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Purpose: This study was performed to determine the demographic profile and clinical characteristics in patients with Fuchs’ endothelial corneal dystrophy (FECD) reporting to a tertiary eye care center in India. It is a retrospective, single?center, observational study. Methods: The study included 280 patients (559 eyes) diagnosed with FECD presenting between January 2013 and December 2020. The data was collected from the electronic medical record system of the institute. Patient data included demographic features, clinical characteristics, investigations, and surgical interventions. Results: The mean age of the patients was 62 years. Late?onset FECD (95.7%) was more common than early?onset FECD (4.3%). Male: female ratio for late?onset FECD and early?onset FECD was 1:1.65 and 3:1, respectively. More than one?third of the patients had associated systemic history. Preexisting ocular diseases were seen in 5.9% of eyes. Blurring of vision was seen in 383 eyes (68.5%), 13 eyes (2.1%) had glare, and 163 eyes (29.2%) were asymptomatic. A total of 113 surgical interventions were done in 108 eyes (including repeat transplants). Only cataract surgery was done in 40 (7.2%) eyes, whereas penetrating keratoplasty, Descemet stripping endothelial keratoplasty, and Descemet membrane endothelial keratoplasty without or with cataract surgery (sequential or triple procedure) were done in 12 (2.1%), 47 (8.4%), and 14 (2.5%) eyes, respectively. Conclusion: Patients with FECD present mostly during the sixth decade. Posterior lamellar keratoplasty is the most common transplant procedure being performed on FECD patients
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Objective@#To determine the profile of patients with oral cavity cancer seen at the Ear, Nose and Throat – Head and Neck Surgery (ENT-HNS) Department of the Bicol Medical Center from January 2018 to December 2020.@*Methods@#Design: Retrospective review of records Setting: Tertiary Government Training Hospital Participants: Medical records of patients with oral cavity lesions with malignant biopsy results seen at the Bicol Medical Center Department of ENT-HNS from January 2018 to December 2020. @*Results@#Records of 42 patients were included, 30 (71%) male; 12 (29%) female with the mean age of 62 ± 10.02 (range 34 to 80 years old). Squamous cell carcinoma was the most common histopathologic diagnosis (38/42; 91%), mostly affecting the anterior tongue (16/42; 38%) and buccal regions (14/42; 33%). Most tumors were in advanced stages: 25/42 (59%) in stage IVA; 7 (17%) in stage IVB. A total of 61% (17) of 28 oral cavity cancer patients with recorded risk factors practiced a combination of two or three high risk habits (betel nut chewing, tobacco smoking, alcoholic beverage intake) and a third practiced all three (10/28; 36%).@*Conclusion@#The profile of oral cavity cancer patients in our study is different from the reported profiles in Asia and European and US counterparts. Our profile patient is a married male farmer in the 7th decade of life with poor dental hygiene and advanced stage IV squamous cell carcinoma of the tongue and buccal region, and combined habits of regular alcoholic beverage drinking, chronic tobacco smoking, and/or betel nut chewing, who lives in coastal or mountainous communities where access to health care may be limited.
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Carcinoma, Squamous CellABSTRACT
Purpose: To study the clinical and demographic profile of patients less than 40 years of age presenting to glaucoma services including the reasons for referral. Methods: Patients in the age group of 5 to 39 years, visiting the glaucoma clinic, who were either suspected to have glaucoma or who had been newly/previously diagnosed with glaucoma were included in the study. After informed written consent, basic demographic details of the participants including age, gender, education, socioeconomic status, and family history were obtained. A comprehensive ophthalmological evaluation was performed by glaucoma specialists. Results: The proportion of glaucoma in the study population (n = 384) was found to be 31.25%, and the incidence of glaucoma among new patients was found to be 11.9%. Among all glaucomas (n = 120), 44.2% of patients had secondary glaucomas, 27.5% had primary glaucomas, and 28.3% had congenital glaucomas. Also, 67.3% of all glaucoma patients were males. Newly diagnosed glaucoma patients presented with a mean intraocular pressure (IOP) of 32.9 mmHg and mild–moderate disc damage with a mean cup?disc ratio of 0.65. Nearly one?third of them had a presenting visual acuity worse than 5/60. The most common reason for referral was raised IOP. Univariate and multivariate analysis revealed that the odds of developing glaucoma were less in females (P = 0.04) and in patients with a higher standard of living index (P < 0.001). Conclusion: One?third of the patients had glaucoma and another one?third were suspects. Secondary glaucomas are more common than primary/congenital glaucomas. A comprehensive eye evaluation is a must, especially in those with predisposing factors.
