scholarly journals Study Tanner staging of β- thalassemic patients attending thalassemic Center in Ibn Al-Atheer Teaching Pediatric Hospital

2021 ◽  
Vol 23 (11) ◽  
pp. 583-589
Author(s):  
Dr.Kahtan Adnan Abdullah ◽  
◽  
Dr. Mohammed Ahmed Jassim Alogaidi ◽  
Dr.Raed Jabbar Hussain ◽  
◽  
...  
Keyword(s):  
Pubertal Development ◽  
Case Series ◽  
Thalassemia Major ◽  
Stage Ii ◽  
Delayed Puberty ◽  
Age Group ◽  
Pediatric Hospital ◽  
Thalassemia Intermedia ◽  
Tanner Staging ◽  
Case Series Study

Purpose: determine any relationship between tanner staging of the patients and transfusion program, iron overload and chelation therapy and study tanner staging of β- thalassemic patients attending Thalassemic Center in Ibn Al-Atheer Teaching Pediatric Hospital. Patients and Methods: A descriptive-analytic study (case series study) was done on β- thalassemic patients attending Thalassemia Center in Ibn Al- Atheer Teaching Hospital in Mosul, during the period from the 1st of January to the 30th of June 2019.Sixty patients with β- thalassemia, 45 of them are β- thalassemia major cases and 15 are β- thalassemia intermedia cases. The patients of the major type were sub-classified into 3 groups according to their ages: Group 1, Patients from the age of ≥ 13 years; Group 2, Patients from the age of 14 years to 16 years and Group 3, Patients from the age of more than 17 years. Results: current study showed male (77.78, 66.67) % more than female (22.22; 33.33) % in both types of thalassemia (Major and Intermedia) respectively.so the most of the patients in this study live in urban areas (58.33%) and (41.67%) in rural areas, mean age at diagnosis of thalassemia major was 7.16 months, Delayed tanner staging was found in 64.44% of patients with thalassemia major, while in thalassemia intermedia only 33.33% were considered to be on a delayed stage. as well as 4(80%) of Tanner Stage (II) for pateints in age group (≥ 13) years compare to 20% for stage (III), so 50% for both stage (II and III) respectively in age group (14-16) years. Conclusion: Two-third of the patients with thalassemia major had delayed puberty (64.44%), while one- third of the patients with thalassemia intermedia had delayed pubertal development (33.33%).

scholarly journals Functional outcome of diaphyseal fractures of forearm in adolescents treated with TENS

2019 ◽  
Vol 5 (3) ◽  
pp. 69
Author(s):  
Divyanshu Goyal ◽  
S. L. Sharma ◽  
Laxmikant Meena ◽  
Ravindra Lamoria ◽  
Mahesh Bansal
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Case Series ◽  
Age Group ◽  
Forearm Fractures ◽  
Retrospective Case ◽  
Superficial Infection ◽  
Fractures In Children ◽  
Case Series Study ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> A retrospective case series study was done on forearm diaphyseal fracture in adolescents treated with TENS (titanium elastic nailing system). Purpose of the study was analysis of functional outcome of TENS in forearm diaphyseal fractures in children between 12-18 year age group.</p><p class="abstract"><strong>Methods:</strong> We retrospectively evaluated 30 patients operated by same senior surgeon during the period from March 2014 to February 2015 with closed diaphyseal forearm fractures in age group 12–18 years treated with TENS in whom closed reduction could not be achieved. Nail diameter taken as 33-40% of narrowest diameter of diaphysys were introduced proximally in ulna and distally in radius under image intensifier in closed manner. Postoperatively, patients encouraged for active shoulder, elbow and finger movements and suture removal done after 2 weeks. Patients were followed up for minimum period of one year.  </p><p class="abstract"><strong>Results:</strong> In terms of union and range of motion using Anderson et al criteria 24 patients had excellent results, 4 patients had satisfactory results and one patient had poor result having non-union of ulna. Two patients had superficial infection at the nail entry site which eventually resolved. One patient lost for follow up.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that TENS in both bone forearm fractures in adolescent age group in terms of union and range of motion is a minimally invasive and effective method of fixation.</p>

