scholarly journals Pregnant women’s knowledge and practice of preventive measures against COVID-19: a study from Mysore city, Karnataka, India

2020 ◽  
Vol 9 (9) ◽  
pp. 3622
Author(s):  
Mamatha Shivanagappa ◽  
Yerva Sai Bhavana ◽  
Smitha Malenahalli Chandrashekarappa
Keyword(s):  
High School ◽  
Pregnant Women ◽  
Preventive Measures ◽  
Tertiary Care ◽  
Positive Association ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Knowledge And Practice

Background: The presently ongoing COVID-19 pandemic has not spared any segment of society including pregnant women. It is absolutely essential that pregnant mothers and their caregivers be fully aware of accurate facts about COVID-19. Objective of this study was to assess the knowledge and practice of preventive measures against COVID-19 infection among pregnant women of Mysore City.Methods: This was a cross sectional study, conducted among pregnant women attending prenatal care at a tertiary care centre. Data was collected using a validated questionnaire administered via google form to consenting pregnant women. The variables assessed were knowledge about aetiology, mode of spread and preventive measures to protect against COVID-19. Data was also collected on socio-demographic characteristics, which included age, parity, marital status, residence, occupation, participant’s education, husband’s education.Results: Out of the 93 responders, majority 71 (76.3%) were in the age group 20-30 years. 17 (18.3%) were in the 30-40 years age group. Regarding number of children 41 (44.1%) had one child 16 (17.2%) had 2 children and 32 (34.3%) were primigravida. With respect to educational status 70 (75.26%) were having graduate degree. 19 (20.4%) were non graduates, but had completed high school. Educational level of the husbands of the respondents was along similar lines with 62 (66.66%) having completed graduation, and 28 (30.1%) had completed high school. 91(97.8%) respondents were correct in identifying virus as the cause of COVID-19. 88 (94.6%) rightly chose mode of spread by sneezing or cough. 1 (0.1%) respondent wrongly indicated that injections were the mode of spread. Main symptoms cough and fever were correctly identified by 80 (86%) respondents. The practice of preventive medicine was low with respect to all aspects of covid prevention. Only 27 (29.7%) were following frequent washing recommendation. Only 26 (28.6%) were following staying indoors advise. 28 (30.8%) of the respondents were wearing masks. However, 82 (90.1%) were following at least one of the preventive measures. There was a positive association of age and knowledge about covid causation. Respondents of higher age group having more correct answers than those of lower age groups.Conclusions: The knowledge levels of pregnant women were satisfactory However this was not translated into practice by majority of the respondents.

scholarly journals Knowledge and practice of preventive measures against COVID-19 infection among pregnant women in a low-resource African setting

2020 ◽  
Author(s):  
Johnbosco Ifunanya Nwafor ◽  
Joseph Kenechi Aniukwu ◽  
Bonaventure Okechukwu Anozie ◽  
Arinze Chidiebere Ikeotuonye
Keyword(s):  
Pregnant Women ◽  
Formal Education ◽  
Preventive Measures ◽  
Antenatal Clinic ◽  
University Teaching ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Validated Questionnaire ◽  
Knowledge And Practice

AbstractBackgroundCoronavirus disease pandemic has resulted in death of thousands of people across several countries. Several preventive measures have been recommended to halt the spread of the disease and its associated mortality. However, the level knowledge and practice of these preventive measures against COVID-19 infection among pregnant women, which constitute vulnerable groups, are yet to be evaluated.AimTo determine the knowledge and practice of preventive measures against COVID-19 infection among pregnant women in Abakaliki.Materials and MethodsThis was a self-administered questionnaire-based cross-sectional study conducted from February 1, 2020 to March 31, 2020 among 284 antenatal clinic attendees at Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State. A pretested and validated questionnaire was used to collect the data. Data analysis was done using SPSS version 22.ResultsOf 284 participants, 60.9% (n=173) had adequate knowledge of the preventive measures against COVID-19 infection. However, the overall practice of these preventive measures among the participants were poor as 69.7% of the participants were not practicing the preventive measures against the coronavirus. The determinants of poor practice of the preventive measures among the participants were being in age group 31-40 years (AOR=2.04, 95%CI: 1.26 - 5.37, p=0.022), married (AOR=2.99, 95%CI: 1.40 - 6.33, p=0.035) grandmultiparous (AOR=3.11, 95%CI: 1.32 - 6.56, p=0.021), residing in rural area (AOR=2.08, 95%CI: 1.32 - 4.05, p=0.031), and having no formal education (AOR=6.73, 95%CI: 2.66 - 18.34, p=0.002).ConclusionThe study showed that most of the participants had adequate knowledge of preventive measures against COVID-19 infection but the practice of these preventive measures were poor among the participants.

