Cardiovascular diseases are the most endangering illness prevalent in India. Compared to the past, cardiovascular diseases are showing an escalated trend due to the changes in lifestyle and social habits. Drugs are the bedrock of treatment and prevention of cardiovascular diseases. Factors like low utilization rates of evidence based therapies, high drug cost and long duration of therapy hinder the rational usage of cardiovascular drugs. The aim of the study is to assess the prescribing pattern of drugs in cardiovascular disease. A prospective observational study conducted in a tertiary care hospital for a period of 3 months from April 2017 to June 2017. In the study, 123 patients were enrolled and assessed with their demographic data, medical history and drugs prescribed. In this study, among 123 cases of cardiovascular diseases assessed, the incidence of cardiovascular diseases was common in males (84%) and more prevalent in age group 51-60 years. While assessing the prescribing pattern of cardiovascular drugs, antiplatelets (90.24%), anticoagulants (55.28%), thrombolytics (4.87%), antianginals (68.29%), antihyperlipidemics (81.3%), antihypertensives (87.80%) and ionotropes (22.76%) were the drugs prescribed. Increasing age, random changes in lifestyle, lack of physical activities, increased stress, work load, smoking like habits have been providing a path to more morbidity and mortality. Drug-drug interaction is a trouble maker in management of cardiovascular diseases as it requires multiple therapies. Effective strategies, regular monitoring has to be implemented to improve the patient compliance and achieve a better outcome.
Ewing's sarcoma is a very rare type of malignant tumour that grows in bones or the soft tissue around the bones, such as cartilage or the nerves. It usually affects people from the ages of 10 to 20 and has a high rate of being cured. Children with Ewing's sarcoma that hasn't spread have cure rates as high as 80%. Even if the treatment works, patients still need to follow up for many years. Ewing's sarcoma can return even a decade after the diagnosis. This is a case of 9-year-old male patient with a known case of Ewing's sarcoma diagnosed 3 years back. He was treated according to National Comprehensive Cancer Network recommendations for Ewing's sarcoma and later he defaulted for 1 year. Now he is at the stage of metastasis of Ewing's sarcoma. The study points out that there is an utmost importance of regular follow ups and therapeutic value of completing the treatment.
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