RESUMO
Hypothyroidism is widespread in sub-Himalayan region and is particularly prevalent in females of reproductive age group. Since the signs and symptoms of subclinical hypothyroidism are often overlooked by the patients themselves, the diagnosis gets often delayed. In this study, we tried to estimate the prevalence of subclinical hypothyroidism in reproductive age group female population coming to the outpatient department of a government hospital in North Bengal.METHODSAll the non-pregnant women attending the blood collection center of the Department of Biochemistry, North Bengal Medical College and Hospital, were enrolled in the study after institutional ethics approval. Women of age ranging from 10 years to 65 years were included in the study to compare the possible difference of prevalence existing between different age groups. The women with known thyroid disease and other autoimmune disorders were excluded from the study. Fasting blood samples of study participants were analysed for thyroid hormone profile. In addition, all study participants were tested for Hb%, FBS, LFT, KFT, and lipid profile. Microsoft Excel and SPSS version 22 was used for data analysis.RESULTSSubclinical hypothyroidism prevalence was found to be 13.4% in reproductive age group women. The prevalence is not different from the general population as such. The prevalence of overt hypothyroidism was also similar in overall population and reproductive age group females. The prevalence of subclinical hypothyroidism was found to be higher in females of age group 10-19 years (16.7%) and 60-65 years (16.2%) than that seen in reproductive age group females.CONCLUSIONSThe prevalence of subclinical hypothyroidism is quiet high in female population and the result in this study goes parallel to the findings of other studies. In this study, subclinical hypothyroidism is found to be more prevalent in both higher and lower age group females compared to the females of reproductive age group
RESUMO
Background: Coronary events presents about ten years later in women than men. There exist distinct gender differences in terms of presentation of symptoms, validity of diagnostic tests and complications. Methods: The study was conducted in the department of medicine R.P. Govt. Medical College (RPGMC) Himachal Pradesh. Consecutive 300 patients of acute coronary syndrome from June 2011 to June 2012 were included in the study. Demographical profile was recorded with focused clinical examination and relevant investigation with lipid profile was done. Results: Among the study population of 300 individuals, 201 (67%) were males and 99 (33%) were females. The mean age among male patients was 61.3±11.7 years and in female patients the mean age was 65.6±11.20 years. 68.8% of females presented after 60 yrs of age. Dyslipidemia was the commonest risk factor followed by hypertension and obesity. 12.2% of female patients were smokers. Chest pain was the commonest presenting symptom seen in 82% cases. There was mean delay of 31.0±54.5 hrs in the presentation of females for treatment. ST Elevated Myocardial Infarction occurred less frequently in females. Conclusions: Acute coronary syndrome is more age dependent in females. The predominance of dyslipidemia, hypertension and obesity as risk factors gives a message for primary care physicians to create awareness for the prevention of Acute Coronary Syndrome. The atypical symptoms should be recognised early which should further prevent the delay in presentation.
RESUMO
Background: Rapid urbanisation of rural areas is predicted to increase the incidence of risk factors for vascular events like stroke. There is scarcity of literature addressing issue of stroke from Sub-Himalayan region in North India. Methods: The study was conducted in the department of medicine, R. P. govt. medical college, Kangra, Himachal Pradesh. Consecutive patients between the age of 15-45 years presenting with signs and symptoms of stroke in a duration of one year were included in the study. CT scan-head and lipid profile was done in all patients. Other relevant investigations to rule out aetiology were undertaken. Results: Thirty two patients with the mean age of 41.1 ± 5.41 years were recruited. The incidence of stroke in young forming 8.55% of the total stroke patients (374). There were larger proportion of male patients with a ratio of 3:1.16 patients (50%) presented between 6 am and 12 pm in the morning hours of day. Maximum patients presented in winter months from November to January. Average delay of presentation to hospital was 30.8 hours. 19 patients (59.3%) presented with infarct. Most common symptom reported was weakness in 18 (56.2%). Predominant traditional risk factors observed was hypertension in 18 (53.1%). Hyperhomocysteinemia was seen in 4 patients (12.5%). Primary antiphospholipid antibody syndrome was seen in 2 (6.25%). Conclusion: This study demonstrated predominant presence of conventional risk factors in young strokes. There was substantial time delay of presentation. Majority of patients presented in winter months. Prevention of vascular risk factors as well as issue of factors leading to delay in presentation needs to be addressed.