Gender-wise Comparative Assessment of Lifestyle Patterns and Well-being Status among Healthcare Employees at a Tertiary Care Hospital

Abstract Background This study was an attempt to assess and compare the gender-wise lifestyle patterns and well-being status among the employees of a tertiary care teaching hospital. Material and Methods This is a cross-sectional, questionnaire-based study conducted at a tertiary care hospital between May and August 2019. A total of 777 employees belonging to both genders (male and female) and working at different professional levels were assessed. All the enrolled employees were subjected to a comprehensive study tool consisting of various dimensions of their health, which included physical, mental, social, spiritual and intellectual health dimensions. Results Among the participants, 327 (42.1%) were male and 450 (57.9%) were female. There was no significant difference in the mean age of male (37.91 ± 7.52) and female (36.85 ± 8.16) employees (p = 0.07). A significantly higher proportion of diabetes and hypertension were seen in male employees (9.8% and 14.4%, respectively) than in female (5.6% and 6.2% respectively). The overall well-being was better in male employees than in females and was statistically significant (p < 0.0001). We found that male employees had statistically significant better well-being in terms of physical, mental and social health whereas female employees had intellectual health. Conclusion The overall well-being in healthcare staff was good at our tertiary care hospital, and the outstanding/good well-being rate was higher in male employees than in female employees. Female employees experienced risks with regard to their physical health.

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Association of Rugae Pattern with Skeletal Malocclusion in Orthodontic Patients Visiting Tertiary Care Hospital

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-3/009 ◽

2020 ◽

Author(s):

Sarwat Memon

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Class Iii ◽

Chi Square ◽

Cross Sectional ◽

Skeletal Malocclusion ◽

Palatal Rugae ◽

Significant Difference ◽

Orthodontic Patients

Background: The palatal rugae are special constructions that are inalterable in their position and pattern during the lifestyles of an individual. This imparts them an exceptional role in the forensic dentistry and may play potential role in malocclusion identification. This study was aimed to see association of rugae pattern with sagittal skeletal malocclusion in orthodontic patients visiting tertiary care hospital. Methods: This cross-sectional examination was completed on pretreatment records (lateral Cephalometric radiographs and maxillary dental casts) of 384 subjects at the orthodontic department of Ziauddin Dental Hospital, Karachi. The study duration was from January to July 2019. The samples were sub-divided into three sagittal skeletal groups based on ANB angle proposed by Steiner’s on lateral Cephalometric radiographs (Class I with ANB angle between 0° to 4°; Class II: ANB angle greater than 5°; Class III: ANB angle less than 0°). The shapes of three most-anterior primary rugae were then evaluated bilaterally using Kapali et al., Classification. Chi Square test was applied to find association of rugae pattern among sagittal skeletal malocclusions groups. Results: Circular and curved rugae shapes were the most prevalent in all skeletal malocclusions. The primary palatal rugae pattern was seen to be significantly different among three skeletal malocclusion groups (p<0.05). The right and left sided palatal rugae pattern showed significant difference in all three skeletal malocclusion groups (p<0.05). Conclusion: The present study showed no specific palatal rugae pattern associated with sagittal skeletal malocclusion. Further studies on larger sample and use of modern 3D technologies to scan the maxillary casts are required for results that are more precise.

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Seroprevalence of HBV, HCV, HIV, syphilis, and malaria among blood donors at tertiary care hospital blood bank

Journal of the Pakistan Medical Association ◽

10.47391/jpma.1344 ◽

2020 ◽

pp. 1-9

Author(s):

Hira Qadir ◽

Nadia Nasir ◽

Shaheen Kouser ◽

Huma Mansoori ◽

Nida Qadir ◽

...

