scholarly journals The Hierarchy of Oral Cancer in India

2012 ◽  
Vol 3 (3) ◽  
pp. 143-146 ◽  
Author(s):  
Naik Balachandra Ramachandra
Keyword(s):  
Oral Cancer ◽  
Medical Service ◽  
Oral Cavity Cancer ◽  
Small Towns ◽  
Female Ratio ◽  
The Past ◽  
Medical Facilities ◽  
Economically Deprived ◽  
Village People ◽  
Male To Female

ABSTRACT Background India constitutes more than 80% of population from the villages and are not only socially and economically deprived but also do not get medical facilities compared to small towns and cities. Newspaper says India is fastest developing country, but, in respect to medical service to her citizens at rural level, it is nil. Now, oral cavity cancer is 3rd commonest cancer, which is seen commonly in village people in both sexes. We reviewed the past studies on oral cancer and the same is compared with the present trend. Oral cancer biopsies secured 29.54% among all malignant biopsies. Male to female ratio is 1:1. Majority of patients (38.5%) got oral cancer in 4th decade, followed by 35.2% patients in 3rd decade. Buccal mucosa (57.5%) was the commonest site, followed by tongue (24.2%). Gutkha (the smokeless tobacco) is commonest cause for this cancer. Conclusion Apart from chewing habits, illiteracy, poverty, low caloric diet and nonavailability of free medical facility is the cause for rise in oral cancer incidences. How to cite this article Ramachandra NB. The Hierarchy of Oral Cancer in India. Int J Head and Neck Surg 2012;3(3):143-146.

Use of traditional and alternative healers by psychiatric patients: A descriptive study in urban South Africa

2018 ◽  
Vol 56 (1) ◽  
pp. 146-166 ◽  
Author(s):  
Zukiswa Zingela ◽  
Stephan van Wyk ◽  
Jacques Pietersen
Keyword(s):  
Psychiatric Patients ◽  
Mixed Race ◽  
Psychiatric Medication ◽  
Female Ratio ◽  
The Past ◽  
Nelson Mandela ◽  
Urban South ◽  
Lower Education ◽  
Male To Female ◽  
Ethnic Distribution

This study investigates the pattern of use of traditional and alternative healers among psychiatric patients in Nelson Mandela Metropole. An interview schedule was applied to 254 subjects at six sites, enquiring about consultations with traditional and alternative healers in the past year. Multivariate analysis was performed to determine predictors of consultation. Overall, 78 (31%) of respondents had consulted a healer in the past year. The ethnic distribution was: 156 (61%) Black, 53 (21%) Coloured (Mixed Race), 42 (17%) White and three (1%) Indian. The male to female ratio was 119 (46.85%):135 (53.14%). The healers gave no advice about psychiatric medication to 48 (61.5%) of consulters, 23 (29.5%) were told to continue their medication, four (5.1%) told to stop, and one (1.3%) told to stop and restart later. In multivariate models, predictors of consultation were being Black and of lower education. Although 45 (58%) of the consulters indicated that medical treatment was more helpful than the healer’s, 45 (58%) intended to consult again. Overall, 22% of consulters reported abuse by the healer.

scholarly journals Clinicohistological Profile of Cutaneous Tuberculosis in Central Nepal

2015 ◽  
Vol 12 (4) ◽  
pp. 238-241 ◽  
Author(s):  
M Mathur ◽  
SN Pandey
Keyword(s):  
Giant Cells ◽  
Medical Sciences ◽  
Lupus Vulgaris ◽  
Internal Organs ◽  
Female Ratio ◽  
Cutaneous Tuberculosis ◽  
The Past ◽  
Central Nepal ◽  
Type Giant ◽  
Male To Female

