Epidemiological characteristics and morbidity of Snake-bites in Zunyi city, China

Objectives: To investigate the epidemiological characteristics and morbidity of the snake-bite injury in Zunyi city, China, so as to provide the first aid guidance and public education for the prevention and treatment strategies of snake-bite injuries.Methods: A cross-sectional study was conducted, and 548 cases of snake-bite were observed in this study between January1, 2015 to December 31, 2017. They were identified form the Emergency Department of the Affiliated Hospital of Zunyi Medical University. A retrospective epidemiological survey was conducted to collect their information on sex, age, occupation, bite location, bite year and season, specific bite cause.Results: The number of the patients of snake-bite was increased; however, the fatality rate gradually was decreased year by year during the investigating period. Seven patients died during year 2015-2017 and the 3-year total mortality was 2.9%. Among the dead, 59.31% were male and 40.69% were female. 19.70% of patients were between 41 and 50 years old, 17.70% were between 51 and 60 years and 16.79% of patients were between 61 and 70 years old. Moreover, 66.97% of patients were on the lower extremity and 31.93% of patients on the upper extremity. 83.39% of patients were bitten while farming and 12.04% of patients were bitten while walking. Most cases occurred during summer and autumn (7-9 months) seasons. The regional distributions of 548 snake-bites were 44.34% in the County and 33.94% in districts of Zunyi city.Conclusion: Target preventive measures should be conducted in high risk populations in Zunyi city, especially in spring and summer.

Download Full-text

A KAP study on snakebite and its management among medical interns in a tertiary care medical college and hospital in Trivandrum district, Kerala

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190637 ◽

2019 ◽

Vol 6 (3) ◽

pp. 1340 ◽

Cited By ~ 1

Author(s):

Amritesh Kumar ◽

Soumya Gopakumar ◽

Sruthy Sathyan ◽

S. Blessed Singh ◽

Beena Idicheriya Bhasy

Keyword(s):

Care Center ◽

Tertiary Care ◽

Medical Problem ◽

Cross Sectional Study ◽

Snake Bite ◽

Cross Sectional ◽

Good Level ◽

Adequate Knowledge ◽

Snake Bites ◽

Level Of Knowledge

Background: Snake bite is considered as one of the most significant health related problems throughout the world. According to the WHO, a snake bite is an important medical problem. It has been a neglected extrinsic injury in tropical and sub-tropical developing countries including India. It has been estimated that every year there are almost 83,000 snake bites and 11,000 deaths due to snake bites in India. The Goal of this study is to access knowledge, attitude and practice (KAP) among interns so as to find out gaps in academics and bridge them. Findings of this study will benefit community at large.Methods: An institutional based cross sectional study was conducted for the entire batch of interns in a tertiary care center in Trivandrum, Kerala, South India during June–September 2018. A non-probability sampling was done. Data was collected by self-administered questionnaire.Results: Among 100 students 48% had a score equal to and above 8 which was taken as good level of knowledge and 52% had poor level of knowledge. Attitude towards management of snake bite was 100% among study subjects. Only 35% of students had median score above 4 as good level of practice and remaining 65% had poor level of practice.Conclusions: Respondents have adequate knowledge on snake bites. They discarded various prevailing myths in society. Although study showed adequate attitude towards management, that was not reflected in practice. This gap can be overcome by teaching in simulated environment, so as to make them competent enough for managing snake bites.

Download Full-text

Clinical profile and outcomes of snake bite poisoning in a tertiary care centre in South Tamilnadu

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20170341 ◽

2017 ◽

Vol 6 (2) ◽

pp. 418

Author(s):

Meenakshi B. ◽

Shantaraman K. ◽

Indhumathi M. ◽

Arumugapandian S. Mohan

Keyword(s):

Tertiary Care ◽

Cross Sectional Study ◽

Snake Bite ◽

Clinical Profile ◽

Tertiary Care Centre ◽

College Hospital ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Medical College ◽

