scholarly journals Prevelance of Undiagnosed Bronchiectasis in Patients Suffering from Severe Persistent Asthma

2021 ◽  
Vol 15 (7) ◽  
pp. 1726-1728
Author(s):  
Asad Javaid ◽  
M. Saqib Musharaf ◽  
Faisal Hassan Zahid Ch. ◽  
M. Taha Waqas ◽  
Muhammad Mohsin Farooq ◽  
...  
Keyword(s):  
Airway Hyperresponsiveness ◽  
Disease Duration ◽  
Persistent Asthma ◽  
Descriptive Study ◽  
Smoking History ◽  
High Resolution Computed Tomography ◽  
Cross Sectional ◽  
Medical College ◽  
Severe Persistent Asthma ◽  
The Impact

Introduction: Asthma is a clinical condition associated with recurring airway obstruction, airway hyperresponsiveness and airway inflammation. Asthma and bronchiectasis are separate illnesses. However, both disorders occur in some patients e.g., ABPA. Rare data exist for determining the impact of asthma aggravation by bronchiectasis. Present study aims to find such association. Objective: To determine the prevalence of undiagnosed bronchiectasis in patients suffering from severe persistent asthma. Study Design: Cross sectional/descriptive study Place and Duration of Study: Department of Pulmonology, Al-Aleem Medical College/Gulab Devi Teaching Hospital Lahore from 1st July 2020 to 31st December 2020. Methodology: One hundred and twenty five patients of severe persistent asthma were enrolled. Patients were aged between 20-75 years. Patients details demographics age, sex and body mass index were recorded after taking written consent. High-resolution computed tomography (HRCT) chest was done among complete patients to recognized undiagnosed bronchiectasis. Prevalence of undiagnosed bronchiectasis was assessed among cases. Results: Sixty five (54.17%) were females and the rest were males 55 (45.83%). Mean age of the patients were 40.26±9.55 years with mean BMI 25.16±8.66 kg/m2. 35 (28%) patients had smoking history. Majority of the patients 55 (44%) were aged between 45-75 years of age. Prevalence of undiagnosed bronchiectasis was found in 48 (38.4%) patients of severe persistent asthma. Conclusion: The prevalence of undiagnosed bronchiectasis was significantly high among patients of long disease duration suffering from persistent asthma. Keywords: Severe persistent, Asthma, Undiagnosed bronchiectasis

scholarly journals A Cross Sectional Descriptive Study of Etiology and Clinical Pattern of Liver Abscess : 50 Cases

2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  
Keyword(s):  
Clinical Features ◽  
Liver Abscess ◽  
Rural Areas ◽  
Descriptive Study ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Abdominal Abscesses ◽  
One Year ◽  
The Right

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48

scholarly journals Study of Cervical Length in Bangladeshi Cadaver

2016 ◽  
Vol 5 (2) ◽  
pp. 26-28
Author(s):  
Zubaida Gulshan Ara ◽  
ASM Shafiqul Islam ◽  
Umme Kulsum Sharmin Zaman ◽  
Anjuman Ara ◽  
Reeva Aireen Busreea
Keyword(s):  
Uterine Cervix ◽  
Anatomical Variation ◽  
Age Groups ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Cervical Length ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Female Genital

This cross sectional descriptive study was done to see the length of the cervix in Bangladeshi cadaver to find out the anatomical variation and to compare it with other study findings. 60 post mortem specimens containing female genital organs particularly uterine cervix were collected by purposive sampling technique from cadavers of different age groups. All the collected specimens were fixed in 10% formalin solution. This study was carried out in the department of Anatomy, Mymensingh Medical College from July 2006 to June 2007. Both gross and fine dissections were performed to measure the length of the uterine cervix. We compare our study findings with that of the references. Maximum mean length of the cervix was found in the 13-45 years age group. It was 2.89 cm. CBMJ 2016 July: Vol. 05 No. 02 P: 26-28

scholarly journals The impact of disease severity and duration on cost, early retirement and ability to work in rheumatoid arthritis in Europe: an economic modelling study

