scholarly journals A comparative study between ferrous carboxy maltose and iron sucrose in the management of post-partum anaemia in tertiary care hospital

2019 ◽  
Vol 8 (12) ◽  
pp. 4866
Author(s):  
Seeta Sunil Garag ◽  
Sanjana Kumar
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Signs And Symptoms ◽  
Iron Sucrose ◽  
Care Hospital ◽  
Global Public Health ◽  
Maternal Morbidity And Mortality ◽  
The Mean ◽  
Global Public Health Problem

Background: Anaemia is a global public health problem contributing tremendously to maternal morbidity and mortality. It is the most common indirect cause of maternal mortality. Variety of injectable iron preparations are now available which can be effective tools for combating post-partum anaemia. This study aims to compare FCM (Ferrous carboxy maltose) and iron sucrose in the treatment of iron deficiency anaemia in post-partum women at KIMS, Hubli, Karnataka, India.Methods: This study was conducted at KIMS, Hubli in the year 2018-19 wherein 100 post-partum women with hb levels ranging from 5-10g% were selected for the study and randomly allocated into 2 groups- FCM group and iron sucrose group. They were administered 1g of FCM and 1g of iron sucrose respectively after clinical evaluation and baseline measurement of hb. They were followed up after 2 weeks for repeat hb% and review of signs and symptoms. FCM and iron sucrose were compared in terms of their efficacy.Results: The mean increase in hb% was found to be 3.2 g% in the FCM group and 2 g% in the iron sucrose group. FCM was also found to be more efficacious in providing relief of common signs and symptoms like easy fatigability and pallor compared to iron sucrose.Conclusions: Ferrous carboxy maltose was found to be more efficacious compared to iron sucrose.

scholarly journals Epidemiological study of burn patients in a tertiary care hospital, Sidhipet district, Telangana

2021 ◽  
Author(s):  
Talla Sreenivas ◽  
Sudagani Sreenivas ◽  
Kotina Shridevi
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Case Fatality ◽  
Public Health Problem ◽  
Care Hospital ◽  
Global Public Health ◽  
Microsoft Excel ◽  
Epidemiological Features ◽  
Ethical Clearance ◽  
Global Public Health Problem

Background: Burns is a global public health problem, accounting for an estimated 180000 deaths annually and over 1,000,000 cases in India. The exact epidemiological features of burns in each area vary and depends on geography, demography, culture, customs, occupations and several unknown factors. Hence in the present study effort was made to find out epidemiological features and causes associated with burns.Methods: It was a descriptive study, study period been 1 April 2018 to 31 March 2021 (3 years). The study area was a tertiary care hospital in Sidhipet district, Telangana. The sample size was 170 on calculation with the formula. Data was collected from the medical records and reports attached in the file of the patient in the hospital. Ethical issue: Written informed consent or assent and ethical clearance from institutional ethical committee was obtained. Data was analyzed, using microsoft excel version 2019.Results: Majority were from 21-30 years (35.32%), females (66%) and many were flame burns (74%). Major source of flame burns was cooking appliances (62%). Majority of burns have taken place at home (91.9%) and were accidental (86%). Case fatality rate calculated was 8.08%. 96% of wound swabs were positive for bacteria.Conclusions: Mortality due to burns was significantly associated with burns which were suicidal/homicidal in nature, with more burn surface area of >30% and 3rd and 4th degree burns.

scholarly journals Pattern, Management, and Outcome of Poisoning in a Tertiary Care Hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 32-35
Author(s):  
Naresh Karki ◽  
Vijay Singh ◽  
Vinod Kumar Verma
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Gastric Lavage ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Intravenous Route ◽  
Care Hospital ◽  
Global Public Health ◽  
Cross Sectional ◽  
Global Public Health Problem

Introduction: Poisoning is a significant global public health problem. The appropriate management of poisoning at emergency needs accurate assessment and immediate treatment. The immense chance for better outcomes occurs with early diagnosis and treatment. This study was conducted to assess pattern, management, and outcome of poisoning in tertiary care hospital. Methods: An observational cross-sectional study was conducted in which records of patients with a diagnosis of poisoning over a period of four years were reviewed. Results: A total of 138 patients were included in the study. A majority (63%) of them were females. Most (67.4%) were managed by general or supportive measure only. Gastric lavage was done in 60% of total patients while 52.9% patients received activated charcoal. Pralidoxime and atropine was received by 51.1% of patients treated with specific antidote. All the antidotes were administered through intravenous route. Regarding outcome, 89.9% were completely recovered. Suicidal poisoning was significantly higher in married as compared to unmarried patients (p = 0.029). Similarly, there was a significant relationship between occupation of the patients and manner of poisoning (p = 0.003). Outcome of treatment had a significant association with the manner of poisoning (p < 0.001). Further analysis revealed that the patients who expired in the hospital were more likely to ingest poison accidentally. Conclusion: Suicidal poisoning is common and females are more susceptible. Insecticide and rodenticide are the commonly ingested poisons. Treatment outcome of poisoning cases is generally favorable.

