Outpatient Clinic Of Department Research Articles

Prepyloric Stricture in a 5-Year Old Infant Caused by Corrosive Injury: A Case Report

Background: The incidence of corrosive ingestion is high and largely unreported in developing countries due to lack of parental supervision and careless storing of these chemicals at home.
 Case presentation: A 5 years, 1-month-old boy came to the outpatient clinic department of pediatric Dr. M. Djamil General Hospital with a chief complaint of recurrent vomit since 6 weeks before admission. There was a history of ingested accumulator water 1,5 months before admission. The patient vomits every day, especially after eating and drinking.
 Conclusion: The most common symptoms are vomiting, feeding problems in oral intake, and rapid weight loss. The clinical diagnosis of prepyloric stricture is based on the history of the disease, physical examination, and supporting the investigation. Treatment of gastric outlet obstruction caused by corrosive ingestion should be treated surgically.

Fungal Urinary Tract Infections in Pediatric Age Groups

One of the most prevalent and recurring bacterial diseases in kids is urinary tract infections (UTI). At least 8% of girls and 2% of boys are thought to suffer UTIs as children. The fungi are often linked to UTIs, and their antibiotic susceptibility patterns change over time and across various environments. To choose the best empirical antimicrobial therapy, it is crucial to understand the trends of uropathogenic antibiotic resistance in certain geographic areas. Therefore, this research assesses the causal organisms in urine samples and their antibiotic susceptibility profile among patients who visit Mosul's general outpatient department clinic. Due to space restrictions, our research primarily focused on fungus-related UTIs in children (2–12) years old. . Adult infections, reflux nephropathy, catheter-associated and nosocomial infections, medication assessment for particular antimicrobials, and viral and rickettsial infections are only a few examples of the subjects covered. The study intends to close a gap in the literature about how candiduria manifests in pediatric inpatients and outpatients. The current study's objective was to ascertain the prevalence of candiduria among kids visiting External laboratories in Mosul, Iraq. Additionally, isolates' sensitivity to several antifungal medications was taken into consideration.

Decubitus Ulcer Patients Profile in Department of Plastic Surgery Dr. Soetomo General Hospital Surabaya from January to December 2018

Highlights:1. Decubitus ulcers can be caused by prolonged immobilization and constant pressure on the body.2. Decubitus ulcer patients were dominated by females, aged 46-65 years old, and the most common comorbidity history was patients with limb weakness. AbstractIntroduction: Continuous pressure on the area of the skin, especially in areas with bone protrusion can cause decubitus ulcers. Decubitus ulcers can occur to anyone, both children and adults, male or female, especially in people who experience daily immobility in a bed or wheelchair. Many treatments are performed in order to prevent decubitus ulcers to not becoming a more dangerous condition. This study aimed to determine the profile of pressure ulcers in Dr. Soetomo General Hospital Surabaya.Methods: This was a cross-sectional descriptive retrospective study. Secondary data were collected from 25 medical records of pressure ulcer patients in the Outpatient Clinic Department of Plastic Surgery Dr. Soetomo General Hospital Surabaya from January to December 2018. The data such as age, gender, risk factors, comorbidities history, and management were taken. The calculation was performed using Microsoft Excel.Results: The majority of patients with pressure sores at the Outpatient Clinic Department of Plastic Surgery Dr. Soetomo General Hospital Surabaya from January to December 2018 were dominated by female patients aged 46-65 years old (24%), with the most common risk factor being immobilization (96%). Patients’ history showed that most patients with decubitus ulcers suffered from a weakness in the limbs (13%). The most common treatment was wound bed preparation (46%) and education (46%).Conclusion: Pressure ulcers most often occurred in women aged 41-65 years or the elderly. Most patients experienced immobilization as a risk factor for pressure ulcers. These patients were dominated by those who had a history of illness with limb weakness. The therapy applied to patients with pressure sores was the preparation of wound beds and education to the patient.

