ORIGINAL RESEARCH ARTICLE | Feb. 28, 2018
Clinical and Etiological Profile of Classic Fever of Unknown Origin at Tertiary Care Hospital of a Hilly State
Pramod Jaret, Prem Machhan, Balbir Singh Verma, Fariduddin, Vimal Bharti, Amit Sachdeva, Simarjot
Page no 32-39 |
10.36348/sjm.2018.v03i02.001
FUO is an important medical problem worldwide, especially in the undeveloped countries like India. To have a structured, sensible and effective approach the clinician must have an understanding of the spectrum of disease and test characteristics of various diagnostic modalities available in the evaluation of FUO. The aim of this study was to analyze the clinical and etiological profile of patients having classic FUO. It was a cross sectional study for one year duration from 1st June 2013 to 31st May 2014 and was performed in the Department of Medicine in I.G.M.C. Shimla. All the admitted Patients above 18 year of age and who fulfilled the Durack and Street criteria of FUO were included in the study. After initial history taking and physical examination, the patients were subjected to routine, serological & radiographic investigations. Data was entered using microsoft excel software and analyzed with the help of epi info v7. A total of 45 patients who admitted with FUO were included Mean age of the patients was 33 years and majority of the patients were in young age group of 18-40 years (76%).There was male preponderance (69%) and most of the patients were from rural background (71%).The mean duration of fever 46.6 days and mean duration of hospitalization was 14.4 days. Infections were responsible for 80% cases of FUO. These infections included tuberculosis (29%), enteric fever (17.5%), intra-abdominal abscesses (8.8%), chloroquine responsive fever (4.4%), brucellosis (7%), lieshmaniasis (4.4%), and UTI (2.2%). Non Infectious Inflammatory Disease (NIID) and neoplasms were were responsible for only 4.4% and 2.2% of cases, while 13.2% of the cases remained undiagnosed. Infections are the most important cause of fever of unknown origin in the developing countries like India and tuberculosis is the leading cause. Thus the initial investigations should always include tests for ruling out or confirming diagnosis of infectious disease.
ORIGINAL RESEARCH ARTICLE | Feb. 28, 2018
Normal Values of Hemoglobin A1c in Sudanese healthy pregnant ladies in Khartoum state 2017: A pilot Study
Aisha Ahmed Siddig, AbdelRahman Khalid, Ibrahim A Ali, Omer A Musa
Page no 40-45 |
10.36348/sjm.2018.v03i02.002
The research aimed to measure HbA1C in normal Sudanese non-diabetic pregnant women attending antenatal care at Ribat University Hospital, Khartoum state during the period from Sep 2017 to Nov 2017, and to explore the effect of pregnancy on HbA1C. A Cross sectional facility based study was conducted in The National Ribat University hospital during the period from Sep 2017 to Nov 2017 among the Normal Sudanese pregnant, non-diabetic females of ages between 18-40 years. Twenty women were included as a pilot, ten of them at first trimester and ten at third trimester. Correlations between the variables were estimated and P value less than 0.05 was considered statistically significant and used to determine the relationship between the Multiple factors of pregnancy and HbA1c level. The mean value of HbA1c at first trimester of pregnancy was found to be 4.7% with a range of (3.5% - 5.5 %) and the mean value of HbA1c at third trimester of pregnancy was found to be 3.98% with a range of (2.8% - 5.4%). The mean value of HbA1c in normal pregnancy was found to be 4.37% with a range of (2.8% - 5.5 %). There was no correlation between normal FBG, Hb level, daily caloric intake, age, PH. of DM, PH. of GDM, family history of DM and the level of HbA1c. According to this study the mean value of HbA1c in Sudanese healthy pregnant women is 4.37 found within the normal Sudanese values of HbA1c. HbA1c is lower in the third trimester compared to first trimester.
ORIGINAL RESEARCH ARTICLE | Feb. 28, 2018
An Autopsy Study of Socio-Etiological Aspects in Dowry Death Cases
G. Panneer Selvam, K.Gokula Ramanan
Page no 46-48 |
10.36348/sjm.2018.v03i02.003
Violence affects lives of millions of woman worldwide, in all societies, one of the most heinous and shocking forms among them is DOWRY DEATH, is one among the various reasons for suicidal (i.e. abetted suicide) and homicidal deaths of women in India, other being marital infidelity, sexual jealousy etc. This study done at Government Mohan kumaramangalam Medical College, Salem , was conducted during the period January 2014 – December -2015. Aims and objectives were to know the magnitude, socio etiologic profile and methods used for committing suicide/homicide, and various other factors affecting the alarming rise in incidence of dowry death and also to lend valuable suggestion to concerned authorities to prevent this heinous social evil of our society. Most of the victims were aged between 20 to 24 years of age, maximum of the victims died within three years of married life, most commonly between 1 to 2 years of married life. Burns is the most common method used for dowry deaths.
ORIGINAL RESEARCH ARTICLE | Feb. 28, 2018
Perception of Sexual Dysfunction in Male Patients with Alcohol Dependence
Ashish Rana, Ravichandra Karkal, Anil Kakunje, Ganesh Kini, Ms. Reeti Rastogi, Jeyaram Srinivasan
Page no 49-54 |
10.36348/sjm.2018.v03i02.004
The common notion among people is that psychoactive drugs like alcohol increases sexual activity, various studies over the years have shown some relationship between the alcohol use pattern and sexual dysfunction in males. The effect can either be because of depressant effects of alcohol itself or can due to the probable changes it brings about in the normal neurotransmitter levels and hormones associated with sexual functioning. Among the male sexual dysfunctions prevalence of premature ejaculation and erectile dysfunction has been studied most extensively. We set to look at perceptions of sexual dysfunction among male in- patients with alcohol dependence. 30 male in patients with alcohol dependence diagnosed according to International Classification of Diseases- 10 (ICD-10) without any other psychiatric co-morbidity were compared with 30 male in-patients admitted in medical ward. The Mini-International Neuropsychiatric Interview (MINI PLUS), Severity of Alcohol Dependence Questionnaire (SADQ), and Brief Sexual Functioning Inventory (BSFI) scales were used in the study. The study revealed that patients with alcohol dependence had perceived poor sexual functioning under the domains of sexual drive, erection and ejaculation. It was also found that sexual functioning worsened with increased duration of alcohol usage.
ORIGINAL RESEARCH ARTICLE | Feb. 28, 2018
Unnatural Death under Age 19 Years
G. Panneer Selvam, R. Sangeetha
Page no 55-57 |
10.36348/sjm.2018.v03i02.005
A two-year retrospective study was carried out on the cases of unnatural deaths with age under 19 years old subjected to medicolegal autopsies from 2014 – 2015.The main objectives of the study were: a) To ascertain the various aspects of unnatural deaths. b) To analyze the probable reasons for the same. c) To find remedial measures to bring down the incidence. The incidence of unnatural deaths was found to be persistently increasing. Maximum number of such deaths 283 (72%) belonged to the age group of 13 - 19 years. Rural population was more prone to poisoning whereas the urban became victim of road-traffic accidents. Males preferred drowning whereas females preferred self-immolation (burns) and poisons to end their own lives.