scholarly journals Clinical Profile of Hoarseness and its Management Options: A 2 years Prospective Study of 145 Patients

2012 ◽  
Vol 2 (1) ◽  
pp. 23-29
Author(s):  
Rauf Ahmad ◽  
Raja Salman Khurshid ◽  
Mukhtar Ahmad Khan
Keyword(s):  
Surgical Treatment ◽  
Prospective Study ◽  
Cohort Analysis ◽  
Clinical Profile ◽  
Management Options ◽  
Predisposing Factor ◽  
Medical College ◽  
Organic Disorder ◽  
Laryngeal Examination

ABSTRACT Aim This study was undertaken to study the clinical profile of hoarseness and the role of conservative (nonsurgical) and surgical modes of intervention. Materials and methods A prospective cohort analysis was carried out in Department of ENT, Government Medical College, Srinagar, in 145 cases of change in voice for 2 years duration. All cases were analyzed for detailed history and pre- and postoperative fiber optic laryngeal examination. The cases were managed by conventional conservative methods or underwent phonosurgery in nonresolving cases. Results Total 145 cases with M:F ratio of 1.37:1 were analyzed. Patients’ age ranged from 5 to 80 years and majority of patients equally presented in 4th and 6th decade and about 75% had duration of hoarseness of more than 3 months. A voice demanding profession was present in 34% of cases. Vocal abuse was the commonest predisposing factor (about 40%) followed by larygopharyngeal reflux disease (26%). Functional voice disorders were found in 15.85% of cases while 62.06% of patients had a definite organic disorder. Conservative treatment (primary) was employed in 103 cases (71%), surgical treatment (primary) in 42 cases (29%) and surgical treatment after failure of conservative was given in 22 cases (15%). How to cite this article Khurshid RS, Khan MA, Ahmad R. Clinical Profile of Hoarseness and its Management Options: A 2 years Prospective Study of 145 Patients. Int J Phonosurg Laryngol 2012;2(1):23-29.

scholarly journals Hoarseness of Voice: A Retrospective Study of 251 Cases

2011 ◽  
Vol 1 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Digvijay Singh ◽  
Hansa Banjara ◽  
Varsha Mungutwar ◽  
Anuj Gupta
Keyword(s):  
Retrospective Study ◽  
Retrospective Cohort ◽  
Cohort Analysis ◽  
Predisposing Factors ◽  
Clinical Profile ◽  
Common Symptom ◽  
Predisposing Factor ◽  
Detailed History ◽  
Medical College ◽  
Retrospective Cohort Analysis

ABSTRACT Aims Hoarseness of voice is a common symptom in otolaryngological practice and it is the earliest manifestation of a large variety of conditions directly or indirectly affecting the larynx, ranging from benign to most malignant. This study was undertaken to find out clinical profile, predisposing factors and etiology of hoarseness of voice. Methods A retrospective cohort analysis was carried out in Department of ENT, Pt JNM Medical College, Raipur, in 251 cases of change in voice for 3 years duration. All cases were analyzed for detailed history and underwent pre- and postoperatively stroboscopic examination to reach the diagnosis. Results Total 251 cases with M:F ratio of 1.9:1 were analyzed. Patients age ranged from 11 to 80 years and majority of patients equally presented in 4th and 6th decade. Nonvocal/nonprofessional group constituted as a single largest group (85.26%). Smoking was commonest predisposing factor (44.22%) followed by vocal abuse (30.28%). Out of 251 cases, 83.67% cases were organic and 16.33% cases were functional in origin.

scholarly journals Clinical profile of lung cancer in rural medical college of Maharashtra (India): a prospective study of three years

2016 ◽  
Vol 4 (6) ◽  
pp. 1063-1071 ◽  
Author(s):  
Dr. B. B. Bhadke ◽  
◽  
Dr. R. K. Rathod ◽  
Dr. D. G. Deshmukh ◽  
Dr. A. B. Luniya ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Prospective Study ◽  
Clinical Profile ◽  
Medical College ◽  
A Prospective Study

scholarly journals Role of Injection Depo Medoroxy Progesterone Acetate in the Management of Abnormal Uterine Bleeding in Norplant User

2019 ◽  
Vol 7 (1-2) ◽  
pp. 80-83
Author(s):  
Mahfuz Ara Begum ◽  
Begum Aminun Nahar ◽  
Monowara Sultana ◽  
Md Amjad Ali
Keyword(s):  
Family Planning ◽  
Prospective Study ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Good Option ◽  
Planning Model ◽  
Live Births ◽  
Medical College ◽  
To Receive