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Background: Extraction in Orthodontics has always been a topic of debate and is one of the controversies in Orthodontics. There are numerous studies available regarding the frequency of Orthodontic extraction in clinics, but very less such institution borne studies have been reported. It is important to have demographic data on the prevalence of extraction. The present study was aimed to determine the epidemiological data regarding the prevalence of extraction in Orthodontic patients with respect to various demographic features.Material & Methods:This cross sectional study was done over a period of five months prospectively. Prevalence of Orthodontic extractions was obtained with regard to Gender, Age group, Education level. Various Orthodontic extraction patterns and overall extraction frequencies in relation to malocclusions was evaluated. Chi-square test was used to determine correlations between variables, Shaperio?Wilk W test and independent ‘t’ test was used for comparison between two groups.Results:Majority of the patients reporting for Orthodontic Extraction were females (65.1%).. Most of the patients belonged to ?19 age group, with higher secondary education level and belonging to urban area. The most commonly extracted tooth for Orthodontic treatment was premolar and the most common extraction pattern was all first premolars which was seen in Class I malocclusion. Females underwent more Orthodontic extractions.Conclusion:The data from this study is a dental tertiary institution borne data and reveals the frequency of Orthodontic patients indicated and reporting for extraction. The epidemiologic data from this study has given a comparison of extraction rates among gender, age, education level, residence and provides an insight about the most commonly extracted tooth and extraction pattern in orthodontic patients with various malocclusions. This study revealed a more trend towards all four premolar extraction. Prevalence of Orthodontic extraction was more among females (65.1%). The mean rate of extraction was found to be 4.14 with standard deviation of 1.04.
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Background: It is a new pandemic; the demographic profile of COVID-19patients may be helpful for corona virus patients. Methods: This was a cross-sectional study conducted at the department of cardiology at Rangpur medical college hospital, Rangpur, Bangladesh during July 2020 to December 2020.In total 37confirmed COVID-19patients were selected as the study population. Data were collected from patients or their attendants by using a pre-designed structured questionnaire, after having appropriate consent. The statistical package for the Social sciences (SPSS) version 22.0 was used for data analysis. Results:In this study 70% participants were male whereas 30% were female and the ratio was 2.36:1. The mean±SDage of the participants was 56.57±15.96 years. The highest number of participants were from 51-60 years’ age group which was 27.3%, 2.70%, 18.92%, 16.22%, 13.51%, and 21.62% participants were from 21-30, 31-40, 41-50, 61-70 and >70 years of age group respectively. The majority portion of participants were with normal body-weight (BMI: 18.5-24.9) which was in 57% and 43% were with overweight (BMI: 25.0-29.9). More than half of the patients were from Rangpur district which was 54%. The highest number of patients were with cough as a major symptom, which was 51.35%. The highest number of participants were with IHD (64.86%) as a major comorbidity. Conclusions:As per the findings of this study, we can conclude that, middle aged population are mostly being affected byCOVID-19in Bangladesh. The affected number of males were higher than female.
