A Comparative Study of Hypertension with and Without Metabolic Syndrome

2021 ◽  
Vol 15 (11) ◽  
pp. 3062-3063
Author(s):  
Arif Gulzar ◽  
Muhammad Aleemud Din ◽  
Riasat Ali ◽  
Zoya Arif
Keyword(s):  
Metabolic Syndrome ◽  
Risk Factor ◽  
Essential Hypertension ◽  
Physical Examination ◽  
Comparative Study ◽  
Young Population ◽  
Medical College ◽  
Number Of Patients ◽  
Males And Females ◽  
Metabolic Syndromes

Background: hypertension is prevalent in all the populations of world and is a serious risk factor for the patients . in many patients it is associated with metabolic syndrome which nearly doubles the risk . so we should investigate every patient with hypertension for with or without metabolic syndrome so as to save from its complications Methods: Sixty patients males and females coming in out patient door of Pak Red Crescent Medical College Dina Nath who on history physical examination and investigations were diagnosed as essential hypertension were investigated for further differentiation into with or without metabolic syndromes. Results: 21/60 patients with hypertension were found suffering from metabolic syndromes while 39/60 were not having metabolic syndrome. So a large number of patients were suffering from metabolic syndromes in our rural young population Conclusion: the prevalence of metabolic syndromes should be evaluated in all hypertension patients and all the factors of metabolic syndrome should be treated as well Keywords: Metabolic syndrome, essential hypertension, dyslipidemia

scholarly journals A COMPARATIVE STUDY BETWEEN SINGLE LAYER VERSUS DOUBLE LAYER INTESTINAL ANASTOMOSIS

2021 ◽  
pp. 64-66
Author(s):  
Sudhansu Sarkar ◽  
Sourav Das
Keyword(s):  
Comparative Study ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
Layer Versus ◽  
Medical College ◽  
Number Of Patients ◽  
Significant Difference ◽  
Group A ◽  
Group B

A comparative study between Single Layer versus Double Layer Intestinal Anastomosis,was undertaken at Department of Surgery,Bankura Sammilani Medical College & Hospital,Bankura from April 2019 – September 2020,which included 74 patients, comprising 2 groups: Group A-Single layer and Group B- Double layer with equal number of patients randomly allotted in each group. More number of patients had anastomotic leak in Group B than Group A, though not statistically significant. Difference of Mean Duration of Anastomosis with both groups is statistically significant.Mean Duration of Hospital Stay with both groups is statistically insignificant. Although more number of patients had anastomotic leaks in Group B than Group A,it was statistically insignificant.

scholarly journals Metabolic syndrome and its components as criteria for evaluating the efficiency of hypertension disease treatment

2018 ◽  
Vol 17 (4) ◽  
pp. 122-130
Author(s):  
B. B. Pinkhasov ◽  
V. G. Selyatitskaya ◽  
Yu. V. Lutov ◽  
D. A. Deev
Keyword(s):  
Metabolic Syndrome ◽  
Essential Hypertension ◽  
High Risk ◽  
Main Diagnosis ◽  
Significant Deterioration ◽  
Number Of Patients ◽  
Before And After ◽  
Male Patients ◽  
Definition Of ◽  
Degrees Of Severity

Purpose of the studywas to evaluate the effectiveness of complex treatment of essential hypertension based on the definition of risk of development, frequency and severity of metabolic syndrome (MS) and its components before and after treatment in male patients of the therapeutic clinic.Materials and methods.The study included 123 patients hospitalized with a main diagnosis of hypertension. In addition to the main examination, anthropometric, instrumental and hormonal-biochemical examination was additionally carried out. A point assessment of deviation degree and additional components of MS from reference was defined. In accordance with the received sum of points each patient was assigned a specific stratification category in relation to MS: lack of risk of development, existence of low, moderate or high risk of development and also light, medium or heavy severity of MS. Repeated examination was carried out in 14 days from initiation of treatment. The effectiveness of treatment was estimated as significant improvement, improvement, without change, deterioration, or significant deterioration depending on change of sum of points.Results.Before the start of treatment, 22.8% of the examined patients had a moderate or high risk of developing MS, and 77.2% had MS of varying degrees of severity. After 14 days the number of patients with MS decreased by 14.6%, and the number of patients with risk of its development increased to 37.4%. In 14 days the number of patients with MS decreased by 14.6%, and the number of patients with risk of his development increased to 37.4%. Among all components of the MS, the greatest number of cases of improvement was noted for hypertension. Significant improvement from the carried-out therapy was revealed in 17.9%, improvement in 39.0%, lack of changes in 37.4% and deterioration in 5.7% of patients.Conclusion.The employment of the method of Point assessment of degree of risk development and severity of MS, as a cluster of risk factors for the development of cardiovascular diseases, in patients with essential hypertension allowed the estimation of efficiency of the carried-out therapy and the individualization of a treatment regimen.

scholarly journals Headache in hypertension patients in young rural population of Punjab