Observation and Patients' Perceptions of Incorporating Their Photograph Into the Electronic Health Record.

Wrong-patient errors are common and have the potential to cause serious harm. The Office of the National Coordinator for Health Information Technology Patient Identification SAFER Guide recommends displaying patient photographs in electronic health record (EHR) systems to facilitate patient identification and reduce wrong-patient errors. A potential barrier to implementation is patient refusal; however, patients' perceptions about having their photograph captured during registration and integrated into the EHR are unknown. The study was conducted in an emergency department (ED) and primary care outpatient clinic within a large integrated health system in New York City. The study consisted of 2 components: (1) direct observation of the registration process to quantify the frequency of patient refusals and (2) semistructured interviews to elicit patients' feedback on perceived benefits and barriers to integrating their photograph into the EHR. Of 172 registrations where patients were asked to take a photograph for patient identification, 0 refusals were observed (ED, 0 of 87; primary care outpatient clinic, 0 of 85). A convenience sample of 30 patients were interviewed (female, 70%; age ≥55 years, 43%; Hispanic/Latino, 67%; Black, 23%). Perceived benefits of integrating patient photographs into the EHR included improved security (40%), improved patient identification (23%), and ease of registration (17%). A small proportion of patients raised privacy concerns. Patient refusal was not found to be a barrier to implementation of patient photographs in the EHR. Efforts to identify and address other potential barriers would help ensure that the highest proportion of patients has photographs in their medical record.

EFFECTS OF ADIPONECTIN ON GLUCOSE AND LIPID METABOLISM IN PORT HARCOURT RESIDENTS

Purpose: The study determined the effects of adiponectin on glucose and lipid metabolism in Port Harcourt residents, Rivers State, Nigeria.
 Methodology: The study was conducted in the Medical Outpatient Clinic and Chemical Pathology Department of the University of Port Harcourt Teaching Hospital (UPTH), among 384 individuals who presented with metabolic disorders or for routine medical screening, using a sample size of 50% prevalence for insulinemia and employing the formula; N= Z2pq/d2. 5ml of venous blood was taken from the median cubital vein into an EDTA bottle for the laboratory analysis, while data analysis was done using SPSS version 22 and the results presented in tables as frequencies and percentages.
 Results: The socio-demographic characteristics was mostly 31-40 years, 273(82.0%) old, mainly females, 204(61.3%), mostly married, 182(54.7%), Christians, 333(100.0%) and had secondary education, 166(49.8%). Triglyceride level was mostly normal, 309(92.8%), HDLc was mostly low, 177(53.2%), LDLc was mostly good, 326(97.9%) and total cholesterol was mainly high, 322(96.7%). Fasting Blood Sugar was mostly normal, 197(59.2%) and high, 134(40.2%), Body Mass Index was mostly normal, 232(69.7%), Blood Pressure was mostly normal and high (138(41.4%) and 104(31.2%), and adiponectin level was mostly normal, 286(85/9%). 
 The association between adiponectin and plasma lipids was not statistically significant for all the lipids (triglycerides, HDLc, LDLc and total cholesterol) at 0.780, 0.616, 0.556 and 0.172 respectively, while the relationship between adiponectin and glucose metabolism shows that BMI was not statistically significant, 0.129, but FBS was weakly significant, 0.069. Similarly, there is a strong correlation between adiponectin and nutrients like glucose and lipids.
 Unique Contribution to Theory and Practice: It is important to undertake routine medical checks, as certain deviations in nutrient metabolism may not manifest immediately, but transient changes can be revealed by routine investigation and early interventions initiated to either remedy or avert occurrence.

