ABSTRACT
Dengue is emerging as the most common monsoon related illness in India, particularly over the last few years. Objective: To study the clinical profile of confirmed dengue cases admitted at a tertiary care hospital and to identify the seasonal variation of the disease. This would help in effective control of dengue in the city. Methods: 765 patients who fulfilled World Health Organization (WHO) criteria and admitted in the medical indoor wards for dengue fever from January 2018 to December 2018 were selected for study. All data were entered in the Microsoft Excel worksheet and descriptive statistics were analyzed. Results: The maximum number of patients belonged to the age group 21-30 years (29.28%). It was found that more cases of Dengue occur in and around monsoon period with peak in October. The most common presentation apart from fever and bodyache were gastrointestinal symptoms. Total 103 (13.46%) patients had complications. Investigations revealed most of the complications occurred when platelet count went below 20,000 cells/mm 3. Conclusion: As most cases were reported during around monsoon period, continued and coordinated efforts should be made to control the transmitting vectors to prevent dengue outbreaks.
ABSTRACT
Background: Analysis of TIMI risk score & correlation with ST elevation myocardial infarction (STEMI). Methods: This is a 12 months Observational Cross- sectional study conducted at NIMS Medical College and Hospital- a tertiary hospital in rural areas close to Jaipur. In this study we included 60 patients with acute myocardial infarction who were admitted to the coronary care unit of NIMS HOSPITAL JAIPUR during the year JAN 2015 –DEC 2015. The data obtained were analysed using Excel sheet/SPSS software. Tests of significance were done using the Chi - square test at 95% confidence interval. Results: According to our study myocardial infarction was more common in male compared to female (male:female ratio 4:1) Complications rate is significantly higher in male patients(p=0.0010) compared to female patients(p=0.0114). Mortality is increased with the increase in TIMI risk score. Conclusion: TIMI Risk score for ST segment Elevation Myocardial Infarction (STEMI) may be readily applied at the bedside at the time of hospital presentation and captures the majority of prognostic information offered by a full logistic regression model. The mortality increased proportionally with TIMI score. This risk assessment tool is likely to be clinically useful in the triage and management of patients eligible for fibrinolytic therapy and may also serve as a valuable aid in clinical research. Sufficiently simple to be practical at the bedside and effective for risk assessment across a heterogeneous spectrum of patients, the TIMI risk score may be clinically useful in the triage and treatment of patients with STEMI who undergo acute reperfusion therapy.