Keyword(s):

Social Sciences ◽

Blood Donors ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Descriptive Study ◽

Blood Bank ◽

Care Hospital ◽

Cross Sectional ◽

Disease Markers ◽

The Mean

Abstract Objective:To ascertain the frequency of markers of transfusion-transmitted infections. among blood donors in a blood bank at a tertiary care hospital Material and Methods:The study was a retrospective cross-sectional descriptive study, covering from 1stJanuary 2013- October 2018 and was conducted in the blood bank section, in the Department of Pathology at Dow University of HealthSciences, Hospital. All blood donors were screened for hepatitis B, hepatitis C, HIV (I & II), syphilis through electrochemiluminescence and malaria (immunochromatography).Data was entered and subsequently analyzed by statistical package for social sciences (SPSS) version 21. The frequency of infectious disease markers (HbsAg, Anti HCV, HIV, syphilis, and malaria) was calculated among blood donors. Results:The total number of donors in our study was 29732, out of which 2587 donors were positive for an infectious disease.Out of the total donors, 29712 were male and 20 were female. There were 12 volunteer donors and 29720 exchange donors. The mean prevalence of donors with positive infectious markers was as follows; Anti HCV was 3 %, HbsAg was 2.9%, Syphilis was 2.0%, HIV was 0.5% and Malaria was 0.02 %. Conclusion:HbsAg and Anti HCV were the most frequent infections (3%) found in our blood donors, followed by syphilis with a frequency of 2%. Keywords: Blood transfusion, transfusion-transmitted infections, blood donors.

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Knowledge of sleep disorders among physicians at a tertiary care hospital in Qatar: A cross-sectional study. (Preprint)

10.2196/preprints.25606 ◽

2020 ◽

Author(s):

Irfan Ul Haq ◽

Mansoor Ali Hameed ◽

Merlin Marry Thomas ◽

Khezar Shahzada Syed ◽

Ahmad Mohammad Mahmoud Othman ◽

...

Keyword(s):

Sleep Disorders ◽

Medical Training ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Healthcare Providers ◽

Sleep Medicine ◽

Care Hospital ◽

Cross Sectional ◽

Major Health Problem ◽

Significant Difference

BACKGROUND Sleep disorders (SD) constitute a major health problem because of their relatively high and rising prevalence. Several studies have analyzed the knowledge of SD among healthcare providers worldwide. We aimed to assess the knowledge of SD among physicians in Qatar OBJECTIVE To assess the knowledge of sleep medicine among physicians working in a tertiary care hospital. METHODS Total of 250 physicians were surveyed regarding their knowledge in sleep medicine using a validated 30 item “ASKME Survey”. The participants included residents, fellows and consultants in medicine and allied subspecialties. A score ≥60% was considered a high score implying adequate knowledge of SD. RESULTS Response was received from 158 physicians with a responder rate of 63.2%. We analyzed the data from 34 residents, 74 clinical fellows and 50 consultants. The overall mean score was 15.53± 4.42 out of 30. Only 57 (36%) respondents were able to answer ≥60% of the questions correctly. There was no statistically significant difference in the scores of the participants with regard to their ranks (residents, fellows, consultants) or years of training CONCLUSIONS This study demonstrates that healthcare providers in Qatar have decreased awareness and knowledge about sleep medicine which may reflect a lesser emphasis during medical school and medical training on SD. Increasing awareness regarding sleep medicine among non-specialist physicians will allow early detection and treatment of SD, improving the morbidity attached with these disorders CLINICALTRIAL The research was approved by the Institutional review board MRC-01-18-022

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Prevalence of high risk obstructive sleep apnoea by Berlin questionnaire in patients with hypertension: study from a tertiary care hospital

Sleep Science and Practice ◽

10.1186/s41606-020-00052-0 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Ozaifa Kareem ◽

Masood Tanvir ◽

G. N. Bader

Keyword(s):

High Risk ◽

Obstructive Sleep Apnoea ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Sleep Apnoea ◽