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Background: COVID-19 pandemic quickly became significantly major cause of worldwide morbidity and mortality over the next years till date in an unforeseen manner. Aims and Objectives: Our study aims at unfolding the sociodemographic, epidemiological, and clinical characteristics of this disease, based on a metropolitan dedicated tertiary care hospital of India. Materials and Methods: Along with patient particulars, we recorded sociodemographic data, presenting symptoms, vital parameters, and blood parameters based on a pre-designed questionnaire, followed by complication analysis for 101 patients. Written consent was taken from each of the respondent before the interview and ethical approval was taken from Institution Ethics Committee (IEC) of Medical College and Hospital. [(Ref No. MC/KOL/IEC/Non-Spon/842/11/2020), Date- 5/11/2020]. Results: This study justified the trend of already available data such as median age of presentation (40–69 years), higher urban population (85.1%), higher rate of infection in health-care professionals (12.9%), and in patients with poor socioeconomic status. It revealed increased community transmission (74.3% with no definitive exposure), higher number of symptomatic cases admission (89.1%) with most common symptoms being fever (46%), shortness of breath (45%), sore throat (32%), and cough (26%). Hypertension (48%) and diabetes (34%) were major comorbidities in patients who were also proportionally more symptomatic and experienced more adverse effects compared to non-comorbid patients. A major chunk of the patients (46.53%) required some form of oxygen support for their treatment. Most common adverse effect was disseminated intravascular coagulation (23.76%) among which 67.74% had one or more comorbidities. We also reported slightly higher number of deaths (6.9%) compared to what other similar studies found. Conclusion: History of probable exposure was not a sole risk factor of acquiring infection, that is, community transmission was evident. Healthcare professionals were at high risk of getting infected, persons with comorbidity are at the highest risk of developing symptoms as well as complications.
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Background: Head and Neck cancer (HNC) is a recognized major public health concern all over the world Objectives: To study age and gender predilection and clinical profile of Head & Neck Cancers Materials and Methods: This was a retrospective study including 21121 patients with Head & Neck Cancer presented to tertiary care centre, Ahmadabad. Patients' details of age, sex, site of carcinoma, stage at presentation and Outcome were recorded. The data was analyzed using MS office excel 2010 and Epi info software version 7.0. Result: Male to female ratio was 4.8:1. The most common site of presentation of tumour was in cheek mucosa (29.01 %). On comparison of different anatomical sites, majority of patients were presented in locally advanced stage. Significant association (p<0.05) was found between presentation of disease and literacy status. Overall 5 - year survival rate was 60.5% � 1.6% when disease was localized. Conclusion: Majority of patients diagnosed in locally advanced stage. Strategies for the early diagnosis and prevention of Head & Neck cancer must be undertaken by government to overcome this situation.
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Objectives@#There is limited information on the demographics of female perpetrators of child abuse hence its profile was described utilizing the records collected at the University of the Philippines – Philippine General Hospital Child Protection Unit from January 2008-December 2018. @*Methods@#A retrospective review of the electronic records using the Child Protection Management Information System (CPMIS) database was done using descriptive and inferential analyses. Total enumeration was done for the descriptive analysis and categorical data was analyzed using frequencies and percentages. Inferential analysis using chi-squared analysis or Fisher’s exact probability test was used using a minimum sample size computed using power analysis @*Results@#A total of 983 female perpetrators were reported, mostly belonging to the age group of 25-34 years old (23%). They were more frequently a close relative to the victim (47.3%). Half (50%) of the perpetrators had history of substance abuse, and 65.5% witnessed family violence. Criminal history (99.8%) and occupation (46.7%) were mostly unknown. The types of abuse committed were mostly physical (36%) followed by sexual abuse (34.9%). Inferential analysis of the data suggested that the demographic variables associated with physical abuse were age group, relationship, and history of substance abuse. Meanwhile, age group, relationship, and occupation were associated with sexual abuse. @*Conclusion@#Although we see a greater number of male perpetrators, it cannot be denied that female perpetrators can also cause harm to the vulnerable population. It is alarming to note that majority of them are close relatives to the victim. Data from the study can help raise awareness and increase vigilance on possible at-risk population.