Factors Associated with Congestion and Overcrowding of Patient in the Outpatient Department and Clinic Department in National Eye Hospital, Colombo, Sri Lanka

The National Eye Hospital (NEH) is the largest referral centre of excellence for eye care in Sri Lanka. Patients from every part of the country come to the NEH for treating various eye diseases and the hospital has been overburdened with the problem of congestion and overcrowding. Congestion and overcrowding of patients are considered as a critical parameter in the evaluation of healthcare quality, safety, productivity, and patients’ satisfaction towards healthcare services1. This study aims to assess patient congestion and overcrowding in the outpatient department and clinic department in National Eye Hospital (NEH) Sri Lanka. National Eye Hospital provides treatment, training, rehabilitation and social welfare to the patients. Medical students, post graduate trainers in ophthalmology, ophthalmic technologist are the main categories of that. Most of the patients attend to the NEH, at least with one by stander. Prompt attention, availability of investigation facility, availability of drugs and devices, minimum waiting list for surgery and credibility of service provision are the main reasons for attending to the NEH. A cross-sectional study was conducted from November 2021 to January 2022 in the OPD and Clinic Department of NEH Hospital. More congestion was seen during morning compared to the afternoon. It is proposed to separate the OPD, Clinic, A&E and investigation area. Also it is propsed to introduce separate entrance to OPD,Clinic and A&E department.

Factors Associated with Congestion and Overcrowding of Patient in the Outpatient Department and Clinic Department in National Eye Hospital, Colombo, Sri Lanka

Factors Associated with Congestion and Overcrowding of Patient in the Outpatient Department and Clinic Department in National Eye Hospital, Colombo, Sri Lanka

Effectiveness of Evaluation of Adenoid Hypertrophy in Children by Flexible Nasopharyngoscopy Examination (FNE), Proposed Schema of Frequency of Examination: Cohort Study.

Objectives: To demonstrate the effectiveness of endoscopic assessment of the pharyngeal tonsil in defining the size of the adenoid hypertrophy in endoscopic examination that would be equivalent to intraoperative assessment as a large adenoid, and to determine the lowest necessary frequency of tests to assess the variability of its size. Methods: The study is based on an analysis of two groups of children diagnosed and treated in a children’s ENT outpatient clinic and ENT department. In the first group, adenoid size was assessed based on flexible endoscopy, and then with a consequent adenoid surgery with assessment of the intraoperative size of the adenoid, we compared the size of the adenoid. The second part of the study included a group of 81 children. We analyzed performed flexible nasopharyngoscopy examinations (FNE) of each child, and compared the change of adenoid size in a minimum of two subsequent examinations over a period of 1 year or more. Results: The sensitivity of flexible endoscopic examination in the assessment of the pharyngeal tonsil was determined at 97.3%, and specificity at 72.7%. The ROC curve shows the value of adenoid-to-choana (A/C) ratio as 75% or more in the preoperative FNE, indicating that the tonsil during surgery is assessed as large. Among the children, 26.3% had a change in adenoid size of more than 15% in the A/C ratio in 1 year of observation, and 45% of the children had A/C ratio changed above 15% in a period of 3 years of observation. Conclusions: FNE examination is highly effective in assessing the size of the pharyngeal tonsil. We proposed a schema for frequencies of FNE examinations and treatment dependent on A/C ratio and worsening of ailments.

Evaluation of 25-hydroxy vitamin d3 levels in patients with small uterine myomas

Background; Uterine fibroid are the most frequent benign pelvic tumors between women in reproductive period group that has multifactorial pathogenesis. Modern ideas of uterine fibroid pathogenesis have included vitamin D as a vital component. Aim and objectives; was to study the link between 25-hydroxy vitamin D3 levels in cases having small uterine myomas. Subjects and methods; This is a case-control study, was conducted at the Gynecology and Obstetrics department outpatient clinic at Al Zahraa University Hospitals, on 60 women divided into two groups: (Study group); included Thirty cases having fibroid uterus, (Control group); included Thirty women who had no fibroid uterus. Result; When compared to controls, vitamin D3 levels in cases were considerably lower. Conclusion; Vitamin D looks to be a promising and valuable anti-UF treatment. More large, well-designed randomized clinical trials are needed to look into the effectiveness of vitamin D in females with UFs of all ethnicities, especially those of color who are at higher risk of vitamin D deficiency. As a result, vitamin D may become a viable treatment choice for UF, with the added benefit of its pleiotropic impact.