Partial capitate shortening for Kienböck’s disease

2014 ◽  
Vol 40 (9) ◽  
pp. 957-960 ◽  
Author(s):  
A. Citlak ◽  
U. Akgun ◽  
T. Bulut ◽  
M. Tahta ◽  
B. Dirim Mete ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Case Series ◽  
Magnetic Resonance Images ◽  
Stage Ii ◽  
Pinch Strength ◽  
Case Series Study ◽  
The Mean ◽  
Series Study ◽  
Carpal Height

The purpose of this study was to report our experience of partial capitate shortening in seven patients with a median 38 months follow-up. Staging was made by the Lichtman classification system and stage II and III-A patients were included in the study. The mean age was 34 years (range 22–52). Patients were assessed for pain, range of motion, grip and pinch strength, and satisfaction was recorded using a scale between 0 and 4. All these parameters showed improvement after surgery. The Lichtman stage, lunate height index and carpal height index were determined radiographically. Magnetic resonance images of the wrist were studied for lunate revascularization at the final follow-up and occurred in all patients. According to our study, partial capitate shortening seems an effective treatment for Lichtman stage II and III-A patients. Level IV case series study.

scholarly journals HEMORRHAGIC STROKE;

2014 ◽  
Vol 21 (06) ◽  
pp. 1204-1208
Author(s):  
Faisal Shahab ◽  
Irfan Murtaza Shahwani ◽  
Shuaib Ansari ◽  
Syed Zulfiquar Ali Shah
Keyword(s):  
Blood Pressure ◽  
Hemorrhagic Stroke ◽  
Case Series ◽  
Health Sciences ◽  
Hypertensive Retinopathy ◽  
Age Group ◽  
Female Ratio ◽  
Case Series Study ◽  
Male To Female ◽  
Series Study

Objectives: To identify the frequency of risk factors in hemorrhagic stroke at Liaquat university of medical and health sciences. Patient and methods: This Descriptive case series study of six months was carried out in the department of medicine, Liaquat University of Medical and Health Sciences. Patients aged 20-70 years of age with hemorrhagic stroke on CT were enrolled in the study after taking consent from caretaker of patients. Detailed history focusing on hypertension, diabetes and smoking and their duration was taken. Blood pressure was recorded and fundoscopy was done to find out diabetic or hypertensive retinopathy. Thorough neurological examination and fasting / random blood glucose level was evaluated while the data was done was analyzed using SPSS version 16. Results: A total of 100 patients were included in the study during study period. 61% of patients were in > 50 years of age group with mean age of 53.4±11 years. A total of 66 (66%) were male; with male to female ratio was 2:1. Hypertension was present in 63% of cases, Diabetes was found in 24% cases and 44 patients were cigarette smokers. Conclusions: It was concluded that high blood pressure, diabetes mellitus and smoking are associated with hemorrhagic stroke.

scholarly journals Assessment of mean testicular volume in adolescent school boys of Udaipur district in 10 to 18 years at different stages of pubertal development

2020 ◽  
Vol 7 (4) ◽  
pp. 871
Author(s):  
Tarun Babani ◽  
Devendra Sareen ◽  
Dileep Goyal
Keyword(s):  
Pubertal Development ◽  
Accurate Method ◽  
Pubic Hair ◽  
Testicular Volume ◽  
Major Surgery ◽  
Age Group ◽  
Tanner Staging ◽  
Secondary Sexual Characters ◽  
Early Rise ◽  
Secondary Sexual

Background: The most obvious and important changes during puberty are secondary sexual characters. To check the correlation between testicular volumes with secondary sexual characters, nutritional status in Udaipur schoolboy’s assessment of testicular volume by prayer orchidometer is easy and reliable and accurate method in community. Aim of the study was to find out mean testicular volume by prader orchidometer at different stages of pubertal development.Methods: Children between 10 to 18 years of age (525 in numbers) from schools of Udaipur city were included. Children thoroughly examined for presence of any systemic disorders or major surgery was excluded. Informed consent with parents was taken Testicular volume assessment done by praders orchidometer with Tanner staging and correlation was statically analysed.Results: Maximum boys belonged to 15-16 years of age group (14.7%), and minimum belongs to 10-11 years age group (9.3%). Secondary sexual characters increases as mean testicular volume increases. The mean testicular volume for P1 (4.46 ml) and P5 (22.68 ml) and G1 (4.69 ml) and G5 (23.27 ml) with a p<0.05.Conclusions: Testicular volume adds more objectivity in SMR detection and helps to differentiate early genital maturation than pubic hair. Study population had early rise of testicular volume before pubic hair clinically visible which shows that testicular volume is the first to increase with the onset of puberty.

