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Background: Smart phones have become an integral part of our life, especially among the younger population. Due to its overuse, the effects caused by mobile phones and electromagnetic field also show an increasing trend. Hence this study was conducted to assess the ill effects of mobile phone use among the college students in Chennai. Methods: Cross sectional study was conducted among college students, Chennai, from May 2019 to June 2019. Males and Females between 17 to 23 years of age were included in the study. A total of 125 students selected by convenient sampling technique were included in the study. The study was conducted using a questionnaire, covering particulars related to mobile phone usage and its ill effects on them. Data entry and analysis was done using SPSS version 23. Results: Proportion of participants with different ill effects includes pimples (18.4%), sleep disturbances (16%), loss of interest in studies (15.2%), fatigue (11.2%), headache (9.6%), restlessness (8.8%), and redness of eye (6.4%), irritability (6.4%), dizziness (4.8%), thumb pain (3.2%) and earache (1.6%). Conclusion: Students needs to be educated regarding the health problems owing to the over usage of mobile phones and large-scale studies are needed to assess the extent of the problem.
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Hydatid disease is a parasitic infestation by a tapeworm of the genus Echinococcus. Theoretically, echinococcosis can involve any organ. The liver is the most common organ involved, followed by the lungs. However, uterus and and adnexa have an incidence of 0.5-1%. Till date, three cases have been reported in which a parametrial hydatid cyst formed a bladder fistula. A 57 year old female was admitted with complaint of burning micturition along with white coloured urine for the last 15-20 days with no other significant history. On examination and evaluation, it was suspected to a neoplastic pelvic mass causing gross right sided hydronephrosis. All biochemical markers were within normal limits. The patient was explored surgically on which a thick-walled lesion was found in right parametrium. The cavity of the lesion was filled with daughter hydatid cyst, along with communication into the bladder via a fistula. Open cystectomy was done after evacuation of daughter cysts and irrigation with scolicidal agents. The fistula was repaired. The patient recovered uneventfully and was doing well on follow-up. The incidence of hydatid cysts in the female reproductive system is very low and constitutes less than 0.5% of all hydatid cysts. However, rare cases have been reported, thus the clinician must be aware of this rare disease and should take precautions while operating, as any spillage may lead to anaphylactic shock.
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Background: Failure of first line NACO recommended Therapy has been reported in 1-5% cases of HIV/AIDS. Various factors are associated with failure. This study describes the profile of patients failing first line ART (FLA) in a predominately lower socioeconomic population. The objective of the present study was to identify factors associated with failure of FLA.Methods: Retrospective data analysis of patients failing first line therapy. Epidemiological information, clinical parameters and laboratory reports were taken into consideration. Data was analysed as per standard statistical analysis.Results: Out of a total 3926 patients on first line ART for varying periods of time from our ART centre 54 patients were on second line ART. Males (2.20%) had a high failure rate than females (0.50%). The average time of failure was 64.11 months with a median of 56.50 months. 74.1% (40/54) of the patients had very low CD4 count at the time of initial diagnosis. Failure rate of FLA was higher in the patients having Stavudine based regimen (NRTI) (6.61%) and 3.64% in patients having Nevirapine based regimen (NNRTI).Conclusions: Second line therapy is required only in a small number of patients at present, but as it is related to the duration on first line ART and also with initial low CD4 count, more and more patients will require SLA in the near future.
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A hemangiopericytoma is a rare tumor that originates in the pericytes in the wall of capillaries. it is usually benign in nature and is located in the soft tissues. These tumors can originate anywhere in the body where there are capillaries. The most common locations reported are the brain, lower extremities, pelvic area, head, and neck and abdominal cavity. We have reported here a case of hemangiopericytoma in inguinal region in a 70 year old male patient, who presented with right inguinal mass, which was masking the occurrence of right indirect inguinal hernia and diagnose hemangiopericytoma by histopathology.
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Ileosigmoid knot or double volvulus is an unusual cause of intestinal obstruction and presents as a surgical emergency. It affects men of middle and old age. It occurs due to entangling of ileal and sigmoid loops producing obstruction and strangulation. Here, We have described a case 60 years old male presented with features of intestinal obstruction. Emergency laparotomy revealed ileosigmoid knotting with gangrene of involved segment. Resection of unviable portion with knot was done with double primary anastomosis and covering ileostomy.