scholarly journals A comparative study of efficacy and safety of intravenous ferric carboxymaltose versus iron sucrose in the treatment of iron deficiency anaemia of pregnancy in a tertiary care hospital

2018 ◽  
Vol 7 (5) ◽  
pp. 1938
Author(s):  
Aakanksha Mahajan ◽  
Bawa R. Bhagat ◽  
Shashi Gupta ◽  
Bhanu Mahajan ◽  
Manvi Verma
Keyword(s):  
Serum Ferritin ◽  
Ferritin Level ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Iron Sucrose ◽  
Ferric Carboxymaltose ◽  
Care Hospital ◽  
Global Public Health ◽  
Efficacy And Safety ◽  
Jammu And Kashmir

Background: Anaemia is a global public health problem. To optimize iron delivery in pregnancy, new intravenous complexes like Ferric carboxymaltose (FCM) have been developed in the few years. This study aims to compare the efficacy and safety of FCM vs the iron sucrose during pregnancy.Methods: This study was conducted in the Department of Obstetrics and Gynaecology, Shri Maharaja Gulab Singh (S.M.G.S.) Hospital, Government Medical College Jammu, Jammu and Kashmir over a period of 1 year. 100 pregnant females with haemoglobin (Hb) in the range 7-9.9 g/dl between 28 to 36-week gestation, were selected randomly out of which 50 were administered FCM (Group A) and 50 were administered Iron Sucrose (Group B). Hb and serum ferritin were assessed 2 weeks and 4 weeks after treatment and side effects of each drug was studied.Results: The rise in mean Hb level at 2 weeks and 4 weeks in FCM group was significantly higher as compared to Iron Sucrose group (1.09 versus 0.52 g/dl and 1.80 versus 1.09 g/dl, respectively). Similarly, the rise in mean serum ferritin level at 2 weeks and 4 weeks was more in FCM as compared to Iron Sucrose group (144.25 vs 95.84 mcg/L and 121.31 vs 84.46 mcg/L, respectively). The adverse reactions were observed in 30% of patients in FCM group and 48% patients in iron sucrose group.Conclusions: Ferric carboxymaltose was found to be more safe and efficacious as compared to iron sucrose.

scholarly journals A CRITICAL REVIEW ARTICLE ON PANDU W.S.R. ANAEMIA

2021 ◽  
Vol 9 (9) ◽  
pp. 2144-2150
Author(s):  
Shivam Kumar Nigam ◽  
Rita Singh ◽  
Sanjay Srivastava
Keyword(s):  
Medical Science ◽  
Clinical Signs ◽  
Public Health Problem ◽  
Signs And Symptoms ◽  
Modern Medicine ◽  
Review Article ◽  
Global Public Health ◽  
The World ◽  
Clinical Signs And Symptoms ◽  
Global Public Health Problem

Pandu Roga is one of the diseases mentioned in Ayurveda characterized by the changes in the skin colour to white (Shweta), yellowish (Peeta), greenish (Harita) etc. which is one of the “Varnopalakshita Roga" i.e., a disease characterized by the change in the colour. The clinical condition of Pandu in Ayurveda can be co-related with Anaemia described in Modern Medical Science, due to the resemblance in the clinical signs and symptoms. In Modern Medicine, Pandu is a pale appearance which may be due to the decreased blood supply to the skin or de- creased visibility of oxyhemoglobin. Anaemia is a major global public health problem and the most prevalent nu- tritional deficiency disorder in the world. This article presents the Ayurvedic concept of Pandu Roga (Anaemia). Keywords: Pandu, Vyadhi, Srotas, Anaemia, Pallor,

scholarly journals Characteristics of Individuals with Self-Harm: A Retrospective Descriptive Study from Karachi, Pakistan

2021 ◽  
Author(s):  
Ambreen Tharani ◽  
Salima Farooq ◽  
Maryam Ali ◽  
Uroosa Talib ◽  
Murad Moosa Khan
Keyword(s):  
Psychiatric Illness ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Descriptive Study ◽  
Global Public Health ◽  
Over The Counter ◽  
Prevention Programmes ◽  
History Of ◽  
Self Harm ◽  
Global Public Health Problem

