scholarly journals Rationality verses irrationality in fixed dose combinations: at a tertiary teaching hospital of rural Chhattisgarh, India

2018 ◽  
Vol 7 (6) ◽  
pp. 1114 ◽  
Author(s):  
Ahmed Tabish ◽  
Tanveer A. Khan ◽  
Chandel N. B. ◽  
Rao Anand ◽  
Mishra Chandresh
Keyword(s):  
Hospital Pharmacy ◽  
Essential Medicine ◽  
Rural Hospital ◽  
Fixed Dose ◽  
Hospital Formulary ◽  
Rational Drug ◽  
Tertiary Teaching ◽  
Outpatient Departments ◽  
Tertiary Teaching Hospital ◽  
The Right

Background: Rational drug prescribing can be defined as appropriate drugs prescribed in the right dose, at correct time intervals and for a sufficient duration. Irrational drug use is a common problem in many countries of the world.Methods: A prospective observational study was conducted, total 300 patients attending various outpatient departments of tertiary health care rural hospital in Rajnandgaon district were interviewed and their prescriptions were analysed.Results: Total 350 drugs were prescribed 60 (17.14%) were prescribed by generic name and the rest 290 (82.86%) were prescribed by brand name. Only 18 (5.14%) drugs were not prescribed from hospital formulary. 264 (75.43%) drugs were dispensed from hospital pharmacy. On the basis of rationality score 53% prescriptions were rational, 30% semi rational and 17% irrational.Conclusions: In a rural hospital, where hospital formulary is based on WHO Essential medicine list, hundred percent utilization of hospital pharmacy service doctors and patients would ensure rational prescribing benefits of the patients coming from rural and uneducated background.

scholarly journals A retrospective study on histomorphological spectrum of ovarian lesions in a tertiary care hospital

2020 ◽  
Vol 6 (7) ◽  
pp. 430-436
Author(s):  
Subashree Kannan ◽  
◽  
Sneha Ravindran ◽  
S. Balaji ◽  
◽  
...  
Keyword(s):  
Retrospective Study ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
World Health ◽  
Care Hospital ◽  
Follicular Cyst ◽  
Serous Cystadenomas ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
The Right

Introduction: Gynecological morbidity is defined as any condition, disease, or dysfunction of thereproductive system which is not related to pregnancy, abortion, or childbirth. A significant numberof ovarian lesions have been known to cause Gynecological morbidity among most females. With theincreased use of screening modalities, ovarian lesions have increasingly been encountered forpathological analysis. It is important to evaluate the pattern of clinical presentation, corroboratingwith histological diagnosis. Purpose: The present study was carried out to evaluate thehistomorphological spectrum of various ovarian lesions among women in Puducherry. Material andMethods: This retrospective study was conducted on 350 ovarian samples received for five years inthe Department of Pathology, of our tertiary teaching hospital. Clinicopathological data wereretrieved from the hospital records. The histomorphological analysis was reviewed and neoplasticand non-neoplastic ovarian lesions were segregated according to the World Health Organizationclassification. Results: Based on histology, the predominant ovarian lesions diagnosed were non-neoplastic conditions including simple and follicular cyst, corpus luteal cyst, corpus hemorrhagiccyst, and cystic follicles constituting 40.6% on the right side and 34% on the left side. Malignancywas predominant on the right side (1.7%) while the same was 0.6% on the left side. Conclusion:The present study has identified that non-neoplastic lesions are more common in ovaries thanneoplastic lesions and it has identified that serous cystadenomas are the most common ovarianneoplastic lesions.

scholarly journals Utilizing Hospital Formulary System in Nepal

2020 ◽  
Vol 18 (2) ◽  
pp. 337-339
Author(s):  
Sitaram Khadka ◽  
Hamid Saeed ◽  
Janak Shahi ◽  
Yogesh Bajgain ◽  
Tank Prasad Yadav ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Clinical Judgment ◽  
Hospital Pharmacy ◽  
Healthcare Professionals ◽  
Medication Management ◽  
Pharmacy Practice ◽  
Formulary System ◽  
Hospital Formulary ◽  
Rational Drug ◽  
Therapy Cost

