“Measuring the Impact of single dose of ChAdOx1 nCoV-19 Corona Virus Vaccine (Recombinant) on hospital stay, ICU requirement, and mortality outcome in a tertiary care centre”

Background - The cutaneous manifestations of the novel coronavirus have been well documented. However, there are few studies that relate to the clinical prole of regular dermatology outpatients seeking treatment during the lockdown relaxation period braving the pandemic. With the Aim - view to determine the changes seen in dermatology outpatient practice, this study analysed the clinical prole of new patients attending the Dermatology Outpatient Department (OPD) during the COVID-19 lockdown relaxation period in a tertiary care centre in a metropolitan suburb in South India. New dermatology outpatients during the months of May, June, July and August Method - 2020 were included in the study. Outpatient data for this period was analysed and compared with corresponding data for the same period in the previous two years. There was a Result – decrease in the OP census, number of patients in the extremes of life as well as those with asymptomatic dermatoses. There was an increase in the number of patients with infections, particularly dermatophytosis. There was also a noteworthy absence of dermatological emergencies. Conclusion - In essence, our study shows the impact of COVID-19 pandemic on the routine dermatology outpatient services with signicant changes in the clinical prole of outpatient practice following lockdown relaxation.

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MP285STUDY ON THE IMPACT OF RENAL STATUS IN THE OUTCOME OF PATIENTS UNDERGOING LIVER TRANSPLANT AT A TERTIARY CARE CENTRE IN SOUTH INDIA

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfx167.mp285 ◽

2017 ◽

Vol 32 (suppl_3) ◽

pp. iii531-iii531

Author(s):

S Talwar ◽

R Nair ◽

S Sudhindran ◽

G Kurian ◽

A Mathew ◽

...

Keyword(s):

Liver Transplant ◽

South India ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

The Impact

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Accidental Hijab Pin Ingestion: 10 Years Experience from a Tertiary Care Centre

Integrative Gastroenterology and Hepatology ◽

10.18314/igh.v1i1.1178 ◽

2018 ◽

Vol 1 (1) ◽

pp. 54-59

Author(s):

Naim Abu Freha ◽

Muhammad Abu Tailakh ◽

Doron Schwartz ◽

Ohad Etzion ◽

Alex Rosenthal ◽

...

Keyword(s):

Emergency Room ◽

Hospital Stay ◽

Clinical Observation ◽

Tertiary Care ◽

Muslim Women ◽

Tertiary Hospital ◽

Care Centre ◽

Tertiary Care Centre ◽

Duration Of Hospitalization ◽

Time Of Admission

Background and Aim: Hijab pins ingestion is increasing. Some women hold the pin between their teeth while arranging the Hijab and the inadvertent ingestion of the pin can be the result of any careless movements. The aims of our study were to investigate the clinical outcomes of patients who underwent endoscopic pin removal via gastroscopy as opposed to patients who were treated conservatively with clinical observation, and to compare clinical and endoscopic data pertaining to patients who underwent early versus late gastroscopy.Methods: Muslim women hospitalized in a tertiary hospital from 2005-2015 due to ingestion of Hijab pin ingestion were included. Patients who underwent gastroscopy during 12 hours from the time of admission to Emergency Room (ER) were included in the “early” gastroscopy group, while endoscopy performed at a later time defined the “late” gastroscopy group.Results: During the study period 37 women were included. Twenty four patients (65%, mean age 20 ± 8.9) underwent gastroscopy; and thirteen (35%, mean age 19.9 ± 1.6) were hospitalized for observation. Six patients (25%) had normal gastroscopy; by 8 patients (33%) the pin was located in the antrum, 6 (25%) body, 2 (8.3%) and 1 (4.1%) in the duodenum. Fifteen patients underwent early gastroscopy and nine underwent late gastroscopy. The Duration of hospitalization was significantly shorter among patients who underwent early gastroscopy 1-day (1, 1) median, (IQR) compared with 2 days (1, 3) p < 0.02. Severe complications were found in one patient (2.7%) with stomach perforation which required surgery.Conclusion: Most pins will pass spontaneously, however severe complication may arise inadvertent Hijab pin ingestion. Early gastroscopy shortens the hospital stay.

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Impact of COVID-19 pandemic on routine childhood immunisation services post lockdown in a tertiary care centre in Meerut district of western U.P.

