International Academic Research Journal of Internal Medicine and Public Health最新文献

{"title":"Occurrence of Type 1 Diabetes Mellitus Two Years after Diagnosis of Graves’Disease in A Child","authors":"I. Akinola, G. Akinyosoye, Olufemi Ademokoya, Bertha Okoro","doi":"10.47310/iarjimph.2022.v03i03.006","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i03.006","url":null,"abstract":"Graves’ disease (GD) and type 1 diabetes mellitus (T1DM) are auto-immune conditions that are frequently encountered independently in the practice of endocrinology. Both endocrinopathies can however be encountered in the same patient. In children, T1DM has been severally reported to develop first with onset of GD after many years. We report the case of a -9- year old girl with GD who developed T1DM shortly afterwards.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128756451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanical Ventilation and Its Association with Ocular Surface Disorders among Patients Admitted In Adult Intensive Care Unit of a Tertiary Care Hospital","authors":"Ankush Sharma, R. Tuli, R. Sharma, U. Kumari, Devender Singh","doi":"10.47310/iarjimph.2022.v03i03.001","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i03.001","url":null,"abstract":"Background: Present study was done to evaluate the Mechanical ventilation and its association with Ocular Surface Disorders among Patients admitted in Adult Intensive Care Unit. Material and Methods: It was a prospective observational study carried in AICU over period of one year by Department of Ophthalmology, Dr. RPGMC Kangra at Tanda. All the patients who were admitted in AICU greater than 48 hours between ages of 18-65 years were included and evaluated for socio-demographic information like age, gender, Mechanical ventilation etc. Thorough ophthalmic examination was also done for ocular surface disorders and analysed using epi info v7 software. Results: A total of 126 patients were included in the study. Mean age of the study participants was 41.8 years. Maximum patients, 23.8% of the patients were in age group of 51 and 60 years followed by 23% between 21 and 30 years and 41 and 50 years each. 64.3% of the patients were males while 35.7% were females. 74 (58.7%) of the patients had ocular surface disorders. In the present study, 66.7% of the patients were on mechanical ventilation at 48 hours. At the end of first week, 63% patients were on mechanical ventilation while at the end of second week, 54.5% patients were on mechanical ventilation. At the end of fourth and fifth week, none of the patients was on mechanical ventilation. In the present study, the association between presence of mechanical ventilation and ocular surface disorders was statistically significant. Conclusion: The present study concluded that the patients who were on mechanical ventilation had significantly higher number of ocular surface disorders.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126524758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Haemocytometry in Early Predicting COVID 19 Infections, a Comparison Study Between Non Vaccinated and Vaccinated Cases","authors":"Sadeel Osama Taha Alshabkhoon, Hiba Rafea Taher, Esraa Adel Mahmood","doi":"10.47310/iarjimph.2022.v03i03.003","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i03.003","url":null,"abstract":"Although the novel pandemic COVID-19 a primary respiratory tract infection, it is a multi-systemic illness, and has an important impact on the haemopoeitic cells. The purposes of this study is to concentrate on the possibility of utilizing the haemocytometric results in predicting the infected cases during epidemic periods. Methods: A total 220 cases included in this study, (118 males, 102 females), divided into 3 groups, 1st group represent those of second wave of pandemic COVID-19 in Iraq, 2nd group during period of third wave , and 3d group includes post vaccine infection. Using the 5 diff sysmex autonalayzer for complete blood count as a rapid, informative, cheap test. Results: About 1/3d of group 1 and 2 (37%, 33%) respectively are presented with leukocytosis while no one of vaccinated group, in opposite to leucopenia, more common in 3d group (25%),while in group 1and 2only few (8%, 11%) cases respectively. Thrombocytopenia is infrequent in all three groups. The differential white blood cell count is symmetrical in 1st and 2nd group, all patients presented with eosinopenia followed by high N/L ratio (84%, 92%) -whether due to neutrophilia and/or lymphopenia, or both within normal range-, this is not the finding in post-vaccinated group, eosinopenia presented in 25%, of cases and neutropenia is the most common finding 31% in 3d group, while lymphopenia is rare in third group.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125653979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross Sectional Study to Assess the Profile and Knowledge Levels and Stigma among Tuberculosis Patients in a Medical College in North India","authors":"S. R., P. ., Dhadhwal D, M. A., Barwal V","doi":"10.47310/iarjimph.2022.v03i01.006","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i01.006","url":null,"abstract":"Introduction: Globally, Tuberculosis (TB) remains a major public health problem. It is one of the top 10 causes of death worldwide.According to World Health Organization (WHO) TB report 2019, globally, an estimated 10 million people fell ill with TB in 2018. Material and Methods: A cross-sectional study was conducted among the patients of tuberculosis diagnosed at I.G.M.C. Shimla to assess the profile of T.B patients and assess the knowledge levels and stigma among the patients. Results: Among all the participants enrolled for study (52.38%) were males. Only 19 % were educated up to university level. Among all the participants, 47.6% were unemployed.Among all the patients included in the study, extra pulmonary tuberculosis was diagnosed in 54.3% patients visited I.G.M.C Shimla.27.6% of participants were exposed to TB patients at home or workplace. Conclusion: There is high proportion of extra pulmonary tuberculosis among study participants. Diabetes mellitus, HIV and COPD were detected as co-morbidities in participants.Social stigma was present in study participants for seeking treatment.