2021 ◽  
Vol 15 (9) ◽  
pp. 2483-2484
Author(s):  
Arif Gulzar ◽  
Muhammad Aleem ud Din ◽  
M Faheem Siddique ◽  
Riasat Ali ◽  
Zoya Arif
Keyword(s):  
Essential Hypertension ◽  
Rural Population ◽  
Age Group ◽  
Young Population ◽  
Medical Department ◽  
Medical College ◽  
Keywords Headache

Objectives; To find the association of essential hypertension and headache in rural young population of PUNJAB, so as to treat the cases at the earliest stage . Material and Methods: The study is conducted in medical department of Pak Red Crescent Medical college Dina Nath in the period from October 2020 to June 2021 . fifty four patients including thirty three males and twenty one females with essential hypertension in age group of 18-35 were selected after scrutinizing clinically and on investigations. The patients were then differentiated as those suffering from generalized headaches without any secondary cause of headache were included Results: Total nineteen patients including seven males out of thirty three males and twelve out of twenty one females in the hypertension patients were having headache. So positivity in males was twenty one percent and in females was fifty seven percent , however in total 19/54 I e 35% were found having headache. Conclusions: All the patients with hypertension should be further evaluated for headache and it is not necessary that some secondary cause of hypertension is necessary for headache but there are many other other pathophysiological links which are still to be evaluated. Keywords: headache, hypertension.migraine, antihypertensive

Effects of Observer Variation on Performance in Probabilistic Diagnosis of Jaundice

1981 ◽  
Vol 20 (03) ◽  
pp. 163-168 ◽  
Author(s):  
G. Llndberg
Keyword(s):  
Physical Examination ◽  
System Performance ◽  
Transition Matrix ◽  
Bayes Theorem ◽  
Observer Variation ◽  
Kappa Statistics ◽  
Diagnostic Categories ◽  
Number Of Patients ◽  
Probability Transition Matrix ◽  
Probabilistic Diagnosis

A system for probabilistic diagnosis of jaundice has been used for studying the effects of taking into account the unreliability of diagnostic data caused by observer variation. Fourteen features from history and physical examination were studied. Bayes’ theorem was used for calculating the probabilities of a patient’s belonging to each of four diagnostic categories.The construction sample consisted of 61 patients. An equal number of patients were tested in the evaluation sample. Observer variation on the fourteen features had been assessed in two previous studies. The use of kappa-statistics for measuring observer variation allowed the construction of a probability transition matrix for each feature. Diagnostic probabilities could then be calculated with and without the inclusion of weights for observer variation. Tests of system performance revealed that discriminatory power remained unchanged. However, the predictions rendered by the variation-weighted system were diffident. It is concluded that taking observer variation into account may weaken the sharpness of probabilistic diagnosis but it may also help to explain the value of probabilistic diagnosis in future applications.

SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang
Keyword(s):  
Preterm Birth ◽  
Comparative Study ◽  
Pregnancy Outcome ◽  
Neonatal Morbidity ◽  
Research Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Chorionic Villi ◽  
Term Birth ◽  
Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

Comparative Study Between Clean Intermittent Self-Catheterization (Cisc) and Continuous Indwelling Catheterization (Cidc) in Relieving Acute Refractory Retention of Urine Due to Benign Enlargement of Prostate (Bep)

2020 ◽  
Vol 21 (2) ◽  
pp. 105-110
Author(s):  
Md Shawkat Alam ◽  
Sudip Das Gupta ◽  
Hadi Zia Uddin Ahmed ◽  
Md Saruar Alam ◽  
Sharif Muhammod Wasimuddin
Keyword(s):  
Comparative Study ◽  
Acute Urinary Retention ◽  
Bladder Capacity ◽  
Inclusion Criteria ◽  
College Hospital ◽  
Medical College ◽  
High Incidence ◽  
Group A ◽  
Group B ◽  
Better Than

Objective: To compare the clean intermittent self-catheterization (CISC) with continuous indwelling catheterization (CIDC) in relieving acute urinary retention (AUR) due to benign enlargement of prostate (BEP). Materials and Methods :A total 60 patients attending in urology department of Dhaka Medical college hospital were included according to inclusion criteria ,Patients were randomized by lottery into two groups namely group –A and group –B for CISC and IDC drainage respectively . Thus total 60 patients 30 in each group completed study. Results : Most men can safely be managed as out-patients after AUR due to BPH. The degree of mucosal congestion and inflammation within the bladder was found to be lower in those using CISC and the bladder capacity in these patients was also found higher.Patients with an IDC had a high incidence of UTIs then that of patients with CISC. During the period of catheterization the incidence of UTI was 43.3% in group B in comparison to 40% in group A; before TURP 36% in group B in comparison to 10% incidence in group A.According to patient’s opinion CISC is better than IDC in the management of AUR. Experiencing bladder spasm, reporting blood in urine, management difficulties, incidence and severity of pain were less in CISC group, and the method of CISC was well accepted by patients as well as their family members. Conclusion: From the current study it may be suggested that CISC is better technique for management of AUR patient due to BPH than IDC. It can also be very helpful when surgery must be delayed or avoided due to any reasons in this group of patients. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.105-110

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