Snake Bites

Background: Snake-bites are well-known common medical emergencies in many parts of the world. In India 46,000 people are dying every year from snakebites. However, the true scale of mortality and morbidity from snake-bite remains uncertain. This study analyses the clinical profile and outcomes of the snake bite poisoning in patients admitted to this centre.Methods: This cross sectional study analyses the data of 150patients admitted to the Intensive Medical Care Unit of Tirunelveli Medical College Hospital with the history of snake bite between April and September of 2015 as available in their case records.Results: In this study, 42.7% of the patients were in the age group of 18 to 40 years and 64% were males with rural: urban ratio of 2.3: 1. About 82.7% of bites were haematotoxic, 10.7% neurotoxic and the remaining nontoxic bites. About 54% patients recovered completely, 44% had some form of morbidity at discharge and mortality was 2%. Out of 136 patients who were treated with Anti-snake venom (ASV), 9.6% developed ADR. The common ADR was itching and hypotension followed by rigor, breathlessness and edema of lips and eyes.Conclusions: This study highlights the need for early treatment intervention post bite. Imparting health education about early pre-hospital management and transfer to the hospital will help in the prevention of deaths due to snakebite. Identification of the type of snake is essential to decide on the type of toxicity and method of treatment to be instituted.

Download Full-text

Magnetic resonance imaging template to standardize reporting of anal fistulas

Techniques in Coloproctology ◽

10.1007/s10151-020-02384-6 ◽

2021 ◽

Author(s):

I. Sudoł-Szopińska ◽

G. A. Santoro ◽

M. Kołodziejczak ◽

A. Wiaczek ◽

U. Grossi

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Treatment Strategies ◽

Cross Sectional Study ◽

Resonance Imaging ◽

Anal Fistulas ◽

Cross Sectional ◽

Radiology Reports ◽

Colorectal Surgeons ◽

Magnetic Resonance Imaging Mri

AbstractAnal fistula (AF) is a common referral to colorectal surgeons. Management remains challenging and sometimes controversial. Magnetic resonance imaging (MRI) is commonly performed in initial workup for AF. However, reports often lack key information for guiding treatment strategies. It has been shown that with structured radiology reports, there is less missing information. We present a structured MRI template report including 8 key descriptors of anal fistulas, whose effectiveness and acceptability are being assessed in a cross-sectional study (NCT04541238).

Download Full-text

Exploring Health Literacy in Medical University Students of Chongqing, China: A Cross-Sectional Study

PLoS ONE ◽

10.1371/journal.pone.0152547 ◽

2016 ◽

Vol 11 (4) ◽

pp. e0152547 ◽

Cited By ~ 15

Author(s):

Yan Zhang ◽

Fan Zhang ◽

Ping Hu ◽

Wenjie Huang ◽

Lu Lu ◽

...

Keyword(s):

Health Literacy ◽

University Students ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medical University

Download Full-text

Epidemiological Characteristics of Sport-Related Concussion in Athletes of Brazilian Jiu-Jitsu and Muay Thai

Neurology ◽

10.1212/01.wnl.0000801952.77967.51 ◽

2021 ◽

Vol 98 (1 Supplement 1) ◽

pp. S23.1-S23

Author(s):

Carlos Pinheiro ◽

Francisca Taciane Nascimento Sousa

Keyword(s):

