ABSTRACT
Introduction: Even after the discovery of vaccines for denguefever, it remains a major public health problem in developingtropical and subtropical countries, especially in India. Thedengue fever has a varied clinical spectrum ranging from a mildheadache to severe organ impairment or bleeding, dependingon the virulence and susceptibility of the individual. Thecurrent study investigated the clinical profile of laboratoryconfirmed dengue patients. A secondary objective was to findthe role of haematological parameters in prognosis.Material and Methods: This was a retrospective studyconducted in a tertiary care hospital at Madurai following adengue fever outbreak between August 2017 to November2017 among laboratory-confirmed dengue patients older than16 years. All the relevant clinical and laboratory investigationdetails of the patients were obtained from the medical recordsof the hospital.Results: Fever was present in all the cases with an averageduration of 4.86 ± 1.59 days followed by myalgia (57.39%),vomiting (46.96%), headache (30.43%) and abdominal pain(20%). Bleeding and hepatic complication was presented by22.16% and 50.43%. The mean platelet recovery duration was8.42 ± 1.74 days. A strong positive correlation between day ofrecovery (increasing trend of platelet) from the onset of feverand WBC recovery (rs value: 0.0.713, P value: <0.001) wasobserved.Conclusion: Dengue fever patients have varied clinicalfeatures varying from fever to severe hepatic complication.For assessing the prognosis of dengue fever, along with thecontinuous monitoring of clinical profile and platelet count,evaluation of WBC recovery is also recommended.
ABSTRACT
Background: Regular physical activity can improve people's overall health and reduce various risks for morbidity and mortality due to a sedentary lifestyle. Although the evidence linking obesity with many chronic diseases is well established, the relationship with self-rated health is not clear. The study aimed to assess the relationship between physical activity and self-rated health and how it is related to obesity.Methods: The cross-sectional study included 132 individuals above18 years, of both genders, with BMI above 25kg/m2. Data was collected using a structured proforma which included apart from demographic parameters, anthropometry parameters, self-reported physical activity, health status and stress levels of the subjects. Chi-square test/Fisher's exact test was used to assess the association between BMI, physical activity and self-rated health.Results: A total of 132 subjects were included with a mean age of 48.44±11.23 years, with an almost equal proportion of males and females. The mean of BMI was 29.54±3.99. Most of them reported having normal physical activity (61.36%) with only 3% of them having high physical activity. The self-rated health of the subjects revealed 45.45% of them is having fair health and 43.18% of them having poor health. The mean a number of hours spent by sitting/sedentary activity in a week were 32.32±21.09.Conclusions: The study findings revealed that the irrespective of the degree of physical activity both overweight and obese subjects rated their health fair to poor.