RESUMO
Introduction: Small bowel tumors are amongst the uncommon in the gastrointestinal tract. The accumulation of data regarding their clinical presentation, etc. has been difficult. Most of the symptomatic lesions and tumors detected during surgery are malignant. Aim: To observe the clinical presentations of the small bowel tumors. Materials and methods: This was a prospective study of 17 cases of small bowel tumors done in Osmania General Hospital between 1994 and 1997, included both benign and malignant tumors and both primary and secondary tumors as well. Results: These tumors were seen between 30-80 years of age. Male to female ratio of the benign and malignant small bowel tumors was1.8: 1 and 1.75:1 respectively. 65% were Incidental findings. Anemia was seen in 58.8%. 83% of benign and 90% of malignant tumors presented with pain. 47.1% of the cases were diagnosed pre-operatively and 41.2% of the cases during emergency surgery. Benign tumors constituted 35.3% and the rest were malignant. 83.3% of the benign lesions were in the jejunum and 16.6% in the duodenum. Amongst, the malignant lesions, 54.60% of them were in the duodenum, 36.3% were in the jejunum and 9% were in the lleum. Conclusion: 65% of the small bowel tumors were found incidentally. Pain, obstruction, bleeding, palpable mass were the other modes of presentation, while anorexia and weight loss were noted in only the malignant ones. High index of suspicion is required to prevent delays.
RESUMO
Background: As the World’s population is ageing, there is growing interest in various morbidity patterns among the elderly. Depression and depressive symptoms are common in elder people. Often depression is difficult to recognize. Aims & Objective: The study aims to assess the prevalence of Depression among study population and its relationship with socio demographic factors, co-morbid illness and functional impairment. Material and Methods: A community based cross-sectional study was done in selected rural & urban field practice areas of Department of SPM by means of simple random sampling. 17,415 populations were screened from 3383 households in both rural and urban areas to identify 1200 elderly aged 60 and above were administered with pretested questionnaire incorporating geriatric depression scale for assessing Depression. Results: The prevalence of Depression among study population was 31.7% (317/1000). The prevalence was high in rural areas (36%), as compared to urban areas (27%) and increasing with increasing age. It was significantly high among females (37.5%), singles (46%), staying alone (65%), low socio-economic group (34%), those with stressful life events (71%). The most common illnesses among the study population with depression were osteoarthritis (43.9%) cataract (25.2%), hypertension (17.6%), diabetes (7.6%) and heart diseases (3.9%). It was observed that functional impairment was high among those who have depression (6.5%). Conclusion: Depression is relatively high in rural area, females, illiterates, singles and sufferers of stressful life events or chronic diseases. There is a significant functional impairment with presence of Depression.