iosr-JDMS   Volume-21 ~ Issue-11 ~ Nov. 2022

Abstract: Urinary tract infection is a serious public health challenge that affects men and women, old and young, both in the community and hospital settings, causing cystitis and pyelonephritis, with associated complications. Factors that predispose individuals to UTI are gender, age, sex, marital status, and environmental factors. This study was designed to determine the predictive factors for community acquired urinary tract infection in Enugu State rural communities.In a cross-sectional study, a well-structured questionnaire was used to collect datafrom 780 respondents, to investigate their socio-demographic characteristics, symptoms of UTIs, knowledge, practices, and treatment on UTIs..........

Key words: Community-acquired UTI, respondents, knowledge, predictor, questionnaire.

[1]. Altaweel W, Seyam R. Sexual Dysfunction and Fertility in Neurogenic Lower Urinary Tract Dysfunction. Neurourology. 2019:457-78. [2]. Foxman, B., 2002. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. The American journal of medicine, 113(1), pp.5-13. [3]. Kabugo, D., Kizito, S., Ashok, D.D., Kiwanuka, A.G., Nabimba, R., Namunana, S., Kabaka, R.M., Achan, B. and Najjuka, F.C., 2016. Factors associated with community-acquired urinary tract infections among adults attending assessment centre, Mulago Hospital Uganda. African health sciences, 16(4), pp.1131-1142. [4]. Norusis, M.J., 1990. Statistical package for social sciences. Statistical Data Analysis.
[5]. Lund DM. Effect of Continuing Education on Reduction of Urinary Tract Infection (Doctoral dissertation, The College of St. Scholastica).

Abstract: A 50 years of age female presented to the General Medicine opd with complaints of easy fatiguability, abdominal distension, fever (on and off) and weight loss for past 3 months. Admitted and evaluated her in detail. Her Chest X-ray showed f/s/o Dextrocardia. Usg abdomen & pelvis showed situs inversus totalis. Due to elevated white blood cell count , as well as platelet count and decreased Hemoglobin, patient was planned for Bone marrow aspiration and biopsy. Both confirmed presence of CML in accelerated phase. P210 positive for BCR-ABL transcript. Imatinib mesylate administered. Following which her white blood cell count started decreasing. Patient showed improvement in her general condition......

Key Word: CML, Situs inversus totalis, P210 positive .

[1]. Sun Y, Li X, Li L, Liu H, Xu Q and Liu B: A patient with chronic myeloid leukemia and situs inversus totalis: A case report. Oncol Lett 14: 7425-7430, 2017 [2]. Emmanuel Kobina MesiEdzie, KlenamDzefi-Tettey, Obed Cudjoe, Philip NartehGorleku, Patrick Adu, "Incidental Finding of Dextrocardia with Situs Inversus in a 59-Year-Old Man", Case Reports in Radiology, vol. 2019, Article ID 7107293, 4 pages, 2019. https://doi.org/10.1155/2019/7107293 [3]. Osarenkhoe, J. (2022) Situs Inversus: A Review of 191 Published Cases. Open Journal of Internal Medicine, 12, 85-94. doi: 10.4236/ojim.2022.122010. [4]. Verma SP, Subbiah A, Jacob SE, Basu D. Chronic myeloid leukaemia with extreme thrombocytosis. BMJ Case Rep. 2015 Aug 19;2015:bcr2014204564. doi: 10.1136/bcr-2014-204564. PMID: 26290562; PMCID: PMC4550973.
[5]. Zafar MZ (2017) Patient with Chronic Myeloid Leukemia: A Case Study. J Cancer Sci Ther 9: 635-636. doi:10.4172/1948-5956.1000485

Abstract: BACKGROUND: Tuberculosis is an infectious disease which is caused by bacillus Mycobacterium tuberculosis. It affects the lungs (pulmonary TB) typically and can also affect other sites (extrapulmonary TB).Incomplete ATT results in increased transmission rates, emergence of multidrug resistant strains of TB bacillus, extensively drug resistant strains and totally drug resistant strains that emerged in 2012 in India. Hence, the present study is enforced to identify the risk factors associated with lost to follow up among TB patients during treatment........

Keywords: Lost to follow up , risk factors

[1]. TRAINING MODULES (1-4) FOR PROGRAMME MANAGERS AND MEDICAL OFFICERS; New Delhi, India: Central TB Division, MoHFW, Government of India; July 2020., Available from:www.tbcindia.gov.in
[2]. Chani K.Factors affecting compliance to tuberculosis treatment in Andara Kavango region Namibia 2010.
[3]. K Sharma Surrendra.Textbook of Tuberculosis and Non Tuberculous Mycobacterial Diseaeses:3rd ed.New delhi(India):Jaypee Brothers Medical Publishers;2020.Chapter 8,Laboratory Diagnosis of Tuberculosis:Best Practices and Current Policies;p107.
[4]. WHO | Global tuberculosis report 2021 [Internet]. WHO.(published on 14 October 2021) Available from: http://www.who.int/tb/publications/global_report/en/

Abstract: Background: Malignant pleural effusions are a common clinical problem in patients with neoplastic disease and almost all malignancies have been reported to involve the pleura. In most studies, lung carcinoma has been the most common neoplasm, accounting for one-third of all malignant effusions. Breast carcinoma is next most common. Ovarian and gastrointestinal carcinomas are less commonly associated with malignant pleural effusions. No primary tumor is identified in 5 to 10% of malignant effusions. Although many factors predict prognosis in malignant pleural effusions including primary tumor, ECOG PS, Koronofsky score, pleural fluid LDH, pH and glucose levels, there is no validated prognostic scoring system that could stratify patients with malignant effusion. The present study is undertaken to evaluate the role of LENT Score in predicting survival in malignant pleural effusion.......

Key Word: LENT; ECOG PS; Survival; Prognosis; Malignant pleural effusion

[1]. The American Thoracic Society. Management of malignant pleural effusions. Am J Respir Crit Care Med 2000; 162:1987-2001
[2]. Davies HE, Mishra EK, Kahan BC, et al. Effect of an indwelling pleural catheter vs chest tube and talc pleurodesis for relieving dyspnea in patients with malignant pleural effusion: the TIME2 randomized controlled trial. JAMA 2012; 307:2383-9.21
[3]. Dresler CM, Olak J, Herndon JE II, et al. Phase III intergroup study of talc poudrage vs talc slurry sclerosis for malignant pleural effusion. Chest 2005; 127:909-15.
[4]. Clive AO, Kahan BC, Hooper CE, et al Predicting survival in malignant pleural effusion: development and validation of the LENT prognostic score Thorax Published Online First: 06 August 2014. doi: 10.1136/ thoraxjnl-2014-205285
[5]. Burrows CM, Mathews C, Colt HG. Predicting survival in patients with recurrent symptomatic malignant pleural effusions. Chest. 2000; 117(1): 73-8.

Abstract: Background: Large intestine has a varied spectrum of lesions both non neoplastic and neoplastic. Colorectal cancer is the 3rd most common cancer in men and 2nd in women worldwide with significant geographical, racial, ethnic variation in its incidence rate and pattern. Both macroscopic and microscopic appearance helps in identification of the large intestinal lesions which supports in the treatment of patients in a better way.........

Key Words: Neoplasm, Ischemic, Adenoma, Adenocarcinoma, polyp.

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