scholarly journals AVALIAÇÃO DA INCIDÊNCIA DE OBESIDADE EM PACIENTES COM DIAGNÓSTICO DE ASMA ATENDIDOS NO AMBULATÓRIO DE PNEUMOPEDIATRIA DE UM HOSPITAL DE ATENÇÃO TERCIÁRIA

2018 ◽  
Vol 10 (Especial 5) ◽  
pp. 07-14
Author(s):  
Melina Marques Gomes ◽  
Osvaldo Saraiva Marques Júnior ◽  
Vinicius Marques Gomes

Asthma is a chronic inflammatory disease that causes hyperresponsiveness of the airways leading to frequent bouts of wheezing, dyspnea, chest tightness and cough. The objective of this study was to characterize the profile of patients with asthma treated at a Tertiary Care Hospital so that nutritional guidelines can be implemented for these patients. This is a cross-sectional study, in which the body mass index was analyzed in asthmatic patients over 6 years of age and under 18 years of age. The data were obtained by anthropometric measurements and the form filled out during a Pneumopediatrics outpatient clinic. A higher prevalence of asthma was observed in the male pediatric population, in agreement with the literature. The rate of obesity concomitant with asthma was 24.67%, higher than in the literature. In part, this fact reinforces the tendency of association between asthma and obesity observed in several studies. The use of inhaled corticosteroids agrees with the recommendations and therapeutic consensus of efficacy in the treatment of asthmatic crises.

2019 ◽  
Vol 6 (2) ◽  
pp. 676 ◽  
Author(s):  
Surbhi Garg ◽  
Girish G. Joag

Background: Glucose-6-phosphate dehydrogenase is one of many enzymes that help the body process carbohydrates and turn them into energy. The mechanism by which G6PD deficiency causes neonatal hyper bilirubin may be due to hemolysis, but other mechanisms like secondary impairment of bilirubin conjugation and clearance by the liver may play a role. Therefore, through this study authors attempt to study the need for a newborn screening program for G6PD deficiency because of high prevalence and high risk of incidence due to consanguineous marriages in India.Methods: This study was a prospective cross-sectional study conducted among 350 consecutively born live new-borns in maternity wards and NICU of Krishna Institute of Medical Sciences and Hospital and Research Centre, Karad, Maharashtra during October 2016 to October 2017.Results: The maximum numbers of newborns were in the age group of 0-10 hours (36.80%), followed by in 11-20 hours (21.80%). The mean age among newborns was 2.86±5.83 hours. Out of 350 cases females were 181 (51.71%) and males (48.29%) and female to male ratio was 1.07:1.Conclusions: G6PD deficiency is one of the major causes of neonatal jaundice within 24 hours of life in new-borns. Hence, neonatal screening for G6PD deficiency could be an alternative to the haemolytic crisis prevention strategy in order to optimize affected young child care and prevention of crisis occurrence by avoiding taking contraindicated foods and drugs.


2018 ◽  
Vol 7 (4) ◽  
pp. 192-196
Author(s):  
Nazish Batool ◽  
Gulrukh Mehboob ◽  
Shaista Bahar

Background: Asthma is a chronic inflammatory disease of the airways which is very common in Pakistan. Worldwide, the economic costs associated with asthma are increased to those of TB and HIV/AIDS combined. Objective: To estimate the out of pocket expenditures (direct & indirect medical cost) and its determinants in asthma patients visiting tertiary care hospitals. Methods: The cross sectional study was conducted on 116 asthmatic patients. The data was collected from all elderly asthma patients (60 or above) who were diagnosed with asthma at least from last 1 year and receiving inpatient and outpatient care. The samples were interviewed by using the close ended questionnaire. Data was analyzed by using the SPSS software version 20.0. Results: Out of total 116 patients, 48% were males while 52% were females. Most of the participants 72% were between age group of 60-65 years. The average out of pocket expenditures in elderly asthma inpatients was Rs.1128, and in outpatients these were Rs.854. The medicines were the major source of OOPS 43%; followed by lab investigators 24% & transportation cost 18%. It was estimated that age was significantly associated with the direct cost having p value 0.026; it was observed that average length of stay, disease duration & severity of disease was significantly associated with the direct as well as with the total cost (direct & indirect medical cost having p value <0.05. Conclusion: Asthma is expensive disease to manage among elderly patients. The affluent charges of managing asthma can put tremendous socioeconomic burden on patients.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Nearmeen M. Rashad ◽  
Marwa G. Amer ◽  
Waleed M. Reda Ashour ◽  
Hassan M. Hassanin

Abstract Background Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system with varied clinical features. Disease-modifying drugs (DMDs) of MS associated with different types of thyroiditis. In this cross-sectional study, we aimed to assess the prevalence of thyroid dysfunction in MS and to investigate the association between DMDs and the risk of thyroiditis in MS. A cross-sectional study included 100 patients with relapsing-remitting multiple sclerosis (RRMS) in relapse, and the diagnosed was according to revised McDonald’s criteria 2010. Results Our results revealed that the prevalence of thyroiditis was 40%; autoimmune (34%) and infective (6%) among patients with RRMS in relapse and cerebellar symptoms were significantly higher in patients with thyroiditis compared to patients without thyroiditis. Regarding the association between DMDs and thyroiditis, the prevalence of patients treated with interferon-beta-1b was higher in MS patients with thyroiditis compared to MS patients without thyroiditis. However, the prevalence of patients treated with interferon-beta-1a was lower in MS patients with thyroiditis compared to MS patients without thyroiditis. In addition, we found CMV infection was more common in patients treated by interferon beta-1b and candida infection was common in patients treated by fingolimod. Conclusions Thyroiditis is commonly observed in patients with RRMS in relapse and higher prevalence of patients treated with interferon-beta-1b which is commonly associated with thyroiditis and CMV infection; however, candida thyroid infection was common in MS patients treated by fingolimod.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Turki M. AlHarbi ◽  
Abdullaziz AlGarni ◽  
Fasial AlGamdi ◽  
Mona Jawish ◽  
Tariq Ahmad Wani ◽  
...  

Objective.To determine the accuracy of the Broselow Tape (BT) versions 2007 and 2011 in estimating weight among pediatric population.Methods.A cross-sectional study was conducted at King Fahad Medical City and six schools across Riyadh province on 1–143-month-old children. BT 2007 and 2011 estimated weights were recorded. Both tapes via the child’s height produce an estimated weight, which was compared with the actual weight.Results.A total of 3537 children were recruited. The height (cm) of the subjects was97.7±24.1and the actual weight (kg) was16.07±8.9, whereas the estimated weight determined by BT 2007 was15.87±7.56and by BT 2011 was16.38±7.95. Across all the five age groups, correlation between actual weight and BT 2007 ranged between 0.702 and 0.788, while correlation between actual weight and BT 2011 ranged between 0.698 and 0.788. Correlation between BT 2007 and BT 2011 across all the five age groups ranged from 0.979 to 0.989. Accuracy of both the tape versions was adversely affected when age was >95 months and body weight was >26 kilograms.Conclusions.Our study showed that BT 2007 and 2011 provided accurate estimation of the body weight based on measured body height. However, 2011 version provided more precise estimate for weight.


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