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Child AbuseABSTRACT
Objective@#Pediatric HIV is a national health concern that has grown exponentially in the past 5 years. This study aimed to determine the clinico-demographic profile and outcome of pediatric HIV/AIDS patients 0-18 years old seen at the Western Visayas Medical Center (WVMC) HIV/AIDS Treatment Hub from March 2006 to September 2018. @*Methods@#Medical chart records of all pediatric HIV/AIDS patients seen at the treatment hub during the study period were reviewed. Data on clinical and demographic profile and outcomes were gathered and descriptive statistics was used to analyze data. @*Results@#A total of 30 children 0-18 years old were registered consisting of 29 (97%) males and 1 (3%) female. A sudden increase in pediatric HIV patients was noted in the past 3 years, mostly among male adolescents engaged in male-to-male sexual contact (MSM). Majority (73%) were symptomatic at diagnosis with flu-like symptoms, fever and vomiting. Common physical exam findings were lymphadenopathy and rashes. HIV-related infections were tuberculosis and pneumonia. About 60% of study participants had severe immunodeficiency. Two-year mortality rate was 38%. Correlation of age and baseline CD4 count with outcome did not show any significant results. @*Conclusion@#Pediatric HIV/AIDS patients were symptomatic, male adolescents who engaged in male to male sexual contact. Co-infections with pneumonia and tuberculosis were common and severe immunodeficiency was present at diagnosis. Thirty-eight percent of patients had poor outcomes 2 years after diagnosis
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HIV , Acquired Immunodeficiency SyndromeABSTRACT
Background: The substance abuse is gradually becoming one of the major public health issues of present day India. Many factors influence the pattern of substance abuse, including age, sex, educational level, social support, cultural factors, availability of drugs and the presence of cognitive or psychiatric problems. This study was planned to find out the clinical and socio-demographic profile of substance abusing persons.Methods: The study was conducted in the Out-patient facility of the Department of Psychiatry, Veer Chandra Singh Garhwali Government Institute Of Medical Science and Research, Srinagar (Uttarakhand), starting from 23 September 2015. One hundred consecutive treatment seeking subjects fulfilling International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10), criteria for Mental and behavioural disorders due to psychoactive substance use were included in the study. All the participants were required to sign an informed consent approved by the institutional ethical committee before being enrolled in the study. All the subjects included in the study were administered a self-structured proforma to elicit the clinical and socio-demographic variables.Results: One hundred patients consisting of 95 men (95%) and 05 women (05%) were included. The average age of the sample was 39.68 years (SD=11.97). As for the socio-demographic variables other than age, 87% of the patients were married, 62% patients were living in nuclear families and 66% belonged to the rural areas. 79% patients were educated up to high school and above and only 06% were illiterate. Alcohol was the most frequently abused substance seen in 78% patients followed by tobacco smoking in 58% of the study subjects. Peer Pressure was cited as the most common reason for the initiation of substance abuse by 75 (75%) patients.Conclusions: Alcohol was the most commonly abused substance. Substance abuse was higher in married, educated males from rural areas living in nuclear families.
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Background: The objective of this study was to study the acceptance rate, safety, demographic profile and complication of post placental intrauterine contraceptive device (PPIUCD).Methods: Study was prospective, interventional study, held in department of Obstetrics and Gynaecology at authors tertiary care centre. Number of participants was 280. Counselling about family planning was done in antenatal OPD and indoor ward. Total duration of study was 18 months. Selection of participants done based on selection criteria. Participants who accepted postplacental intrauterine contraceptive device as method of contraception followed up to 6 weeks postnatal for complication related to PPIUCD.Results: Authors noted that acceptance rate of PPIUCD was 13.6% and main reason for acceptance was its long acting reversible nature and main reason for denial was ‘do not want contraception immediately’. In present study there was statistically significant association between parity and birth order. However, literacy, urban locality and employment had positive influence over acceptance. If good technique of insertion will be used than expulsion rate will also reduce as seen in present study i.e. expulsion rate only 2.6 %.Conclusions: Post placental intrauterine contraceptive device is one of the best long acting reversible contraceptive methods. It does not affect breast milk production. Woman does not need extra visit to clinic for contraception and she is ensured that she has adequate contraception before getting discharge from hospital. PPIUCD provide adequate birth spacing between two children which reduces maternal and child morbidity.
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Background: Age related cataract also called as senile cataract is the commonest type of acquired cataract affecting people over the age of 50 years. In developing countries like India, many times patients with cataract report to the hospitals very late, when it has become mature. Keeping this in mind this study was undertaken to study the demographic profile of patients of senile mature cataract attending the OPD of GMC Jammu and to see if there is correlation between demographic factors and time of seeking medical attention.Methods: This study was conducted on 41 patients of senile mature cataract who attended OPD of GMC Jammu from August 2019 to November 2019. All patients were subjected to detailed history taking and ocular examination. Socio-economic status and education level of all patients was assessed. All patients were admitted and underwent cataract surgery with IOL implantation.Results: In study the mean age of patients was 62.46 years with 58.53% patients being females. Majority of patients were from rural background with low socio-economic status and low education levels.Conclusions: From this study we concluded that female sex, low socio-economic status, comorbidities and lower literacy levels are associated with patients seeking medical attention for cataract at an advanced stage.
