scholarly journals Clinico-radiological Profile of Stroke in Western Nepal

2016 ◽  
Vol 4 (2) ◽  
pp. 60
Author(s):  
Sumnima Acharya ◽  
Awadesh Tiwari ◽  
Raju Prasad Shakya
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Cerebrovascular Accident ◽  
Common Site ◽  
Radiological Findings ◽  
Public Health Burden ◽  
Factors Associated ◽  
Brain Ct Scan ◽  
Common Risk Factors ◽  
The Common

Introduction: Stroke is a major public health burden worldwide and is responsible for a large proportion of disability. It ranks third in the causation of morbidity and mortality. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) in western Nepal, to correlate the clinical data and radiological findings in cases of stroke, and to identify the common risk factors associated with stroke.   Methods: A total of 200 patients presented at the department of Radiodiagnosis from emergency or ward within six months of study period from 18th of September 2015 to 17th of March 2016 with clinical diagnosis of stroke. Brain CT scan was done within 14 days of onset.   Results: There were 200 patients with stroke (124 males and 76 females), aged 19 to 92 years in which infarction was more common than hemorrhage (57% Vs 41.5%) clinically. Hypertension was the commonest risk factor noted in 59% cases followed by Diabetes Mellitus in 39%. Middle cerebral artery (MCA) territory infarction was the most common site of infarction. Clinical and CT localization of hemorrhage and infarct was correct in 153 cases (75%) which was statistically significant.   Conclusion: Infarction is more common than hemorrhage as the type of stroke. Hypertension is the commonest risk factor followed by diabetes mellitus.  

scholarly journals RISK FACTORS FOR GALLSTONES;

2017 ◽  
Vol 24 (11) ◽  
pp. 1675-1679
Author(s):  
Frahat Jaleel ◽  
Khalid Rashid ◽  
Nighat Bakhtiar ◽  
Masood Jawaid
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Calculated Data ◽  
Study Data ◽  
Descriptive Statistics ◽  
University Hospital ◽  
Common Risk Factors ◽  
The Common ◽  
Index Weight ◽  
Bodymass Index

Objectives: To find out the frequency of already recognized risk factor ofGallstones in population of Pakistan. Methods: A total of 50 patients diagnosed as cholelithiasison ultrasonography were included in the study. Data collection through interview included age,sex, marital status, parity, height and weight. On the basis of height and weight Quetelet’s bodymass index (weight in kg/height in m2) was calculated. Data collected also included Lipid profileData was analyzed by SPSS version 17 for descriptive statistics. Setting and Period: Thisstudy was done at Department of Surgery, Dow University Hospital for a period of 6 monthsfrom February to July 2015. Results: 70% of patients were above 40 years of age, 88% werefemale, and 83.3% were multiparous while only 32% had BMI above 23. Conclusion: Femalegender, fertility, middle age and flatulence are the common risk factors of gallstone formationwhile obesity is not a definite risk factor in Pakistan.

scholarly journals Identification of Common Risk Factors Associated with Carpal Tunnel Syndrome

2013 ◽  
Vol 29 (2) ◽  
pp. 70-78
Author(s):  
MD Nahidul Islam ◽  
Mohammad Shah Jahirul Hoque Chowdhury ◽  
MD Tauhidul Islam Chowdhury ◽  
Ahmed Hossain Chowdhury ◽  
Mahmudul Islam ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Factors Associated ◽  
Group I ◽  
Tunnel Syndrome ◽  
Common Risk Factors ◽  
Group Ii

Objective: To identify the common risk factors associated with carpal tunnel syndrome. Methodology:This case-control observational study was conducted in the department of neurology and medicine, DMCH from May 2010 to April 2011 for a duration of 1 year. The study included purposively selected 80 persons. Patients attending the outdoor and admitted in indoor of department of neurology and medicine, DMCH with a clinically suspected CTS and established by electrophysiological parameters selected as cases (group –I) . Healthy volunteers and subjects who were devoid of any features of CTS but having history with isolated injury to the lower limb nerve and isolated facial nerve palsy with normal electrophysiological parameters selected as control (group –II). Data were collected by interview of the patients, clinical examination and laboratory investigations using the research instrument. Result: The mean age was 42.7±9.8 years with range from 24 to 64 years and 41.1±9.1 years with range from 26 to 61 years in group-I and group-II respectively. The proportion of male and female patients was similar in both the study groups. Male Female ratio was 1: 7 in both groups. In this study it was observed that hypothyroidism was found 25.0% in group I and 5.0% in group II, which was significantly (p<0.05) higher in carpal tunnel syndrome patients. Diabetes mellitus was significantly higher in carpal tunnel syndrome patients, which was 22.5% in group I and 7.5% in group II. Rheumatoid arthritis was found 20.0% in group I and 5.0% in group II, which was significantly (p<0.05) higher in patients with carpal tunnel syndrome. Pregnancy was found 11.4% in group I and 2.9% in group II. CKD with hemodialysis was found 17.5% and 7.5% in group I and group II respectively. In pregnancy and CKD with hemodialysis difference was not statistically significant (p>0.05) among the two groups. Regarding obesity it was found in this present series that 42.5% and 17.5% patients were obese in group I and group II respectively. Obesity was significantly (p<0.05) higher in patients with carpal tunnel syndrome. In this study it was found in multivariate analysis that patients with hypothyroidism 1.28 times, DM 2.20 times, RA disease 3.84 times, obesity 5.9 times more likely to be associated with carpal tunnel syndrome but CKD with hemodialysis patients and pregnancy were not significantly associated in multivariate analysis. In this study it was also found that almost a half (47.5%) of the patients was housewives followed by garment workers (27.5%) and clerical workers (22.5%) in group I, which indicates that carpal tunnel syndrome was more common among housewives. Conclusion: A conclusion can be made from the above mentioned result that CTS is multifactorial. Obesity, diabetes mellitus, hypothyroidism and rheumatoid arthritis are commonly associated with carpal tunnel syndrome. Moreover female sex and age were also associated with CTS. This study also found that patients diagnosed as having work-related CTS have a high prevalence of concurrent medical conditions capable of causing CTS without respect to any particular occupation. Bangladesh Journal of Neuroscience 2013; Vol. 29 (2) : 70-78