Background & objective: This prospective study was undertaken to determine the role of Depomedroxy progesterone acetate (DMPA) in the management of abnormal uterine bleeding associated with norplant use. Methods: The study was carried out in the Department of Family Planning Model Clinic of Sir Salimullah Medical College and Mitford Hospital, Dhaka between June, 2003 to December, 2005. A total 54 clients were consecutively selected, based on predefined enrolment criteria. Results: Over two-thirds (70.6%) of the patients were multipara (2-3 live births), 22% primipara and the rest 7.4% grand-multipara (4 or more live births). Among 54 cases, 45(84%) responded to treatment. Of the 9 (16%) cases who failed to respond to DMPA treatment, 4 cases were given 2nd dose of DMPA. Three cases dropped out after failing the 1st dose and 2 cases refused to receive 2nd dose and their norplant was removed on request. Abnormal per vaginal (P/V) bleeding began from the 1st month of insertion of Norplant with 15 (27.7%) cases in the 1st month, 7(12%) cases between 2nd to 5th months, 16(28%) cases between 6-12 months, 11(20%) between 13-24 months and 5 (9.3%) cases between 25-36 months. Conclusion: The study showed that DMPA is a simple and effective modality of treatment for women with abnormal or irregular uterine bleeding associated with norplant implant use. With increased compliance from clients’ perspective, it could be a good option for treatment of women with abnormal or irregular uterine bleeding caused by norplant implant. Ibrahim Card Med J 2017; 7 (1&2): 80-83

scholarly journals Role of magnetic resonance cholangiopancreatography in diagnosing pancreatobiliary pathologies: a prospective study

2018 ◽  
Vol 5 (6) ◽  
pp. 2233
Author(s):  
Dakshayani S. Nirhale ◽  
Gaurav C. Kulkarni ◽  
Pravin Shingade ◽  
Shahaji Chavan ◽  
Tejas Sonawane ◽  
...  
Keyword(s):  
Prospective Study ◽  
Pancreatic Duct ◽  
Treatment Modality ◽  
Imaging Modality ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Medical College ◽  
Non Invasive ◽  
A Prospective Study ◽  
Invasive Techniques

Background: Non-invasive techniques such as ultrasound and CT scan (abdomen and pelvis) are widely used in investigations of pancreaticobiliary disease, though easily available and cheap, have limitations in term of sensitivity. Invasive procedures like ERCP, though considered gold standard for diagnosis of pancreaticobiliary disease, requires highly skilled team of supporting doctors. MR Cholangio Pancreatography (MRCP) is evolving as an effective non-invasive imaging technique for examining patients with pancreatic or biliary diseases. The purpose is to illustrate the findings of MRCP in various abnormalities affecting the pancreaticobiliary diseases. Objective was to study the role of MRCP as non-invasive imaging modality for diagnosis of pancreatobiliary diseases, in diagnosing lower biliary tract pathologies, pancreatic duct pathologies, determining treatment modality in pancreatobiliary diseases, surgical or endoscopicMethods: This is a prospective study conducted in Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune for a period of two years from July 2015 to September 2017. 60 patients were enrolled in the study, their MRCP was performed following ultrasonography.Results: The MRCP diagnosed the following pathologies- cholelithiasis, choledocholithiasis, CBD stricture, chronic pancreatitis, choledochal cyst, cholangiocarcinoma, pseudocyst of pancreas, sclerosing cholangitis and GB perforation. Out of 60, 32 underwent surgical procedure and 20 underwent endoscopic procedure and 8 were treated medically.Conclusions: MRCP is very accurate in diagnosing CBD and pancreatic duct pathologies. Its helps in deciding the treatment modality for the same. It decides whether the patient requires ERCP and thus cuts down the rate of ‘negative’ ERCP.

scholarly journals Role of Local Hemostatic Agents in Epistaxis

2013 ◽  
Vol 6 (3) ◽  
pp. 113-117
Author(s):  
Owais Mattoo ◽  
Rahil Muzaffar ◽  
Aleena Jallu ◽  
Tahir Hussain
Keyword(s):  
Tumor Resection ◽  
Medical Attention ◽  
Government Medical College ◽  
Management Options ◽  
Hemostatic Agents ◽  
Cotton Gauze ◽  
Medical College ◽  
Surgical Measures ◽  
A Prospective Study