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Background@#Diabetes ranks 8th among the Top 10 causes of mortality in the Philippines. Development of complications add to the burden of the disease. The passage of the Universal Health Care Law ensures all Filipinos access to comprehensive set of quality and preventive services without causing financial hardships@*Objective@#To determine the clinical and demographic profile associated with prevalent complications among newly diagnosed T2DM seen at the outpatient setting of a tertiary DOH hospital@*Methods@#A retrospective/cross – sectional study of newly diagnosed Diabetes Mellitus Type 2 from May 2018 – April 2019 using their charts through random sampling was used. Data were analyzed using descriptive statistics, iIndependent Sample T-test and Fisher’s Exact/Chi-square test for the difference of mean and frequency, respectively, and odds ratio from binary logistic regression for significant predictors of complications@*Results@#Of the 116 newly diagnosed T2DM patients. 88 had complications and 28 patients had no complications. Majority of patients were 60-69 years old (40.52%), with SBP range of 140-150 mmHg (44.83%), FBS of >7.5mmHg (43.97%). Values for BUN and Creatinine between the two groups were significantly different. Most frequent complication was hypertension (54.87%). For every 10-year increase in age, the odds of having complications among newly diagnosed increased by 48%. For every 10 mmHg increase in SBP, the odds of having complications among newly diagnosed also increases by 75%.For every 0.5 mg/dl in FBS, the odds of having complications among newly diagnosed also increased by 91%.For every μmol/L in creatinine, the odds of having complications among newly diagnosed also increased 7.51 times@*Conclusion@#The most frequent complications among newly diagnosed T2DM were hypertension, microvascular, then macrovascular complications. The association between the profile and complication seen among newly diagnosed T2DM using odds ratio revealed predictors such as age, systolic blood pressure, FBS and creatinine.
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Outpatients , Diabetes Mellitus, Type 2 , Family PracticeABSTRACT
Abstract Background: In Brazil, socioeconomic differences in the incidence of rheumatoid arthritis (RA) have been demonstrated, which are important in the formulation of hypotheses regarding the association between environmental factors, lifestyle and the risk of disease development. This study examines how the socioeconomic condition of the patient with RA in Brazil, assessed according to social class, educational level, employment situation and use of caregivers, affects the times between the beginning of symptoms and diagnosis and the beginning of the use of disease-modifying antirheumatic drugs, as well as the presence of erosive disease and functional status. Methods: This work is part of a multicentric study called REAL - Rheumatoid Arthritis in Real Life in Brazil, which is a prospective observational cohort study. Results: As described in the REAL study, we included a total of 1115 patients. It was noted that patients with an educational classification of up to second grade incomplete presented with erosion percentages above those with a higher grade complete. Patients with caregivers presented a higher percentage of erosion than patients without caregivers. We verified that patients from economic classes above B2 presented fewer occurrences of erosion than those from classes C2, D-E. We also analyzed the average time differences from the beginning of symptoms and diagnosis and the beginning of treatment, according to academic level, erosion and economic classification. Patients with first grade complete showed an HAQ-DI averages higher than those with second grade complete. The patients who had employment showed lower HAQ-DI averages than patients who were not employed. The patients with erosion showed an HAQ-DI value higher than those without erosion. Patients with caregivers showed an HAQ-DI average higher than that of without caregivers. Conclusion: This study showed that the therapeutic window of RA is not being reached, and therefore we should have a policy to expand and ensure access to public health for all patients, especially those with lower levels of education and income. Trial registration: This study was approved by the National Commission of Ethics in Research.(AU)
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Humans , Arthritis, Rheumatoid/epidemiology , Social Class , Demographic Indicators , Public Policy , Brazil/epidemiology , Cohort Studies , Life StyleABSTRACT