Background There are few studies on cutaneous tuberculosis in Nepal.Objective To analyse the epidemiological, clinical and histological patterns of cutaneous TB over the past 5 years.Method Patients with cutaneous tuberculosis diagnosed from January 2010 to December 2014 at College of Medical Sciences, Chitwan, Nepal were included in the study. Chest radiography, routine investigations and screening for HIV was performed in all cases.Result A total of 47 clinical cases of cutaneous tuberculosis were diagnosed. The most commonly affected age group was 41-50 years. Male to female ratio was 1.5:1. Duration of cutaneous tuberculosis ranged from 1 month to 33 years. Lupus vulgaris was the most common clinical type (64%), followed by tuberculosis verrucosa cutis (19%). Two cases (4%) were diagnosed as papulonecrotic tuberculid. Overall, the most common site of involvement was extremities (55%) followed by head and neck, trunk, and perianal region. Histopathologic features of epitheloid cell granuloma with Langhans type giant cells were seen in 89% of cases, and in remaining 11% cases, chronic inflammatory dermatitis and nonspecific chronic dermatitis were observed.Conclusion M Tuberculosis is endemic in Nepal and the incidence of cutaneous tuberculosis at our centre was 0.1%. Lupus vulgaris was the most common type followed by tuberculosis verrucosa cutis in our study. Cutaneous tuberculosis can be accompanied by tuberculosis in internal organs and hence should be looked for. Clinicopathologic correlation is necessary to make a proper diagnosis.Kathmandu University Medical Journal Vol.12(4) 2014; 238-241

Increasing trends of syphilis among men who have sex with men in high income countries

Sexual Health ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 155 ◽  
Author(s):  
Phillip Read ◽  
Christopher K. Fairley ◽  
Eric P. F. Chow
Keyword(s):  
Developed Countries ◽  
High Income ◽  
National Surveillance ◽  
Female Ratio ◽  
The Past ◽  
Sex With Men ◽  
Increasing Trends ◽  
Male To Female ◽  
Over Time

Background The epidemiology of syphilis, and therefore the population most impacted, differs between countries. Many developed countries have reported an increase in syphilis notifications among men who have sex with men (MSM) over the past decade. Methods: The rates of syphilis notifications between 2000 and 2013 in the 31 countries categorised by the Organisation for Economic Co-operation and Development (OECD) as high income were investigated. Data was taken primarily from published national surveillance reports, and a male-to-female ratio substantially greater than two in syphilis notifications was taken as a proxy for the infection being disproportionately diagnosed in MSM. Results: Data was available for 27 high-income countries. The male-to-female ratio exceeded two in all but four countries. This ratio significantly increased across all geographical areas over time. Globally, the male-to-female ratio in these countries increased from 4.1 in 2000 to 7.9 in 2013 (P = 0.001). Furthermore, the proportion of male cases reported as being among MSM increased over time from 26.8% to 55.0% between 2000 and 2013 (P < 0.001). Conclusion: These data show that in countries with high income, there is a near universal finding of increasing rates of syphilis in MSM. It is therefore clear that no country has identified an effective method to control syphilis in this population.

Eruption cysts: a clinical report of 24 new cases

2005 ◽  
Vol 28 (2) ◽  
pp. 183-186 ◽  
Author(s):  
Lipa Bodner ◽  
Jed Goldstein ◽  
Haim Sarnat
Keyword(s):  
Primary Teeth ◽  
Soft Tissues ◽  
Treatment Approach ◽  
Dentigerous Cyst ◽  
Permanent Teeth ◽  
Clinical Report ◽  
Female Ratio ◽  
Clinical Appearance ◽  
The Past ◽  
Male To Female

The eruption cyst (EC) occurs within the mucosa overlying a tooth that is about to erupt. In the past EC was considered a type of dentigerous cyst (DC) occuring in the soft tissues. Twenty four patients (mean age 4.44 years, range 1.0 month - 12 years) with EC were diagnosed and treated. EC was associated with natal teeth in two (8.3%) cases, with primary teeth in 10 (41.6%) cases and with permanent teeth in 12 (50%) cases. There was a gender predilection, the male to female ratio was 2:1. The primary mandibular central incisors and the permanent first molars were the most common site affected. The clinical appearance was a raised, bluish gingival mass on the alveolar ridge. The size was variable and dependent on the size and number of the associated teeth. The type of treatment provided was one of the following: no treatment (10 cases, 42%), extraction (2 cases, 8%) and marsupialization (12 cases, 50%). All surgical specimens underwent histopathologic examination. EC should be recognized as a separate entity from DC and a conservative treatment approach is recommended.

