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https://www.readbyqxmd.com/read/28933275/a-case-of-inappropriate-self-medication-compounded-with-prescribing-vis-%C3%A3-vis-dispensing-errors-and-the-hazardous-consequence
#1
Sukalyan Saha Roy, Anupam Roy, Ranjita Santra Dhali, Chiranjib Bagchi, Gautam Banerjee, Santanu K Tripathi
INTRODUCTION Dispensing error, a type of medication error, is not infrequent but seldom reported. Self-medication behavior appears to be a commonplace. And when it is ignorant it may prove dangerous. We report here a case of acute vesico-bullous eruptions from methotrexate in a patient of psoriasis who indulged in self-medication and was wrongfully dispensed higher doses of methotrexate. CASE DESCRIPTION A 50-year-old gentleman presented to the dermatology OPD with erythematous, vesico-bullar lesions spread all over the body including both limbs and scalp, with oral mucosal involvement without any history of fever...
September 19, 2017: Current Drug Safety
https://www.readbyqxmd.com/read/28933229/should-all-acromioclavicular-joint-injections-be-performed-under-image-guidance
#2
S Javed, Z Sadozai, A Javed, A Din, G Schmitgen
INTRODUCTION: Steroid and local anaesthetic injection to the acromioclavicular joint (ACJ) is a very common diagnostic and therapeutic procedure, which is often performed in the outpatient department. However, it can be difficult to localize this joint because of its small size, presence of osteophytes and variable morphology in the population. We performed a study to determine whether the use of an image intensifier (X-ray guidance), in theatre, improves the accuracy of this injection...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28932136/assessment-of-anxiety-depression-and-serum-cortisol-level-in-oral-submucous-fibrosis-patients-a-controlled-clinical-trial
#3
Shubhra Kanodia, Vishal Prakash Giri, Om Prakash Giri, M Parvathi Devi, Y Garima
OBJECTIVE: The aim of this study was to assess the anxiety, depression, and serum cortisol level in OSMF patients. MATERIALS AND METHODS: This cross-sectional study was conducted in the Outpatient Department of Oral Medicine and Radiology, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India. Age- and gender-matched 105 patients were divided into three equal groups as follows: Group 1 - those with areca nut chewing habits and OSMF, Group 2 - those with areca nut chewing habits but no OSMF, and Group 3- those without areca nut chewing habits and without OSMF...
July 2017: European Journal of Dentistry
https://www.readbyqxmd.com/read/28932047/a-relationship-between-salivary-flow-rates-and-candida-counts-in-patients-with-xerostomia
#4
Suchetha Devendrappa Nadig, Deepak Timmasandra Ashwathappa, Muniraju Manjunath, Sowmya Krishna, Araleri Gopalkrishna Annaji, Praveen Kunigal Shivaprakash
CONTEXT: Most of the adult population is colonized by Candida in their oral cavity. The process of colonization depends on several factors, including the interaction between Candida and salivary proteins. Therefore, salivary gland hypofunction may alter the oral microbiota and increase the risk for opportunistic infections, such as candidiasis. Hence, it is necessary to evaluate the relationship between salivary flow rates (SFRs) and Candida colony counts in the saliva of patients with xerostomia...
May 2017: Journal of Oral and Maxillofacial Pathology: JOMFP
https://www.readbyqxmd.com/read/28931299/-steroid-induced-glaucoma-as-a-complication-of-atopic-eczema-local-treatment
#5
T Řeháková, A Stepanov, N Jirásková
The authors present case reports of two young women, who visited the outpatient Department of Ophthalmology clinic, University Hospital in Hradec Králové with lacklustre subjective eye complaints lasting over few weeks. It the beginning high values of intraocular pressure in both eyes and severe glaucomatous damage of the optic nerve head were find out, which was confirm using perimetry and OCT (optical coherence tomography). The anamnesis has shown that both patients have been treated for atopic eczema since their childhood...
2017: Ceská a Slovenská Oftalmologie
https://www.readbyqxmd.com/read/28930818/factors-affecting-breastfeeding-adherence-among-chinese-mothers-a-multicenter-study
#6
Pan Huang, Jianhua Ren, Yi Liu, Biru Luo, Xiufang Zhao
Breastfeeding is beneficial for both infant and mother, but discontinuation of breastfeeding is very common.To investigate maternal breastfeeding intention and the rate of breastfeeding based on the theory of reasoned action, and analyze the predominant factors associated with breastfeeding and breastfeeding problems.This observational study was conducted in 3 hospitals. Three researchers recruited women at 3 time points in the hospitals: initial documentation of pregnancy at the outpatient department, prenatal admission, and postpartum discharge...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28927398/ocular-knowledge-and-practice-among-type-2-diabetic-patients-in-a-tertiary-care-hospital-in-bangladesh
#7
Kazi Rumana Ahmed, Fatema Jebunessa, Sharmin Hossain, Hasina Akhter Chowdhury
BACKGROUND AND AIMS: Diabetes mellitus is likely to have a major effect on vision, and adequate knowledge of its ocular manifestations is of substantial importance to diabetic patients. The study aimed to assess the ocular knowledge and practices among Type 2 diabetic patients of Bangladesh. METHODS: This cross-sectional study included 122 diabetic patients from the outpatient department (OPD) of the apex diabetic healthcare hospital of the country under the sponsorship of the Diabetic Association of Bangladesh (BIRDEM)...