Purpose: To understand demographic and socioeconomic barriers and treatment-seeking behaviors of patients with infectious keratitis requiring therapeutic penetrating keratoplasty (TPK) in a developing country. Methods: This prospective non-comparative questionnaire- based study included all patients presenting to Aravind Eye Hospital, Madurai with infectious keratitis that eventuated to TPK between November 2015 and October 2016. A structured questionnaire was administered on post-operative day 3 to collect data on the demographic details, predisposing factors, prior treatment received, and treatment expenditures. Results: In total, 227 patients underwent TPK between November 2015 and October 2016 for infectious keratitis. The majority of patients were males (n = 132, 58.1%), illiterate (n = 129, 56.8%), and had a family monthly income of less than INR 6000 (n = 142, 62.5%). Most of the patients (n = 163, 71.8%) had prior treatment with an ophthalmologist before presenting to our hospital. The mean distance travelled to reach our centre was 269.2 ± 298.5 km. The mean duration of disease before the presentation was 20.3 ± 21.1 days. Corneal smear was positive for fungus in 163 (88.1%) and Aspergillus was the most commonly isolated fungi in 55 (41.3%) cultures. The mean total cost of treatment was INR 8752.87 ± 7615.39 per patient. There was a positive correlation between the duration of the disease (rho 0.19, P = 0.0034) and the costs of treatment (rho 0.2, P = 0.0024) with the distance travelled by the patient. Conclusion: Patients who travelled a farther distance had a delayed onset of presentation and spent significantly more than their respective counterparts.
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Introduction: Skin disorders are common in children but havenot been regarded as a public health problem even though theyput a large burden on health care systems worldwide. Aboutone-third of children in India are affected by skin disorders atany given time. Climatic factors, poor hygiene, poor accessto water, household overcrowding and close contact lead tothis high prevalence. However there is a relative paucity ofdata in comparison to this high prevalence. Study objectivewas to determine the prevalence and pattern of skin disordersamongst school going children aged 6 to 17 years in ruraland urban Jaipur and their nutritional, socio-economic andstandard of sanitation correlates.Material and Methods: Descriptive cross-sectional studycarried out in 410 children aged 6-17 years from ten randomlyselected schools, five rural and five urban, in Jaipur from 1stJanuary 2017 to 30th June 2018. Detailed history includinggrading of socioeconomic status and standard of sanitation aswell as physical examination were done with due regard toprivacy. Clinical diagnosis was made.Results: The prevalence of skin disorders was found to be48.3%, more in girls (59.6%) and more in rural areas (58.1%).Seborrhoea capitis (15.4%) was the most common followedby Acne vulgaris (13.2%), Pityriasis alba (4.4%), Tinea (alltypes) (3.9%), Pediculosis capitis (3.2%), and Furunculosis,Scabies and Pityriasis versicolor (<2% each). Prevalence hada significant correlation with level of sanitation whereas notwith literacy of parents, socioeconomic status (Kuppuswamyscore) and type of school. Only one fourth of symptomaticchildren took treatment.Conclusion: High prevalence of skin disorders exists inschool-going children of Western India, especially noninfectious dermatosis. Rural residence and level of sanitationare significant attributes.
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Introduction: Worldwide, cervical cancer remains the most common gynecological cancer and the fourth most commonmalignancy in women, with over 526,000 women globally developing this tumor as reported in 2015 and 239,000 women dyingof the disease every year. To date, there are limited data of cervical cancer in Kashmir, India.Objectives: The aim of the present study was to analyze the demographic spectrum of cervical cancer in Kashmir.Materials and Methods: This was a retrospective study. All the patients who had histopathologically confirmed cervical cancer,registered at Regional Cancer Center of Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, were included, between2008 and 2015. All the patient characteristics including age, presentation, type of cancer, stage of cancer, parity, and treatmentreceived in each case were studied in detail.Results: The present study included 120 patients of cervical cancer. The median age of patients was 51 years. Majority of ourpatients were multiparous (88.3%) and from a rural background (74%). The most common presenting complaint was abnormal vaginalbleeding (70%) followed by abdominal pain (19%). Squamous cell carcinoma was the most common type of cervical carcinomaseen in 95% of patients followed by adenocarcinoma (5%). Most of the patients (66.67%) presented at late Stages (II, III, and IV).Conclusion: Early detection will reduce the number of deaths of cervical cancer patients. Asignificant number of cervical cancer patientsin Kashmir present with an advanced stage of disease. Cervical cancers are observed at a middle age group that is >40 years of age.People should be educated for an early consultation for symptoms, and high-risk individuals should be encouraged for screening. Thehealth programs about cervical cancer should be carried out in open places to give more information about cervical cancer to the public.
