scholarly journals DENGUE CASES REPORTED DURING 2015-17 IN A TERTIARY CARE HOSPITAL OF ISLAMABAD

2018 ◽  
Vol 8 (3) ◽  
pp. 142-146
Author(s):  
Abdul Wali Khan ◽  
Shahid Hanif ◽  
Shagufta Zafar Qureshi ◽  
Zakir Hussain

Background: Dengue has emerged as a vector-borne disease with an increase in number of cases with multiple outbreaks throughout Pakistan and hospitalization each passing year, thus stretching available health resources in Pakistan. Methods: This was a descriptive cross-sectional study involving 233 dengue fever indoor cases. Complete clinical findings were recorded followed by laboratory and other diagnostic tests. Results: Most of the cases were admitted from peri-urban areas of Islamabad with symptoms of fever. Seasonal patterns of typical post-monsoon and clusters of cases from low socio-economic backgrounds from areas of Bhara Kau, Bari-Imam, Sohan and G6 and G-7 sectors were found. Platelets and WBCs counts were found on the lower side of the normal values. IgM and IgG and NS1 tests were performed. Affected age group) was young (20-40 years) and male gender being more exposed to vector. Conclusion: Dengue has emerged in the poor peri-urban areas of Islamabad typically in post-monsoon seasons reaching peak during the months of September , gradually declining and waning off in the month of December. A combination of clinical symptoms and diagnostic tests IgM, IgG and NS1 could greatly help in early diagnosis and treatment of cases thus minimizing compilations and mortality.

2020 ◽  
Vol 27 (12) ◽  
pp. 2574-2580
Author(s):  
Imran Nazir Ahmad

Objectives: To see the prevalence and outcome of Human brucellosis in Makkah. Study Design: Retrospective Cross Sectional study. Setting: Security Forces Hospital, Makkah. Period: August 2016 to August 2019. Material & Methods: Patient's data was collected for the last 3 years. Simple randomized sampling technique was adopted and data was collected and analyzed using SPSS version 24. Univariate comparisons were done by using Chi square test. Results: This study enrolled 241 patients with predominant age group of 15-40 years (41.9%). Incidence rate in Makkah is 4.01 per 100,000 persons per year. Male were predominant (67.2%). About fifty-seven (57.3) % patients belonged to urban areas and the risk of acquisition of brucellosis was the consumption of unpasteurized milk in 138 (57.3%) patients. Most common clinical presentation was fever (95.4%) without a definite focus in 200 patients (83%), Eighty-three (83%) patients had uncomplicated brucellosis. The most common (67.2%) treatment regimen was rifampicin and doxycycline for 6 weeks. Relapse rate was reported 10.8%. Death rate was reported to be 0.9%. Conclusion: Brucellosis still affects health of Saudi population and causes economic burden. It is recommended to keep up the efforts to decrease the brucellosis incidence rate toward zero.


2020 ◽  
Vol 27 (03) ◽  
pp. 667-672
Author(s):  
Athar Soomro ◽  
Muhammad Nadeem Chohan ◽  
Nehan Adil Khan ◽  
Tarim Nayab

Objectives: To determine the frequency of severity of Chronic asthma (never taken controller therapy) in children 2 to 12 years, presenting to Pediatric Out Door Department. Liaquat National Hospital Karachi. Study Design: Descriptive Cross-Sectional Study. Setting: Department of Pediatrics Medicine, Liaquat National Hospital Karachi. Period: From June 2016 to December 2016. Material & Methods: A total of 106 children with symptoms of airflow obstruction characterized by recurrent cough, difficulty in breathing and wheeze were included in this study. All the study subjects were asked about clinical symptoms and on the basis of that severity of asthma were classified as mild, moderate or severe asthma. Results: The average age of the children was 6.38± 6.0 years. In this study, intermittent asthma was observed in 24(22.64%) cases. There were 30(28.6%) children with mild persistant asthma, 40(37.74%) children with moderate persistant asthma and severe persistant asthma was found in 12(11.32%) children. Conclusion: We found moderate persistent asthma, as the most frequent category, while severe persistent asthma was the least frequent category. Age had the significant effect on the asthma frequency; it was most common in less than 10 years old children. Duration of asthma and gender had no effect on asthma severity, while weight and height had a significant effect on asthma severity.


Author(s):  
Uzzal Kumar Ghosh ◽  
Azmeri Sultana ◽  
Nobo Krishna Ghosh ◽  
Arifa Akram ◽  
Erfan Ahmed ◽  
...  

Background: Variation and atypical presentation of COVID-19 in Bangladeshi children has been noticed. Objective: The purpose of the present study was to see the clinical and demographic features for easy and early identification of coronavirus infection. Methodology: This descriptive cross-sectional study was done at Dr. MR Khan Shishu Hospital & ICH, Dhaka, Bangladesh from April 2020 to August 2020. The suspected case of coronavirus infection was advised RT-PCR and symptomatic home treatment was given. Hospitalization was done in severe cases. Then diagnosis was made by clinical symptoms plus investigations and appropriate treatment was given. Then RT-PCR was done among them in suspected cases. Other investigations were done accordingly. Results: Among the 236 cases RT-PCR positive was found 71(30.08%) cases. The male-female ratio was 1.7:1. Mostly was 1 year to 2 years (21.13%) and 5 years to 10 years (21.13%). About twenty percent was asymptomatic, 80.28% was symptomatic, co-infections was 29.58%, and co-morbidities was 8.45%. The duration of RT-PCR was positive up to two, four, six, and more than six weeks 49.30%, 30.99%, 16.90%, and 2.82% respectively. Fever (80.28%), cough (45.07%), sore throat (33.80%), runny nose (29.58%), anorexia (28.17%), convulsion (25.35%), respiratory distress & acute diarrhea (15.50%), weakness (14.08%), paralytic ileus, rash and acute abdomen (4.23%). Conclusion: COVID-19 in Bangladeshi children are found with a variety of clinical presentations; unlike that of the adult. Bangladesh Journal of Infectious Diseases, October 2020;7(suppl_2):S16-S21