September 19, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28924323/intracranial-hypotension-an-uncommon-entity-with-common-presentation
#8
Vinay K Maurya, R Ravikumar, Mukul Bhatia, Y S Sirohi
Headache disorders are among the most common presenting complaints in any neurology outpatient department. International Headache Society classifies headaches as "primary" or "secondary". The causes of secondary headaches are varied and intracranial hypotension is one of them. It typically presents clinically with postural headaches but most of the times, its diagnosis is delayed, as it is an uncommon cause and there is poor awareness among the medical fraternity about this condition. Imaging, especially magnetic resonance imaging (MRI), plays a crucial role in the diagnosis of intracranial hypotension by not only confirming the diagnosis but also detecting the cause in some cases...
April 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/28924312/outcome-of-early-surgery-in-infantile-esotropia-our-experience-in-tertiary-care-hospital
#9
Anirudh Singh, J K S Parihar, S K Mishra, R Maggon, Anurag Badhani
BACKGROUND: Infantile esotropia is a convergent strabismus presenting before 6 months of age and is the most common strabismus disorder presenting in the ophthalmology OPD. The dilemma of whether to go for early surgery and how early has been a matter of research for the last 50 years. We describe our results of surgery in infantile esotropia at variable age groups, as well as with different reoperation rates and compare with the results in western literature. METHODS: A prospective study was carried out through a review of 113 cases operated for infantile esotropia between February 2013 and August 2014...
April 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/28919597/quality-of-life-in-children-with-asthma-in-bangladesh
#10
M R Hassan, S Kabir, A E Basher, M A Rahman, M A Islam, M K Khan, M S Basher
Asthma is a public health problem that adversely affects different aspects of quality of life. Childhood asthma is common in Bangladesh affecting their lifestyle. The objective of the study was to assess health-related quality of life in children with bronchial asthma. A descriptive, cross-sectional study was carried out from January 2014 to December 2014 at the Outpatient Department of National Asthma Centre, Mohakhali, Dhaka among hundred sixty-two purposively selected children of both sexes with bronchial asthma aged from 7 to 17 years...
July 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28917363/effects-of-music-and-music-video-interventions-on-sleep-quality-a-randomized-controlled-trial-in-adults-with-sleep-disturbances
#11
Chiung-Yu Huang, En-Ting Chang, Yuan-Mei Hsieh, Hui-Ling Lai
OBJECTIVES: The present study aimed to compare the effects of music and music video interventions on objective and subjective sleep quality in adults with sleep disturbances. DESIGN: A randomized controlled trial was performed on 71 adults who were recruited from the outpatient department of a hospital with 1100 beds and randomly assigned to the control, music, and music video groups. INTERVENTIONS: During the 4 test days (Days 2-5), for 30min before nocturnal sleep, the music group listened to Buddhist music and the music video group watched Buddhist music videos...
October 2017: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/28917069/knowledge-attitude-and-practice-of-antibiotic-use-and-misuse-among-adults-in-riyadh-saudi-arabia
#12
Nouf Al-Shibani, Abdulaziz Hamed, Nawaf Labban, Reem Al-Kattan, Hanan Al-Otaibi, Sara Alfadda
To assess the knowledge, attitude, and practice of antibiotics (ABs) use and misuse among adults living in Riyadh, Saudi Arabia. Methods: In this cross-sectional study, a self-administered questionnaire was distributed to participants from  March 2016 to January 2017 in the outpatient department of King Khalid University Hospital and Dental Hospital, King Saud University, Riyadh, Saudi Arabia. The questionnaire was divided into 4 sections. The first and second section inquired regarding demographic details and knowledge of ABs...
October 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28914422/normative-data-for-ivc-diameter-and-its-correlation-with-the-somatic-parameters-in-healthy-indian-children
#13
Kushagra Taneja, Virendra Kumar, Rama Anand, Harish K Pemde
OBJECTIVE: To determine the normative data for inferior vena cava (IVC) diameter in children and its correlation with various somatic parameters like height, weight and body surface area in Indian children. Readily available baseline data of IVC diameter in normal children shall be of great help in rapid assessment of variations in sick children. METHODS: Total 475 healthy children aged one month to 12 y visiting out patient clinics (OPD's) were enrolled in this study...