Close Contact ◽

Cross Sectional Study ◽

Self Report ◽

Combat Sports ◽

Cross Sectional ◽

Brazilian Sample ◽

Individual Interviews ◽

History Of ◽

The Moment ◽

Epidemiological Characteristics

ObjectiveTo evaluate the self-reported history of concussion in athletes of both Brazilian Jiu-Jitsu (BJJ) and Muay Thai.BackgroundCombat sports are widely practiced around the world. They include modalities that involves punches or kicks directed at the opponent's head (Striking sports) or that consists of grabbing an opponent and taking him to the ground (Grappling sports). Due to the objectives and close contact in combat sports, the risk of concussion is significant.Design/MethodsThis was a cross-sectional study involving a Brazilian sample of BJJ athletes (n-18) and Muay Thai athletes (n-22). The sample was consisted of both professional and amateur athletes (Women constituted 20% of sample). Through individual interviews with a researcher the following data were collected: self-report of concussion and the moment of the injury (whether in practice or in the fight). The Post-Concussion Symptoms Scale (PCSS) was also applied. In the present study, a concussion was considered as a direct impact on the head followed by symptoms. This study was approved by a local Ethics Committee.ResultsAmong BJJ athletes, 61% reported a history of concussion, while among Muay Thai athletes the percentage was more higher (86%). The main mechanisms of head impact were the throw/takedown and elbow-hits to the head in BJJ and punches and knee-hits to the head in Muay Thai. There was no difference in the symptom score between BJJ and Muay Thai concussed athletes (average of 11 vs 10.7, respectively). The most common symptoms were dizziness, headache and nausea in BJJ athletes, and headache, nausea, drowsiness and brain fogginess in Muay Thai ones.ConclusionsThe results presented herein suggest that concussions in Muay Thai and BJJ occur through different mechanisms. The clinical profile of post-concussion symptoms appears to be different between BJJ and Muay Thai athletes.

Download Full-text

Prevalence and Epidemiological Characteristics of Asymptomatic Malaria Based on Ultrasensitive Diagnostics: A Cross-sectional Study

Clinical Infectious Diseases ◽

10.1093/cid/ciy1005 ◽

2018 ◽

Vol 69 (6) ◽

pp. 1003-1010 ◽

Cited By ~ 20

Author(s):

Seble Girma ◽

James Cheaveau ◽

Abu Naser Mohon ◽

Dewdunee Marasinghe ◽

Ruth Legese ◽

...

Keyword(s):

Diagnostic Tests ◽

Cross Sectional Study ◽

Rapid Diagnostic Tests ◽

World Health ◽

Asymptomatic Malaria ◽

Global Public Health ◽

Sectional Study ◽

Cross Sectional ◽

Qrt Pcr ◽

Epidemiological Characteristics

Abstract Background As the global public-health objectives for malaria evolve from malaria control towards malaria elimination, there is increasing interest in the significance of asymptomatic infections and the optimal diagnostic test to identify them. Method We conducted a cross-sectional study of asymptomatic individuals (N = 562) to determine the epidemiological characteristics associated with asymptomatic malaria. Participants were tested by rapid diagnostic tests (CareStart, Standard Diagnostics [SD] Bioline, and Alere ultrasensitive RDT [uRDT]), loop-mediated isothermal amplification (LAMP), and quantitative reverse transcription polymerase chain reaction (qRT-PCR) to determine malaria positivity. Hemoglobin values were recorded, and anemia was defined as a binary variable, according to World Health Organization guidelines. Results Compared to reference qRT-PCR, LAMP had the highest sensitivity (92.6%, 95% confidence interval [CI] 86.4–96.5), followed by uRDT Alere Malaria (33.9%, 95% CI 25.5–43.1), CareStart Malaria (14.1%, 95% CI 8.4–21.5), microscopy (5.0%, 95% CI 1.8–10.5), and SD Bioline (5.0%, 95% CI 1.8–10.5). For Plasmodium falciparum specimens only, the sensitivity for uRDT Alere Malaria was 50.0% (95% CI 38.8–61.3) and SD Bioline was 7.3% (95% CI 2.7–15.3). Based on multivariate regression analysis with qRT-PCR as the gold standard, for every 3.2% increase in the prevalence of asymptomatic malaria, hemoglobin decreased by 1 gram per deciliter (prevalence ratio 0.968, 95% CI 0.940–0.997; P = .032). Deletions (4.8%) in hrp2 were noted. Conclusions While uRDT Alere Malaria has superior sensitivity to rapid diagnostic tests and microscopy in detecting asymptomatic malaria, LAMP is superior still. Ultrasensitive diagnostics provide the accurate prevalence estimates of asymptomatic malaria required for elimination.

Download Full-text

Etiological Pattern of Dementia in Bangladesh

Bangladesh Journal of Neuroscience ◽

10.3329/bjn.v32i2.57445 ◽

2016 ◽

Vol 32 (2) ◽

pp. 85-90

Author(s):

MRK Khan ◽

AN Rizvi ◽

MA Habib ◽

MK Hasan ◽

A Mamun ◽

...