Since the early 1950s, for medication management, the hospital formulary system subsisted as a list of drugs into the supply chain management process in hospitals. With the advent of pharmacy practice services, the system now is more oriented towards the rational use of drugs taking into account the safety of therapy, cost-effectiveness, and uninterrupted availability of drugs to improve and reflect upon the clinical judgment of healthcare professionals. Though very few hospitals in Nepal have adopted hospital formulary system, the perfect practice is still skimpy. The formation of drug and therapeutic committee along with the establishment of hospital pharmacy services is a growing trend with the arrival of hospital pharmacy guidelines 2072, thus, a positive spill-over of the hospital formulary system to each hospital in Nepal would be valuable in promoting rational drug therapy.Keywords: Cost-effectiveness; hospital formulary system, rational drug therapy.

Factors Impacting CTCA Quality in a Major Tertiary Teaching Hospital

2021 ◽  
Vol 30 ◽  
pp. S189
Author(s):  
I. Button ◽  
J. Bradley ◽  
R. Roberts-Thomson ◽  
B. Lorraine
Keyword(s):  
Teaching Hospital ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital

scholarly journals Using Technology to Promote Patient Engagement in Nutrition Care: A Feasibility Study

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 314
Author(s):  
Shelley Roberts ◽  
Wendy Chaboyer ◽  
Zane Hopper ◽  
Andrea P. Marshall
Keyword(s):  
Patient Satisfaction ◽  
Patient Engagement ◽  
Early Discharge ◽  
Nutritional Risk ◽  
Dietary Intakes ◽  
Intervention Delivery ◽  
Nutrition Care ◽  
Tertiary Teaching ◽  
Hospital Patients ◽  
Tertiary Teaching Hospital

Empowering patients to participate in nutrition care during hospitalisation may improve their dietary intakes and associated outcomes. This study tested the acceptability and feasibility of a technology-based intervention to engage hospital patients in nutrition care at a tertiary teaching hospital in Australia. The hospital used an electronic foodservice system (EFS), by which patients ordered meals via bedside computers. Adults at nutritional risk received the nutrition technology (NUTRI-TEC) intervention, involving nutrition assessment, education on nutrition requirements and training on using the EFS to enter food intakes and monitor nutrition goals. Acceptability was assessed using patient satisfaction and engagement surveys. Feasibility was assessed by evaluating the intervention delivery/fidelity and patient recruitment/retention. Patients’ dietary intakes were observed daily to indicate the intervention’s effects and assess the accuracy of the patient-recorded intakes. Descriptive and inferential statistics were used to analyse the data. Of the 71 patients recruited, 49 completed the study (55% male; median (IQR) age 71 (65–78) years; length of stay 10 (7–14) days). Patient satisfaction with NUTRI-TEC was high. Intervention delivery and fidelity targets were met but recruitment (≥50%) and retention (≥75%) targets were not; only 31% of patients agreed to participate and 69% completed the study (mostly due to unexpected/early discharge). Patient- and researcher-recorded dietary intakes correlated strongly, indicating patients can record food intakes accurately using technology. This study highlights the important role technology is likely to play in facilitating patient engagement and improving care during hospitalisation.

scholarly journals Overdose Rate of Drugs Requiring Renal Dose Adjustment: Data Analysis of 4 Years Prescriptions at a Tertiary Teaching Hospital

2008 ◽  
Vol 23 (4) ◽  
pp. 423-428 ◽  
Author(s):  
Seung Soo Sheen ◽  
Ji Eun Choi ◽  
Rae Woong Park ◽  
Eun Yub Kim ◽  
Young Ho Lee ◽  
...  
Keyword(s):  
Data Analysis ◽  
Teaching Hospital ◽  
Dose Adjustment ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital

A STUDY AIMED TO INCREASE THE KNOWLEDGE ABOUT THE FIXED DOSE COMBINATIONS (FDC'S) AND IRRATIONAL FDC'S AVIALABLE IN INDIA.

2021 ◽  
pp. 45-46
Author(s):  
Tauseef Nazir Vaidha ◽  
Sabahat Farooq ◽  
Samina Farhat
Keyword(s):  
Drug Therapy ◽  
Essential Medicine ◽  
Essential Medicines ◽  
Fixed Dose ◽  
Concomitant Drug ◽  
Essential Medicine List ◽  
Single Dosage

Fixed dose combinations(FDC's) is a combination of 2 or more than 2 drugs in a single dosage formulations, it should not be confused with concomitant drug therapy which refers to taking 2 or more than 2 drugs separately. Fixed dose combinations may be rational or irrational. In India there are more FDC's than single drugs and majority of those FDC's are irrational. Many of these irrational FDC's are widely prescribed. The WHO essential medicine list incorporates only 23 FDC's while as the National list of essential medicines(NLEM) of 2011 has only 12 FDC's.