P1342: A SCREENING TOOL TO DETECT CHRONIC OCULAR GRAFT VERSUS HOST DISEASE IN A HEMATOLOGY/ ONCOLOGY OUTPATIENT SETTING

Background: Chronic ocular GvHD (oGvHD) is reported to occur in 30-60% of patients after hematological stem cell transplantation (HSCT). Presently, there is no diagnostic test available nor a single ‘gold standard’ sign or symptom for the disease. Instead the diagnosis is confirmed through criteria set by the National Institute of Health (NIH) and the International Chronic Ocular Graft-vs-Host-Disease Consensus Group (ICCGvHD), which place a heavy reliance on findings found on slit lamp examinations. Furthermore, after HSCT patients can suffer from non-GvHD related complications, such as cataracts, leading to compound presentations. Thus, this need for a specialist examination and confounding presentation means that often patient’s oGvHD may be advanced before the diagnosis is established and subsequent referral to specialist care. Such delays cause unnecessary suffering and, in some cases, permanent damage. Aims: We aimed to develop an effective and efficient screening tool for chronic oGvHD that could be integrated into a Hematology/ Oncology outpatient clinic. Methods: All post-HSCT patients attending the Hematology/ Oncology outpatient department clinic 18 months were invited to partake in the study. In PHASE I the Ocular Surface Disease Index (OSDI) questionnaire was used to screen the participants for chronic oGvHD and a score of >33 was chosen as the threshold. In PHASE II if participants scored >33 in the OSDI they were then asked a further ‘yes/ no’ question relating to daily use of ocular lubricants. If both criteria were fulfilled, chronic oGvHD was considered likely. In case instance, questionnaires were completed before the ophthalmic examination to prevent bias, and examination was performed by a trained ophthalmologist. Participants were considered to have a diagnosis of chronic oGvHD if they fulfilled one or both of the NIH or ICCGvHD criteria. The efficacy of was measured by sensitivity and specificity along with PPV and NPV. LR were used to assess the screening algorithm as it is less likely to change with disease prevalence. Pearson r formulation was used to determine degree of correlation between OSDI scores and disease severity. Results: PHASE I (n=100) resulted in a sensitivity of 100%, specificity of 86.9%, PPV of 0.59, NPV of 1.0 and a LR of 7.3 (p <0.0001). PHASE II (n=68) resulted in 100% sensitivity and specificity with a PPV and NPV of 1.00 (p <0.0001). Disease severity and ocular surface disease strongly correlated (n=65, 0.67, p <0.0001). Summary/Conclusion: We propose that a simple algorithm using the self-assessment OSDI questionnaire and a polar ‘yes/ no’ question relating to ocular lubricant usage that could be widely implemented in hematology/oncology settings to screen for oGvHD with minimal cost and inconvenience. The algorithm also provides an accurate prediction of disease severity, enabling ophthalmology services to triage patients so that timely care is provided to those in greatest need.

STUDY OF GENERALISED ANXIETY DISORDER AND FACTORS AFFECTING IT DURING POSTNATAL PERIOD.