scholarly journals CHOLESTEATOMA PRESENTATION TRENDS IN KOHAT DIVISION

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S462-66
Author(s):  
Muhammad Waqas Ayub ◽  
Sheikh Saadat Ullah Waleem ◽  
Mahrukh Afzal ◽  
Shahzad Maqbool ◽  
Maqbool Raza ◽  
...  
Keyword(s):  
National Level ◽  
Case Series ◽  
Disease Process ◽  
Stage Iv ◽  
Stage Ii ◽  
Disease Spread ◽  
Stage Iii ◽  
Military Hospital ◽  
Suppurative Otitis Media ◽  
Case Series Study

Objective: To discuss the presentation stages of Cholesteatoma in patients of various areas of Kohat division. Study Design: Case series study. Place and Duration of Study: Combined Military Hospital Kohat, from Nov 2015 to Nov 2017. Methodology: A total of 60 patients having Chronic Suppurative otitis media with Cholesteatoma were selected from outpatient department. Disease process was evaluated by otomicroscopy as well as radiologically. Perioperative disease spread pattern was also assessed and documented. Results: Out of 28 patients with pars tensa cholesteatoma 28.5% were in stage II and 53.5% were in stage III disease. Out of 32 patients with pars flaccid cholesteatoma, 3.1% presented with stage 1 disease, 37.5% with stage II disease, 50% with stage III disease and 9.3% with stage IV disease. Conclusion: Appropriate measures should be taken for training of general physicians as well as otologists at National level to help early diagnosis and better outcome.

scholarly journals Knowledge, Attitudes and Practices of Waterpipe Smokers in Sulaimani City/ Kurdistan Region of Iraq

2018 ◽  
pp. 72-79
Author(s):  
Bestun Ibrahim Hama Rahim ◽  
Abdulrahman M. Ibrahem ◽  
Niaz Mustafa Kamal
Keyword(s):  
Age Distribution ◽  
Case Series ◽  
Health Concern ◽  
P Value ◽  
Age Group ◽  
Waterpipe Smoking ◽  
Attitudes And Practices ◽  
Middle East Countries ◽  
Case Series Study ◽  
Level Of Significance

Waterpipe smoking is a global phenomenon, particularly among youths and young adults. This practice is rising in the Middle East countries.  Waterpipe comprises many chemical toxins as cigarette smoke. Waterpipe smoking can cause several health problems. A descriptive case-series study was performed from 10th of October 2017 to 20th of December 2017 in eight waterpipe cafeterias in Sulaimani city. The current study involved 230 waterpipe smokers. A structured questionnaire was used to collect data. P-value ≤0.05 was used to show a level of significance. The age range of the waterpipe smokers was 16-39 years with the mean age was 24.63 years.  The age distribution was a sharp peak in the age group of 21 to 25 years, over two fifths (40.9%) of the study subjects lay in this age group. The waterpipe smoking was higher in the individuals with high education level (52.2%). Regarding the participants’ occupations, the frequency of the waterpipe smoking was higher among self-employment. Over two-thirds of participants (68.7%) were unmarried. The main motives for waterpipe smoking were life pressures, pleasurable experience, and habit (31%, 27%, and 25% respectively). The majority of participants had a good knowledge about the negative health effects of waterpipe smoking. Approximately half of the participants (48.3%) possessed waterpipe at home, over two thirds (68.3%) of subjects preferred smoking waterpipe with their friends, half of the respondents (50.0%) preferred smoking waterpipe at the cafeteria. Likewise, over half of participants (51.3%) smoked waterpipe every day. The main reason for the intention to quit waterpipe was a health concern.

scholarly journals OBESE PRIMIGRAVID WOMEN;

2017 ◽  
Vol 24 (08) ◽  
pp. 1147-1151
Author(s):  
Raheela Rani Junejo ◽  
Rabail Rani Junejo ◽  
Raheel Sikandar ◽  
Shahla Baloch ◽  
Mehrunnisa Khaskheli
Keyword(s):  
Case Series ◽  
Categorical Variables ◽  
P Value ◽  
Antenatal Visit ◽  
Age Group ◽  
Chi Square ◽  
Case Series Study ◽  
Pregnancy And Delivery ◽  
Chi Square Test ◽  
To Come