10 Years' Experience in Balanitis Xerotica Obliterans: A Single-Institution Study

2018 ◽  
Vol 29 (03) ◽  
pp. 302-306 ◽  
Author(s):  
Akhilesh Pradhan ◽  
Radhika Patel ◽  
A. Said ◽  
Manasvi Upadhyaya
Keyword(s):  
Average Duration ◽  
Age Group ◽  
Histological Findings ◽  
Single Institution ◽  
Exact Test ◽  
Balanitis Xerotica Obliterans ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
High Degree

Introduction Balanitis xerotica obliterans (BXO) is uncommon in children. Diagnosis of the condition is almost always clinical and supported by histology. Our aim was to evaluate the outcomes of children undergoing circumcision for BXO and explore the correlation between surgical and histological findings. Materials and Methods A 10-year retrospective review (2007–2017) of all children, aged 16 and less, undergoing circumcision at a tertiary teaching hospital was conducted. Statistical analysis was performed using Fisher's exact test. Results BXO occurred in 91/1025 (8.9%) children. The highest incidence of BXO was in the 5 to 10 age group (13.3%; p < 0.0001). The commonest symptom was foreskin scarring (62.6%). Intraoperatively, involvement of foreskin alone was seen in 26.4%, foreskin and meatus in 47.2%, and foreskin, meatus, and glans in 26.4%. Preoperatively, 24.2% of patients were prescribed steroid cream. Histologically, all patients showed microscopic changes confirming BXO. A total of 87.9% of patients only had a circumcision, and 11% required a meatal procedure along with the circumcision. Postoperatively, 19.8% of patients required a further procedure after an average duration of 5.8 months (range: 2–12 months); the majority of whom (83.3%) were prescribed postoperative steroid cream. Conclusion Clinical correlation by surgeons has a high degree of accuracy (>90%). Meatal involvement is more common than previously reported. The use of pre- or postoperative steroids does not obviate the need for further surgical procedures. Patients can have recurrent symptoms 1 year following surgery, and prolonged follow-up is necessary.

scholarly journals Relationship between availability of physiotherapy services and ICU costs

2018 ◽  
Vol 44 (3) ◽  
pp. 184-189 ◽  
Author(s):  
Bruna Peruzzo Rotta ◽  
Janete Maria da Silva ◽  
Carolina Fu ◽  
Juliana Barbosa Goulardins ◽  
Ruy de Camargo Pires-Neto ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Length Of Stay ◽  
Invasive Mechanical Ventilation ◽  
Severity Of Illness ◽  
Apache Ii Score ◽  
Health Evaluation ◽  
Icu Length Of Stay ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
First Time

ABSTRACT Objective: To determine whether 24-h availability of physiotherapy services decreases ICU costs in comparison with the standard 12 h/day availability among patients admitted to the ICU for the first time. Methods: This was an observational prevalence study involving 815 patients ≥ 18 years of age who had been on invasive mechanical ventilation (IMV) for ≥ 24 h and were discharged from an ICU to a ward at a tertiary teaching hospital in Brazil. The patients were divided into two groups according to h/day availability of physiotherapy services in the ICU: 24 h (PT-24; n = 332); and 12 h (PT-12; n = 483). The data collected included the reasons for hospital and ICU admissions; Acute Physiology and Chronic Health Evaluation II (APACHE II) score; IMV duration, ICU length of stay (ICU-LOS); and Omega score. Results: The severity of illness was similar in both groups. Round-the-clock availability of physiotherapy services was associated with shorter IMV durations and ICU-LOS, as well as with lower total, medical, and staff costs, in comparison with the standard 12 h/day availability. Conclusions: In the population studied, total costs and staff costs were lower in the PT-24 group than in the PT-12 group. The h/day availability of physiotherapy services was found to be a significant predictor of ICU costs.

Sign in / Sign up

Export Citation Format

Share Document