Appropriate utilization of hospital beds in internal medicine: evaluation in a tertiary care hospital

2007 ◽  
Vol 13 (3) ◽  
pp. 408-411 ◽  
Author(s):  
Ömer Dizdar ◽  
Ömer Karadağ ◽  
Umut Kalyoncu ◽  
Mevlüt Kurt ◽  
Zekeriya Ülger ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Hospital Beds

scholarly journals Feasibility of the home isolation programme for adults and children with COVID-19

2020 ◽  
Vol 7 (11) ◽  
pp. 1647
Author(s):  
Purwa Doke ◽  
Jitendra S. Oswal ◽  
Disha A. Padalkar ◽  
Mohit P. Jain
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Morbid Condition ◽  
Resource Limited Settings ◽  
Once Daily ◽  
Use Of Resources ◽  
Resource Limited ◽  
Hospital Beds ◽  
Adults And Children

Background: The coronavirus disease 2019 (COVID-19) pandemic has caused an upsurge of cases in many countries leading to inadequate quarantine facilities and hospital beds. Studies on the feasibility of home isolation for COVID-19 patients are the need of the hour. This is the first study from India on the feasibility of home isolation to the best of the author's knowledge.Methods: This methodical study was conducted at a designated COVID-19 tertiary care hospital in India, which included all patients enrolled for the home isolation programme from the 4 July to 3 August 2020. Laboratory confirmed COVID-19 patients were assessed during the enrolment for their eligibility for home isolation. The enrolled patients were followed up once daily over a telephonic call with objective parameters like temperature, pulse and oxygen saturation.Results: There were a total of 447 adults and 67 children. Amongst adults, hypertension was the most common co-morbid condition seen in 23 (5.15%) followed by diabetes in 18 (4.03%) patients. Only 24 (5.37%) patients were hospitalised during the duration of home isolation due to reasons like persistent fever, decreased SpO2, and non-medical ones like anxiety regarding the disease. Age and the presence of co-morbidities were directly related to the requirement of hospitalisation. No children required hospitalisation. There were no deaths.Conclusions: Home isolation is effective for COVID-19 patients in resource limited settings. We provide strong evidence for adapting it for asymptomatic and mild symptomatic cases with judicious use of resources and without compromising the risk to patients.

A CASE REPORT ON CO-INFECTION OF COVID-19 WITH MALARIA

2021 ◽  
pp. 51-52
Author(s):  
K. Shivaraju ◽  
Mandhala Saikrishna
Keyword(s):  
Internal Medicine ◽  
Case Report ◽  
Male Patient ◽  
Tertiary Care Hospital ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Care Hospital ◽  
Fatal Disease

SARS Cov-2 is a new strain of coronavirus that’s appeared at the last quarter of 2019 in China. Malaria is an communicable disease caused by Plasmodium protozoa that is transmitted through a mosquitoes bite it is severe and fatal disease if not properly diagnosed and appropriately managed. Here we present the case of 39 years old male patient was attended to the outpatient department of internal medicine in tertiary care hospital in Hyderabad with chief complains of fever, chills, body pains. After all investigations she was diagnosed with SARS Cov-2 Positive. But after using all appropriate medications, there was no improvement in the patient condition. Then she was underwent for other investigations in that she was diagnosed with malaria disease. After using proper combination of anti-malarial medications, symptoms were subsided gradually or completely resolved.

scholarly journals Why Residents Consider Working Beyond the Duty Hour Limits: Implications of the ACGME 2011 Duty Hour Standards

2011 ◽  
Vol 3 (4) ◽  
pp. 571-573 ◽  
Author(s):  
Kathlyn E. Fletcher ◽  
Sarah Nickoloff ◽  
Jeff Whittle ◽  
Jeffrey L. Jackson ◽  
Michael Frank ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Educational Opportunities ◽  
Descriptive Statistics ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Internal Medicine Residents ◽  
Program Leadership

Abstract Background The Accreditation Council for Graduate Medical Education 2011 duty hour standards became effective on July 1, 2011. One of the new standards allows residents to exceed the limit on continuous duty hours in unusual circumstances relating to patient or family need or rare educational opportunities. There are no data about how often or in what circumstances residents would consider exceeding their duty hour limits using this new provision in the standards. We surveyed internal medicine residents to explore these questions. Methods We conducted an anonymous cross-sectional survey of internal medicine residents at a midwestern tertiary-care hospital to determine how often they had considered exceeding duty hour limits in the preceding 2 weeks. We analyzed responses using descriptive statistics and χ2 tests for comparisons. Results We obtained responses from 51 of 86 residents (59%). Of those residents, 69% (35/51) indicated that they had wanted to exceed duty hour limits at least once in the prior 2 weeks. The most common reason cited was to provide continuity of care for a patient. The 24 + 6–hour rule was the standard most likely to be broken (cited by 66%; 23/35). Conclusions Program leadership should anticipate that residents will commonly identify situations in which they will consider exceeding duty hour limits. It will be important to provide guidance to residents early in the year about the situations that would be appropriate for the application of this new standard.

scholarly journals Tuberculosis as an occupational hazard in ward workers

2016 ◽  
Vol 11 (1) ◽  
Author(s):  
Muhammad Khalid Ch ◽  
Muddassir Muhammad Shaikh ◽  
Summiyah Nasir ◽  
Shamshad Rasul ◽  
Saulat Ullah Khan
Keyword(s):  
Internal Medicine ◽  
General Population ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Active Tuberculosis ◽  
Nosocomial Transmission ◽  
Care Hospital ◽  
Occupational Hazard ◽  
Internal Medicine Wards ◽  
One Year

The present study was designed to estimate the risk of tuberculosis in ward workers in a tertiary care hospital, Lahore. A total 53 ward workers who had been working in chest medicine and internal medicine wards for the last one year, were assessed. As regards demographics, 34 were male and 19 were female with mean age 34.3 years. Out of these workers, three (5.6%) were diagnosed as case of active tuberculosis and all these workers were male. Sputum AFB microscopy was positive in one case. Nosocomial transmission of tuberculosis is known to occur and this risk is much more common in ward workers than that of general population. So it is concluded that there is a significant increased (P<0.001) risk of tuberculosis in ward workers.

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