Objectives: To determine the frequency of macrosomia in obese primigravidwomen. Study Design: Case series study. Period: Six months. Setting: Department ofGynecology and Obstetrics Department Jamshoro. Patients and Methods: The inclusioncriteria of the study were primigravida women between age 18 to 35 years with singletonpregnancy and gestational duration of 37 to 42 weeks, and during labour with BMI 30 or >30kg/m2 and All booked women who were primigravid during antenatal visit try to come and BMIcalculated by weight in kg and height in meter square. The variables include post-delivery ifthe weight of baby is 4.5 kg is macrosomic and mode of the delivery. The data was analyzed inSPSS version 17, the frequency and percentage was calculated while the chi-square test wasapplied on categorical variables and the p-value ≤0.05 was considered as significant. Results:During six months study period total 203 pregnant obese ladies were observed for macrosomicbabies. Age group was analyzed which shows that in age group between 18-25 years were105(52.00%) women, in age group of 26-30 years were 62 (30.69%) women and age group of30 years and above were 35 (17.31%) women with mean age ± SD of ladies was 24.6 ±6.2years. Regarding modes of delivery shown 132 (65.02%) ladies had C-section and 71 (34.97%)ladies had vaginally delivery. Weight of the babies was assessed which shows 27 (13%) wereborn with less than 2.5 Kg, babies having weight between 2.6-3 Kg were 71 (35.3%) , babieswere having weight 3 kg to 4.5kg 38 (18.7%) and babies having more than 4.5kg which shows67 (33%). Neonatal complications observed were macrosomic babies 67 (33.1%). Frequencyof macrosomic babies was higher in women with BMI more than 3.5kg/m2 44(21.67%) andin women with BMI between 30 to 35kg/m2 25(12.31%). Conclusion: Obesity responsible forcomplications during pregnancy and delivery for both mother and babies. Fetal complicationsare macrosomia and these obese ladies should motivate for maintenance of weight.

scholarly journals Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Houman Hashemian ◽  
Saeid Sadat Mansouri ◽  
Hamid Reza Badeli ◽  
Ebrahim Esmaili ◽  
Majid Asgharzadeh ◽  
...  
Keyword(s):  
Ct Scan ◽  
Clinical Laboratory ◽  
Treatment Strategies ◽  
Case Series ◽  
Pediatric Hospital ◽  
Laboratory Findings ◽  
Case Series Study ◽  
The Mean ◽  
Underlying Diseases ◽  
Series Study

Introduction. COVID-19 infection which is a novel pneumonia associated with coronavirus suddenly broke out in the world. The aim of this study is to analyze and summarize the clinical characteristics of pediatric patients who were hospitalized in a referral pediatric hospital because of COVID-19 infection. Materials and Methods. Twenty-one COVID-19 infection cases confirmed by clinical and laboratory findings who were hospitalized in our center from 20 February to 19 April 2020 were included. Demography information, clinical, laboratory, and radiological findings, and treatment strategies of patients were evaluated. Results. The mean age was 91.5 ± 68.38 months (1-225), and there were 12 (57.1%) boys and 9 (42.9%) girls. Fever ≥ 38 ° C was detected in 11 (52.4%) patients. Eleven (52.3%) patients had tachypnea, and 4 (19%) of them developed tachycardia. Nine CT scans (42.85%) demonstrated a halo sign, and patchy infiltration was seen in CT scan of 7 patients (33.33%). Furthermore, bilateral crazy-paving pattern was seen in CT scan of nine (42.85%) patients. We prescribed chloroquine in 8 (38.1%), oseltamivir in 8 (38.1%), Kaletra in 6 (28.6%), and Ribavirin in 1 (4.8%) of patients. Finally, four (19.04%) patients expired which one of them suffered from ARDS. Conclusions. We found out that boys might develop more severe cases of COVID-19, and this could be more common in school age. Manifestations might be milder than adults, and the most severe cases might be associated with underlying diseases. Also, the effectiveness of drugs in the treatment of this disease needs further study.

scholarly journals MON-381 Endocrinological Evaluation of Adult Thalassemia Patients

