Fifty clinically suspected cases of neonatal septicemia were studied for evaluating the role of sepsis screen. Sensitivity and specificity of C-reactive protein test, micro-ESR, gastric aspirate cytology for polymorphs and toxic granules in neutrophils were studied singly and in combinations of two and three tests. Positive blood culture was obtained in only 20% cases, thereby underlying the need for a sepsis screen in the diagnosis of neonatal septicemia, especially in areas where adequate micro-biological facilities are lacking.
Rhino-orbital zygomycosis is a life-threatening fungal infection generally occurring in patients with an underlying disorder, such as diabetes mellitus with ketoacidosis or with immunocompromising factors, although it may rarely appear in healthy individuals. The study has been undertaken to discuss the clinical presentation, pathogenesis, diagnostic work up and management of this rapidly progressive disease. Four male patients having uncontrolled diabetes and presenting with signs and symptoms of rhino-orbital zygomycosis were studied to illustrate the serious nature of the disease. All the four patients had rapidly deteriorating vision loss either unilateral or bilateral along with other nasal and orbital signs and symptoms. All the patients were put on liposomal amphotericin B and underwent orbital exenteration and pansinusectomy. One patient died, while the other three were successfully treated. Early diagnosis is critical in the prevention of morbidity and mortality associated with the disease. There is need for a high index of clinical suspicion in immunocompromised patients. Timely medical-surgical treatment proves extremely important for prognosis.
Background: Adolescent anemia is a long standing public health problem in India. According to NFHS-3 almost 56% of adolescent girls aged 15-19 years suffer from some form of anaemia. This study was conducted to assess the knowledge and consumption practices of iron rich foods and also to estimate the haemoglobin levels among adolescent girls in urban slum of Kolar. Methods: Around 170 adolescent girls in the age group of 10-19 years in Gandhinagar area of Kolar town were included and administered the interview questionnaire. They were invited to Anganwadi centres on a fixed day for estimation of haemoglobin. 92 girls attended the screening and were given awareness by distributing hand out. Results: The mean age of the girls was 15.06±2.230. The mean age at menarche was 13.38±1.158. Majority of girls 58.8% were in 15-19 year age group, 94.1% were aware about iron rich foods and 66.5% were aware of weekly iron and folic acid supplementation (WIFS). Around 92 (54.1%) girls were screened for haemoglobin levels and 32 (34.8%) were found to have anaemia. The factors associated with anaemia among adolescent girls included attaining menarche and no toilet usage which was statistically significant (p value <0.05). Conclusions: The supplementation of iron and folic acid tablets alone is not sufficient and it has to be effectively combined with improving the awareness about iron rich foods and its consumption practices to reduce the prevalence of anaemia.
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