Keyword(s):

Vascular Dementia ◽

Neurodegenerative Disorder ◽

Psychosocial Interventions ◽

Cross Sectional Study ◽

Chronic Subdural Haematoma ◽

Cross Sectional ◽

Dementia Patients ◽

Dsm Iv ◽

Medical University ◽

State Examination

Background: Dementia is a chronic & progressive neurodegenerative disorder affecting usually older people of more than 65 years in which there are disturbances of multiple higher cortical functions including memory, thinking, orientation & others. Dementia patients are increasing in number as the population of older age group is increasing. All types of dementia are treatable, at least with psychosocial interventions. So, accurate diagnosis and evaluation of etiological pattern is essential. Methods: This cross sectional study was carried out in the Department of Neurology, Bangabandu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2012 to December 2012 on 88 patients with dementia diagnosed on the basis of mini mental state examination and DSM-IV criteria. Results: Vascular dementia was the underlying diagnosis in most of the cases (43.3 %) followed by Alzheimers Disease (20.2%) and Parkinson Disease (9%). Other causes were Mixed Dementia, Intracranial Space Occupying Lesion, Post Encephalitic, Hypoxic Encephalitic, Chronic Subdural Haematoma and Tubercular Meningitis. Conclusion: Vascular dementia is more than Alzheimer’s Dementia in Bangladesh. Multiple vascular risk factors contribute to this. Bangladesh Journal of Neuroscience 2016; Vol. 32 (2): 85-90

Download Full-text

Oral Hygiene status among patients treated with fixed orthodontic appliance in the Department of Orthodontics in BSMMU

Bangladesh Journal of Orthodontics and Dentofacial Orthopedics ◽

10.3329/bjodfo.v7i1.43690 ◽

2019 ◽

pp. 16-19

Author(s):

Md Ali Kawsar ◽

Marina Akhtar ◽

Md Ahsan Habib ◽

Zafrina Islam ◽

Md Nurul Islam

Keyword(s):

Oral Hygiene ◽

Cross Sectional Study ◽

Mean Value ◽

Orthodontic Appliances ◽

Cross Sectional ◽

Dental Floss ◽

Fixed Orthodontic Appliances ◽

History Of ◽

Mouth Wash ◽

Medical University

Background: Oral hygiene maintenance is difficult for patients who are receiving fixed orthodontic treatment. Objective: The aim of the study was to find out deterioration of oral hygiene status during treatment of fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Methodology: This cross sectional study was carried out in the Department of Orthodontics at Bang- abandhu Sheikh Mujib Medical University, Dhaka from July 2013 to July 2014. All the patients taking treatment with fixed orthodontic appliances for more than 6 months were included as study population. During treatment in the OPD all the information of the patients’ oral hygiene maintenance like brush- ing, dental floss use, use of mouthwash, and history of sugar consumption, taking sticky food were recorded. The Orthodontic Plaque Index (OPI) was calculated and recorded. In addition to that frequency of brushing, type of tooth brush, technique of brushing and inter dental brush were also considered. Result: A total number of 100 patients were studied. Mean OPI was 81.78 (22.97). Mean value of OPI was 86.35 (13.27) among patients who brushed their teeth once a day but it was decreased gradually as the patients increased frequency of toothbrush use per day and became 85.74 (±26.12) among the patients who brushed their teeth thrice a day. Mean value of OPI was 81.98 (±23.27) who did not use dental floss and 75.00 (±7.00) who used dental floss once a day. Mean value of OPI was 84.65 (±23.10) who used inter dental brush irregularly but 35.00 (±0.00) who used it thrice a day. Mean value of OPI was 85.70 (±22.43) who did not use mouth wash whereas it reduced to 46.00 (±0.00) among them who used mouth wash thrice a day. Conclusion: All the indexes of oral hygiene are increased in patients treated with fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.16-19

Download Full-text

Epidemiology and Characteristics of Extra-ovarian Conditions Mimicking Ovarian Cancer: A 4-Year Assay Among Iranian Women

International Journal of Travel Medicine and Global Health ◽

10.15171/ijtmgh.2018.22 ◽

2018 ◽

Vol 6 (3) ◽

pp. 121-124

Author(s):