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Seda Hanife Oguz ◽  
Mufide Okay ◽  
Sule Unal ◽  
Nilgun Sayinalp ◽  
Ugur Unluturk
Keyword(s):  
Quality Of Life ◽  
Vitamin D ◽  
Short Stature ◽  
Vitamin D Deficiency ◽  
Thalassemia Major ◽  
Age At Diagnosis ◽  
Delayed Puberty ◽  
Endocrine Disorders ◽  
Thalassemia Intermedia

Abstract Background: Endocrine disorders are among the most common complications in thalassemia patients. Although cardiac complications are the main cause of mortality, endocrinological disturbances have a significant impact on morbidity and quality of life. Methods: Sixty-eight patients (35 F, 33 M; 60 thalassemia major, 8 thalassemia intermedia) admitted to our outpatient clinic between August 2015 - December 2017 were included in the study. Patients were evaluated for short stature, hypogonadism, glycemic abnormalities, hypoparathyroidism, hypothyroidism and osteoporosis. Results: The average height of thalassemia major patients was 165.67±8.8 cm in men and 155.6±6.6 cm in women. Nine patients had short stature (4 F, 5 E), but 91.5% (54/59) of the whole group had low IGF-1 levels. There were 23 thalassemia major patients (11 F, 12 M) who had a history of hormonal induction therapy for delayed puberty. Overall, 60% (n = 36) of the patients were currently receiving hormone replacement therapy for central hypogonadism (19 F, 17 M). The median age at diagnosis of central hypogonadism was 22.5 years in men (IQR: 16.5-27.5) and 18 years in women (IQR: 16-25). There were five diabetic thalassemia major patients in study group whose median age at diagnosis was 20 (16-36). Of the 47 patients who underwent OGTT, 13 thalassemia major patients had prediabetes (27.7%). None of the thalassemia intermedia patients had glycemic abnormalities. Subclinical hypothyroidism was present in 19.7% (13/66) of the whole group, hypoparathyroidism was found in 8.5% (9/59) of thalassemia major patients, and vitamin D deficiency (25OH D &lt; 20 ng/ml) was found in 70.8% (46/65) of all patients. Of 64 patients who underwent BMD, 25 had osteoporosis (39.1%) while 23 hadosteopenia (35.9%). The incidence of pathological fractures in thalassemia major patients was 20% (11/55). Conclusions: The incidence of endocrine disorders may increase in thalassemia patients due to prolonged duration of lifespan. Regular screening for newly emerging endocrinopathies during adulthood has great value. In our study, the most common endocrine disorders were vitamin D deficiency, hypogonadism, osteoporosis and glycemic abnormalities; respectively. Early diagnosis and treatment would prevent patients from having related morbidities and therefore increase quality of life.

scholarly journals Neonatal Mortality in the Neonatal Intensive Care Unit at Benghazi Pediatric Hospital– Libya.

2020 ◽  
Vol 35 (4) ◽  
pp. 284-293
Author(s):  
Zahra Mansour Alharam ◽  
Isaada Elsaeti ◽  
Mohamed Alferjani
Keyword(s):  
Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Sepsis ◽  
Neonatal Intensive Care ◽  
Case Series ◽  
Future Research ◽  
Pediatric Hospital ◽  
Neonatal Deaths ◽  
Case Series Study ◽  
Term Newborns

This research aims to study mortality rates and identify the direct causes of neonatal deaths among newborns at Benghazi Pediatric Hospital. A descriptive case series study was conducted during 2015. Data included; birth weight, gender, residency, duration of hospital stay, age of neonates at death, and causes of death. Out of 1610 neonatal admissions reviewed, the total number of deaths was 122 during 2015. The data focused on death certificates of neonates and showed that the male gender was predominant (62.3 %). Most of them had a birth weight ranged between 2-2.9 Kg. Approximately 52 % of neonatal deaths in one day were of newborns <1 week old, and 54% were full-term  newborns. The most frequent direct single cause of death in neonates was prematurity, then neonatal sepsis and congenital heart disease respectively. The study concluded that the most frequent causes of infant mortality related deaths were prematurity then neonatal sepsis. Furthermore, future research is recommended, and the calculation of early and late neonatal mortality rate with the availability of total live births.

Sign in / Sign up

Export Citation Format

Share Document