ABSTRACT Background Epistaxis is the commonest otorhinolaryngological emergency affecting up to 60% of the population in their lifetime, with 6% requiring medical attention. Materials and methods This study was conducted to describe the etiological profile and treatment outcome of epistaxis at Postgraduate Department of ENT and HNS in Government Medical College, Srinagar, India. This was a prospective study of the cases of epistaxis managed at Postgraduate Department of ENT and HNS in Government Medical College, Srinagar, from December 2011 to December 2012. Till date, the data regarding the management of epistaxis in our setting was not available. The purpose was to evaluate the clinical and management options for epistaxis in our settings. The clinical significance of this study can be gauged from the fact that most common ENT emergency, the epistaxis is usually mismanaged at the peripheral centres and this may serve as a reference for proper management options of epistaxis. Results A total of 100 patients with epistaxis were studied. Males were affected twice more than the females (2.6:1). Their mean age was 48.63 years (range 4 to 82 years). The modal age group was 41 to 50 years. The commonest cause of epistaxis was Idiopathic (33%) followed by trauma (21%) and hypertension (18%). Anterior nasal bleeding was noted in majority of the patients (89%). Nonsurgical measures, such as light packing with cotton gauze soaked with local hemostatic (hemocoagulase) and antiseptic/antibiotic (36%), silver nitrate cauterization (16%) and anterior nasal packing (15%) and observation alone (11%) were the main intervention methods in 78% of cases. Surgical measures mainly intranasal tumor resection was carried out in 3% of cases. Conclusion The most common etiological factor for epistaxis is idiopathic in our setting. Most cases were successfully managed with conservative (light packing with cotton gauze soaked with local hemostatic) treatment alone and surgical intervention with its potential complications may not be necessary in most cases and should be the last resort. How to cite this article Muzaffar R, Mattoo O, Jallu A, Hussain T. Role of Local Hemostatic Agents in Epistaxis. Clin Rhinol An Int J 2013;6(3):113-117.

scholarly journals Role of Intravenous Dexmedetomidine as an Adjuvant in Labour Analgesia in Pre-eclampsia: A Prospective Study

2020 ◽  
Vol 5 (1) ◽  
pp. 57-60
Author(s):  
Jyothsna C ◽  
Roopa Kotha
Keyword(s):  
Prospective Study ◽  
Pregnant Women ◽  
Test Group ◽  
Labour Analgesia ◽  
Control Group ◽  
Medical College ◽  
A Prospective Study ◽  
Age Range ◽  
And Control

Background: Dexmedetomidine is a highly selective α-2 adrenergic receptor agonist with several diverse actions like sedation, anxiolysis, sympatholysis, analgesia, and decreased intraoperative anesthetic requirements (narcotic, inhalational). Intravenous (IV) dexmedetomidine can be used as an adjuvant in labour analgesia in preeclampsia patients as onset is faster and duration of analgesia is longer. Aim of the study: The aim of the study was to determine the role of intravenous Dexmedetomidine as an adjuvant in Labour analgesia in PIH.Subjects and Methods:This was a prospective study and was done in the department of Anaesthesia at Maheshwara Medical College. Our study included 60 full term pregnant women with preeclampsia, within 25 to 45 years age range. They were divided into two groups, as Test group and Control group of 30 patients each. Test group received IV Dexmedetomidine and Control group received IV Fentanyl.Results:Maximum number of cases 15/30 (50%) were in the age group 31-35 years, Majority were primigravida ie, 60% ( 36/60). Onset of analgesia was faster, duration of analgesia was longer and uterine contraction was greater with IV Dexmedetomidine as compared to IV fentanyl.Conclusion:From the present study we conclude that IV Dexmedetomidine can be used for labour analgesia in pregnant women with preecampsia and observed that onset and duration of analgesia are better and also it gives stable maternal parameters of maternal heart rate and mean blood pressure.

scholarly journals Prospective study of thoracoscopy in empyema patients

2018 ◽  
Vol 5 (8) ◽  
pp. 2767
Author(s):  
Rashmin Kalaswa ◽  
Akash Agrawal ◽  
H. D. Palekar
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Thoracoscopic Surgery ◽  
Demographic Data ◽  
Bronchopleural Fistula ◽  
Age Groups ◽  
Empyema Thoracis ◽  
Efficient Procedure ◽  
Medical College

Background: Empyema thoracis is a serious problem from centuries, still causes significant morbidity and mortality if not diagnosed in early stages. The present study was conducted with the aim to evaluate the role of video assisted thoracoscopic surgery (VATS) in its management.Methods: This prospective study was done on 15 patients in the department of General Surgery, Govt. Medical College and Sir Thakhatsinhji Hospital Bhavnagar, from August 2011 to August 2012.  The demographic data, clinical presentation, etiology, and management were recorded and analyzed.Results: None of the patients were observed with bronchopleural fistula. Majority of the patients were affected in the age group of 1-14 years (53%). Empyema was seen on left side of the lungs (73%). Etilogy of empyema was tuberculosis in 66% of the patients. Chest pain and breathlessness was seen in all in the patients (100%). No mortality was noticed in the study. The mean postoperative hospital stay was 5 days.Conclusions: Present study shows that VATS is feasible, safe and it is an efficient procedure with decrease hospital stay and minimal complications in the management of empyema thoracis in all age groups.

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