scholarly journals The Assessment of Vitamin D Serum Level in Patients With Pulmonary and Extra-Pulmonary Tuberculosis in Karaj, Iran, During 2017-2018.

2020 ◽  
Vol 8 (4) ◽  
pp. 147-150
Author(s):  
Alireza Soleimani ◽  
Mohammad Hossein Dehghan Tarzejani ◽  
Shirin Shams Hakimi ◽  
Niloofar Alishiri ◽  
Roya Torabizadeh

Background: It is important to determine the type of tuberculosis and its related factors in order for effectively treating a disease and reducing its side effects in the society. Objective: This study aimed to determine vitamin D level in patients with pulmonary and extra-pulmonary tuberculosis in Karaj, Iran in 2017-2018. Materials and Methods: In this observational study, 102 patients suffering from pulmonary and extra-pulmonary tuberculosis disease were availably selected in Karaj, Iran in 2017-2018. They were examined and, then, their vitamin D level were assessed and compared according to the type of tuberculosis. Results: The study results showed that vitamin D level was normal in 39.2% of the case study population, but it was abnormal in 60.8% of it (18.6% deficiency and 42.2% insufficiency). Vitamin D deficiency was 15.8% in pulmonary tuberculosis patients and it was 22.2% in extra-pulmonary tuberculosis ones, showing no significant difference (P>0.05) statistically. Conclusion: According to the obtained results, hypovitaminosis-D was detected in more than half of the patients with pulmonary and extra pulmonary tuberculosis, which was not associated with the type of tuberculosis. Seemingly, the patients needed the same amount of – or even more – food, medical supplements, sports, and sunlight compared to healthy people.

2017 ◽  
Vol 21 (6) ◽  
pp. 677-683 ◽  
Author(s):  
D. A. Barr ◽  
A. K. Coussens ◽  
S. Irvine ◽  
N. D. Ritchie ◽  
K. Herbert ◽  
...  

2014 ◽  
Vol 6 (1) ◽  
pp. e2014058 ◽  
Author(s):  
Ilker Devrim ◽  
Hüseyin Aktürk ◽  
Nuri Bayram ◽  
Hurşit Apa ◽  
Şener Tulumoğlu ◽  
...  

Introduction: Tuberculosis (TB) remains a major global health problem affecting millions of people annually. Tuberculosis in children has unique features different from adults which makes the diagnosis to be more difficult. The spectrum of the symptoms of TB in children could vary from non-specific symptoms to severe clinical presentations.  In this study, we reviewed our experience at pediatric patients with active TB admitted in a tertiary hospital  and aimed to compare the epide­miological, clinical and microbiological features of  children with  the extra-pulmonary tuberculosis(EPTB) and pulmonary tuberculosis(PTB).Material and methods: Patients under 14 years of age diagnosed with active TB in our unit between December 2008 and September 2013 were included in the study. Data including demographic characteristics, clinical history, microbiology, imaging studies, medications and outcomes of the patients were collected from medical records.Results: A total of 129 cases of active TB were identified.  Ninety-two (78.6%) of the cases had Pulmonary Tuberculosis and 25 (21.4%) of the cases had Extra-pulmonary tuberculosis. The most common signs and symptoms on admission were fever in 40 cases (34.2%) and cough in 81 cases (69.2%). The number of patients without symptoms including fever, cough, malaise and weight loss were significantly higher in EXPTB (72.0%) group when compared with patients in PTB group (13.0%) (p<0.05). There was no significant difference between children with pulmonary and extra-pulmonary  tuberculosis by means of ratios of white blood cell count, c-reactive protein and erythrocyte sedimentation rate (p> 0.05). The detection rate of source in PTB group (42.4%) was significantly higher than the rate in  EPTB group (20.0%)( p=0.04). In the drug-resistant group, no source of infection could be established in 5 of 9 patients (55.5%).Conclusions: Extra-pulmonary tuberculosis diagnosis is more difficult than Pulmonary tuberculosis in children due to the various problems such as absence of associated pulmonary involvement,  lack of constitutional symptoms and negative tuberculosis exposure history compared to Pulmonary Tuberculosis. New strategies are required for improving the diagnosis of  Extra-pulmonary tuberculosis in children


2012 ◽  
Vol 24 (3) ◽  
pp. 273-280
Author(s):  
Daniel T.L. Shek ◽  
Daniel W.M. Lung ◽  
Yammy L.Y. Chak

Abstract This paper reports the findings of a case study in which a curriculum-based positive youth development program (Project P.A.T.H.S.) was implemented by the class teachers in a school. School-related factors which contributed to the success of program implementation were identified in the study. Results showed that factors facilitating the program implementation were closely related to the “5Ps” model (i.e., program, people, process, policy and place). While all the above factors contributed to the success of program implementation, the “people” factor was identified as the most crucial factor. Overall, both the students and program implementers perceived the program to be effective in promoting holistic development in the program participants.


2012 ◽  
Vol 12 (Suppl 1) ◽  
pp. P32 ◽  
Author(s):  
Shirly Suzana ◽  
Baby Shalini ◽  
Priscilla Rupali ◽  
K Venkatesh ◽  
DJ Christopher ◽  
...  

Tuberculosis ◽  
2021 ◽  
pp. 102143
Author(s):  
Anshu Sharma ◽  
Anurag Sharma ◽  
Rahul Malhotra ◽  
Parulpreet Singh ◽  
Ripon K. Chakrabortty ◽  
...  

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