Abstract Background: Self-Harm (SH) is a major global public health problem which is under-researched in Pakistan. A prior act of self-harm is one of the strongest predictors of future suicide.Method: This retrospective descriptive study describes the characteristics of SH cases (n=350) that presented to a tertiary care teaching hospital in Karachi, Pakistan, from January 2013 to December 2017. Details related to demography, history, associated factors, access to methods used, and intent to die were collected on a structured proforma and analysed using STATA version 14. Results: It was found that self-harm acts were twice as more common in females than in males. More than half of the reported cases were in the age group 20-39 years. Drug overdose and use of insecticides were the two most common methods used in both genders. Depression was identified in nearly half of the reported SH cases. Intention to die was found to be 3 times greater among patients with psychiatric illness as compared to those with no history of psychiatric illness. Conclusion: This study suggests that limiting access to lethal means, regulating over-the-counter sale of medications, and safe storage of pesticides can possibly serve as effective measures to minimize self-harm incidences. Moreover, integration of suicide assessment and prevention programmes for the general population is also suggested.

scholarly journals Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

2018 ◽  
Vol 5 (3) ◽  
pp. 888
Author(s):  
Abhijit Kherde ◽  
Chaitanya R. Patil ◽  
Jyotsna Deshmukh ◽  
Prithvi B. Petkar
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Composite Index ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Study Data ◽  
Care Hospital ◽  
Global Public Health ◽  
Cross Sectional

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

scholarly journals Knowledge, Self-Efficacy, Self-Management Behavior of the Patients With Predialysis Chronic Kidney Disease

2019 ◽  
Vol 42 (2) ◽  
pp. 38-48
Author(s):  
Satchina Moktan ◽  
Sirirat Leelacharas ◽  
Wonnapha Prapaipanich
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Public Health Problem ◽  
Self Management ◽  
Care Hospital ◽  
Global Public Health ◽  
Management Behavior

Background: Chronic kidney disease (CKD) is an emerging global public health problem. Control of risk factors and prevention of complications can delay the progression to end-stage renal disease. Self-efficacy and self-management behavior in patients with predialysis CKD has not been investigated in Nepal. Objectives: To describe knowledge of CKD, self-efficacy, and self-management behavior in patients with predialysis CKD and to determine the relationships between knowledge in CKD and self-efficacy with self-management behavior. Methods: Ninety-seven predialysis CKD patients visiting nephrology clinic of a tertiary care hospital in Kathmandu, Nepal were recruited from November 2016 to December 2016. Questionnaires comprised of sociodemographic data, CKD knowledge, self-efficacy, and self-management behavior questionnaires were used. Data were analyzed, using descriptive statistics and Pearson product moment correlation coefficient. Results: The mean age of 97 participants was 45.67 years. There were 3 stages of CKD among participants: stage G4 (54.64%), stage G3 (42.27%), and stage G2 (3.09%), respectively. Hypertension was the most common comorbidity (81.44%) followed by diabetes mellitus (30.92%). Predialysis CKD patients had a moderate level of knowledge on CKD and self-efficacy and high level of self-management behavior. There were positive relationships between knowledge in CKD and self-management behavior (r = 0.52; P < .05), and between self-efficacy and self-management behavior (r = 0.39; P < .05). Conclusions: This study suggested that education, counseling, workshop to increase the knowledge, self-efficacy, and self-management behavior might be helpful for the predialysis CKD patients. Healthcare providers can educate, motivate, and train the patients to practice self-management behavior to delay the progression of CKD.

A STUDY ON CLINICAL PROFILE AND OUTCOME OF SNAKE ENVENOMATION IN CHILDREN AT TERTIARY CARE HOSPITAL JHALAWAR, RAJASTHAN

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Abhishek Bansal ◽  
Kalu Ram Meena
Keyword(s):  
Tertiary Care ◽  
Clinical Signs ◽  
Public Health Problem ◽  
Pediatric Intensive Care ◽  
Signs And Symptoms ◽  
Snake Bite ◽  
Lower Limbs ◽  
Common Symptom ◽  
Care Hospital ◽  
Female Ratio

