ABSTRACT
Background: Prevalence of COPD and resistance towards drugs available for its treatment are increasing day by day. Objectives: To assess the impact of socio-economic status, rural background and gender on the prevalence of Chronic Obstructive Pulmonary Disease. Methods: This observational, prospective, open study was conducted in the Department of Chest & TB Rajindra Hospital, Patiala. A total of 250 patients were included in the study over a period of 1 year of mild to very severe stage of COPD according to GOLD guidelines for COPD 2011. Impact of rural background, household medium of cooking food, male: female ratio of disease occurrence, and patient’s socio-economic status were evaluated using modified kuppuswami grading. Results: In the rural population 100 patients out of 215 patients were males and 115 patients were females showing the rising trend of COPD in females of rural background and using biomass combustion and kerosene stove as the medium for cooking food, moreover most of the patients were living in the overcrowding. According to modified kuppuswami classification of socio-economic status, 170 patients were in the lower lower class, and 45 patients were in lower middle class socio-economic status in the rural background. Conclusion: Highest prevalence of COPD was seen in 51-60 years age group and among the patients of rural background with 215 patients (86%) affected with COPD out of 250 patients. With modified kuppuswami grading of Socio-economic status (SES), we found out that maximum patients in the rural background were from lower lower class SES thus signifying that poor socio-economic status can be a link to COPD.
ABSTRACT
Four patients of pure gouty nephropathy are presented. Gout was of over five years duration and asymptomatic nephropathy manifested as non-oliguric acute renal failure. Diseases commonly associated with it like uric acid stones, urinary tract infections, hypertension, diabetes mellitus, hyperlipidemid, obesity and nephrosclerosis were absent. Reduction in serum uric acid level resulted in prompt improvement in renal functions. Early detection and control of hyperuricemia may help in restoration of renal functions.
Subject(s)
Adult , Female , Gout/complications , Humans , Acute Kidney Injury/etiology , Male , Middle AgedABSTRACT
Neurological complications like type II paralysis are well described in organophosphorus poisoning. Sphincteric involvement is not described. We report two patients of organophosphorus poisoning who had sphincteric involvement as an unusual manifestation of type II paralysis.