Berlin Questionnaire ◽

Care Hospital ◽

Cross Sectional ◽

Obstructive Sleep ◽

The Mean

Abstract Background Obstructive Sleep Apnoea (OSA), a condition characterized by a complete or partial cessation of airflow during sleep, can cause various cardiovascular disorders including hypertension. The aim of the study was to determine the prevalence of OSA in patients with hypertension. Methods A cross-sectional prospective cohort study of 504 patients with hypertension was undertaken at a tertiary care hospital of India for a period of 6 months. OSA was evaluated using the Berlin questionnaire while the daytime sleepiness was determined using Epworth Sleepiness Scale. Data analysis was done using SPSS v. 20. Results High risk of OSA was identified in 120 (23.8%) patients and the prevalence of sleepiness (Epworth Sleepiness score >16) was found to be 32.5% (95% CI, p < 0.001) in these patients. The mean neck circumference, waist circumference and waist-to-hip ratio for high-risk OSA group were 37.41 ± 3.396 cm, 105.90 ± 11.28 cm and 1.01 ± 0.065 respectively while for the low-risk group, these parameters were 35.45 ± 2.652 cm, 98.75 ± 10.87 cm and 0.99 ± 0.080 respectively (95% CI, p<0.001). The mean blood pressure (BP) ≥133.52/84.37 mmHg was recorded in patients with a high risk of OSA (95% CI, P < 0.05), and resistant hypertension (3.3%) was significantly associated with the risk of OSA (95% CI, P < 0.05). Conclusion In the tertiary health care setting, the prevalence of high-risk of OSA in patients with hypertension is high. Screening for OSA should be a part of the hypertensive medical investigation and patients may benefit from a proper evaluation of OSA.

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Emergency Stay Duration of Patients in Emergency Department of A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4806 ◽

2020 ◽

Vol 58 (222) ◽

Author(s):

Prashant Simkhada ◽

Shradha Acharya ◽

Roshan Lama ◽

Sujata Dahal ◽

Nita Lohola ◽

...

Keyword(s):

Emergency Department ◽

Length Of Stay ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Duration Of Stay ◽

The Mean

Introduction: Emergency department of a hospital is responsible for providing medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department is not staffed or equipped to provide prolonged care. Duration of stay in the Emergency department directly affects the quality of patient care. Longer length of stay is associated with Emergency department overcrowding, decline in patient care, increased mortality and decreased patients satisfaction. The main aim of this study is to find the mean stay duration of patients in the emergency department of a tertiary care hospital in Nepal.Methods: This is a descriptive cross-sectional study which was conducted in a tertiary care teaching hospital from Jan 15,2019 to Jan 30, 2019. Ethical clearance was obtained from Kathmandu Medical College- Instutional Review Committee. The calculated sample size was 587. Consecutive sampling technique was used. The data thus obtained was entered in SPSS version 20 and necessary calculations were done. Results: The mean emergency stay duration was obtained to be 3.18 hours at 95% confidence interval (C.I and standard deviation was 2.51 hours. Female had longer mean duration of stay (3.25 hours) compared to male (3.11 hours). The maximum length of stay was 15.3 hours. Most of the patients attending the emergency department were discharged right through the emergency department 398 ( 67.8%). Mean duration of stay was longest (5.06 hours) for the referral group. Conclusions: The mean stay duration in Emergency Department of tertiary care hospital in Nepal is getting shorter compared to similar study done previously.

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Study of drug utilization pattern in gynecology department of tertiary care hospital of Rajasthan, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182466 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2650

Author(s):

Neelam Sharma ◽

Anshul Jhanwar

Keyword(s):

Drug Utilization ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Utilization Pattern ◽

Exclusion Criteria ◽

Cross Sectional ◽

Medical College ◽

Related Information ◽

The Mean

Background: With increasing awareness the flow of patients visiting gynecology outpatient department has increased. Drugs used in gynecology are one of the most selling drugs in India, however they are least studied with respect to drug utilization. Thus, present study was undertaken to analyse drug utilization pattern of Gynecology OPD in a tertiary care hospital.Methods: A retrospective, cross sectional, observational study of prescriptions in Gynecology OPD of Jhalawar medical college, Jhalawar. Data was obtained from medical record database of patients that attended Gynecology OPD from October 2017 to March 2018 over period of six months. Prescription records of patients were screened as per inclusion and exclusion criteria and 300 prescriptions were randomly selected. Patient related, and drug related information was collected on a customized data collection sheet.Results: The mean age of patients was 20.5±8.65 years and common age of presentation was >18-30 years. In infective cases, PID (40.6%) was common, and in non-infective cases, menorrhagia (23.8%) was common. The average number of drugs per prescription was 5.2. In drug category, minerals (46.4%) were most commonly prescribed, followed by antimicrobials (27.6%), and NSAIDs (20.1%). Polypharmacy was observed in 100% of the prescriptions.Conclusions: In the present study all of the drugs prescribed were generic which were from the essential medical list of NLEM and WHO. This study revealed deviation from rational prescribing by the prescribers because average number of drugs per prescription was significantly higher than that recommended by WHO.