Did the Clinical Spectrum of Thromboangiitis Obliterans Change in the Past 40 Years?

Angiology ◽  
2020 ◽  
Vol 71 (7) ◽  
pp. 621-625
Author(s):  
Simon Soudet ◽  
Alexandre Le Joncour ◽  
Thomas Quemeneur ◽  
Helene Maillard ◽  
Fabien Koskas ◽  
...  
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Lower Limbs ◽  
Clinical Spectrum ◽  
Thromboangiitis Obliterans ◽  
Female Ratio ◽  
The Past ◽  
Before And After ◽  
Young Smokers ◽  
Male To Female

Thromboangiitis obliterans (TAO) is an inflammatory disease that usually affects small and medium-sized arteries in the upper and lower limbs of young smokers. Previous studies showed that the spectrum TAO has changed in the 80s: the male-to-female ratio decreased, older patients were diagnosed, and upper limb involvement was more common. The aim of our study was to assess the changing clinical spectrum of TAO in France during the past 40 years. All consecutive patients fulfilling TAO’s criteria between January 1967 and January 2016 were retrospectively included in 3 departments of internal medicine. We compared TAO features in patients diagnosed before and after 2002; 141 (77.5%) men and 41 (22.5%) women were included. Patients diagnosed after 2002 were older (37 [31-39] vs 34 [29-35] years P = .03), had a more frequent isolated upper limb involvement (34.3% vs 7.8% P = .001), and less frequent isolated lower limb involvement (55.7% vs 74.5%, P < .001). The clinical spectrum of TAO has changed in France since the beginning of the 21st century.

scholarly journals Epidemiological Profile and Incidence of Hip Fractures in Greece

2019 ◽  
Author(s):  
Angelo V. Vasiliadis ◽  
George Charitoudis ◽  
Dimitrios Giotis
Keyword(s):  
Hip Fractures ◽  
Statistical Significance ◽  
Length Of Hospital Stay ◽  
Special Importance ◽  
Female Ratio ◽  
The Past ◽  
Regional Unit ◽  
Epidemiological Profile ◽  
Male To Female ◽  
Of Greece

Introduction: This study was designed to determine the epidemiological profile of hip fractures among Greek population with special importance to the cause of fracture, their characteristics, the treatment instituted and to assess the incidence.   Methods: The current study conducted in a single hospital in the northern part of Greece, in the regional unit of Grevena, during the 2016 calendar year. Patients themselves, or a relative member or a caregiver, were interviewed by a questionnaire regarding to the past medical history, time and place of the fracture occurrences.   Results: The 73 patients included in the study presented a mean age of 83.5 years, with a male-to-female ratio of 1:2.17. Falling from the same level was the cause of 97.6% of the fractures. Transtrochanteric fractures accounted for 52.1% of the fractures, femoral neck fractures, 38.4% and subtrochanteric fractures, 9.6%. More fractures are seen during the summer months (32.9%), inside the house (61.6%) and during the morning (49.3%). The overall annual incidence rate was 672.2 per 100,000 inhabitants (442.6 and 882.9 per 100,000 male and female, respectively). Length of waiting time to surgery was 1.87 days and length of hospital stay was 8.46 days, without statistical significance according to the type of surgery, the age group and the associated comorbidities. Hypertension (87.7%) was the most common comorbidity, followed by heart disease (50.7%) and depression (31.5%).   Conclusion: The patients attended at this hospital presented an epidemiological profile similar to the worldwide literature. Hip fracture rates in the region of Grevena are higher than other regions in Greece, such as Athens and Crete.  

scholarly journals Carcinogenic Habits of Tribals is It Inherited or Acquired, which Causes Oral Cavity Cancer: A Survey Report from Upper Northern Tribal Area of Andhra Pradesh (India)