September 15, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28905822/higher-order-aberration-4-years-after-corneal-collagen-cross-linking
#14
Mohammad Naderan, Ali Jahanrad
PURPOSE: Corneal collagen cross-linking (CXL) is a treatment strategy used in keratoconic eyes. Evaluation of long-term changes of higher-order aberrations (HOAs) after CXL is useful in understanding the efficacy of this procedure in improving optical, refractive, and visual acuity. This study aims to investigate the long-term effect of CXL on ocular HOA in patients with progressive keratoconus (KC). METHODS: Using an OPD-Scan II aberrometer, ocular HOAs measurements of 56 eyes of 56 patients that underwent CXL was evaluated at the baseline, 1, 2, and 4 years after the procedure...
September 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28905311/-abdominal-pain-in-children-rational-diagnostics-in-the-outpatient-department
#15
REVIEW
Tobias Schwerd, Philip Bufler
No abstract text is available yet for this article.
August 2017: MMW Fortschritte der Medizin
https://www.readbyqxmd.com/read/28904923/congenital-cyst-adenoid-malformation-masquerading-as-bronchial-asthma
#16
Jagdish Prasad Goyal, Shishir Jindal, Mayank Mishra, Bhanu Kiran Bhakhri
Congenital cyst adenoid malformation (CCAM) is a rare congenital malformation occurring in approximately 1-4 in 100,000 births. It is classified into five subtypes with type 1 CCAM is most common subtype. The diagnosis of CCAM is usually made in infancy, and it is rare in adolescents and adults. We report a 15-year-old female, who presented in pediatric outpatient department with a history of recurrent cough since infancy. On the basis of clinical examination, provisional diagnosis of asthma was considered and patient was started on inhaled corticosteroid and long-term β2 agonist...
July 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/28901206/rural-urban-differences-in-accessing-mental-health-treatment-in-patients-with-psychosis
#17
Jagadisha Thirthalli, K Shanivaram Reddy, Manoranjitha Kare, Soumitra Das, B N Gangadhar
BACKGROUND: Delay in accessing psychiatric treatment has considerable influence on the outcome of psychoses. Systematic studies examining the source of the delay are lacking in India. In this article, we examine rural-urban differences regarding delay in accessing psychiatric care in patients with psychosis, an issue which was hitherto not studied. AIMS: To evaluate the rural-urban differences in treatment seeking among patients with psychosis. METHODS: Patients with psychotic disorders who presented to the outpatient department of an academic psychiatric institute for the first time ( n = 551) were interviewed using a semi-structured interview tool to assess the date of onset of illness...
September 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28900587/prevalence-and-predictors-of-depression-amongst-hypertensive-individuals-in-karachi-pakistan
#18
Samar Mahmood, Syeda Z Hassan, Muqadus Tabraze, Mohammad O Khan, Iqra Javed, Ameer Ahmed, Omer M Siddiqui, Mehek Narmeen, Maham J Ahmed, Afreen Tariq, Mustafa S Patel, Kaneez Fatima
OBJECTIVE: While studies evaluating the prevalence of depression and hypertension have been extensively carried out in high income countries, there is a paucity of information assessing the prevalence of depression within hypertensive patients in low income nations. The primary objective of this study was to investigate the prevalence of undiagnosed depression in hypertensive patients within a tertiary care facility in Karachi, Pakistan. The secondary objective was to assess factors associated with undiagnosed depression in this group...
June 26, 2017: Curēus
https://www.readbyqxmd.com/read/28892955/frequent-occurrence-of-faulty-practices-misconceptions-and-lack-of-knowledge-among-hypothyroid-patients
#19
A Goel, C Shivaprasad, A Kolly, A A Pulikkal, R Boppana, C S Dwarakanath
INTRODUCTION: Hypothyroidism is a common endocrine disorder with a reported prevalence of 4%-10%. Previous studies have reported significant gaps in the basic knowledge about the condition in hypothyroid patients. It has also been observed that faulty practices prevail among these patients. There is paucity of data on the assessment of knowledge and practices among treated hypothyroid patients. AIM: The present study was aims to assess the knowledge, awareness and practices in treated hypothyroid patients...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28892954/serum-free-t3-to-free-t4-ratio-as-a-useful-indicator-for-differentiating-destruction-induced-thyrotoxicosis-from-graves-disease
#20
Suman Baral, Pradeep Krishna Shrestha, Vivek Pant
INTRODUCTION: Thyrotoxicosis is a common disease encountered in Endocrine Outpatient Department (OPD). Two common causes of thyrotoxicosis are Destruction Induced Thyrotoxicosis (DIT) and Graves' Disease (GD). Differentiating DIT and GD based on clinical findings, is often not possible due to nonspecific symptoms. Thyroid scan is considered most reliable method for differentiating DIT and GD. AIM: To differentiate DIT and GD using the ratio of free triiodothyronine (fT3) and free thyroxine (fT4) thus avoiding thyroid technetium scan which is expensive and not accessible in developing countries like Nepal...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
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