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Efficacy of Sodium Valproate and Olanzapine in treating bipolar affective disorder 'mania' at a tertiary care hospital in Nepal: A comparative study

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v4i1.16382 ◽

2017 ◽

Vol 4 (1) ◽

pp. 27-35

Author(s):

Lokeshwar Chaurasia ◽

Sunil Kumar Shah ◽

Sudarshana Magham Chetty

Keyword(s):

Affective Disorder ◽

Sodium Valproate ◽

Rating Scale ◽

Tertiary Care Hospital ◽

Bipolar Affective Disorder ◽

Tertiary Care ◽

Care Hospital ◽

Medical Sciences ◽

Significant Difference ◽

The Mean

Background and Objectives: Bipolar affective disorder, mania is the mood of an abnormally elevated arousal energy level or a state of heightened overall activation with enhanced affective expression together with lability of affect. The objective of the study was to compare the efficacy of sodium valproate and olanzapine in bipolar affective disorder, mania patients at a tertiary care hospital in NepalMaterial and Methods: A randomized observational prospective open label study was conducted for one and half year at College of Medical Sciences-Teaching Hospital (CMS-TH), Bharatpur, Nepal in the Psychiatry Department. Sixty patients diagnosed with bipolar affective disorder, mania were enrolled. 30 patients received sodium valproate and 30 patients received olanzapine. Patients were monitored and evaluated on baseline (day 0), day 7 and day 30 and compared to the baseline for the severity of illness using the 11-item Young Mania Rating Scale (YMRS).Results: The mean baseline YMRS score for all cases on sodium valproate (n=30) on day 0 was 38.87 ± 3.73, while it was reduced to 13.90 ± 1.95 (p < 0.001) on day 30. Similarly, the mean baseline YMRS score for all cases on olanzapine (n=30) on day 0was 40.83 ± 6.50, while it was reduced to 14.47 ± 2.83 (p < 0.001) on day 30.The mean decrease in YMRS score by sodium valproate was 64.24% and by olanzapine was 64.56%.Conclusion: Treatment with sodium valproate and olanzapine significantly improves the mean mania ratings score and there is no statistically significant difference in efficacy of both the drugs in patients diagnosed with bipolar affective disorder, mania.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4(1): 27-35

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Prevalence of Maternal Anemia in A Tertiary Care Hospital in Western Nepal

Journal of Nepal Medical Association ◽

10.31729/jnma.4546 ◽

2019 ◽

Vol 57 (218) ◽

Author(s):

Anita Lamichhane ◽

Sharmila Gurung ◽

Kiran Panthee ◽

Deekshya Shrestha

Keyword(s):

Binary Data ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Safe Motherhood ◽

Public Health Issue ◽

Point Estimate ◽

Care Hospital ◽

Cross Sectional ◽

Maternal Anemia ◽

The Mean

Introduction: Maternal anemia is a common problem in developing countries like Nepal accounting for around 30-50% of women becoming anemic during pregnancy. The present study aims to find out the prevalence of maternal anemia in a tertiary care hospital in Western Nepal. Methods: A descriptive cross-sectional study was carried out at Devdaha Medical College, Bhaluhi, Rupandehi, Nepal from October 2018 to May 2019 after taking ethical approval from the institutional review committee with the approval number: 012/2018. Three eighty three samples were taken and convenient sampling was done to reach the sample size. Data were collected from the study population after taking consent and entered in a predesigned proforma. It was then entered in an SPSS; point estimate at 95% CI was calculated along with frequency and proportion for binary data. Results: During the study period, out of 383 mothers, 230 (60.2%) mothers were anemic at 95% CI (10.6-10.8%); of which 172 (74.8%) were moderately anemic while 58 (25.2%) were mild anemic. The mean maternal Haemoglobin was 9.5±1.76SD. The mean maternal age was 24.24±3.26 SD; mean gestational age at the time of delivery was 36.08±1.77 SD. Conclusions: The prevalence of maternal anemia in this study is found to be higher than the national data which implies that maternal anemia is still a public health issue which needs to be addressed in spite of safe motherhood program launched by the government of Nepal.