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Hospital-acquired urinary tract infection (UTI) is the most common infection acquired in hospitals. Up to 25% of hospitalised patients undergo urinary catheterisation, a similar proportion of patients cared for in residential homes will have long term indwelling catheters. Although often necessary intervention, indwelling urinary catheters are a leading cause of nosocomial infections and have been associated with both morbidity and mortality. The urinary tract accounts for more than 40% of intervention, indwelling urinary catheters are a leading cause of nosocomial infections and have been associated with both morbidity and mortality. The urinary tract accounts for more than 40% of total number of nosocomial infections. Most nosocomial infections associated with urinary tract follow instrumentations, usually with the catheter. Results of several studies demonstrated that this antibiotic drug prophylaxis has increased the rate of isolation of resistant organisms. To ensure appropriate therapy, current knowledge of organisms that cause UTI and the antibiotic susceptibility is mandatory. The aim of present study was to assess the bacterial profile for catheter associated UTI and the antimicrobial sensitive to most commonly used antibiotics, used in the therapeutic or prophylactic settings before the results of the urine culture are available. In our study, the incidence of infection in catheterized patients was found to be 27% which was low but comparable to studies done in India and Western studies. E. coli was the most common cause of catheter associated infection and highest sensitivity was found to Amikacin.
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Objective: To evaluate the hepatoprotective effect of Kabideen Syrup in rats treated with carbon tetrachloride. Methods: In hepatotoxic rats, liver damage was studied by assessing parameters such as aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), bilirubin, total proteins, and cholesterol and lipid peroxidation. Histopathological study of the liver in experimental animals was also undertaken. Results: Hepatic damage as evidenced by a rise in the levels of AST, ALT, ALP, bilirubin cholesterol and Malondialdehyde (MDA) and decreased level of total protein in serum. Liver showed a tendency to attain near normalcy in animals co-administered with kabideen (50 ml/kg) significantly reduced the serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and cholesterol levels and increased the total protein levels when compared to the CCl4 group. The histopathological findings showed a significant difference between the Kabideen (50ml/kg) and CCL4 treated groups. Conclusion: The study substantiates the hepatoprotective potential of Kabideen.
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Background: The introduction of dexamethasone-cyclophosphamide pulse (DCP) therapy for the pemphigus group of disorders by Pasricha has revolutionized the therapy for pemphigus. There are very few studies regarding factors affecting duration of phase I of the DCP. Aims: Our purpose was to study the relationship between various factors and duration of the phase I. Methods: A retrospective study of 98 patients of pemphigus on Dexamethasone Pulse therapy was conducted. Patients were classified according to duration of Phase 1 as those with phase I less than 6 months and those more than 6 months and analyzed for variable factors affecting duration of phase I. Results: Disease severity in pemphigus significantly prolonged the duration of phase I of DCP. Longer duration was also observed in patients on concurrent oral steroid therapy (both statistically significant). Conclusion: The findings from our study help us to address patient expectations and apprehensions regarding duration of therapy. A detailed understanding of the various patient and disease related factors responsible for affecting Phase I duration will help in better management of the patient, and the disease.
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We studied factors responsible for compliance of medical treatment among compliant and non-compliant Tuberculosis [TB] patients referred to Urmia health centers in West Azarbaijan, Iran. This descriptive study included 82 Pulmonary TB patients [50 female and 32 male] aged between 15-65 years. The Integrated Model of Health Behaviors was used to elicit information related to factors responsible for compliance of medical treatment among these patients. The questionnaire included 8 parts and consisted of 53 questions. It evaluated socio-demographics and 5 components [Knowledge, cues, health beliefs, self- efficacy and social support] in TB patients. The data was analyzed by SPSS software. Sixty-three percent complied with treatment. There was a significant differences between compliance and health beliefs and self- efficacy [p < 0.001]. On the contrary, there were no significant differences between knowledge and socio-demographic characteristics and compliance of treatment The compliant patients had a good self-efficacy and health beliefs as compared to non compliant TB patients
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Humans , Male , Female , Tuberculosis , Antitubercular Agents , Community Health NursingABSTRACT
BACKGROUND: Rheumatic heart disease is a major health problem in our country. There is evidence from South India that its prevalence is declining. This study attempts to confirm whether this is so in North India as well. METHODS AND RESULTS: A total of 118,212 (68,357 males, 49,855 females) schoolchildren in the age group of 4-18 years were examined for the presence of heart disease. Evaluation, including echocardiography, confirmed that of a total of 389 suspected to have heart disease, 61 had rheumatic heart disease. Thus, the prevalence of rheumatic heart disease was found to be approximately 0.5 per 1000 children. CONCLUSION: In a fairly large school survey conducted by us, the prevalence of rheumatic heart disease turned out to be approximately 0.5 per 1000 children. This is the lowest figure reported from our country so far and confirms the decline of this disease in our country.