scholarly journals Towards more patient-centred endometriosis care: a cross-sectional survey using the ENDOCARE questionnaire

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
A M F Schreurs ◽  
M van Hoefen Wijsard ◽  
E A F Dancet ◽  
S Apers ◽  
W K H Kuchenbecker ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Diagnostic Delay ◽  
Care Centre ◽  
Cross Sectional Survey ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Tertiary Centre ◽  
Validated Questionnaire ◽  
Physical Comfort ◽  
Patient Centredness

Abstract STUDY QUESTION What is the performance of the patient-centredness of endometriosis care in a secondary and a tertiary care setting and how can it be improved? SUMMARY ANSWER Overall, patient-centredness was comparable in the two endometriosis care centres, but differed regarding ‘physical comfort’ and ‘continuity and transition’; both centres can learn how to improve several of their targets from the other’s strengths. WHAT IS KNOWN ALREADY The ENDOCARE questionnaire (ECQ) is a validated questionnaire for assessing the important quality dimension ‘patient-centredness’. Patient-centredness is associated with quality of life, although this should be explored further by larger-scale studies. STUDY DESIGN, SIZE, DURATION A cross-sectional survey, relying on the ECQ, was performed (during 2015 and 2016) among 407 women with surgically diagnosed endometriosis. PARTICIPANTS/MATERIALS, SETTING, METHODS This study was conducted in a secondary and a tertiary care centre in the Netherlands. A total of 209 Dutch-speaking women who had endometriosis surgery (2013–2014), completed the ECQ after a postal invitation and, if needed, postal reminders. The assessed outcomes were: overall patient-centredness, the patient-centredness for each of its 10 dimensions, and the patient-centred strengths and targets for improvement. Case-mix adjusted patient-centredness scores (PCS) were compared and strengths and targets for improvement were identified with a matrix modelling importance against experience. The need to improve the targets was quantified with quality impact indices. MAIN RESULTS AND THE ROLE OF CHANCE No difference was demonstrated between the overall PCS of the secondary and tertiary centres (respectively: 4.8 and 4.5; P = 0.15). No difference was found in PCS per dimension between the two clinics except for the secondary care centre performing better regarding ‘physical comfort’ (respectively: 4.5 and 3.0; P = 0.01) and ‘continuity and transition’ (respectively: 6.0 and 4.2; P = 0.01). The two centres had nine targets for improvement in common. The secondary and tertiary centres, respectively, had five and seven additional centre-specific targets for improvement. Cross-centre learning is encouraged as 9 out the 12 additional centre-specific targets were strengths in the other centre. The main improvement targets were being able to contact the centre in case of emergency (both centres), the involvement of a significant other (secondary centre), diagnostic delay (secondary centre), personal follow-up (tertiary centre) and disclosing the level of competence of healthcare providers (tertiary centre). LIMITATIONS, REASON FOR CAUTION Responders did not differ from non-responders in their stage of endometriosis, educational level, rating of endometriosis care and degree to which their complaints are suppressed. Endometriosis is a chronic condition and patient-centredness might be experienced differently at other points of the endometriosis care trajectory. WIDER IMPLICATION OF THE FINDINGS The ECQ is a useful tool to assess patient-centredness in both secondary and tertiary care centres. Further research should focus on how to improve endometriosis care. STUDY FUNDING/COMPETING INTEREST(S) No external funding was used. V.M. and C.B.L. report grants from Guerbet, grants from Merck and grants from Ferring outside the submitted work. All authors declare that they have no competing interests concerning this publication.

scholarly journals A study to determine the prevalence of urinary incontinence in antenatal women at a tertiary care centre in central India

2020 ◽  
Vol 9 (3) ◽  
pp. 956
Author(s):  
Deepa Joshi ◽  
Sheetal Achale ◽  
Nilesh Dalal ◽  
Alka Patel
Keyword(s):  
Urinary Incontinence ◽  
Pregnant Women ◽  
Indian Subcontinent ◽  
Tertiary Care ◽  
Previous History ◽  
Case Report Form ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