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Rational and irrational use of intra-venous infusions: a cross-sectional study among patients of a tertiary care hospital

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20193287 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1286

Author(s):

Amber G. ◽

Muhammad J. Khan ◽

Amina K. ◽

Warda G. ◽

Murtaza G. ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Female Gender ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Adult Age ◽

Significant Difference

Background: Intravenous infusions (IV) are a rapid mean of administering drugs. Hospitals are commonplace for their use, but at the same time they have many serious potential complications. This study aims to know the justified use of intravenous infusion among patients of a tertiary care hospital and awareness about its use.Methods: It was a cross-sectional study in which 249 subjects were conveniently studied. Nil per oral, severity of dehydration, vomiting, and diarrhoea was used as confirmatory criteria for using IV Infusions. Questionnaire with verbal consent was used to collect the data. Descriptive statistical analysis was applied to analyse the data and presented as means, frequencies and percentages in the form of tables and figure.Results: Total n249 (100%) subjects, n68 (27.3%) males and n181 (72.7%) females with average age was 24.05±14.21 years participated. Among n116 (46.6%) irrational users, females n76 (30.5%) were more then males n40 (16.1) with significant difference, p= 0.018. However, no significant difference was found among other variables (age groups, profession, education, awareness and rational or irrational use of IV infusion). Majority n249, n204 (81.9%) were not aware of the IV infusion medication error and doctors were most common unjustified prescribers of IV infusion, n105 (90.5%).Conclusions: The study concluded with the more prevalent irrational IV infusion use in our setup. Doctors appeared the dominant prescriber of irrational IV infusion. This statement is astonishing and must not be overlooked. Female gender, adult age, under-grade patients and students are more exposed to irrational IV infusion.

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Comparative study of patient reported rates of chronic pain with the use of heavy weight and light weight mesh in open hernia repair in a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20184633 ◽

2018 ◽

Vol 5 (11) ◽

pp. 3617

Author(s):

Madhu B. S. ◽

Lokesh M. G. ◽

Avinash S. R.

Keyword(s):

Hernia Repair ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Lightweight Mesh ◽

Care Hospital ◽

Moderate Pain ◽

Significant Difference ◽

Heavyweight Mesh ◽

The Mean ◽

Open Hernia Repair

Background: Hernia repair one of the most common operations performed by general surgeons. Mesh repair is the gold standard for these repairs, the rates of postoperative chronic pain associated with these meshes are still unclear. The aim of the study is to compare the post-operative persisting pain after 3 months in open hernia repair with light weight and heavyweight mesh.Methods: A randomized control study was conducted in a tertiary care hospital with sample size of 80. lightweight and heavyweight mesh were used after randomization with equal participants in each group. Postoperative pain was analysed 1 week, 2 week and 3 months after surgery using visual analogue scale.Results: The study was conducted on a total of 80 participants. The mean age was 53(±16) and 46(±19) in those who received heavyweight mesh and lightweight mesh respectively. Majority of them 73(91.2%) were males and only 7 (8.8%) of them were females. Out of 80 participants, number of participants operated with lightweight mesh and heavyweight mesh was equal (1:1). At three months follow up, only mild and moderate pain was reported with both the groups. Among patients treated with heavy weight meshes 14 patients (35%) reported moderate pain with 26 patients (65%) reported mild pain. Among patients treated with lightweight mesh reported only 4 patients (10%) reported moderate pain with 36 patients (90%) reported only mild pain. There was significant difference in the mean of VAS score between the groups and there was significant difference between the type of mesh used and pain after 3 months (P<0.01).Conclusions: Partially absorbable lightweight mesh can be used for open inguinal hernia repair with significantly less chronic postoperative pain with improved quality of life and functional outcome.

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