ABSTRACT&#x0D; &#x0D; Background: Anxiety disorders remain the commonest mental disorder in general population. Both these disorders are common in pregnant women and postpartum period and are underdiagnosed. There is a paucity of research on mental disorders and their risk factors among women during postnatal period in India. This study aims to estimate the incidence of generalised anxiety disorder (GAD) and depression and explore the common associated factors among postnatal women in India.&#x0D; Aim: The present study aims to study the incidence and risk factors of generalised anxiety disorders among mothers attending the outpatient department clinic (OPD) for vaccination of their children or gynaecology OPD for follow up.&#x0D; Methods: Total of 180 women of postpartum period, up to 6 months, was randomly selected and assessed using self-report questionnaire GAD-7 for GAD. General demographic details were obtained via a revalidated proforma. Incidence and risk factors for both these mental disorders were assessed.&#x0D; Results: The incidence of GAD was found to be 31.11%. Primigravida mothers scored higher on GAD-7 score than multigravida mothers and incidence of GAD was also higher in primigravidas mothers (p=0.042). There was no significant association between age of mother, socioeconomic status of mother, and sex of the child born, with development of GAD in the postnatal period. Substance abuse in husband was significantly related to development of GAD in women in postnatal period.&#x0D; Conclusion: A significant proportion of women had generalised anxiety disorder. Pregnancy for the first time was associated with increased risk of GAD. Substance abuse by husband is significantly associated with development of GAD and depression during postnatal period.

Patterns of infant dermatoses: An observational study from the dermatology outpatient clinic of a tertiary referral center

Objectives: To study the pattern of dermatoses among infants who attended the dermatology outpatient clinic of a tertiary referral center. Materials and Methods: We included 270 consecutive infants (children aged 1 year and below) with dermatoses who attended the outpatient clinic of the department of dermatology of our tertiary referral center. Using a preset proforma, we collected information on patient profile, evolution of dermatosis, and clinical features. The dermatoses observed were classified as transient and non-infective conditions, nevi and other developmental defects, genodermatoses, infections and infestations, inflammatory dermatoses, reactive dermatoses, and other miscellaneous conditions. Results: The study participants included 162 males (60%) and 108 females (40%). Fifty-three infants (53/270, 19.6%) were neonates. The most common dermatoses observed among the study participants were infections and infestations (86, 31.9%) followed by inflammatory dermatoses (83, 30.7%). Among the neonates, the common dermatoses observed were napkin dermatitis (14/53, 26.4%), transient neonatal pustular melanosis (6/53, 11.3%), and congenital melanocytic nevus (6/53, 11.3%). The common dermatoses observed among infants above 28 days were fungal infections (32/217, 14.7%), atopic dermatitis (23/217, 10.6%), miliaria (22/217, 10.1%) and infantile seborrheic dermatitis (21/217, 9.7%). Limitations: The study carried out in the outpatient clinic of the dermatology department of a tertiary referral center and the cross-sectional design were the major limitations. Conclusion: Fungal infection was the most frequently observed infection. Whether, this indicates an epidemiological shift in the prevalence of dermatophytosis in pediatric age group needs analysis in future multicenter studies. Napkin dermatitis and atopic dermatitis were the most common non-infective dermatoses in the neonatal and post-neonatal age groups, respectively.

Serum ketone body measurement in patients with diabetic ketoacidosis.

Diabetic ketoacidosis (DKA) is a critical manifestation in patients with diabetes mellitus. DKA has been conventionally diagnosed by the presence of hyperglycemia (blood glucose levels > 250mg/dl) and metabolic acidosis (blood gas bicarbonate [HCO3 -] < 18mmol/l and pH in blood gas < 7.30). However, quantitative evaluation of serum ketone bodies has not been established. The current study investigates serum ketone body levels in patients suspected for DKA. We have retrospectively evaluated patients with hyperglycemia whose serum ketone body levels at the outpatient clinic and emergency department were measured simultaneously with blood gas analysis during 2011-2019. Clinical backgrounds, severity of diabetes, serum ketone bodies, and blood gas factors were analyzed. Seventy-two patients were enrolled in the study, after the exclusion of patients who had ketosis due to factors other than diabetes. Serum ketone body levels were negatively correlated with the levels of blood HCO3 - and pH. By receiver-operating-characteristic curve analyses, optimal cut-off values for diagnosis of DKA were determined at 6.3mmol/l of beta-hydroxybutyrate, 1.4mmol/l of acetoacetate, and 8.0mmol/l of total ketone body, respectively. Moreover, serum ketone bodies appeared to effectively differentiate between type 1 and type 2 diabetes mellitus. The cut-off values were higher than those in previous reports. Serum ketone body levels were thought to be useful in the diagnosis of DKA. Further investigations with increased numbers of patients are required to establish the appropriate application of serum ketone bodies in patients with DKA. The online version contains supplementary material available at 10.1007/s13340-022-00581-2.

