients either had a serious mental illness (SMI), or non-SMI and anxiety. Results Total 125 463 cases were identified (i.e., received BZD or non-BZD prescription). Main effect of patient and prescriber gender was significant F(1, 125 459) = 0.105, P = 0 .745, partial η2 < 0.001. Relative risk (RR) of male prescribers prescribing a BZD compared to female prescribers was 1.540, 95% confidence intervals (CI) [1.513, 1.567], whereas the RR of male patients being prescribed a BZD compared to female patients was 1.16, 95% CI [1.14, 1.18]. Main effects of patient and prescriber gender were statistically significant F(1, 125 459) = 188.232, P < 0.001, partial η2 = 0.001 and F(1, 125 459) = 349.704, P < 0.001, partial η2 = 0.013, respectively. Conclusions Male prescribers are more likely to prescribe BZDs, and male patients are more likely to receive BZDs. Further studies are required to characterize factors that influence this gender-by-gender interaction.

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