Determinant factors affecting the trends of permanent sterilization: a decadal analysis in a tertiary care institute

Background: Permanent sterilization is a preferred method of contraception worldwide. In spite of popularization of temporary methods, it is used by 2/3rd of married women using any contraception. It has a low incidence of complications and failure rate and is cost-effective. Various socio-demographic factors play a role in acceptability of this method. It has an important role in controlling the total fertility rate.Methods: A retrospective record based analysis was done in armed forces personnel undergoing permanent sterilization operation over 11 years between 2005-2015 in a tertiary care institute. Analysis of trends in method choices of surgery, and comparison of the variables determining these choices was done. Year wise total fertility rates was calculated and the trend over 11 years was analyzed.Results: Permanent sterilization operations were performed in 2121 couples over the 11 years period. Of total operations, 1823 (85.95% with 95% confidence interval = 84.42, 87.38) were done in females and 298 (14.05% with 95% confidence interval = 12.62, 15.58) in males. Female sterilization acceptance ranged between 71.6% to 91.6% and male sterilization between 8.4%-28.4% with an increasing trend towards male sterilization acceptance over the years. Total fertility rate declined from 2.3 to 2.09 in 11 years.Conclusions: Increase in literacy rate of both the partners can positively impact the male involvement in permanent sterilization and control of TFR. This would help to stabilize India’s population growth. Also, a decline in son preference can be beneficial for decline in fertility rate.

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Socio-Demographic Factors Affecting the Prevalence of Enteric Fever: A Study in a Tertiary Care Hospital, Dhaka, Bangladesh

Scholars Journal of Applied Medical Sciences ◽

10.36347/sjams.2020.v08i08.028 ◽

2020 ◽

Vol 8 (8) ◽

pp. 1927-1931

Author(s):

Mizanur Rahman ◽

ASM Nawshad Uddin Ahmed ◽

Jafar Iqbal ◽

Mohammad Abdullah Al Mamun ◽

Nazia Hossain ◽

...

Keyword(s):

Enteric Fever ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Demographic Factors ◽

Care Hospital ◽

Factors Affecting ◽

Socio Demographic Factors

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Study of sociodemographic factors affecting outcome of babies admitted in neonatal care unit

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195606 ◽

2019 ◽

Vol 7 (1) ◽

pp. 83

Author(s):

Suchita N. Kawale ◽

Manjusha A. Shinde ◽

Prashant S. Shinde

Keyword(s):

Intensive Care ◽

Neonatal Intensive Care ◽

Tertiary Care ◽

Demographic Factors ◽

Public Health Care ◽

Care Hospital ◽

Multinomial Regression ◽

Total Period ◽

Factors Affecting ◽

Socio Demographic Factors

Background: A country needs sound epidemiological information to prioritize, plan and implement the public health care system effectively. Outcome data from hospitalized patients reflect the causes of major illnesses and care seeking behaviour of the community. Thus, we felt the need to conduct this study at our hospital to assess the socio-demographic factors affecting outcome of babies admitted in neonatal intensive care unit.Methods: The present study was a hospital based observational descriptive study. The study was undertaken in neonatal intensive care unit (NICU) of department of paediatrics of tertiary care centre. The study period was from January 2013 to December 2013 i.e. total period of one year.Results: Among 1050 total neonatal admissions 601 (57.29%), were from rural area and 449 (42.70%) were from urban area. Multinomial regression analysis reveals that socio-demographic factors like age of mother, parental intake of tobacco alcohol in any form, socioeconomic class IV, in born place of delivery, occupation and education of father, low birth weight and male sex of baby affects the outcome of babies.Conclusions: Cure rate in NICU admissions was 69% which may be due to available speciality staff and logistics. Taking this into account, 40 bedded NICU in tertiary care hospital seemed to be essential and sufficient.

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Incidental Carcinoma Gallbladder: Incidence, Risk Factors, and Factors Affecting Survival—5-Year Experience from a Tertiary Care Institute

Journal of Gastrointestinal Cancer ◽

10.1007/s12029-019-00347-1 ◽

2019 ◽

Vol 51 (3) ◽

pp. 980-987

Author(s):

Bhanu Pratap Singh ◽

Washim Firoz Khan ◽

Yashwant Singh Rathore ◽

Manjunath Maruti Pol

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

Factors Affecting ◽

Care Institute ◽

Carcinoma Gallbladder ◽

Incidence Risk

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Cyto-histological correlation in diagnosis of gastrointestinal lesions- a prospective study in a tertiary care institute

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20204229 ◽

2020 ◽

Vol 8 (10) ◽

pp. 3560

Author(s):

Swati Aggarwal ◽

Kavita Mardi ◽

Shivani Sood ◽

Vijay Kaushal ◽

Brij Sharma ◽

...

