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To Assess the Efficacy and Safety of Various Anti-heliminthics against Ascariasis Lumbricoides among a Study Population in North India 在印度北部研究人群中评估各种抗蛔虫药对类蚓蛔虫的疗效和安全性
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.5
Zaffar A. Kawoosa, G. Javid, G. Yattoo, G. M. Gulzar, J. Sodhi, Altaf Shah, M. Khan, S. Hamid
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Kawoosa Z, Javid G, Yattoo GN, Gulzar GM, Sodhi JS, Shah AH, Khan M, Hamid S. To Assess the Efficacy and Safety of Various Anti-heliminthics against Ascariasis Lumbricoides among a Study Population in North India. OGH Reports. 2018;7(1):25-34. ABSTRACT Introduction: More than 24% of the world’s population, are infected with soil-transmitted helminth infection. Aim: To assess the helminthic load & efficacy and safety of various antiheliminthics. Methods: A total of 400 patients who met the inclusion criteria were recruited after proper consent. Subjects were divided into Four groups (100 each) randomly & receive different antihelminthic drugs. Cure rate and egg reduction rate was used as a primary outcome measure. Three weeks later two more stool samples were analyzed by two methods 1) Direct Smear method & 2) Concentration method. On follow-up, each group were randomly assigned a single dose of albendazole (single 400 mg dose), mebendazole (100 mg, BD×3 days), pyrantel pamoate (11 mg/kg orally once) and ivermectin (0.2 mg/kg orally once) using a randomization procedure.The data was statistically analysed. Observations: Among 400 patients, 63% were 5-19 years of age, 68% were male, 73.5% were from rural areas, 71% were literate, 62% were in the low income group, 58% reported closed sanitation, 6.75% were having low BMI, 26.25% were having High Absolute Eosinophilic Count before treatment, 77.5% were non-anaemic. 92.5% did not have icterus. In the present study it was seen that the difference among the four drugs was statistically significant as per demographic variables. Significant decrease of worm load after treatment were comparable with each other. However, Presence of Worm across papillae seen after upper GI endoscopy and persistent biliary ascariasis was comparable in all the four drug groups. Overall, the efficacy of anthelmintic drugs was excellent and statistically significant (p<0.001). Conclusion: Albendazole and mebendazole having cure rates of 90% and also reducing the mean egg count by 90%. Also treatment of school children every 4 monthly may be necessary in high endemic areas, like ours. All these drugs which we used in our study are safe and no significant side effects were observed.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。引用本文:kaoosa Z, Javid G, Yattoo GN, Gulzar GM, Sodhi JS, Shah AH, Khan M, Hamid S.几种抗蛔虫药对印度蛔虫病的疗效和安全性评价。卫生报告,2018;7(1):25-34。摘要简介:世界上超过24%的人口感染了土壤传播的寄生虫感染。目的:评价各种抗蠕虫剂的抗蠕虫负荷及有效性和安全性。方法:经适当同意后,共招募符合纳入标准的400例患者。受试者随机分为四组(每组100人),分别服用不同的抗虫药物。治愈率和减卵率作为主要结局指标。3周后,再对2份粪便标本进行直接涂片法和浓度法分析。在随访中,每组随机分配单剂量阿苯达唑(单剂量400 mg)、甲苯达唑(100 mg, BD×3天)、帕马酸吡喃酯(11 mg/kg口服一次)和伊维菌素(0.2 mg/kg口服一次)。对数据进行统计学分析。观察:400例患者中,5-19岁占63%,男性占68%,农村占73.5%,识字占71%,低收入占62%,卫生设施封闭占58%,低BMI占6.75%,治疗前嗜酸性粒细胞绝对计数高占26.25%,非贫血占77.5%。92.5%无黄疸。在本研究中,我们发现四种药物在人口学变量上的差异具有统计学意义。处理后蜗杆负荷的显著降低具有可比性。然而,在所有四种药物组中,上消化道内窥镜检查和持续胆道蛔虫病后发现的蠕虫穿过乳头的存在是相似的。总的来说,驱虫药的疗效很好,有统计学意义(p<0.001)。结论:阿苯达唑和甲苯达唑治愈率可达90%,平均卵数可降低90%。在像我国这样的高流行地区,每4个月对学龄儿童进行治疗可能是必要的。我们在研究中使用的所有药物都是安全的,没有观察到明显的副作用。