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20210073 ◽

2021 ◽

Vol 8 (2) ◽

pp. 219

Author(s):

Archana D. Agrawal ◽

Gaurav Gupta ◽

Ashu Bhasin ◽

Abhishek Singh ◽

Alpa Rathi

Keyword(s):

Public Health ◽

Tertiary Care ◽

Immunization Coverage ◽

Routine Immunization ◽

Care Centre ◽

Tertiary Care Centre ◽

Vaccine Preventable Diseases ◽

Number Of Children ◽

Birth Dose ◽

The Impact

Background: The severe acute respiratory syndrome corona virus-2 (SARS CoV-2) disease pandemic has been a threat to public health and health care system world-wide including routine immunization which has been greatly disrupted putting children at risk for vaccine-preventable diseases (VPDs). A study with an aim to analyse the impact of COVID-19 pandemic on routine immunization coverage post lockdown at a tertiary care centre of western UP.Methods: A retrospective analytical study was conducted at LLRM Medical College, Meerut comparing 3 periods of year 2020, each of 4 weeks viz: 1-28th of February, 1-28 of August and 1-28 of December.Results: Total number of vaccine beneficiaries decreased significantly post lockdown from 646 in February to 275 and 419 in August and December respectively. The percent reduction was maximally seen in booster vaccines while birth dose group was least affected. There was 76.2% and 39.3% reduction in number of children receiving primary doses of combination vaccines in August and December period respectively as compared to February 2020. We found 68.42% and 54.39 % reduction in MR-1 beneficiaries in August and December respectively as compared to February 2020.Conclusions: Significant reduction is found in total number of children receiving immunization during un-lockdown period, compared to pre-COVID level. This difference was more significant in booster doses compared to birth doses. We did not find any significant catch up in vaccine beneficiaries by December 2020 despite 7 months of un-lockdown raising significant concern for public health.

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A study to observe the impact of intense audio visual counselling in tobacco consumers attending tobacco cessation clinic at a tertiary care centre

10.1183/13993003.congress-2019.pa2857 ◽

2019 ◽

Author(s):

Darshan Kumar Bajaj ◽

Surya Kant ◽

Abhishek Dubey ◽

Jyoti Bajpai ◽

Richa Tyagi ◽

...

Keyword(s):

Tobacco Cessation ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

The Impact ◽

Cessation Clinic

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TO SEE THE IMPACT OF LOCKDOWN IN COVID19 PANDEMIC ON TUBERCULAR PATIENTS IN A TERTIARY CARE CENTRE OF HILLY AREA.

10.36106/ijar/8601373 ◽

2020 ◽

pp. 33-34

Author(s):

Subhash Chander ◽

Ritin Sharma ◽

Ankit Chaudhary ◽

Rakesh Chauhan

Keyword(s):

Health Centre ◽

Tertiary Care ◽

Healthcare Services ◽

Care Centre ◽

Tertiary Care Centre ◽

Tuberculosis Patients ◽

Hilly Area ◽

Number Of Patients ◽

Group B ◽

The Impact

Aim: To see the impact of lockdown in Covid19 Pandemic on Tubercular patients in a Tertiary care Centre of hilly area. Material and Methods: The study was conducted among adult patients in a tertiary health centre in a rural area. Study was conducted through lockdown period, comparing it with corresponding period in 2019. Tuberculosis patients or suspects were categorized in two groups. Group A was designated for participants in the year 2020 during lockdown period. Group B was data taken from time period similar to lockdown period in the year 2019. Data from two groups was compared. Observations: There was a 44.1% decline in number of male patients, whose sputum was examined by microscopy for tuberculosis. In case of female patients, decline was 68.6%. This decrease was present in all phases, more in 1st phase, 69.1%. During lockdown period number of patients presenting to medicine department were 45% compared to previous year ( 5129 vs 11280), sputum positive diagnosed during lockdown and similar period in 2019 were (84.4%) 27 vs 32 ( p 0.016). OPD declined by 54.5% during lockdown, however diagnosed tubercular cases by CBNAAT declined by 44.4%. Conclusion: COVID 19 pandemic greatly affected the routine healthcare services. Lockdown period saw a decline in number of patients presenting to outdoor as well as indoor patients. There was a decline in number of tuberculosis suspects as well as number of diagnosed tuberculosis patients. However decline in tuberculosis patients was less as compared to overall patients.

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