Background: Snake bite is generally considered to be a rural problem and has been linked with environmental and occupational condition is a neglected public health problem. Method: This study was conducted in children admitted with snake bite in Pediatric Intensive Care Unit in the year 2019. Their demographic details, site of bite, arrival time, 20Minutes Whole Blood Clotting time, clinical signs and symptoms, complications and outcome were measured. Results: The male: female ratio was 1.33:1. Peak age group affected was 6 to 12 years old children. Lower limbs were commonly bitten. 88.1% of children arrived in the hospital between 0 and 6 hours after the bite. Pain and swelling at the site of bite were the most common symptom of envenomation. There were only two deaths during the study period. Conclusion: Snake bite is a life threatening emergency. Identification, timely diagnosis and early administration of anti-snake venom will certainly aid to curb mortality in snake bite.

scholarly journals Relation between Glycemic Control among the Patients with Type 2 DM and Level of Blood Pressure

2021 ◽  
Vol 22 (1) ◽  
pp. 12-17
Author(s):  
Md Al Amin ◽  
Tahira Zannat ◽  
Md Nazim Uddin ◽  
Md Moniruzzaman ◽  
Md Habibullah ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Type 2 Dm ◽  
The Mean

Introduction: Inadequate glycemic control among patients with type 2 diabetes constitutes a major public health problem and risk factor for the development of diabetes related complications. Hypertension is a common co-morbid condition of diabetes. Hypertension as a factor for poor glycemic control in diabetes patients has not been properly evaluated in Bangladesh. The aim of the study was to assess status of glycemic control among patients with Type 2 DM depending on the level of blood pressure in a tertiary care hospital. Method: This cross sectional study was carried out among 200 adult patients of either gender with type 2 diabetes mellitus, in the Department of Medicine and endocrinology, Dhaka Medical College Hospital from January to June 2015. Results: The mean age of the respondents were 56.85(±10.84) years, ranging from 35 to 77 years. Among 200 patients, 129 (64.5%) were hypertensive and 71 (35.5%) were normotensive with a mean duration of hypertension was 10.03 (±3.39) years. The mean HbA1c for all diabetic, hypertensive and normotensive patients were 7.41% (±1.35), 7.63% (±1.30) and 7.02% (±1.37) respectively. The mean HbA1c was significantly higher in hypertensive than normotensive group (p=0.002). The mean HbA1c was also significantly higher in patients with duration of hypertension (p=0.03) for more than 10 years and in patients who used beta blocker (p=0.005) and diuretics (p=0.02) as hypertensive medication. Among the patients with normal BMI and on dietary modification, those who were hypertensive had significantly higher (p=0.00008) mean HbA1c (7.12(±0.99)) than those were normotensive (5.01(±0.01)). Conclusion: The glycemic control in type 2 DM is found to be poor among the hypertensive patients. There is a complex association of multiple factors like age, gender, duration of hypertension and medications strongly influence the glycemic control of type 2 diabetics with hypertension. J MEDICINE JAN 2021; 22 (1) : 12-17

scholarly journals Trends of hepatitis B among hospital admissions at tertiary care hospital, Solapur

2017 ◽  
Vol 4 (6) ◽  
pp. 1918
Author(s):  
Hemlata G. Rokade ◽  
Subhalaxmi D. Kotnis ◽  
Suresh K. Mangulikar
Keyword(s):  
Hepatitis B ◽  
Urban Areas ◽  
Hospital Admissions ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Care Hospital ◽  
Global Public Health ◽  
Female Ratio ◽  
To Come

Background: Hepatitis B is a national and global public health problem. Various studies have supported the change in prevalence and trends of Hepatitis B. The aim of the study was 1) to study the trends of Hepatitis B according to age, sex and area of residence, 2) to study seasonality of Hepatitis B cases, 3) to find geographical predilection of Hepatitis B cases in Solapur city.Methods: The records of patients with Hepatitis B from January2012 to December2016 admitted to tertiary care hospital, was retrieved and studied. Statistical analysis used: Percentages, z test of proportions, ACF and PACF.Results: Out of 406 Hepatitis B cases, 51.97% belonged to 15 to 45 years of age. There was an increasing trend of Hepatitis B from age of 15 years up to 45 years. The male female ratio was 2.63:1. Fifty-seven percent cases were from urban areas. The proportion of cases from urban area decreased from 9.01% in 2012 to 6.01% in the year 2016. Contrarily, it increased from 5.78% in 2012 to 10.98% in 2016 in rural area. Hepatitis B cases appear to come in sharp rises and falls in these five years with no specific trend. PACF results showed no seasonality. Ward number17 reported maximum cases.Conclusions: The primary prevention for Hepatitis B should be targeted at 15 to 45years of age group. There is no seasonal variation seen in Hepatitis B infection. Areas observed with hot pockets must be screened and kept under surveillance. 

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