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Background: Pleural Effusion (PE) is a sign of disease and not a diagnosis itself. Hence an attempt was made to find out the etiological diagnosis of pleural effusion in cases.Methods: Single center, observational, cross sectional hospital-based study. Samples were collected by systematic random sampling method; study was conducted in GSL Medical College. Patients admitted with pleural effusion in medical wards and ICU were taken. The patients >14 years age, both genders were included. All patients were interviewed to obtain detailed history and examined thoroughly as per pre-determined protocol. Chest x-ray, chest ultrasonogram, PF analysis, routine general investigations were conducted for all the participants; and pleural cytology in certain cases. PF was aspirated send for various microbiological investigations such as gram stain, culture.Results: Out of 104 study participants, 78 were men and 26 were women and peak incidence of pleural effusion is 41-50 years. In this study, 58% cases were found to be tuberculoid, 25% malignant, 6% pyogenic.Conclusions: Tuberculosis was found to be commonest and more prevalent cause of pleural effusion. Every case of pleural effusion should be meticulously investigated in order to arrive a diagnosis, whether tuberculous or non-tuberculous to proceed for specific therapy.
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Background: Seizures are the most common pediatric neurological disorder. With this a study was conducted to determine the frequency of abnormal neuroimaging in children aged between 6 months to 16 years with new onset afebrile seizures.Methods: Study was conducted in the department of pediatrics, GSL Medical College. Children aged six months to sixteen years, presented with the symptoms of first episode of afebrile seizures were included in the study. After through clinical examinations, findings were recorded, and all the participants underwent imaging studies such as CT and MRI. And the findings were recorded. p<0.05 was considered statistically significant.Results: Total of 80 participants were included in the study; in this, 22.5% (18) had simple partial, 41.3% (33) had complex partial and 5% (4) had partial seizures with 20 generalization and 31.3% (25) had generalized seizures. Seizures were more common among non-vegetarians (p<0.05). Bain CT shows localization to the parietal lobe in 54% of these cases.Conclusions: Neurocysticercosis and tuberculoma are common causes of seizures. Although cysticercosis incidence is greater in pork eaters, but vegetarians shouldn't be excluded. Studies on large sample size for long time are recommended.
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Background: Lung carcinoma is the most common. With this, a study was conducted to assess the clinical profile of Non-small cell lung carcinoma (NSCLC) and also to evaluate the response to chemotherapy in various stages of NSCLC.Methods: It was a prospective study. All the clinically confirmed cases with NSCLC were taken into consideration. Clinical staging was done, diagnosis was confirmed by histopathological findings. Treatment was given depending on the stage of carcinoma. Patients were evaluated before each cycle of chemotherapy for any progression of disease. Pathological response was evaluated after completion of 6 cycles of chemotherapy. Chi square test was used to find the statistical significance; p<0.05 was considered statistically significant.Results: Total 153 patients admitted to oncology wing were taken to the study, with mean age 59.07±10.618 years, 2.6 male female ratio. In this 73% were in stage III and the remaining in stage IV NSCLC. Majority (56.10%) of the study subjects in stage III NSCLC showed partial response, Majority (68%) of the subjects in stage IV NSCLC showed partial response; the difference was Statistically significant (p<0.05).Conclusions: NSCLS is common in older people with male dominance due to habits.
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Background: There was increasing evidence that gender differences are important in epidemiology, treatment and outcomes of many diseases, relevant for non-communicable diseases.Methods: Study was conducted in Department of General Medicine, GSL Medical College. Patients who were admitted with type 2 diabetes were recruited in the study. Each patient was interviewed to obtain detailed history and examined thoroughly as per predetermined protocol, national diabetes data group and WHO diagnostic criteria was used. Myocardial infarction was diagnosed by convex ST segment elevation in corresponding leads (early) or QS complexes or abnormal Q waves i.e. Q waves of 0.04 seconds or more in width (or) 25% or more of the voltage of the R wave in the same lead or both in the corresponding leads (late) or T wave inversion in the corresponding leads (late). Statistical analyses were done by using SPSS software version 21.0. Chi-square test was used to assess the association between different categorical variables; p<0.05 was considered statistically significant.Results: Out of 250 participants, 97 were diagnosed as coronary artery disease (CAD), maximum between 51-60 years age group; the difference was statistically significant (p<0.05). The association between dyslipidemia and CAD was statistically significant (p<0.05). Out of 188 post-menopausal cases, CAD was diagnosed in 86 cases; out of the 62 non post-menopausal cases, CAD was diagnosed in 11 cases; The difference was statistically significant (p<0.05).Conclusions: In premenopausal women, the prevalence of CHDs are significantly higher when compared to postmenopausal women.