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Background: Spinal cord injuries are greatly disabling and deadly injuries. At present, there is little information regarding the risk factors for complete injuries. This study aims to describe the demographics and the injury characteristics for traumatic and non-traumatic spinal cord injuries and to explore the risk factors for complete spinal cord injuries. Methods: A retrospective study was performed by reviewing the medical records of 30 patients with spinal cord injuries who were admitted to the hospitals in Ahmednagar, India from 2016-2018. Variables included gender, age, marital status, etiology, occupation, level of injury, and severity of injury, associated complaints, complications and treatment. Results: The proportion of patients increased from 30% to 36.66% from 2016 to 2018. The male-to female ratio was 5:1. The major cause of spinal cord injuries was traffic accidents (36.66%). Many of the injured were skilled workers (36.66%), semi-skilled (20%), and students (23.33%); these occupations accounted for 79.99% of the total sample. Cervical 13(33.33%) and lumbar 16(43.33%) spinal levels were the most affected. The most documented complications were pressure ulcers 11(36.66%) and urinary tract infection 02(6.66%). Conclusion: The proportion of males was higher than the proportion of females. Skilled workers, semi-skilled workers and the students comprised the high-risk occupational categories. Male gender, having a spinal fracture, having a thoracic injury, and having complications were the major risk factors for a complete injury. We recommend that preventive measures should focus on high-risk populations, such as young males.
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Objective :To study the clinico-social risk factors for preeclampsia in a tertiary care hospital in Bhubaneswar, Odisha. Methodology :Acase control study was done in a tertiary care hospital in Bhubaneswar. Clinical and socio-demographic data was collected from 167 inpatients with preeclampsia and similar number of controls and was analysed. Results : Majority of the women(63.9%) belonged to the low socioeconomic class with low education level. More than half were overweight(57.3%) and 61% of them were primipara. A significant number of patients(18.5%) gave a previous history of preeclampsia. Insulin resistance also presented as a risk factor. Conclusion: Though the aetiology of preeclampsia still remains obscure, there are certain risk factors which have remarkable association with the prevalence of the disease. Understanding these will enable the clinicians for early diagnosis and timely intervention.
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Background: Acute pesticide poisoning (APP) is a serious problem worldwide. Pesticide poisoning is a common meth-od of suicide attempt and less commonly accidental poisoning in India. Methods: A prospective analysis of pesticide poisoning cases admitted to the emergency department of tertiary care, teaching hospital. The data regarding socio-demographic profile, pattern of poisoning, Occupation, type of pesticide poisoning, relation of pesticide poisoning and risk factors, time of ingestion of pesticide poisoning and Seasonal variation were studied. Results: Of 174 cases admit-ted to the emergency department of hospital with a diagnosis of acute pesticide poisoning, the most cases observed in the age group 21-30 years (n: 72, 41.37%). Total males affected were 94 (54.02%) dominating the females 80 (45.98%) and male to female ratio (1.17:1). But in younger age group, females were more affected than males. The maximum cases belonged to the lower socioeconomic class (n: 82, 47.12%) and urban areas (n: 106, 60.91%). Majori-ty of the victims married and belonged to Hindu religion (n: 140, 80.4%). The suicidal was commonest manner of pes-ticide poisoning accounting 98 cases (56.32%). The occurrence of pesticide poisoning was more frequent in the even-ing (n: 82, 47.12%) and during the, monsoon (73, 41.95%). Conclusion: Pesticide poisoning is responsible for great number of admissions and deaths in India. There is a need for adequate guidelines for sale, use, storage and safety practices for the pesticide. These will be helpful for the enhancement of the knowledge, awareness and safety practices among the population for prevention and reduction of the pesticide poisoning. It also emphasized on the early availa-bility of treatment in the poisoning cases