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126719113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the Factors Responsible For the Delay in Diagnosing and Seeking Medical Care in Patients Infected With Tuberculosis: A Critical Analysis","authors":"S. R., S. G","doi":"10.47310/iarjimph.2022.v03i01.007","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i01.007","url":null,"abstract":"Tuberculosis is a lethal disease, which is caused by bacteria Mycobacterium tuberculosis complex, is one of the oldest diseases known to affect humans and a major cause of death worldwide. Tuberculosis continues to be a huge burden of disease against the human population and it is a major killer of the human population after HIV/AIDS. Tuberculosis is highly prevalent among the low socioeconomic section of the population and marginalized sections of the community. Through this article we wish to review the factors responsible for the delay in diagnosing and seeking medical care in patients affected with tuberculosis.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"95 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127992612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ebola Virus Disease-Induced Teenage Pregnancy and the Health Support System in the Masuba Community, Bombali District, Sierra Leone","authors":"Maurice Baimba Kargbo, Idris Ortameson Kamara","doi":"10.47310/iarjimph.2022.v03i01.010","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i01.010","url":null,"abstract":"Teenage pregnancy continues to be one of the social barriers to the human resource development of Sierra Leone. It limits the educational progress of the girl child. The situation was a national concern in the year 2015 immediately after the Ebola Virus Disease (EVD) out-break as teenage pregnancy of school going children reached its record highest in Sierra Leone, and demanded a change in the Education policy to encourage their class attendance and sitting to public examinations. This research was, therefore, conducted in one worst-hit community in the Bombali District, the Masuba community which has a Government supported Maternal and Child Health Center that could recount better for the mishap so that useful information to support Government to respond to the menace would be generated. To ensure this, the research employed a desk research in which information contained in the records of the Masuba Health Center, which was the only functioning health facility in the Masuba Community that responded to the affairs of pregnant and lactating mothers was collected. The research sought to ascertain the surge in teenage pregnancies, number delivering at the health facility complications at their deliveries, Government’s intervention on family planning in the health facility occasioned by the EVD outbreak in the Masuba community. The research found out that there was a marked increase in the number of teenage pregnancies in the Masuba community, with such reduced complications in the middle period of the outbreak; teenage mother deliveries were overwhelmingly safe with only a few referrals; Government Family Planning interventions during the EVD outbreak were the non-injectables, non-invasive, and sensitization, while that the pre and post-EVD outbreak period were counseling, pregnancy test, alongside with the injectable, pills, condoms, and invasive methods.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117159892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio-Demographic Profile and Treatment Outcomes of Tuberculosis Patients Diagnosed In a Government Civil Hospital of Northern India: A Cross-Sectional Study","authors":"Rishab Chadha, J. Kumar","doi":"10.47310/iarjimph.2022.v03i01.003","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i01.003","url":null,"abstract":"Background: Tuberculosis remain a worldwide public health problem and is one of the top 10 causes of death globally. Millions of people continue to fall sick with TB each year. We conducted the present study to evaluate the Socio-demographic Profile and treatment outcomes of Tuberculosis Patients Diagnosed in a Government Civil Hospital of Northern India. Material and Methods: This cross-sectional record-based study was conducted at Civil Hospital Jogindernagar of Himachal Pradesh. We collected information using a self-designed, structured questionnaire containing information regarding various sociodemographic and clinical variables. Information was collected from Tuberculosis (TB) notification register kept at DOTS centre. Statistical analysis was done using statistical software Epi Info v7.2.2. Results: There were total 74 patients of tuberculosis were registered from Jan 2020 to June 2020 at DOTS center in Civil Hospital, Jogindernagar, Himachal Pradesh Among the total, 54 27(73%%) were 21-60 years of age. Mean age of patients were 44.78±17.01 years. Majority of patients, 56(75.7%) were male and 51(68.9%) belong to lower middle class. 46 (62.25) were pulmonary TB cases while 28 (37.8%) were extra pulmonary cases. Among the total, 26(35.1%) cases were clinically diagnosed, 11(14.9%) cases were Clinically diagnosed or Diagnosed by FNAC while 37(50.0%) cases Microbiological confirmed cases. 