Prevalence of Bronchogenic carcinoma in the North Indian Population

Aim: This original research article aims to study the Prevalence of Bronchogenic carcinoma in the North Indian Population. Material & Method: The present study includes 150 patients with intrathoracic space-occupying lesions, of which 42 patients with bronchogenic carcinoma 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. The bulk of the patients were young adults and middle-aged persons, with 35 males and seven females. 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, sputum and bronchoscopy were performed. Result: Maximum patients were in the age group of 41 to 50 years. Forty-two patients were diagnosed with Bronchogenic carcinoma, a definitive diagnosis was confirmed by Clinical & Radiological (chest X-ray & CT Scan) in 24 (16%), by Bronchoscopic examination & Biopsy in 15 (10%) and by thoracotomy in 03(2%). The maximum age group among the cases were 41-60. The most common symptom was Cough with expectoration in 33 patients (78.5%), followed by Haemoptysis and Dyspnea in 30 cases (71.4%). Fever was least common with 6 cases. It was observed that 18 patients (43%) had the habit of smoking for more than 18 years. Conclusion: This study provides a framework for assessing the prevalence of bronchogenic carcinoma in the North Indian population and proves that smoking is a potential risk factor in bronchogenic carcinoma. Prevalence of Bronchogenic Carcinoma among all cases of Intrathoracic Lesions Cases 28 % and among all subjects who undergone for screening in one year – 2.84

Precipitating Factors of Psoriasis in North Indian Population

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, Gorakhpurfor 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 thepresence 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 examinationwere recorded. Each patient was categorized into mild to severe psoriasis. Result: The maximumpercentage of cases was aggravated by weather (winter), 55.26%, next to that was trauma 27.19%, and least after infections 4.35%. The summer and spring seasons showed an improved effecton 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 inchildren, and young adults and lesions were of guttate type. Pregnancy had no effect in 25.43% ofcases, 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 withSummer and Spring

Psoriatic Arthritis in the Eastern Part of Uttar Pradesh

Aim: This original research article aims to study Psoriatic Arthritis in the Eastern Part of Uttar Pradesh. Material & Method: Two hundred twenty-eight patients of psoriasis 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 with Tests for Rheumatoid factor and serum uric acid, Radiographs of both hands and feet, Radiographs of the lumbosacral Spine and both sacroiliac joints and Radiographs of affected joints (if any). Each patient was categorised into mild to severe psoriasis. Result: The total number of psoriatic arthritis cases was found, 26 of which male were 17 and female were 9. The maximum number of Arthritis cases, 18.5%, were seen with severe disease (PASI score > 15) with higher occurrence in males. The maximum number of joints involved distal interphalangeal joint was 69.2 3%, and the minimum number of joints involved was significant joint 7.69%. Conclusion: Psoriasis care is unbalanced, with men being more likely to undergo specialist treatment than women, causing higher distal interphalangeal (D.I.P.) joint arthropathy

Clinical Spectrum and Management of hydatidosis – A Prospective Study

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. Twenty-one patients operated, and successful enucleation of the cyst was done in eighteen cases by mini-thoracotomy. 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