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Background: In this study, an attempt has been made to find the correlation between Diabetic Retinopathy (DR) and serum magnesium in type 2 Diabetic Mellitus (DM) cases.Methods: Study was conducted in the department of General Medicine, GSL Medical College. Study protocol was approved by institutional ethical committee. All the non-critically ill type 2 DM individuals of all ages attended the outpatient services were included in the study. The reference range of Magnesium was taken as 1.7-2.4 mg/dL. Patients with low and normal Magnesium levels were categorized as cases and controls respectively. Statistical analysis was performed using SPSS software 21, Chi square test was used to compare the different qualitative variables; p<0.05 was considered as statistically significant.Results: A total of 163 individuals were included in the study, the mean age was 55.72 years, ranged between 39 to 75 years; male female ratio was 1.12. DR was diagnosed in 54% cases and low magnesium levels were detected in 40% cases; the difference was statistically not significant (p>0.05).Conclusions: Estimation of glycaemic levels and serum magnesium can help us predict the onset and progression of DR.
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Introduction: Study was undertaken to note the levels of highsensitive C-reactive protein (hs-CRP), serum uric acid, serummagnesium levels in acute myocardial infarction (MI).Material and methods: This study was conducted in GSLMedical College, study was approved by institutional ethicalcommittee. Participants were recruited by folloing inclusionand exclusion criteria. After getting detailed history ofpatient’s blood samples were taken for hemoglobin, bloodurea, serum creatinine, uric acid, serum electrolytes, hs CRP,serum uric acid, serum Magnesium. All the participants weresubjected to ECG and ECHO cardiography. Fischer’s exactChi square test was to find statistical analysis, P<0.05 wasconsidered as statistically significant.Results: Of the 100 study participants, 39% participants’hs CRP levels were ≤3mg/dl; statistically the differencewas significant. When serum ureic acid considered, 46%patients with uric acid levels were ≤7mg/dl 66% participants’magnesium levels were > 1.4mg/dl; The difference wasstatistically significant.Conclusion: The above findings showed a positive correlationof elevated hs CRP and uric acid; and low magnesium withvarious risk factors of MI.
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Background: The present study was aimed in identifying the normal organisms found in the conjunctiva of healthy eyes among the individuals undergoing cataract surgery and also antibacterial susceptibility of the isolates. Cataract is the major cause of blindness in the developing countries, cataract surgery is one of the common surgical practices.Methods: Study was conducted in the department of Microbiology, GSL Medical College from May to July 2018. Surgically removed cataract lens was collected in sterile nutrient broth and transported to Microbiology laboratory for culture and sensitivity testing. The broths were incubated at 37ºC for 24 hours subcultured on Blood agar, MacConkey agar and Nutrient agar, incubated aerobically at 37ºC for 24 hours and then examined for bacteria growth according to standard protocol. After incubation growth was identified by colony morphology, gram staining and biochemical tests. Antibiotic sensitivity testing was done on Muller-Hinton agar by the disk diffusion method.Results: During the study period, 58 samples were collected; the male female ratio was 1.14. Maximum strains were isolated among female; the male female ration was 0.95. Increase in flora was observed with age. No significant drug resistance was observed.Conclusions: This is a hospital based study which is not true representation of the community. Hence a community based study with large sample by considering the comorbid conditions such as occupation, diabetes, immune status can give the authentic data on the conjunctival flora.
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Background: Sputum smear microscopy is the initial and rapid diagnostic technique for tuberculosis. This requires two (spot and morning SM) sputum sample examinations over two days. Collection of two spot samples (SS2) on the same day would reduce the number of visits, time, money and early initiation of treatment. Methods: We evaluated same day approach (SS2) against standard (SM) for the diagnosis of pulmonary tuberculosis. Results: Out of 658 participants, same day approach could identify 62 cases, whereas standard approach could identify 64 cases. Both the approaches are equally effective (p>0.05). Conclusion: The diagnosis of pulmonary tuberculosis is possible in one day by examining two spot samples.