Effect of COVID-19 quarantine on caregivers of Egyptian children with autistic spectrum disorder

The urgent requirement for adaptation of Children with autism spectrum disorder (ASD) during COVID-19 pandemic has brought major problems to families and caregivers. Aim: To explore and observe the role of caregiver either mother or father or both regarding outcome behavior of children with ASD during the social isolation of COVID-19 outbreak period. Method: The web based questionnaire was applied on families of 110 children diagnosed with ASD. It took about 20 minutes to be filled by parents of affected children. These children was diagnosed in outpatient clinic of department of research on children with special needs according to criteria of DSM5.The survey was designed to study the effect of COVID-19 Quarantine on children with ASD and to record changes observed by their caregivers on their attitude and behavior during this period. Results showed a potential important psychological outcome impact of the COVID-19 pandemic in relation to the role of main caregiver. In conclusion: In terms of the influence of the COVID-19 pandemic on mental health, clinicians should be aware of warning symptoms shown not just by risk groups, but also by all families, and we must all be prepared for post-pandemic monitoring of mental problems.

Etiological Factors and Clinical Patterns of Subfertility among the Couples Attending in a Tertiary Care Hospital in Bangladesh

Subfertility, a global health issue is defined as the failure in pregnancy after one year of unprotected intercourse. It affects approximately 10%-15% of the couple in developed country1. It is not merely a health problem but also a matter causing social instability, marital disharmony and many disgraceful conditions. Regarding causes of subfertility, female factor, male factor, combined male and female factors and sometimes unexplained factors are responsible.&#x0D; Objective: The aim of the study was to find out the etiological factors and the patterns of subfertility among the couples attending the infertility clinic and outpatient department (OPD) of Kurmitola General Hospital of Bangladesh.&#x0D; Methods : This cross-sectional study was done at the OPD and infertility clinic of Kurmitola General Hospital during the period of January 2019 to- December 2019. Total 140 couples with necessary investigations were interviewed by structured questionnaire. Data analysis done under SPSS method.&#x0D; Result : In this study total number of 140 couples were studied. The frequency of primary and secondary subfertility was 55% and 45% respectively. Among 140 couples mean age of female was 32.6 year and mean age of male was 36.4 year. The mean duration of the subfertility among the couples was 7 year. Concerning the contribution of male and female factor among 140 couples, female factor was responsible in 55% case and male factor was responsible in 20% cases, 10% had combined male and female factor and in 15% couple causes of subfertility was unexplained. Regarding the etiology of subfertility among women, different factors included. Polycystic ovarian syndrome (PCOS) 46.15%, tubal factor 31.86%, endometriosis 8.79%, among hormonal disorder hypothyroidism was responsible in 5.49% and hyperprolactinemia in 2.19 % cases, and ovarian cause like poor ovarian reserve was responsible in 4.39% cases and uterine factor was responsible in 1.09% cases. To detect the male factors of subfertility semen analysis report was done., among male partner 69.04% had oligospermia, 16.66% show asthenospermia, another 9.52% show teratospermia. Azoospermia was detected in 4.76% cases.&#x0D; Conclusion: Bangladesh is a developing country where population burden is a big concern. On the other hand, reproduction is a basic human right. As the subfertility leads to physical, psychological and social problems so government needs to take care of this subfertility issue. This study gives us the idea of the needs and further demands of the services in our country to identify social cultural and economic factors associated with subfertility and interventions needed to overcome the current situation.&#x0D; Sir Salimullah Med Coll J 2021; 29(2): 136-140

