Prevalence of various gynecological problems in adolescent girls 10-19 years of age attending outpatient Department at tertiary care institute of Bhuj, Kutch, Gujarat, India

Background: Diabetes mellitus (DM) describes a group of metabolic disorders characterized by high blood glucose levels. People with diabetes have an increased risk of developing a number of serious life-threatening health problems resulting in higher medical care costs, reduced quality of life and increased mortality. Knowledge of the prevalence about coexisting medical conditions in specific population groups helps healthcare providers and policymakers to allocate health resources efficiently and tailor diabetic care management to effectively utilize healthcare programs while decreasing healthcare expenditure. Aims and Objectives: To find out the pattern of comorbidity burden among Type-II diabetes mellitus patients attending outpatient department of a rural tertiary care institute of North India. Materials and Methods: Study setting: Outpatient department (OPD) of General Medicine of Rural Tertiary Care Institute in North India. Study design: Descriptive, cross-sectional. Study population: Patients who had already been diagnosed by a physician of having Type 2 diabetes mellitus (T2DM) and attended OPD for follow-up during study period i.e. 1st November 2019 to 31st January 2020. Results: Among 82 study participants, 36 were males and 46 females. A total of sixty-six study participants had co-morbidities along with diabetes mellitus. Most common co-morbidity recorded was related to cardiovascular system and neuropathies. Adherence to treatment was followed by 46 (56%) and dietary advice by 42 (51%) study participants. Conclusion: In light of the chronicity of the disease and increasing prevalence of diabetes with associated comorbid conditions, there is a need for clearcut guidelines to address health risks of diabetes with other comorbid conditions. There should be provision for regular formal health education sessions to address co-morbidities, complications due to diabetes.

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A study of thyroid disorders in females attending obstetrics and gynecology outpatient department of a tertiary care institute of central India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20160906 ◽

2016 ◽

pp. 1320-1324

Author(s):

Somen Bhattacharjee ◽

Yogendra Jamra ◽

Shiv Sharma ◽

Arti Parmar

Keyword(s):

Tertiary Care ◽

Central India ◽

Outpatient Department ◽

Obstetrics And Gynecology ◽

Thyroid Disorders ◽

Care Institute

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Study of gynecological problems of adolescent girls attending gynaecology outpatient department at tertiary care center

MedPulse International Journal of Anesthesology ◽

10.26611/10151922 ◽

2021 ◽

Vol 19 (2) ◽

pp. 31-34

Author(s):

Parikh Rana ◽

◽

Robina Mirza ◽

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Menstrual Cycle ◽

Tract Infection ◽

Adolescent Girls ◽

Tertiary Care ◽

Female Adolescent ◽

Outpatient Department ◽

Delayed Puberty ◽

Breast Diseases

Background: The most striking change in adolescent girls is the onset of menstruation. After menarche, common menstrual abnormalities that the female adolescent may encounter include premenstrual syndrome, dysmenorrhea, prolonged menstrual bleeding, and emotional disturbances, In present study, we evaluated gynaecological problems of adolescent girls attending outpatient gynaecology department at tertiary care centre. Material and Methods: Present study was prospective, observational study, conducted in adolescent girls (10-19 years age) attending to the outpatient department of Obstetrics and gynaecology suffering from various gynaecological problems, willing to participate. Results: During study period, total 396 adolescent girls visited gynaecology outpatient department were considered for present study. Most cases belonged to 17-19 years age (52.8 %) followed by 14-16 years age (37.4 %) In study cases, menstrual complaints (67.7 %) were most common indication to visit OPD, followed by complaints like irregular cycles (48.5 %), pain in abdomen (29.8 %), abnormal vaginal discharge (13.9 %), acne and hirsutism (13.6 %) and obesity (11.4 %). Other less common complaints were delayed puberty (4.5 %), Bartholin cyst/abscess (3.3 %), breast diseases (2.8 %), mass per abdomen (0.8 %) and urogenital malformations (0.8 %). On basis of history and relevant investigations, menstrual cycle related gynaecological problems such as dysmenorrhea (24.7 %), oligomenorrhoea (19.7 %), menorrhagia (16.9 %), metrorrhagia (14.9 %) and hypomenorrhea (11.4 %) were noted. Amenorrhea was noted in 9.8 % cases, 1.5 % had primary amenorrhea while 8.3 % cases had secondary amenorrhea. Other problems were anaemia (28.8 %), urinary tract infection (19.7 %), PID (12.4 %), teenage pregnancy (2.3 %) and ovarian cyst (1.0 %). Conclusion: In present study menstrual cycle related gynaecological problems (dysmenorrhea, oligomenorrhoea, menorrhagia, hypomenorrhea, amenorrhea), anemia, urinary tract infection and PID were common in adolescent girls attending gynaecology OPD.