scholarly journals Endogenous Fusarium Endophthalmitis in Diabetes Mellitus

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
S. Balamurugan ◽  
Ashish Khodifad
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Endogenous Endophthalmitis ◽  
Uncontrolled Diabetes ◽  
Common Causes ◽  
Masquerade Syndrome ◽  
The Common ◽  
Immunocompromised State ◽  
Poor Outcomes ◽  
High Index Of Suspicion

Endogenous endophthalmitis accounts for 2% to 8% of cases of endophthalmitis. Immunocompromised state and intravenous drug use are the 2 most common causes of endogenous endophthalmitis due to molds fungi. Aspergillus, Fusarium, and Scedosporium are the common organisms in mold endophthalmitis. We report a case of Fusarium endophthalmitis in a patient with uncontrolled diabetes. While diabetes mellitus is a well-known risk factor for endogenous endophthalmitis, we did not find any reported case of Fusarium endophthalmitis in a case of diabetes mellitus. The patient presented with granulomatous uveitis masquerading as noninfectious uveitis with a very good response to steroids. The characteristic clinical features were established late in the clinical course associated with poor outcome. This case highlights the significance of uncontrolled diabetes as a risk factor for Fusarium endophthalmitis and also the presentation of endophthalmitis as a masquerade syndrome. The clinician should have high index of suspicion as these cases have poor outcomes.

scholarly journals Vitamin D and Other Risk Factors among Stroke Patients

2015 ◽  
Vol 13 (1) ◽  
pp. 71-73 ◽  
Author(s):  
BR Pokharel ◽  
G Kharel ◽  
LJ Thapa ◽  
PVS Rana
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Atrial Fibrillation ◽  
Vitamin D ◽  
Cerebral Artery ◽  
Stroke Patients ◽  
Emerging Risk ◽  
Common Risk Factors ◽  
The Common ◽  
Sufficient Vitamin

Background Stroke is common neurological problems in Nepal. The common risk factors for stroke are age, hypertension, diabetes, dyslipidemia and atrial fibrillation. Vitamin D is an emerging risk factors for cardio-cerebrovascular disease.Objective This study is to find out Vitamin D and risk factors in stroke patient in Nepalese population.Method We reviewed the record of 281 stroke patients, admitted to Neurology ward of College of Medical Sciences, Bharatpur, Nepal from 1st January to 31st December 2013. The records were analyzed on the basis of age, sex, hypertension (HTN), body mass index (BMI), smoking habits, hemoglobin(Hb), diabetes mellitus(DM), Lipid profile, Atrial fibrillation(AF) and vascular territory with clinical and radiological evidences. The vitamin D analysis was done all stroke patients.Result Total patient were 281, with male 161 and age range from 18 - 87. Ischemic stroke was noted in 86.8% and hemorrhagic stroke was noted in 13.2% of patients. Middle cerebral artery (MCA) ischemia was noted in 51.5% of patients and anterior cerebral artery (ACA) ischemia was noted in 3% of patients. Multiple infarcts were noted in 12.90% of patients. About half of them were smoker, hypertension 47.40%, Diabetes mellitus 24.20% and 14.1% had atrial fibrillation. 174 (61.92%) of the stroke had less than sufficient Vitamin D.Conclusion The common risk factors for stroke patients like smoking, hypertension, diabetes mellitus and atrial fibrillations are present in Nepalese population. The level of vitamin D was also low in stroke patients.Kathmandu University Medical Journal Vol.13(1) 2015; 71-73

Neonatal Polycythemia and Hypoglycemia in Newborns: Are They Related?

