Online ISSN: 2515-8260

Keywords : Acute

Comparison of acute inflammatory response and ALVARADO scoring system for diagnosis of acute appendicitis: a prospective and observational study

Dr. Ishant Chaurasia Dr. D. Paramhans Dr. Gunjan Bara

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 5168-5173

The aim of this study is to compare of acute inflammatory response and ALVARADO scoring system for diagnosis of acute appendicitis: a prospective and observational study. All patient undergone routine laboratory and ultrasound investigation. No CT scan was done for any of the patient. Surgical residents calculated the results of the Alvarado & AIR scoring system, and data were entered in pre-prepared forms. The specialist surgeon on duty decided to operate on admitted patients. Histopathology samples were sent for confirmation of acute appendicitis, the results were correlated with preoperative scores.
Result: The present study included 100 patients with suspicion of appendicitis. There were 54% males and 46%) of females with male preponderance in the study. The mean age of the male was 34 years with a range of 7-84 years and female was 31 years with a range of 12-74 years. The most common age group in the study was 16-25 years (34%) followed by 26-35 years (28%). In the study, 38 cases of 100 (38%) were diagnosed pathologically as appendicitis
Conclusion: To conclude, AIR scoring performed well almost equally with Alvarado system with high specificity and high negative predictive value preventing unnecessary negative appendectomies. Follow up of these cases will help in deciding surgical intervention in unnecessary cases. It has high specificity when analyzing patients who fell under low-risk group (score < 8). The score has high negative predictive value there by reducing negative appendectomies. This scoring system also prevents unnecessary and costly radiological investigations thereby reducing the financial burden to the patients.

A Prospective Hospital-Based Study of Acute Childhood Poisoning

Yellappa Gowda N

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 762-769

Background: Poisoning in children is a worldwide epidemic, and there is no region in the world that is immune to this catastrophe. In paediatric practise, it is one of the most frequently encountered situations that could have been avoided. Both the cause of poisoning and the type of poisoning can vary greatly from one region of the world to another. This is because the availability of poison to children is influenced by a variety of factors, including population, socioeconomic standing, level of education, as well as local beliefs and practises.
Martial and Methods: A future hospital-based study in India with a prospective design. Over the course of three years, beginning in June 2021 and ending in June 2022, children hospitalized to Sambaram Institute of Medical Sciences and Research with suspected acute poisoning were the subjects of a study that was designed as a prospective investigation. A parent or other relative who was present throughout the interview provided background information about the youngster.
Results: 210 children were found to be suffering from acute poisoning. There were 125 males, and there were only 85 girls. In 110 of the instances, household goods were involved, while pharmaceuticals were involved in 62, toxic plants were involved in 21, agrochemicals were involved in 13, and other substances were involved in 4.
Conclusion: In conclusion, I would like to offer some suggestions for some strategies that can assist to minimize the prevalence of childhood poisoning in India, in addition to the morbidity and death associated with it. Keep the containers of kerosene oil securely sealed and out of the reach of youngsters at all times. Do not keep kerosene oil in soft drink bottles. Make people aware of the potential risks associated with vomiting after consuming kerosene oil. Keep any agricultural chemicals in a secure location. Instruct the general public on how to properly dispose of unused medication.

A study of acute kidney injury in cirrhosis of liver

Dr. Meghna Vaidya, Dr. Nitin Sarate, Dr. Juhi Kawale, Dr. Vinayak Pai

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 26-34

Background: The prevalence of renal dysfunction has been reported to vary from 14-50% in
patients with cirrhosis. The prevalence is estimated to be approximately 50% among patients
with cirrhosis and ascites and 20% of patients with advanced cirrhosis admitted to the hospital
3,4. The wide range in prevalence is likely due to different study populations and varying
definitions of renal dysfunction. Patients with HRS who fail to respond to medical therapy or
those with severe renal failure of other etiology may require renal replacement therapy.
Simultaneous liver kidney transplant (SLK) is needed in many of these patients to improve
their post-transplant outcomes. However, the criteria to select patients who would benefit from
SLK transplantation are based on consensus and lack strong evidence to support them. Heath
care system has evolved over the last decade and newer drugs are available for the management
of complication of cirrhosis. We attempt to study its impact on course and outcome of acute
kidney injury. Also few of the patients could possibly be on the antiviral drugs for hepatitis B
and hepatitis C. If these patients are admitted they will be included in study and we would study
the effect of the effect of this drug on acute kidney injury and vice versa. Hence, the present
study was conducted to study clinical profile of patients with acute kidney injury in liver