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A Study of Prescribing Practices in Outpatient Department of an Apex Tertiary Care Institute of India

International Journal of Research Foundation of Hospital and Health Care Administration ◽

10.5005/jp-journals-10035-1012 ◽

2014 ◽

Vol 2 (1) ◽

pp. 31-35

Author(s):

Shakti Kumar Gupta ◽

V Siddharth ◽

S Arya

Keyword(s):

Tertiary Care ◽

Poor Quality ◽

Outpatient Department ◽

Periodic Review ◽

Prescribing Practices ◽

Care Institute ◽

Lower Socioeconomic ◽

Registration Number ◽

Outpatient Departments ◽

And Gender

ABSTRACT Introduction Poor quality prescriptions, besides affecting patient safety, have a deleterious impact on the restricted purse of sick persons, especially those belonging to lower socioeconomic strata. Objective To study the prescribing practices in outpatient departments of an apex tertiary care institute of India. Methodology Descriptive and observational study of randomly taken sample of 300 prescriptions from pharmacy was carried out. Parameters for analysis were selected based on review of literature. Observations Of the total samples analyzed, OPD registration number, date of registration, patients name, gender and department were mentioned in 99.3% of prescriptions. Patient name was mentioned in all the prescriptions and gender was present in 99% prescriptions. Address of the patient was present in only 64.7% (194) prescriptions. 93.7% of the prescriptions were legible. Ninety-seven percent of the prescriptions carried diagnosis or presenting complaints. An average of 2.82 ± 1.77 (median – 3) drugs were prescribed per patient. Only 1.63% (14) prescribed drugs were generic. In our study, antacids (26.33%) followed by the vitamins (24%), analgesics (23.3%), antibiotics (22.8%) and antipyretics (18%) were the most commonly prescribed drugs. Drug strength, drug frequency and drug administration route was mentioned in only 62, 89 and 89% of the total prescriptions. Fifty percent did not carry the duration and mean duration of prescription was 17.75 ± 24.18 days. Signature, name, designation, address, stamp and medical registration number of the physician was mentioned only in 96.7, 7.3, 6.7, 2.7, 0.7 and 0% of the prescriptions respectively. Conclusion The study has brought out the need for sensitization and awareness programes for doctors to improve the quality of prescription-writing and periodic review of prescriptions. How to cite this article Siddharth V, Arya S, Gupta SK. A Study of Prescribing Practices in Outpatient Department of an Apex Tertiary Care Institute of India. Int J Res Foundation Hosp Healthc Adm 2014;2(1):31-35.

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Anemia among Adolescent Girls Attending the Pediatric Outpatient Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.6897 ◽

2021 ◽

Vol 59 (241) ◽

pp. 862-866

Author(s):

Bikash Bhandari ◽

Anuja Kachapati ◽

Kavita Lamichhane ◽

Gaurab Khadka

Keyword(s):

Confidence Interval ◽

Adolescent Girls ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Outpatient Department ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Prevalence Of Anemia

Introduction: Adolescents are children aged 10-19 years. Nutrition influences the growth and development during infancy, childhood and adolescence. Adolescent girls are at higher risk of anemia and undernutrition. This research was aimed to find the prevalence of anemia among adolescent girls in a tertiary care hospital. Methods: A descriptive cross-sectional study was done in the adolescent girls attending the pediatric outpatient department of a tertiary care centre from October 2020 to May 2021. After the ethical clearance from the institutional review committee, 380 adolescent girls were taken using a convenient sampling technique. Anthropometric measurements, social demography and blood for hemoglobin estimation were taken and documented in predesigned proforma. Data were analyzed with Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was done, and frequency and proportion were calculated. Results: Out of 380 adolescent girls, 230 (60.5%) at 95% Confidence Interval (55.56-65.41) were anemic with mean hemoglobin of 11.138±1.954 gm/dl. The mean age was 14.57±2.107 years. Conclusions: This study showed a higher prevalence of anemia than the national data. Proper education regarding personal and menstrual hygiene, weekly supplementation of iron in school, dietary habits and uplifting of economic status can prevent anemia in this population.

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