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引用次数: 2
Two and Half Years Later: Cytomegalovirus and Ebstein Barr Virus Infection Leading to Sinusoidal Obstruction Syndrome in Liver Transplant Recipient 两年半后:巨细胞病毒和eb病毒感染导致肝移植受者鼻窦阻塞综合征
Pub Date : 2018-04-10 DOI: 10.5530/ogh.2018.7.1.6
C. Philips, P. Augustine, P. Mahadevan
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引用次数: 0
Avascular Osteonecrosis of the Knee in a Post Liver Transplant Patient with Recurrent Cholangitis and Early Chronic Rejection 肝移植术后复发性胆管炎和早期慢性排斥反应患者的膝关节缺血性骨坏死
Pub Date : 2018-04-10 DOI: 10.5530/ogh.2018.7.1.15
M. Premkumar, A. Choudhury, Senthil Kumar, V. Pamecha
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引用次数: 0
A Scientometric Assessment of Obesity Research Publications from India during 2007-16 2007- 2016年印度肥胖研究出版物的科学计量学评估
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.4
B. Gupta, K. Ahmed, Ritu Gupta
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引用次数: 1
FNAC of the Thyroid Following Carbimazole Therapy in Hyperthyroidism: A Diagnostic Dilemma 甲亢患者卡咪唑治疗后甲状腺的FNAC:诊断困境
Pub Date : 2018-04-10 DOI: 10.5530/ogh.2018.7.1.7
T. Santosh, Hemlata Panwar, B. Kumari, Vandita Singh, R. Arora, Nighat Hussain
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Santosh T, Panwar H, Kumari B, Singh VY, Arora RD, Hussain N. FNAC of the Thyroid Following Carbimazole Therapy in Hyperthyroidism: A Diagnostic Dilemma. OGH Reports. 2018;7(1):38-40. ABSTRACT Antithyroid drug therapy is routinely used for treatment of hyperthyroid patients. Therapy induced changes in hyperthyroidism can cause serious diagnostic dilemma on FNAC and have been rarely documented. We present a case of 45-year-old female patient who clinically presented with diffuse thyroid swelling and features of hyperthyroidism. FNAC from thyroid swelling showed features of Hashimoto’s thyroiditis / Grave’s disease / Colloid goiter with follicular hyperplasia and at places raising the suspicion of malignant transformation. Further clinical evaluation of patient, it was found that she had carbimazole therapy. Correlating the clinical and cytomorphologic features, a diagnosis of “therapy induced (carbimazole) changes in hyperthyroidism was given.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。引用本文:Santosh T, Panwar H, Kumari B, Singh VY, Arora RD, Hussain N. FNAC:卡咪唑治疗甲状腺功能亢进的诊断困难。卫生报告,2018;7(1):38-40。抗甲状腺药物治疗是治疗甲状腺功能亢进患者的常规方法。治疗引起的甲状腺功能亢进的改变可导致FNAC的严重诊断困境,很少有文献记载。我们报告一例45岁的女性患者,临床表现为弥漫性甲状腺肿胀和甲状腺功能亢进的特征。甲状腺肿胀的FNAC表现为桥本甲状腺炎/格雷夫斯病/胶质甲状腺肿伴滤泡增生,可疑部位有恶性转化。进一步对患者进行临床评估,发现她曾接受卡咪唑治疗。结合临床和细胞形态学的特点,诊断为甲亢的“治疗性”(卡咪唑)改变。
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引用次数: 0
Polycystic Ovary Syndrome Research: A Scientometric Assessment of Global Publications Output During 2007-16 多囊卵巢综合征研究:2007- 2016年全球出版物产出的科学计量学评估
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.3
Ritu Gupta, B. Gupta, K. Ahmed
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引用次数: 1
Levofloxacin Associated Fatal Oro-Facio-Brachial Dystonia in Cirrhosis 肝硬化左氧氟沙星相关致死性口-面-臂肌张力障碍