29( 39.2%) cases were Contact of TB/DRTB Cases , 29(39.2%) were tobacco user while 16(21.6%) had other risk factors. None of the case Reactive HIV status, 8(10.8%) had Diabetes while 27(35.5%) had associated Cervical lymphadenopathy. 71(95.8%) were cured after completing ATT, 1(1.4%) were become defaulter , 1(1.4%) Shifted to MDR Treatment and (1.4%) was died. Conclusion: Study concluded that most of the patients were males, belonged to lower socioeconomic status , in productive age group and of pulmonary TB. Treatment success rate is good but still need to improve, to make it 100 percent.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"513 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116565501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profile of clients attending a Non Communicable Diseases clinic of a tertiary care Institute: A Cross sectional Study","authors":"Darakshan Ali, U. Farooq, Muzamil Nazir","doi":"10.47310/iarjimph.2022.v03i01.009","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i01.009","url":null,"abstract":"Introduction: Non communicable diseases (NCDs) kill 41 million people each year, equivalent to 71% of all deaths globally. Each year, 15 million people die from a NCD between the ages of 30 and 69 years; over 85% of these \"premature\" deaths occur in low- and middle-income countries. Objective: The objective of this study was to assess the profile of clients attending NCD Clinic of a tertiary care institute. Methodology: Opportunistic screening of patients and attendants above 30 years of age attending different clinics of the department of community medicine for various risk factors of NCDs including Obesity, smoking and physical activity. Blood pressure and blood sugar measurements were also taken. A total of 148 people were screened. All those screened received counseling on healthy lifestyle and prevention of NCDs. Results: 89.2% had a sedentary lifestyle and 7.4% were current smokers and 12.8% were obese. 2.7% has raised blood pressure and 4.1% had raised blood sugar at the time of screening and were referred for further investigations. Out of the 148 people screened 20 were known hypertensives, 10 were diabetics and 4 had both hypertension and diabetes and 2 had other comorbidities. Conclusion: A considerable proportion of people screened were found to be at risk of NCDs. Proper counseling at the appropriate time would help in preventing NCDs among such people. Also many of the people screened were found to have high blood pressure or raised blood sugars and needed to be referred for further management.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133344573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study of Evaluation of Platelets as a Predictive Parameters in Severe Dengue Fever","authors":"S. Bochiwal, V. Vinod, Deepak Shukla","doi":"10.47310/iarjimph.2022.v03i01.001","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i01.001","url":null,"abstract":"Introduction: Dengue fever is a common arthropod borne viral fever presenting with thrombocytopenia. There are number of study on thrombocytopenia and its correlation with severity of dengue fever, but results are conflicting. We want to study level of platelet count and its correlation with various complications of dengue like bleeding, DIC, hepatitis, shock etc. We would also like to evaluate platelet trends (increasing or decreasing) with various complication and outcome. Methods: It was prospective observational study over the period of one year. 90 Indoor patients with dengue with thrombocytopenia were studied after inclusion and exclusion criteria. Data entry and analysis was done in Microsoft excel through Descriptive statistic,’t’ test and chi-square tests. Results: In uncomplicated cases the mean platelet count was 54077± 42277 and in complicated cases the mean platelet count was 29500± 23197. This signifies platelet count were low in complicated dengue fever. This suggests that platelet count is surrogate marker of severity of dengue fever. With improving platelet count, most of patients survived, while patients with decreasing trend suggested poor outcome (p: less than 0.01) with 53 time higher chances of expiring as compared to patient with increasing trend of platelet(odd ratio:53.64). Severe thrombocytopenia was related with high mortality rate. Conclusion: From this study, we recommend that absolute platelet count and more specifically change in platelet count trend (increasing or decreasing) should be monitored closely as it can be used as a predictor of severity of dengue fever.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128054838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Covid-19 Vaccination among Adolescent Population of a Hilly District in North India: Experience Sharing With Impeding and Facilitating Factors","authors":"Jitender Kumar, Atul Gupta, Rajesh Kumar","doi":"10.47310/iarjimph.2022.v03i01.002","DOIUrl":"https://doi.org/10.47310/iarjimph.2022.v03i01.002","url":null,"abstract":"India in its fight against COVID-19 pandemic launched its mass vaccination campaign on 16th January, 2021. Adolescent vaccination for 15-18 year age group was started from 3rd January 2022 onwards with COVAXIN only. In addition to challenges during adult vaccination of 18+ populations, there were added challenges pertaining to adolescent vaccination. This article briefly describes the planning and execution of adolescent vaccination at a district level in a hilly state of North India. Also enlisted are challenges faced and the facilitating factors those contributed in achievement of near 90% vaccination coverage among targeted group in a time of less than one week.","PeriodicalId":276764,"journal":{"name":"International Academic Research Journal of Internal Medicine and Public Health","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123925459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}