Clinical Profile of Malaria and its Complication in Magadh Zone of Bihar: A Study
Bibliographic record
Abstract
Introduction: Malaria continues to be one of the most important cause of fever and related sufferings of human beings. While nearly eliminated from many countries like United states, Canada, Europe, and Russia, it still remains a heavy burden on tropical countries despite continued preventive strategies. In recent times Malaria is presenting new challenges in terms of changing clinical profile especially p.vivax infection causing severe malaria thereby defying early diagnosis and so the early institution of antimalarial therapy. Aims and Objectives: Evaluation of clinical profile and its complication will assist in early recognition of malaria helping timely treatment thereby reducing the morbidity and mortality and so the present study is undertaken. Materials and Methods: 96 patients were enrolled from indoor and outdoor section of Magadh medical college hospital, Gaya. Rapid tests and peripheral blood smear examination used for diagnosis of malaria. Detailed clinical examination done and presenting clinical features noted, routine and specific lab. Investigation done, proper treatment instituted and regular follow up done. WHO criteria utilized for defining sever malaria. Statistical data analysed with 2016 Microsoft Excel. Results: 54% suffered p.vivax infection, 47% from p. falciparum and 9% from mixed infection. More than 30% patients presented with uncommon clinical features , 8.6% showed warning sign , 31% developed severe malaria out of which P vivax contrary to the usual belief also developed complication. 3 patients with more than one complication died despite best treatment. Discussion: The burden of malaria varies in different zones of India so also the proportion of p. vivax and p. falciparum. P. vivaxdominates in Magadh zone of Bihar. Cough, severe headache, severe vomiting, abdominal pain, malena, oliguria are some of the uncommon presenting features recognized in the present study. Cerebral malaria, severe hypotension, ARDS were found to be the important cause of mortality as also reported from other studies. Conclusion: Malaria remains a major public health problem. Changing clinical profile and increasing virulence of p. vivax is a matter of concern. Acknowledging these patterns helps in early diagnosis and better outcome.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.046 | 0.028 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.002 |
| Science and technology studies | 0.000 | 0.004 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".