2020 ◽  
Author(s):  
Adi Hopfeld-Fogel ◽  
Yair Kasirer ◽  
Francis B. Mimouni ◽  
Cathy Hammerman ◽  
Alona Bin-Nun
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Universal Screening ◽  
Point Of Care ◽  
Neonatal Hypoglycemia ◽  
Targeted Screening ◽  
Study Population ◽  
Consecutive Term ◽  
Common Risk Factors ◽  
The Common

Abstract Objective To test whether neonatal hypoglycemia (NH) is more common in infants with neonatal polycythemia (NP). Study Design This is a retrospective study based on universal screening of NH and targeted screening for NP. Polycythemia was defined as venous hematocrit ≥ 65%. NH was defined as whole blood glucose (BG) concentration < 48 mg/dL (measured using a “point-of-care” analyzer [Accu-Chek]). Results The study population consisted of 119 consecutive term polycythemic infants and 117 controls. There were no significant differences between the two groups in perinatal characteristics, minimal BG concentration, and rate of hypoglycemia. In a stepwise backward multiple regression where NH was the dependent variable, only maternal gestational diabetes mellitus (p = 0.032) and toxemia (p = 0.001) remained significant, whereas NP was insignificant. Conclusion NH is not more common in NP infants than in non-NP infants. We suggest that the occurrence of NH in infants with NP might be related to the common risk factors of the two morbidities.

scholarly journals Assessment of the Common Risk Factors Associated with Type 2 Diabetes Mellitus in Jeddah

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Manal A. Murad ◽  
Samia S. Abdulmageed ◽  
Rahila Iftikhar ◽  
Bayan Khaled Sagga
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Saudi Arabia ◽  
Univariate Analysis ◽  
Diabetic Patients ◽  
Degree Relative ◽  
Risk Factor Management ◽  
Common Risk Factors ◽  
The Common

Risk factor management is important in avoiding life-threatening complications and preventing new-onset diabetes. We performed a case-control study in 2013 at ten primary health care centers in Jeddah, Saudi Arabia to determine the common risk factors of diabetes mellitus type 2 (DM2) and the demographic background of adult Saudi patients with DM2. Known diabetic patients were recruited as cases, while nondiabetic attendants were selected as controls. A pretested designed questionnaire was used to collect data from 159 cases and 128 controls. Cases were more likely than controls to be men (P<0.0001), less educated (P<0.0001), natives of eastern Saudi Arabia (P<0.0001), retired (P<0.0001), lower-salaried (P<0.0001), or married or divorced (P<0.0001). By univariate analysis cases were likely to be current smokers (P<0.0001), hypertensive (P<0.0001), or overweight/obese (P<0.0001). Cases were also more likely to have a history of DM in a first-degree relative (P=0.020). By multivariate analysis, cases were more likely to be older than 40 years (P<0.0001), less educated (P=0.05), married or divorced (P=0.04), jobless/housewives (P<0.0001), or current smokers (P=0.002). They were also more likely to have salaries <7000 Saudi riyals (P=0.01). Overall, prediabetic and high risk groups should be identified and counseled early before the occurrence of diabetes.

The factors associated with stress-related growth in a sample of patients suffering diabetes mellitus

2011 ◽  
Author(s):  
Emre Senol Durak ◽  
Mithat Durak ◽  
Ozlem Bozo-Irkin ◽  
Ozlem Elagoz Feride ◽  
Fatih Kilicli Mhemet
Keyword(s):  
Diabetes Mellitus ◽  
Factors Associated

Renal Failure after Coronary Bypass Surgery and the Associated Risk Factors

2015 ◽  
Vol 18 (1) ◽  
pp. 006
Author(s):  
Hasan Reyhanoglu ◽  
Kaan Ozcan ◽  
Murat Erturk ◽  
Fatih İslamoglu ◽  
İsa Durmaz
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Renal Failure ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Significant Risk ◽  
High Morbidity ◽  
Factors Associated

<strong>Objective:</strong> We aimed to evaluate the risk factors associated with acute renal failure in patients who underwent coronary artery bypass surgery.<br /><strong>Methods:</strong> One hundred and six patients who developed renal failure after coronary artery bypass grafting (CABG) constituted the study group (RF group), while 110 patients who did not develop renal failure served as a control group <br />(C group). In addition, the RF group was divided into two subgroups: patients that were treated with conservative methods without the need for hemodialysis (NH group) and patients that required hemodialysis (HR group). Risk factors associated with renal failure were investigated.<br /><strong>Results:</strong> Among the 106 patients that developed renal failure (RF), 80 patients were treated with conservative methods without any need for hemodialysis (NH group); while <br />26 patients required hemodialysis in the postoperative period (HR group). The multivariate analysis showed that diabetes mellitus and the postoperative use of positive inotropes and adrenaline were significant risk factors associated with development of renal failure. In addition, carotid stenosis and postoperative use of adrenaline were found to be significant risk factors associated with hemodialysis-dependent renal failure (P &lt; .05). The mortality in the RF group was determined as 13.2%, while the mortality rate in patients who did not require hemodialysis and those who required hemodialysis was 6.2% and 34%, respectively.<br /><strong>Conclusion:</strong> Renal failure requiring hemodialysis after CABG often results in high morbidity and mortality. Factors affecting microcirculation and atherosclerosis, like diabetes mellitus, carotid artery stenosis, and postoperative vasopressor use remain the major risk factors for the development of renal failure.<br /><br />

Sign in / Sign up

Export Citation Format

Share Document