Comparative evaluation of healing in extraction sockets with &amp; without manuka honey: A randomized clinical control trial

The aim of this study was to compare the healing of extraction sockets with Manuka honey vs. without manuka honey attending outpatient clinic Department of Oral & Maxillofacial Surgery, Jaipur Dental College. Thirty subjects were randomized into two groups i.e., group A in which Manuka Honey is placed in the extraction socket & a group B, which is a control group. Main outcome measure was to compare the amount of time required for haemostasis, pain according to VAS scale on 1st, 3rd & 7th day, presence of swelling on 1st, 3rd & 7th day, any other post-operative discomfort such as difficulty in speech, any kind of discharge, and presence of any signs of alveolar osteitis. Through the study we concluded that sockets in which the Manuka Honey was placed had better healing and less signs of inflammation was observed as compared to the contra-lateral site.

The Role Of Uric Acid And Hscrp In Predicting Metabolic Syndrome

Aim: Metabolic syndrome is a group of diseases characterized by the coexistence of cardiometabolic risk factors such as abdominal obesity, dyslipidemia, glucose intolerance, and high blood pressure. Metabolic syndrome is a common disease that can lead to high mortality with cardiovascular complications. Many studies are ongoing for laboratory parameters that can be used in the early diagnosis of this syndrome, but for daily clinical use and the diagnostic criteria, any parameter has not been revealed yet. We planned to carry out this study to predict the usability of uric acid and HSCRP in clinical practice, which have been reported to be associated with metabolic syndrome in the literature. Material and Methods: Patients with metabolic syndrome who applied to Ankara Training and Research Hospital’s Internal Medicine department outpatient clinic for any reason within nine months were included in the study group. In the same period, completely healthy cases who applied to the outpatient clinic for any reason were included in the control group. Demographic data, physical examination findings, anthropometric measurement results, biochemical parameters, and HSCRP levels of the cases were recorded. Metabolic syndrome and the control group were analyzed for uric acid and HSCRP values. SPSS 25.0 was used for statistical analysis. The data were evaluated within the 95% confidence interval, and p&lt;0.05 was considered significant. Results: In the study conducted that with a total of 174 patients, including 95 patients with metabolic syndrome and 79 healthy patients, the mean uric acid level of the metabolic syndrome group (5.22±1.39mg/dl) was significantly higher than that of the control group (4.35±1.11mg/dl) (p&lt;0.01). With the ROC curve, the uric acid cut-off value for detecting metabolic syndrome incidence was found to be 5.45mg/dl (specificity 89.9%; sensitivity 51.6%). Its positive predictive value was 86%, and its negative predictive value was 60.7%. The mean HSCRP levels of the metabolic syndrome group (4.72±3.54mg/L) were found to be significantly higher than the control group (3.30±3.21mg/L) (p&lt;0.01). Conclusion: Serum uric acid and HSCRP levels in the study group with metabolic syndrome were significantly higher than in the control group. This syndrome, which is very common today, can lead to various outcomes in terms of mortality and morbidity; when the early diagnosis is delayed, it constitutes an important part of health expenditures. We believe that early diagnosis with laboratory parameters that can be very practical in daily practice will prevent metabolic syndrome complications. Keywords : Metabolic syndrome, obesity, systemic inflammation, uric acid, HSCRP

Periodontitis-Related Knowledge and Its Relationship with Oral Health Behavior among Adult Patients Seeking Professional Periodontal Care.