2010 ◽  
Vol 1 (3) ◽  
pp. 147-152
Author(s):  
Naik Balachandra Ramachandra
Keyword(s):  
Oral Cancer ◽  
Oral Cavity ◽  
Urban Area ◽  
Rural Area ◽  
Andhra Pradesh ◽  
Oral Cavity Cancer ◽  
Vital Role ◽  
Female Ratio ◽  
Tribal Area ◽  
Rural And Urban

Abstract Khammam is the district of tribals in the Andhra Pradesh (India). Recently, we have conducted a study on oral cavity cancer in this tribal area and found that the incidence of oral cancer was 13.04%, male to female ratio was 1.03 : 1 and the incidence of oral cancer in youths (between 21 and 30 years) was 4.85%, which was too much compared with the global previous studies. So, we decided to find the cause for the high incidences of oral cavity cancer among the youths, by conducting survey and by direct interviewing the youths at their villages and at their towns separately for the comparison between both locality youths. Also we undertook clinical examination of their oral cavity to find the presence of any pathological lesions. We prepared the proformas well in advance containing various parameters which cause oral cavity cancer and conducted mass interview of 3,000 youths both at rural and urban places separately. Master chart of both places was prepared and compared the differences between these two localities, to find the cause for increase in incidences oral cavity cancer. In rural area, out of 3,000 youths, 2,907 (96.9%) (including 1,605 male and 1,302 females) had various combination of habits whereas, in urban area, among 3,000 male youths, only 953 (31.76%) had various combination of habits. Illiteracy status in rural area was 77.56% and in the urban area, it is 13.23%. Among the youths having habits, various types of chewing habits in rural area were seen in 2,722 (93.69%) youths. In urban area, it was seen in 934 (98%). Among all 3,000 youths of each locality, oral cavity hygiene was unhygienic in 2,387 (79.56%) youths of the rural area whereas, in the urban area it is seen in 1109 (36.96%). Premalignant changes were seen 21 rural youths, but not in urban residents. Education has vital role in rural area to control the chewing habits, for which media role and legislative act to ban the tobacco chewing should be mandatory to reduce the incidence of oral cavity cancer among the youths of tribal villages.

scholarly journals NEUROLOGICAL PROFILE

2018 ◽  
Vol 25 (11) ◽  
Author(s):  
Shaheen Ahmed Mughal ◽  
Muslim Ali Lakhiar ◽  
Awais Bashir Larik ◽  
Abdul Qayoom Memon
Keyword(s):  
Rural Areas ◽  
Neurological Diseases ◽  
Neuromuscular Disorders ◽  
Tertiary Care ◽  
Small Towns ◽  
Care Hospital ◽  
Female Ratio ◽  
Spinal Cord Disorders ◽  
The City ◽  
Male To Female

Objectives: To determine the Neurological profile of patients residing in therural areas of Sindh during their visit to a tertiary care hospital in Nawabshah. Study Design:Retrospective observational study. Setting: Outpatient Department of Neurology at the PeoplesUniversity of Medical & Health Sciences for Women (PUMHSW), Nawabshah. Period: From14.4.2014 to 31.3.2015. Methods: A questionnaire regarding different Neurological disorderswas developed and data about patients presenting in OPD were registered. The data collectedwas tabulated and analyzed using SPSS 19. Results: A total of 861 patients were registered.Out of these 409 (47.5%) were male and 452 (52.5%) were females with male to female ratio of0.9. The age ranged from 06 months to 90 years and the mean age was 31.57± SD 16.7 7. Out of861 patients 477 (55.4%) visited neurology OPD on their own, 314 (36.47%) on the advice of theirfamily and friends and only 70(8.13%) were referrals by the general practitioners. Majority of thepatients 475 (55.17%) were the residents of villages and small towns while 386 (44.83%) wereresiding in the city of Nawabshah. The frequency of major category of neurological disordersincluding Headache, Epilepsies, Stroke, Neuromuscular disorders, Movement disorders,Spinal cord disorders, Dementias, Psychiatric disorders and Miscellaneous group was 33.%,19.%, 7%, 9%, 4%, 1%, 2%, 16% and 9% respectively. Conclusion: Neurological diseases arecommon among patients residing in the rural areas of Sindh. Headaches, epilepsies, stroke,psychiatric, neuromuscular and miscellaneous disorders were frequent presentations. Lack ofadequate referrals by the general physicians needs to be addressed emphatically. This studyprojects the burden of neurological problems in the under served areas.