Keyword(s):

Diagnostic Yield ◽

Tertiary Care ◽

Cost Effective ◽

Brush Cytology ◽

Non Invasive ◽

Care Institute ◽

Cost Effective Method ◽

Gastrointestinal Lesions ◽

Rising Incidence ◽

A Prospective Study

Background: Gastrointestinal tract is involved by a large number of inflammatory, infectious and neoplastic diseases. There is a worldwide rising incidence of GIT lesions especially neoplasms.Methods: This study was planned to correlate endoscopic and colonoscopic brush cytology with histopathology of gastrointestinal lesions and to determine the spectrum of gastrointestinal lesions in patients subjected to endoscopic brushings and biopsy.Results: Sensitivity of upper GI brush cytology was 95.15% and specificity 90.41%. Sensitivity of colonoscopic brush cytology was 100% and specificity 86.79%. The accuracy of brush cytology came out to be 92.45% in upper GIT and 92.22% in lower GIT.Conclusions: Brush cytology is a non-invasive and cost-effective method to retrieve epithelial cells from a much larger surface area of the mucosa, thus allowing thorough sampling and increasing the diagnostic yield.

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Single versus double intrauterine insemination to assess the relevance of double intrauterine insemination: a prospective, randomized multicentric study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212193 ◽

2021 ◽

Vol 10 (6) ◽

pp. 2459

Author(s):

Deepak Patil

Keyword(s):

Success Rate ◽

Intrauterine Insemination ◽

Randomized Study ◽

Tertiary Care ◽

Armed Forces ◽

Male Factor ◽

Assisted Reproductive Technique ◽

Multicentric Study ◽

Factors Affecting ◽

Tertiary Care Centers

Background: Intrauterine insemination (IUI) is a widely used tool as initial treatment option for infertile couples. Being a non-invasive, outpatient department (OPD) based procedure it serves as first modality of assisted reproductive technique. Overtime various modifications in stimulation protocol, sperm preparation techniques and variation in timing has been attempted to improve upon the success rates.Methods: We conducted a multicentric, prospective randomized study and assessment of data of double IUI at three tertiary care centers of armed forces. The data was evaluated to study the patient parameters and various factors affecting the success rate of IUI.Results: We found that duration of infertility, age of couple and body mass index (BMI) are inversely related to success of IUI cycles. Double IUI increases the success rate in borderline male factor infertility, ladies with normal BMI and in cases of secondary infertility with previous live issue. In donor IUI cycles there is a positive correlation with sperm parameters and benefit from double insemination.Conclusions: Double IUI can be offered to selected couples to improve upon the success rate of IUI cycle.

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Is There a Need for Repeat Radiologic Examination of Children with Esophageal Coin Foreign Body?

Otolaryngology ◽

10.1177/0194599816667039 ◽

2016 ◽

Vol 156 (1) ◽

pp. 173-179 ◽

Cited By ~ 4

Author(s):

Kavita Dedhia ◽

Yue-Fang Chang ◽

Rachel Leonardis ◽

David H. Chi

Keyword(s):

Foreign Body ◽

Care Center ◽

Tertiary Care ◽

Case Series ◽

Cost Effective ◽

Surgical Removal ◽

Factors Affecting ◽

X Ray ◽

Institutional Review ◽

Chest X Ray

Objectives To determine factors associated with the passage of coins. To determine the need for repeat preoperative chest x-ray (CXR) for esophageal coin foreign body. Setting Academic tertiary care center. Design Case series with chart review. Subjects and Methods Patient information was retrieved from an Institutional Review Board–approved database. We identified 1359 children with esophageal coin foreign bodies from 2001 to 2013. Patients with both initial diagnostic and immediate preoperative CXR were included. Results A total of 406 patients met inclusion criteria. The average age was 47 months (range, 1.8-194 months). On preoperative CXR, the position changed in 29 patients (7%). Age, type of coin, and location of coin were all statistically significant factors affecting the passage of the coin ( P < .0001). Coins in the distal esophagus were 9.3 times more likely to pass than coins in the proximal esophagus. The longer the object was in the esophagus, the less likely it was to pass. Conclusions This study characterizes when esophageal coins may pass. Age, type of coin, location of coin at initial x-ray, and length of time are all important considerations to determine if the coin will pass. This information may be used to counsel families about the likelihood of coins to pass and whether repeat x-ray is necessary prior to surgical removal. Additionally, it may be more cost-effective to obtain repeat films in select patients and prevent those from going to the operating theater who are more likely to pass the coin spontaneously.

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