Background: Periodontitis is a chronic inflammatory disease that not only damages the stomatognathic system, but may also adversely influence other systems and organs. Patients with low oral health literacy levels are more prone to gingivitis/periodontitis and have a more severe disease course. Methods: A written questionnaire was carried out to assess the knowledge of patients of the Outpatient Clinic of Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, Poland. The questions concerned knowledge regarding the causes of periodontal disease, its risk factors, and the connection between periodontal disease and general health status. To analyze the population, patients were divided according to gender, age and if they were first-time or regular outpatients. Results: Written questionnaires were completed by a total of 302 patients. In the studied population, we noted knowledge deficits, particularly related to weaker periodontal disease risk factors (stress, diabetes, osteoporosis, obesity) and the genetic factor, which is the determinant of periodontitis. The patients’ awareness of the role of plaque bacteria and the effect of smoking on the periodontium was at a relatively high level. The respondents were also aware of the impact of periodontal disease on general health as well as the role of oral hygiene in preventing the disease. At the same time, few of them (26%) used interdental brushes or an irrigator (8%). Conclusions: We demonstrated that patients have an insufficient level of knowledge related to risk factors as well as the prevention of periodontal disease. Awareness of the extent of oral health literacy among patients will help to identify key issues connected with health education interventions

Gastroenterological disorders increase the prevalence of overactive bladder in females at various ages

Aim: In this study we aimed to determine the coexistence of overactive bladder in patients with gastroenterological disorders including hepatitis, cirrhosis and inflammatory bowel disease (IBD).&#x0D; Material and Method: We prospectively collected the data of patients who admitted to the outpatient clinic of department of gastroenterology at Ankara Yüksek İhtisas Training and Research Hospital between May 2017 and February 2019. All patients with chronic gastroenterological disorders such as hepatitis and irritable bowel syndrome willing to participate after the verbal consent were included in the study&#x0D; Results: A total of 289 female patients were included the study. The mean age of the patients was 49.9 ±13 years. The mean BMI value was 27.9± 4.5 kg/m2. Among 289 patients, 135 (46.7%) had Hepatitis B, 53 (18.3%) had ulcerative colitis, 35 (12.1%) had Crohn’s disease, 22 (7.6%) had autoimmune hepatitis, 19 (6.6%) had primer biliary cirrhosis, 13 (4.5%) had Hepatitis C and 12(4.2%) had celiac disease. The mean age of patients was similar between patients having OAB-v8 higher and lower than 8 (p=0.46). However, patients having OAB score&gt;8 had higher BMI compared to patients who had OAB score

Response and Side Effects from Rheumatoid Arthritis Therapy at Dr. Soetomo General Hospital Surabaya 2017

Introduction: Rheumatoid arthritis (RA) is an autoimmune disease which mainly attacks synovial membrane and causes systemic manifestation. During treatment, controlling disease activity is needed to prevent further complication. On the other hand, medications used in the treatment of RA may bring various side effects. It is important to evaluate side effects from the given therapy.Methods: This study aimed to evaluate response and side effects of therapy in RA patients. The samples were collected from 59 RA patients at Rheumatology Division of Outpatient Clinic in Department of Internal Medicine Dr. Soetomo General Hospital Surabaya in 2017. This study method was descriptive observational with cross sectional design using medical records.Results: Pain was reduced in 83.1% patients, Erythrocyte Sedimentation Rate (ESR) increased in 61.4% patients, and C-Reactive Protein (CRP) decreased in 50% patients. Based on the statistic analysis, ESR decreased significantly (p = 0.012) while CRP decreased not significantly (p = 0.415). The side effects were observed from clinical and laboratory data. Based on clinical symptoms, there were alopecia in 1.7% patient, dyspepsia in 78% patients, infection in 27.1% patients, and other symptoms including itchy skin, neuropathy, hyperuricemia, hyperkalemia and Acute Kidney Injury (AKI). Meanwhile, abnormalities in laboratory data include increased aspartate transaminase (AST) in 3.8% patients, increased alanine transaminase (ALT) in 26.1% patients, increased Blood Urea Nitrogen (BUN) in 7.9% patients, increased creatinine serum in 7.9% patients, decreased hemoglobin in 15.5% patients, and decreased leukocytes in 3.4% patients.Conclusion: Most patients had a good therapeutic response based on decreased pain, while ESR had a significant decrease and CRP did not have significant decrease. Side effects discovered in patients were various