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.8
C. Philips, P. Augustine
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Philips CA, Augustine P. Levofloxacin associated fatal oro-facio-brachial dystonia in cirrhosis. OGH Reports. 2018;7(1):41-2. ABSTRACT Fluroquinolones are rarely associated with severe dystonic syndromes. We present the case of a middle aged cirrhotic who presented with severe fatal oro-facio-brachial dystonia secondary to intravenous levofloxacin use. Levofloxacin has been very rarely shown to be associated with such severe involuntary movement disorders. A commonly used antibiotic as part of anti-tubercular regimen, caution must be maintained for prevention of severe adverse reactions while using levofloxacin.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。引用本文:Philips CA, Augustine P.左氧氟沙星相关肝硬化致死性口-面-臂肌张力障碍。健康报告,2018;7(1):41-2。氟喹诺酮类药物很少与严重张力障碍综合征相关。我们提出的情况下,中年肝硬化谁提出了严重致命的口-面-臂张力障碍继发静脉左氧氟沙星使用。很少显示左氧氟沙星与这种严重的不自主运动障碍有关。左氧氟沙星是一种常用的抗生素,作为抗结核方案的一部分,在使用左氧氟沙星时必须保持谨慎,以防止严重的不良反应。
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引用次数: 2
Recurrent Intussusception Secondary to Multiple Peutz-jegher polyps: An Unusual Case with Review of Literature 多发Peutz-jegher息肉继发复发性肠套叠:一例罕见病例并附文献复习
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.9
Chisel Bhatia, S. Dalal, Mahavir Singh, Jitendra Singh Malwal
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Bhatia C, Dalal S, Singh M, Malwal JS. Recurrent Intussusception Secondary to Multiple Peutz-jegher polyps: An Unusual Case with Review of Literature. OGH Reports. 2018;7(1):43-5. ABSTRACT Peutz-Jegher polyps are hamartomas of the small bowel which occur as part of the PeutzJegher syndrome, a rare autosomal dominant condition characterized by gastrointestinal polyps and mucocutaneous melanotic pigmentation. Here we report the case of a young male suffering from this syndrome who presented with acute intestinal obstruction due to intussception. Exploratory laparotomy was done which revealed jejuno-jejunal and jejunoileal intussusceptions for which resection and anastomosis was done. There were multiple intraluminal polyps in the jejunum which on histopathological examination, showed features of Peutz-Jegher Polyp. Patient behaved well in the post-operative period and is still on follow up with us.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。引用本文:Bhatia C, Dalal S, Singh M, Malwal JS。多发Peutz-jegher息肉继发复发性肠套叠:一例罕见病例并附文献复习。卫生报告,2018;7(1):43-5。Peutz-Jegher息肉是小肠错构瘤,作为Peutz-Jegher综合征的一部分发生,Peutz-Jegher综合征是一种罕见的常染色体显性遗传病,以胃肠道息肉和皮肤粘膜黑色素沉着为特征。在这里,我们报告的情况下,年轻的男性患有这种综合征谁提出了急性肠梗阻由于肠套叠。剖腹探查发现空肠-空肠及空肠回肠肠套叠,行切除术吻合。空肠有多发腔内息肉,病理检查显示为Peutz-Jegher息肉。患者术后表现良好,仍在随访中。
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引用次数: 1
Rare Incidental Occurrence of Mantle Cell Lymphoma with Alcoholic Liver Disease and Pancreatitis 套细胞淋巴瘤合并酒精性肝病和胰腺炎的罕见偶发
Pub Date : 2018-04-10 DOI: 10.5530/ogh.2018.7.1.11
R. Sareen, Menka Kapil, G. Gupta, D. Agrawal
