ABSTRACT
Background: Measurement of the accurate IOP is important not only for classification, but for the clinical management of the glaucoma patients. The aim of this study to determine the difference in mean CCT among POAG and Ocular Hypertension. Materials & Methods: A hospital based comparative type of observational study done on 120 eyes of 60 patients was conducted under Department of Ophthalmology, Government D.B. Hospital, Churu, Rajasthan. To be safe and accurate, following factors should be checked before making a glaucoma diagnosis. The preliminary eye examination included the visual acquity and slit lamp biomicroscopy of the anterior segment, to rule out any corneal pathology and refraction. The intraocular pressure was recorded by using Goldmann Applanation Tonometry (GAT). Results: Our study showed that the most of the study subjects in POAG group (46.6%) were in >50 years age group, while most of the subjects in OH group (46.6%) were in 41-50 years age group and there were 19 (63.3%) male in POAG group while in OH group there were 23 (76.7%) males. The mean CCT in right eye & left eye was higher in OH group (568.4 & 562.2 respectively) as compared to POAG group (507.8 & 504.2 respectively) and this difference was found to statistically significantly on application of unpaired t test (P<0.001& P<0.001 respectively) and IOP was also statistically significant(P<0.001) in both eyes. Conclusion: We concluded that the measurement of the central corneal thickness aid the ophthalmologist in making a correct diagnosis and in a better management of glaucoma and the glaucoma suspects, especially when their corneal thickness differs markedly from the normal thickness. AQ
ABSTRACT
Background: Typhoid fever is caused by Salmonella enterica serovar Typhi (S typhi), a Gram negative bacterium. Typhoid fever is among the most common febrile illnesses encountered by practitioners in developing countries. Hence; we planned the present study to evaluate the efficacy of various treatment regimes in treating patients with typhoid fever. Materials & Methods: The present study included assessment of efficacy of different treatment regimes in treating patients with typhoid fever. A total of 40 patients were included in the present study and were broadly divided into two study groups with 20 patients each group. Group 1 included patients who were treated ceftriaxone therapy while group 2 included patients who were treated with chloramphenicol. Bacteriological culturing of the blood, stool and urine samples was done for confirming the diagnosis at the start of the treatment. Repetition of the blood and stool culture was done on day 5 and day 12 after the discharge of the patient. All the results were analyzed by SPSS software. Results: Complete clinical cure occurred in 17 and 19 patients of group 1 and group 2 respectively. Positive blood culture for S. typhi on day 5 occurred in 0 and 10 days of group 1 and group 2 patients respectively. Conclusion: In treating patients with typhoid fever, Ceftriaxone could be safely used.
ABSTRACT
Treadmill exercise test was performed in 100 patients, 50 were hypertensive who were not having any clinical or electrocardiographic manifestation of coronary artery disease and 50 were controls. The test was positive in 28% of hypertensive patients as compared to 6% in controls. This study therefore suggests that hypertension is frequently associated with asymptomatic coronary artery disease as compared to normotension and it is concluded that exercise electrocardiography test is a definite diagnostic tool in diagnosis of coronary artery disease not only in symptomatic but also in asymptomatic patients with one or more risk factors.