scholarly journals Tu1065 OUTPATIENT ENDOSCOPIC SEDATION REVERSAL TRENDS AT A TERTIARY CARE ACADEMIC AMBULATORY ENDOSCOPY DIGESTIVE HEALTH CENTER (AEC-DHC) VS IN-HOSPITAL AMBULATORY PROCEDURE CENTER (APC) USING A TRIAGE PROTOCOL

2020 ◽  
Vol 91 (6) ◽  
pp. AB529
Author(s):  
Peter G. Stadmeyer ◽  
Paul Estrada ◽  
Mark Benson ◽  
Patrick Pfau ◽  
Anurag Soni ◽  
...  
2017 ◽  
Vol 32 (1) ◽  
pp. 60-67
Author(s):  
Manish Gutch ◽  
◽  
Sukriti Kumar ◽  
Annesh Bhattacharjee ◽  
Avinash Agarwal ◽  
...  

2015 ◽  
Vol 21 ◽  
pp. 136
Author(s):  
Manish Gutch ◽  
Mohit Singh ◽  
Sukriti Kumar ◽  
Syed Razi ◽  
Keshav Gupta ◽  
...  

2021 ◽  
pp. 146-150
Author(s):  
Rakesh Kumar Sharma ◽  
Shahid Anjum Awan ◽  
Amita Gupta

Introduction: Regionalization envisages a two-way ow of patients & services designated as “Referralin” and “Referral-out” cases.”Referral-in” generally means patients from Sub Center, Primary Health Center, Community Health Center & District Hospitals Referred to Tertiary Care Hospital for Specialized care.”Referred-out” Generally means patients from Tertiary Care Hospitals to Higher Centers like Apex Institutions including AIIMS (New Delhi),SKIMS(Srinagar).PGIMER(Chandigarh, SGPGI(Lucknow), etc. for Super specialized treatment. Objective: To determine the effect of Referral- in admissions on the functioning of Gynecology & Obstetrics Department in a Teaching Hospital. Methodology: An Observational study was conducted over a period of 12 months from February 2019 to January 2020 in a 750 –bedded Tertiary Care Hospital of Jammu(UT) popularly Known as Shri Maharaja Gulab Singh(SMGS) Hospital, Jammu. Observations & Results: A detailed description of academic as well as functional status of Gynae & Obs. Department including Faculty-position, OPD patients, Inpatients admitted, Deliveries conducted(LSCS & MLE), Surgical Operations(Major as well as Minor) along with Bed-Occupancy Rate(BOR) & Referred-in Admissions during the study duration was recon ciliated & put forth in Tabulated Form after collecting from the Medical Records Department of the Hospital & displayed Statistically in Bar-Charts & pie-Chart. Discussion: Excessive Referral-in admissions to Teaching Hospital from PHC,SDH,DH & AH Level results in Overcrowding/Congestion in Hospital Wards culminating in Exhaustion of Resources like Drugs, Medicines, Reagents & other logistics. Supportive Services like Sanitation, Ambulance Transportation & Dietary facilities get worsened thereby exaggerating the Sepsis as well as nasocomial infection rate. There are increased chances of Corruption, & Violence/Verbal Scufes between Hospital Staff & Attendants of patients. Conclusion & Recommendation: Instead of irrationally referring the patients to Teaching Hospitals from Lower level Health Care Facilities(HCF), they should be rst sent to Associated Medical College Hospitals established at different Districts before being referred to Provincial Tertiary care Hospital thereby reducing the extra-load over Teaching Hospitals resulting in rapid depletion of resources as well as Medico- Social and Law & Order problems.


2017 ◽  
Vol 9 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Rekha Rani ◽  
Asha Nigam

ABSTRACT Objective To establish the rate of seroprevalence of hepatitis B surface antigen among pregnant women in tertiary care health centre of North India. Materials and methods We included 2058 antenatal women attending the antenatal opd in our hospital S.N. Medical college Agra from January 2015 to 2016. All pregnant women attending antenatal OPD at their first antenatal visit were screened for HBsAg and verbally informed regarding study. Results A total of 42 women had positive HBsAg results. The mean age was 25.7 years, average parity of 2.3. All the 42 women positive for HBsAg were advised for HBeAg testing. And among these four were tested positive for HBeAg. There were no statistically signi ficant association between sociodemographic characterstics evaluated age, gravidity, marital status and educational level and HBsAg status. In our study out of 42 HBsAg positive women two were found to be equally infected with HIV this implies the coinfection rate in our study was 0.09%. The association between HIV and HBsAg was not statistically significant in our study. Conclusion Hepatits B remains a significant health problem in India. Programmes for prevention and control of hepatitis B should represents a priority for the government and health services in India. The first step in tackling the HBV disease burden in India is to have a more accurate assessment of the burden of the disease. This is possible with multicentric population based studies. How to cite this article Garg R, Nigam A, Singh S, Singh R, Singh S, Rani R. Seroprevalence of Hepatitis B Surface Antigen among Pregnant Women in a Tertiary Care Health Center of North India. J South Asian Feder Obst Gynae 2017;9(2):164-168.


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