Author(s):  
Anish Khanna ◽  
Pratibha Gupta

Background: Children are our future and our most precious resources. Health of the future children’s depends on the nurturing practice adopted by the family. The first four weeks of life constitute the “neonatal period”. The ideal basic needs for any new born includes breathing, warmth, cleanliness, and feeding mothers milk. The objective was to study knowledge and practices about massage and hygienic practices of mothers regarding infant care in Lucknow.Methods: Study Population: The present study was carried out amongst infants in urban areas of Lucknow city. Study unit was infant. An infant in present study was defined as a child aged less than 1 year of age. Study design: The present study was a Hospital-based cross-sectional study. Study Period: 6 months, July 2016 to December 2016. Sample Size: A total of 262 Infants were included in the study. Interview was taken from mothers of infants child attending OPD at a tertiary care Hospital in Lucknow city. Results: A total of 262 infants were included in the study. There were 139 (53%) male children and 123 (47%) female children. In the present study majority (92.7%) of mothers cleaned their baby with water after it passed stools and washed their hands with soap and water (72.5%) after cleaning stools. Majority (81.6%) of the mothers were of the opinion that bones of the baby become strong after massage. Body massage was practiced in 92.4% of neonates Mustard oil was used by 60.4% mothers for massage of the neonates about 1/3rd of the mothers (37.2%) used Dabur red oil for massaging the neonates. Conclusions: In present study majority of the mothers had correct knowledge and practices regarding massage and its benefit and about hygienic practices regarding handling of faeces and hand washing after cleaning of stool. 


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Saddar Rahim ◽  
Anwar ul Haq ◽  
Shahid Alam ◽  
Farooq Abdullah ◽  
Ibrar Khan ◽  
...  

Background: Pakistan is a developing country, its population comprises of more than 200 million people. Approximately more than1/3rd of Pakistan's population is composed of children. Road traffic injuries (RTIs) among children are the leading causes of deathand disability and the biggest threat to the health of Pakistani children. This study describes the risk factors involved in causation ofRTIs.Objective: To determine the various risk factors/ predisposing factors involved in causation of road traffic injuries among children.Material and Methods: A cross sectional study of 06 months duration was carried out in a tertiary care hospital. Data was collectedfrom all consecutive victims of RTIs presenting to casualty peadiatric surgery unit Lady Reading Hospital Peshawar and recordedon profoma.Results: Total 73 victims of RTIs are incuded in the study of whom 68.5% (n=50) were male. RTIs were common in the age groupof 6-12years and most of the RTIs, 42.5% (n=31) occurred between 8 AM to 2 PM. RTIs were common in pedestrians,unaccompnied children, families with many children, children from urban areas, and in the month of january. Children of illiterate,poor parents and those children whose parents were laborer were commonly found to be involved in RTIs.Conclusions: This study has confirmed that the male children of increasing age with poor and illiterate background are the mostvulnerable to road traffic injuries. Implementation of road safety meassures, education campaigns, traffic rules and regulations,road engineering and safe pedestrian areas along side the roads will help to reduce road traffic injuries among children.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Nearmeen M. Rashad ◽  
Marwa G. Amer ◽  
Waleed M. Reda Ashour ◽  
Hassan M. Hassanin

Abstract Background Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system with varied clinical features. Disease-modifying drugs (DMDs) of MS associated with different types of thyroiditis. In this cross-sectional study, we aimed to assess the prevalence of thyroid dysfunction in MS and to investigate the association between DMDs and the risk of thyroiditis in MS. A cross-sectional study included 100 patients with relapsing-remitting multiple sclerosis (RRMS) in relapse, and the diagnosed was according to revised McDonald’s criteria 2010. Results Our results revealed that the prevalence of thyroiditis was 40%; autoimmune (34%) and infective (6%) among patients with RRMS in relapse and cerebellar symptoms were significantly higher in patients with thyroiditis compared to patients without thyroiditis. Regarding the association between DMDs and thyroiditis, the prevalence of patients treated with interferon-beta-1b was higher in MS patients with thyroiditis compared to MS patients without thyroiditis. However, the prevalence of patients treated with interferon-beta-1a was lower in MS patients with thyroiditis compared to MS patients without thyroiditis. In addition, we found CMV infection was more common in patients treated by interferon beta-1b and candida infection was common in patients treated by fingolimod. Conclusions Thyroiditis is commonly observed in patients with RRMS in relapse and higher prevalence of patients treated with interferon-beta-1b which is commonly associated with thyroiditis and CMV infection; however, candida thyroid infection was common in MS patients treated by fingolimod.


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