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Sareen R, Kapil M, Gupta GN, Agrawal D. Rare Incidental Occurrence of Mantle Cell Lymphoma with Alcoholic Liver Disease and Pancreatitis. OGH Reports. 2018;7(1):49-52. ABSTRACT We present an extremely rare case of Mantle cell Lymphoma with concomitant alcoholic liver disease and pancreatitis in a 48 year old male patient. There was absence of abdominal lymphadenopathy. The complete blood count showed absolute lymphocytosis which on subsequent peripheral blood examination showed small to medium sized atypical cells raising suspicion of prolymphocytic leukemia. The flow cytometry and Immunohistochemistry examination confirmed Mantle cell lymphoma. The morphology of cells in mantle cell lymphoma are known to mimic prolymphocytes on peripheral blood. However, the rare concomitant occurrence of both diseases makes the case an interesting one for readers and emphasizes on the usefulness of peripheral blood examination although not completely diagnostic but raising an alarm for the diagnosis of this rare lymphoma.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。本文引用:Sareen R, Kapil M, Gupta GN, Agrawal D.少见的酒精性肝病和胰腺炎附带套细胞淋巴瘤。健康报告,2018;7(1):49-52。我们报告一例极为罕见的套细胞淋巴瘤合并酒精性肝病和胰腺炎的病例,患者为48岁男性。未见腹部淋巴结病。全血细胞计数显示绝对淋巴细胞增多,随后的外周血检查显示小到中等大小的非典型细胞,怀疑是前淋巴细胞白血病。流式细胞术及免疫组化检查证实为套细胞淋巴瘤。已知套细胞淋巴瘤的细胞形态类似于外周血中的前淋巴细胞。然而,这两种疾病罕见的同时发生,使得这个病例对读者来说是一个有趣的病例,并强调外周血检查的有用性,虽然不能完全诊断,但对这种罕见淋巴瘤的诊断提出了警告。
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引用次数: 0
First Case Report of F-18 FDG PET/CT in a Rare Case of Bilateral Adrenal and Lung Metastasis from Primary Hepatic Angiosarcoma F-18 FDG PET/CT 在原发性肝血管肉瘤双侧肾上腺和肺转移罕见病例中的首次病例报告
Pub Date : 2018-04-10 DOI: 10.5530/ogh.2018.7.1.16
K. Kamaleshwaran, E. K. Radhakrishnan, R. Jose, A. Shinto
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Kamaleshwaran KK, Radhakrishnan EK, Jose RP, Shinto AS. First case report of F-18 FDG PET/CT in a Rare case of Bilateral adrenal and lung metastasis from primary hepatic angiosarcoma. OGH Reports. 2018;7(1):75-6. ABSTRACT Hepatic angiosarcoma is a very rare disease, accounting for only 2% of primary liver malignancy. They are rare tumours with poor prognosis, with patients usually dying within 6 months. Metastases mainly occur in lymph nodes, spleen, lungs, bones and adrenals. There are some studies that reported the use of Fluroine -18 Fluorodeoxyglucose (FDG)-positron emission tomography (PET)/ computer tomography (CT)(F 18 FDG PET/CT) in angiosarcomas (hepatic, cardiac, venous and cutaneous angiosarcomas) in the literature. Bilateral adrenal metastasis from angiosarcoma of liver is a rare phenomenon. We report the first case of 36 year old patient, angiosarcoma of liver, post right lobe hepatectomy status, presented with bilateral adrenal and lung metastases imaged using F18 FDG PET/CT.
版权所有 © 2018 Phcog.Net。本文为开放获取文章,根据知识共享署名 4.0 国际许可协议发布。引用本文:Kamaleshwaran KK, Radhakrishnan EK, Jose RP, Shinto AS.F-18 FDG PET/CT 在原发性肝血管肉瘤双侧肾上腺和肺转移罕见病例中的首次病例报告。OGH Reports.2018;7(1):75-6.摘要 肝血管肉瘤是一种非常罕见的疾病,仅占原发性肝恶性肿瘤的2%。它们是预后不良的罕见肿瘤,患者通常在6个月内死亡。转移主要发生在淋巴结、脾脏、肺、骨骼和肾上腺。有一些研究报告称,在血管肉瘤(肝脏、心脏、静脉和皮肤血管肉瘤)中使用了荧光素-18 氟脱氧葡萄糖(FDG)-正电子发射断层扫描(PET)/计算机断层扫描(CT)(F 18 FDG PET/CT)。肝脏血管肉瘤双侧肾上腺转移是一种罕见现象。我们报告了第一例 36 岁的肝脏血管肉瘤患者,右叶肝切除术后,使用 F18 FDG PET/CT 对双侧肾上腺和肺转移进行成像。
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引用次数: 0
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Oncology, Gastroenterology and Hepatology Reports
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