Cataract is the leading cause of visual impairment and blindness worldwide, accounting for more than 50% of the blindness cases. The major barriers to cataract surgery include cost, lack of knowledge about cataract, lack of transport and/or felt need. Outcomes of cataract surgery are generally good and improvement in vision after cataract surgery is a rule in most case. Investigate the prevalence and vision-related outcomes of cataract surgery in a private medical college hospital. 51 patients were subjected to a cross sectional study by systematic random sampling with the participants of study being patients with cataract coming to the ophthalmology OPD. The prevalence of cataract among the patients attending ophthalmology OPD is 19.87%. In Table I: shows distribution of the study patients according to age group of the clinical presentation of Prevalence of cataract where most of the cases 26(50.98%) were >69 years. In Figure-I shows distribution of the study patients according to Literacy and sex of the clinical presentation of Prevalence of cataract where most of the cases 27(52.94%) were Illiterates and 30(58.13) were Female. In Table II: shows distribution of the study patients according to age locality of the clinical presentation of Prevalence of cataract where most of the cases 37(72.55%) were Rural. In Figure III shows distribution of the study patients according to diabetes in patients with cataract of the clinical presentation of Prevalence of cataract where most of the cases 5(9.8%) had diabetes in patients. The following tables and figures are given below in detail. The age based study shows that the prevalence of cataract increases with age. It is clear from the study that the visual acuity improves greatly with the cataract surgery. The most common post-operative complications being astigmatism and posterior capsular opacification.

Introduction: Rheumatoid arthritis (RA) with a prevalence of 0.3 to 1% in the adult population is a chronic systemic inflammatory disease characterized by proliferative synovitis (pannus) leading to osteocartilaginous destruction leading to joint deformities [1]. The aim of this study is to show rheumatoid arthritis masked by sickle cell disease. Observation: This is a 38-year-old male, Soninke, 38-year-old female patient with known sickle cell disease who had consulted for polyarticular pain and lameness. In clinical and paraclinical studies, the diagnosis of rheumatoid arthritis was made in accordance with the ACR / EULAR 2010 criteria for sickle cell disease confirmed by hemoglobin electrophoresis. Conclusion: Rheumatoid arthritis is a common connective tissue disease in women. Its association with sickle cell disease is rare and can be a source of error or delay in diagnosis.

Introduction: Hospital-acquired pneumonia (HAP) is the second most common nosocomial infection and has higher morbidity and mortality and prolongs hospital stay for patients and excess costs for them [1, 2]. Most significant factor associated with HAP is mechanical ventilation (MV) [1]. High risk MDR pathogens, sepsis, septic shock, elderly patients, bilateral infiltrates in chest x ray and co-morbidities are associated with, increases incidence of HAP and mortality. Methods: This prospective study was conducted in medical intensive care unit (MICU) and respiratory intensive care unit (RICU) of tertiary care teaching medical college hospital over a period of 18 months. 1554 cases were included in the study based on ATS/IDSA 2016 HAP guidelines. Objective: We studied clinical, radiological, bacteriological profile and factors affecting the outcome of HAP patients. During the study, we also analyzed causative organisms. Results: Out of 1554 patients, 194(12.5%) patients developed HAP. Incidence of HAP among patients aged >60 years was 64%. 132 (68%) male patients and 62(32%) female patients developed HAP. 124 (22%) patients who were on mechanical ventilation had HAP. 52% HAP cases had chronic respiratory illness. 16% of HAP patients did not have any chronic systemic illness. Delirium was observed in most of the cases in higher age group. Bilateral infiltrates in chest x ray, sepsis, and septic shock are associated with high mortality. Most common organism isolated from sputum and endotracheal aspirate was Klebsiella pneumoniae. Conclusion: Incidence of HAP in this study was 12.5%. Patients with higher age group and male gender were predominantly affected. Mechanical ventilation more than 48 hours, comorbidities, old age, bilateral infiltrates in chest X ray, sepsis, septic shock and multidrug resistant (MDR) pathogens are associated with high mortality. Early diagnosis, effective preventive and therapeutic strategies, aiming to decrease morbidity, mortality and ......