scholarly journals Gender predilection in oral cancer - A university based study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1328-1332
Author(s):  
Preethi Mariona ◽  
Mahathi Neralla ◽  
Sreedevi Dharman
Keyword(s):  
Oral Cancer ◽  
Malignant Neoplasm ◽  
Simple Random Sampling ◽  
Sampling Bias ◽  
Chi Square ◽  
Female Ratio ◽  
Final Sample ◽  
Chi Square Test ◽  
Set Up ◽  
Male To Female

Oral cancer is said to be a malignant neoplasm of the oral cavity. It is defined as the uncontrollable growth of cells that invade and cause damage to the surrounding tissues. Oral cancer has a predilection for certain sites, most common being the lips, followed by the tongue, cheeks, floor of the mouth, hard and soft palate, sinuses, and pharynx. In general, a high male to female ratio of occurrence of oral cancer is seen. The main risk factors for oral cancer are smoking, alcohol, gutkha, paan and other factors such as cheek biting and sharp cusps also seem to influence the occurrence of oral cancer. The study aims at assessing the gender of patients who have been diagnosed with oral cancer to see if there is any predilection for oral cancer based on gender to occur. The study was done in a University set up in a Private Dental College, Chennai. This study was done retrospectively by analysing case records of patients who reported between the months of June 2019 to March 2020. Simple random sampling was done to minimize sampling bias. After reviewing, the case sheets were filtered based on the data required. The final sample size was 50 patients with oral cancer. The data pertaining to the gender of the patient was collected. It was observed that from those 50 patients with oral cancer, 78% of them were males and 22% of them were female. Chi-square test shows p>0.05, not significant. The study concludes that the males were affected more than females.

Utility of Tolonium Chloride Rinse in the Diagnosis of Oral Cancer

2020 ◽  
Vol 26 (1) ◽  
pp. 11-17
Author(s):  
Md Kamruzzaman ◽  
Kazi Nurjahan ◽  
AS Gazi Sharifuddin ◽  
SK Ballav
Keyword(s):  
Developing Countries ◽  
Oral Cancer ◽  
Prospective Study ◽  
Diagnostic Delay ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Biopsy Report ◽  
Patient Side ◽  
Tolonium Chloride

Background: Oral cancer burden in developing countries is huge. In Bangladesh and India incidence were 10.6% and 10.4% respectively on 2018. At the same time worldwide incident was only 2%. Majority patients present at advanced stage and their survival rate is poor. Diagnostic delay from patient side and health delivery system side is significantly longer and it is more in developing countries. Like other malignancy early diagnosis can save a lot of these patient. Methods: This prospective study was carried out in Khulna Medical College Hospital from July 2017 to July 2019. Patients who will meet the criteria for this prospective study and capable and willing to give informed consent were enrolled. 20 second rinse/gargle with 10ml of 1% Tolonium chloride solution was done. Biopsy were taken from stained lesion, biopsy report were compared with TC stained lesions. Results: Out of 1650 patients in our outdoor department for various problem and only 30 cases were selected for this study according to selection criteria. Of 30 patients, 18 (60%) were male and 12 (40%) were female. The male-to-female ratio was 3:2. It was found that the sensitivity of 1% Tolonium Chloride rinse for oral precancer and cancer detection was 83.33%, whereas the specificity was 84.21%. Conclusion: Tolonium chloride rinse is a good screening test for oral cancer diagnosis with sensitivity 83.33% and specificity 84.21%. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 11-17

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