Seyedeh Razieh Hashemi ◽

Mohammad Hossein Khosravi ◽

Mohammad Ali Hosseini ◽

Rezvan Ashkesh ◽

Afsaneh Lalooei

Keyword(s):

Ovarian Cancer ◽

Cross Sectional Study ◽

Primary Diagnosis ◽

Ovarian Mass ◽

Sectional Study ◽

Cross Sectional ◽

Assessment Report ◽

Ovarian Diseases ◽

Epidemiological Characteristics ◽

Ovarian Masses

Introduction: Involving approximately 4% of malignancies in women, ovarian cancer remains one of the most fatal cancers. However, it is important to consider conditions which are not primary ovarian diseases, but mimic their behaviors. In the present study, the epidemiological characteristics of extra-ovarian conditions mimicking ovarian masses are evaluated. Methods: This cross-sectional study was conducted on patients with a primary diagnosis of ovarian mass who underwent surgery by gynecologists between January 2012 and March 2016. The surgeon’s primary diagnosis and the final histopathology assessment report were evaluated for each patient. In cases where the final histopathology report was not in the spectrum of gynecologic pathology, possible reasons for incompatibility were investigated. Results: Ultimately, 1876 patients with a mean age of 48.26±15.4 years underwent analysis. Among these patients, 27 (1.4%) had masses of a non-gynecologic origin. The final diagnoses were divided into four main categories: masses with a gastrointestinal origin (55.5%), infectious (18.5%), those with a retroperitoneal origin (18.5%), and embryologic-origin masses (7.4%). Conclusion: The results suggest that extra-ovarian diseases should be considered in differential diagnoses of patients with a primary diagnosis of ovarian cancer. Furthermore, it was found that metastases from gastrointestinal tract tumors and infectious diseases are the most common pathologies among extra-ovarian conditions.

Download Full-text

Prevalence and risk factors of asymptomatic Neisseria gonorrhoeae and Chlamydia trachomatis infections in Shenzhen, China.

10.21203/rs.2.20491/v1 ◽

2020 ◽

Author(s):

Shu-Xia Chang ◽

Kang-Kang Chen ◽

Xiao-Ting Liu ◽

Hao-Yuan Zhang ◽

Meng-Man Wu ◽

...

Keyword(s):

Risk Factors ◽

Chlamydia Trachomatis ◽

Neisseria Gonorrhoeae ◽

Cross Sectional Study ◽

Urine Specimen ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

High Risk Populations ◽

Independent Risk Factors

Abstract Objective The aim of this study was to investigate the prevalence and proportion of laboratory-confirmed urethral Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections that were asymptomatic among individuals presenting to different clinics in Shenzhen and the risk factors related to STI infections in this population.Methods In a cross-sectional study, 8,309 eligible individuals were invited to participate in a questionnaire interview, and urine specimens were collected for identification of CT and NG infections. Corresponding outcomes were analyzed by Chi-square test and multivariate logistic regression.Results Among 7070 participants who completed the questionnaire and provided the urine specimen, 2871 were asymptomatic and included in our analyses: 1120 (39.0%) males and 1751 (61.0%) females. The prevalence of NG and CT was 0.9% and 6.2% among males reporting no symptoms, and 0.4% and 7.9% among females reporting no symptoms, respectively. The proportion of asymptomatic urethral CT among males with urethral CT was 28.3%; for females, it was 34.2%. For asymptomatic males with urethral NG/CT, 3 independent risk factors were identified: (1) males under the age of 30 (OR, 1.75; 95% CI, 1.07-2.84); (2) being employed in the commercial service work (2.69; 1.33-5.45); and (3) being recruited through the urological department (2.18; 1.24-3.83). For asymptomatic females with urethral NG/CT, 2 independent risk factors were identified: (1) females under the age of 30 (OR, 1.80; 95% CI, 1.25-2.58); and (2) being recruited through the dermatological department (2.83; 1.46-5.46).Conclusion A substantial prevalence of asymptomatic CT infections was found among males and females presenting to clinics in Shenzhen. The significant correlation between asymptomatic CT infection and these risk factors could help identify high-risk populations and guide screening.

Download Full-text