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
James Galloway ◽  
Jean-Philippe Capron ◽  
Francesco De Leonardis ◽  
Walid Fakhouri ◽  
Alison Rose ◽  
...  
Keyword(s):  
Disease Activity ◽  
Early Retirement ◽  
Disease Duration ◽  
Severe Disease ◽  
Economic Modelling ◽  
Ability To Work ◽  
Activity Impairment ◽  
Cross Sectional ◽  
Work Impairment ◽  
The Impact

Abstract Objective RA is a progressive, chronic autoimmune disease. We summarize the impact of disease activity as measured by the DAS in 28 joints (DAS28-CRP scores) and pain on productivity and ability to work using the Work Productivity and Activity Impairment questionnaire (WPAI) scores, in addition to the impact of disease duration on the ability to work. Methods Data were drawn from the Burden of RA across Europe: a Socioeconomic Survey (BRASS), a European cross-sectional study in RA. Analyses explored associations between DAS28-CRP score and disease duration with stopping work because of RA, and regression analyses assessed impacts of pain and DAS28-CRP on early retirement and WPAI. Results Four hundred and seventy-six RA specialist clinicians provided information on 4079 adults with RA, of whom 2087 completed the patient survey. Severe disease activity was associated with higher rates of stopping work or early retirement attributable to RA (21%) vs moderate/mild disease (7%) or remission (8%). Work impairment was higher in severe (67%) or moderate RA (45%) compared with low disease activity [LDA (37%)] or remission (28%). Moreover, patients with severe (60%) or moderate pain (48%) experienced increased work impairment [mild (34%) or no pain (19%)]. Moderate to severe pain is significant in patients with LDA (35%) or remission (22%). A statistically significant association was found between severity, duration and pain vs work impairment, and between disease duration vs early retirement. Conclusion Results demonstrate the high burden of RA. Furthermore, subjective domains, such as pain, could be as important as objective measures of RA activity in affecting the ability to work.

scholarly journals The Impact of acne on the quality of life of the patients attending dermatology outpatient department at Nobel Medical College Teaching Hospital

2018 ◽  
Vol 7 (1) ◽  
pp. 45-49
Author(s):  
Manish Pradhan ◽  
Chandra Bhal Jha ◽  
Dipa Rai
Keyword(s):  
Quality Of Life ◽  
Teaching Hospital ◽  
College Teaching ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Medical College ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Background: Acne is a very common distressing skin condition that affects multiple aspects of quality of life of an individual. It has been illustrated that acne have tremendous effect on an individual’s self-image and impacts his or her quality of life. The extent of burden of the disease experienced by the patients seems to be underestimated by the whole medical fraternity. The aim of the study is to determine the health related quality of life impairment in acne patients using CADI and to identify various variables that increase the patients’ susceptibility for quality of life impairment. Subjects and Methods: This is a hospital based, cross sectional study conducted in the Department of Dermatology, Nobel Medical College Teaching Hospital from Jan 2017 to December 2017.A total of 202 acne patients were evaluated with CADI. Clinical characteristics were recorded after history and clinical examination. Results: Out of total 202 patients enrolled, 56.4% of patient scored a CADI score of (5-9) indicating moderate quality of life impairment and 15.3% of patient scored a CADI score of 10 or more indicating severe quality of life impairment. The mean CADI score was 6.82 ± 2.75. There was positive correlation between the CADI score and impact on quality of life with grade of acne, which was statistically significant (p<0.001). Conclusion: Acne is a common skin disease with tremendous adverse effect on the patient’s health related quality of life. Patients are affected both physically and mentally with this condition. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 45-49 

scholarly journals Library Usage by the Medical Students of a Tertiary Medical College in Chattogram

