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: Myocardial infarction, it still continues to be a major health problem worldwide. The aim of the study is to find out incidence of impaired glucose tolerance in non-diabetic patients with acute coronary syndrome. Methods: The study includes 50 patients. All the cases and controls were subjected to standard 75 gms. Oral Glucose Tolerance Test (OGTT) on admission, at the time of discharge and at three months follow-up and the observations were recorded. Results: Post prandial blood sugar at time 3 month follow up were 6 (12%) in cases and 9 (18%) in control but not significant statistically. There were 17 (34%) cases and 7 (14%) in control with IGT values which was statistically significant p= 0.034. Post prandial blood sugar at time of admission were 131.18 ± 21.52 in cases, 121.86 ± 21.47 in controls and at the time discharge in cases and controls were 139.10 ± 21.27 and 128.88 ± 9.44 respectively with p=0.003. Conclusion: Patients with acute coronary syndrome who have IGT on admission have longer hospital stay and more complications related to acute MI.
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.
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Background: Metabolic syndrome (MetS) is a multiplex of metabolic risk factors including abdominal obesity, hypertension, atherogenic dyslipidemia and insulin resistance.The study is aimed to find causes and aetiological factors responsible for metabolic syndrome prevailing in and around Jaipur, both in rural and urban areas.Methods: It involves measurement of height, weight, blood pressure, fasting blood glucose, triglycerides and HDL levels. Results: In our study, overall prevalent rates of MetS in adolescents is 6.8% and in adults, it is 50.4%. According to present study, TGs, high blood pressure and low HDL were found to be major contributing factors for MetS in adolescents whereas in adults abdominal obesity contributed the most. Conclusion: These findings prove to be important tools to screen out MetS positive subjects because it is one of the leading risk factors of CVD, DM and stroke posing an emerging health problem to old and the new stressed out younger generation.
ABSTRACT
Background: Diabetic retinopathy is one of the leading causes of blindness in the world. Hypomagnesaemia has been reported to occur at an increased frequency among patients with type 2 diabetes mellitus (DM) with retinopathy compared with their counterparts without diabetic retinopathy. The study was done with aimed whether there is any correlation between serum magnesium concentration and diabetic retinopathy in a rural population. Aim: This study was carried out to find the correlation between serum magnesium levels in diabetic patients with retinopathy. Methods: 100 type 2 DM patients admitted in NIMS Medical Collage Hospital, Jaipur over the period of 8 months between 1st December 2014 to 31th July 2015, were selected for this study. Detailed history, general physical examination, systemic examination, and various investigations like fasting blood sugar (FBS), post prandial blood sugar after 2 hrs (PP2BS), glycosylated hemoglobin (HbA1C), Blood urea, serum creatinine and urine examination were carried out. Serum magnesium was estimated by Calmagite dye method. Retinopathy was assessed by direct opthalmoscopy. Results: Prevalence of hypomagnesaemia in type 2 diabetic was 30% hypomagnesaemia was significantly higher in diabetic with retinopathy compared to diabetic without retinopathy. Serum magnesium level is in uncontrolled DM when compare with control DM. No significant associations existed between serum magnesium concentrations and other factors like age, sex, durations of diabetes, mode of treatment. Conclusion: Prevalence of hypomagnesaemia in type 2 diabetics is 30%, And especially more significant in diabetes with retinopathy when comparison to diabetes without retinopathy.