International Journal of Medical Research and Review

Precipitating Factors of Psoriasis in North Indian Population

Dr. Kamlesh Kumar Bhaskar — 2021-10-04

Aim: This study aims to study precipitating factors of psoriasis in the north Indian population. Material &

Method: Two hundred twenty-eight psoriasis patients regardless of age, sex, religion, occupation, attending the skin, and V.D. outpatients Department, B.R.D. Medical College, Gorakhpur for were taken because of the subject of this study. The bulk of patients belonged to the Eastern U.P. and adjoining areas of Bihar and Nepal. The clinical criteria for diagnosis of psoriasis were the presence of Erythematous and papulosquamous lesions with loosely adherent silvery-white scales. The auspitz's sign was demonstrated all told the cases. The detailed clinical history and examination were recorded. Each patient was categorized into mild to severe psoriasis.

Result: The maximum percentage of cases was aggravated by weather (winter), 55.26%, next to that was trauma 27.1 9%, and least after infections 4.35%. The summer and spring seasons showed an improved effect on the condition of psoriasis. Alcohol, smoking, and mental stress found no relation with psoriasis. In most cases, where the infection was associated with the disease, it had been aggravated only in children, and young adults and lesions were of guttate type. Pregnancy had no effect in 25.43% of cases, while the disease was improved in 3.50% of patients and worsen in 4.35% of cases.

Conclusion: Psoriasis is positively correlated with the winter season and negatively associated with Summer and Spring.

Managing COVID in Homecare – Approach to Treatment, Monitoring, and Follow-up by the Family Physician.

Dr. Varsha Narayanan — 2021-10-15

Introduction: The 2nd wave of COVID caused an unprecedented burden on health care workers and resources, calling for structured and effective management of most COVID patients in-home care by general and family physicians via digital and virtual monitoring.

Methodology: A systematic treatment approach evolved from COVID diagnosis, homecare determination and isolation, oxygen saturation and temperature monitoring documentation, guidance on proning and breathing techniques, diet and lifestyle measures, evaluating comorbidities, and prescribing appropriate medicines. Timely decision making and stratification to assess disease course and need for hospitalization based on meticulous monitoring, clinical signs and appropriate tests were followed. A balanced approach avoiding unnecessary medication and tests, and allaying panic resulting from multiple information sources, was the novel challenge for physicians. Post-COVID follow up was done for three months.

Results: The recovery rate in homecare with this approach was 97%, with only 11% needing corticosteroids in the second week. The need for hospitalization was in 3%. In the first month, > 90% had post-COVID symptoms, mainly lower energy, fatigue, weakness, reduced smell/taste and reduced work capacity. However, by the 3rd month, this reduced to 33%, with only 6% showing symptoms beyond three months. Management was conservative in the majority.

Conclusion: A systematic and rational approach to treating, monitoring and managing COVID patients at home can enable better care and recovery and limit unnecessary hospitalization. Diet and lifestyle measures, documentation of oxygen saturation and temperature monitoring, proning and breathing techniques, and psychological support are of great importance that aid recovery and enable sound clinical evaluation.

Clinical Spectrum and Management of hydatidosis – A Prospective Study

Dr. Sanjay Pandey — 2021-10-23

Aim: The objective of this original research article is a Clinical Spectrum and Management of hydatidosis – A Prospective Study.

Material & method: -The present study includes 150 patients with intrathoracic space-occupying lesions, of which 24 patients with Hydatid cyst were seen at SS hospital Banaras Hindu University, Varanasi, UP. Most of the patients studied were from the thoracic surgery section, while few patients were taken from other departments of SS hospital. The age of those patients varied widely, starting from 10 years to 60 years. During this study, patients were investigated in systemic order with the progression of symptoms from the onset, development of latest symptoms and treatment taken before if any, history of tuberculosis, chronic cough, smoking, and contact with were recorded. The patient's vitals were recorded, and routine pathological investigation including blood count, hemoglobin and specific procedure like radiological method, Casoni diagnostic test and bronchoscopy were performed.

Result: Maximum patients were in the age group of 41 to 50 years. The maximum age group was 60 years, and the minimum age group was ten years. Maximum age group 21-30 years, among which this has been observed. No cases were seen above 41 years of age. Hemoglobin was found adequate among the cases. Total Leucocytes count was found higher among the patients. In 63% cases, found above 10000 per microliter. ESR found raised among the patients and in 50% of cases observed more than 40 mm in 1st hour. Cough with/without expectoration, Chest pain, and Dyspnoea were observed in almost all cases. The right side of the Lung had 50% involvement; the Left side of the Lung had 37.5% involvement, whereas 12.5% bilateral involvement.

Conclusion: Mini-thoracotomy is an efficient and safe option for managing intact or ruptured solitary pulmonary hydatid cysts.

Acute myocardial infarction in post COVID-19 patients

Moisés Andrés Lombana Salas — 2021-10-13

The SARS-CoV-2 infection has caused mortality in different populations; in addition, morbidity with immunological, hematological and/or cardiovascular compromises has been reported, with acute myocardial infarction (AMI) standing out. A literature search was conducted in databases to determine existing evidence regarding AMI in post-COVID-19 patients. It was found that initially AMI was described in some patients during the disease; however, a recently published case series showed that it could occur in recovered patients, secondary to systemic and procoagulant inflammation over time, suggesting further research in this area.