2020 ◽  
Vol 19 (1) ◽  
pp. 38-42
Author(s):  
Maliha Ata ◽  
Rozina Hoque ◽  
Asma Mostafa ◽  
Happy Rani Barua
Keyword(s):  
Medical Students ◽  
Daily Basis ◽  
Self Directed Learning ◽  
Cross Sectional ◽  
Medical College ◽  
Self Study ◽  
Directed Learning ◽  
The Impact ◽  
Medical Student Learning ◽  
College Library

Background: The medical college library plays an important role in enhancing theacademic achievements of medical students. In order to improve the quality oflibrary services this study provided an assessment of the impact of the libraryservices on undergraduate medical student learning behavior. Materials and methods: This was a cross-sectional descriptive type of study. Thestudy used a self-designed questionnaire. The study sample was 200 undergraduatemedical students. The questionnaire was administered to them at the end of theirlecture class. Results: The primary reason for going to the library was self study (68%) refer text(37%) and group study (36%). Only 38.55% of the respondents visited the library ona daily basis, 50.5% students visit library when necessary and 10.5% student uselibrary 2-3 times a week. All students (100%) are aware about availability of textbooks in the library. 60.5% students know that journals are available in their library,52% know about dictionaries, 56.55% know of having internet, 62.5% students knowthat computers are available in library. 46.5% students said that their internet ofinstitutional library is somewhat helpful. Noise (67.5%), insufficient space (66%),lack of interent access (46%) and lack of computers(44.5%) might have negativeinfluence on the students in library visit. Conclusion :The study suggested that fulfillment of more needs to be done topromote self directed learning. The usage of library, its resources and services needto be increased. Chatt Maa Shi Hosp Med Coll J; Vol.19 (1); January 2020; Page 38-42

scholarly journals Change in the symptom profile treated as asthma – two cross-sectional studies twenty years apart

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Mihkel Pindus ◽  
Hans Orru ◽  
Rain Jõgi
Keyword(s):  
Respiratory Symptoms ◽  
Medication Use ◽  
Asthma Medication ◽  
Self Report ◽  
Smoking History ◽  
Asthma Treatment ◽  
Chest Tightness ◽  
Cross Sectional ◽  
Symptom Profile ◽  
The Impact

Abstract Aims The aims of the study were to investigate prevalence trends of respiratory symptoms, asthma and asthma treatment among young adults in Estonia and to estimate changes in symptom profile among subjects who self-report asthma attacks or use asthma medications. Methods Two similar questionnaires on respiratory health were sent to subjects in Tartu, Estonia, aged between 20 and 44 years; first in 1993/94, and then in 2014/15. To study the impact of different respiratory symptoms on asthma diagnosis and treatment, the log–binomial regression was used to estimate the association between ‘attack of asthma’ (as a proxy for current asthma) and respiratory symptoms as well as asthma treatment and respiratory symptoms, adjusted for age, sex and smoking history. Results Self–reported prevalence of asthma attack, asthma medication use and nasal allergies increased over the twenty years between studies, whereas there was no change in prevalence of asthma–related symptoms, and the prevalence of most respiratory symptoms either decreased, or remained unchanged. For women experiencing asthma attacks, the prevalence of nasal allergies increased and waking with chest tightness decreased. For men using asthma medication, the prevalence of a wheeze without a cold decreased. Women using asthma medication reported decreased prevalence of waking with chest tightness. Conclusion Self-reported asthma attacks and asthma medication use has increased in last 20 years, while the prevalence of most respiratory symptoms either decreased or did not change. It is likely that changes in asthma symptom profile have had an impact on the prevalence of asthma and asthma treatment.

The impact of telemedicine in healthcare demand by patients with severe persistent asthma

2016 ◽  
Author(s):  
Silvia Pascual Erquicia ◽  
Sandra Dorado Arenas ◽  
Isabel Urrutia Landa ◽  
Itziar Arrizubieta Basterrechea ◽  
Txomin Zabala Hernandez ◽  
...  
Keyword(s):  
Persistent Asthma ◽  
Severe Persistent Asthma ◽  
The Impact
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