Background: Urinary incontinence is a common condition in pregnancy and postpartum. There are more than a thousand articles on urinary incontinence (UI) in pregnancy but very limited literature from Indian subcontinent is available. Incidence and prevalence figures of UI in association with pregnancy vary substantially. Not many reviews have focused solely on incidence and prevalence of UI in association with pregnancy. Prevalence of UI in pregnancy ranges from 32% to 64%.Methods: A cross sectional observational study was conducted in the department of obstetrics and gynecology, MGM Medical College and M.Y. Hospital, Indore over the period of 6 months on 1000 pregnant women who were following antenatal care (ANC) clinic. Pregnant women, who were severely sick, diagnosed with kidney or urinary infection and vaginal infections women were excluded from the study. The data were collected using a structured questionnaire. After the purpose of the study was explained, written consent was obtained from each voluntary participant. This study was approved by institutional ethical committee. The data was recorded in predesign coded case report form and statistical analysis was performed using the STATA 12.1.Results: In the present study the prevalence of urinary incontinence reported is 16.4% of women during pregnancy.Conclusions: In this study the prevalence of UI during current pregnancy was found to be lower compared to previous studies conducted. The previous history of surgery, constipation, obesity and respiratory problems were found to be significantly associated with UI during pregnancy.

scholarly journals Clinico-biochemical profile of chronic kidney disease patients in elderly age group in a tertiary care centre

2019 ◽  
Vol 7 (11) ◽  
pp. 4227
Author(s):  
Atul V. Rajkondawar ◽  
Amit Yele
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Elderly Patients ◽  
Tertiary Care ◽  
P Value ◽  
Age Group ◽  
Elderly Age ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Significant Difference

Background: Chronic kidney disease (CKD) remains one of the major health problems in India. Renal function steadily deteriorates as age advances and advancing age has been indicted to have adverse implications in the disease progression to end stage renal disease (ESRD). With the present study, clinico-biochemical profiling of chronic kidney disease patients in geriatric age group as well as comparison with non-elderly patients was undertaken.Methods: In this cross-sectional observational study, 100 patients of CKD admitted in the tertiary care study centre were enrolled consecutively and assessed for symptoms, signs and biochemical parameters over two years. Study subjects were divided into two groups:- Group 1: Elderly patients- aged 60 years or more, and Group 2: Non-elderly patients- less than 60 years of age. Relevant comparisons were drawn statistically and tested for significance.Results: Pallor and pedal edema were observed to be the commonest clinical features across groups. Elderly group shows higher prevalence of severe anaemia (mean hemoglobin- 7.4 gm%). Higher prevalence of clinical and biochemical derangement was found in patients with relatively lower GFR. Elderly age group also had more prevalence of electrolyte abnormalities compared with non-elderly population, with statistically significant difference observed for hyponatremia (p value- 0.023), hypoproteinemia (p value- 0.0078) and blood urea level (p value- 0.0054).Conclusions: Understanding beforehand the biochemical abnormalities associated with old age in CKD patients helps in appropriate modifications in patient management.

scholarly journals Cross-sectional descriptive observational study of RT PCR proven category C H1N1 patients at tertiary care centre from January 2015- December 2015

2017 ◽  
Vol 5 (8) ◽  
pp. 3458
Author(s):  
Anita A. Paritekar ◽  
Mahendra V. Bansode ◽  
Anushka K. Waikar ◽  
Rohidas T. Borse
Keyword(s):  
Influenza A ◽  
Tertiary Care ◽  
Age Group ◽  
Rt Pcr ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Hospital Records ◽  
Influenza A H1n1 ◽  
The Mean ◽  
Death Cases

Background: The onset of winter of 2014-2015 saw an alarming spurt in influenza A (H1N1) pdm 09 leading to a significant mortality. H1N1 primarily affects the very young, elderly, pregnancy and those patients with comorbidities. But the epidemiologic hallmark of pandemic influenza is its "pandemic signature " meaning most early mortalities are among young healthy adults.Methods: To study clinical profile, premorbid conditions and radiological features of Category C H1N1 proven by RTPCR retrospectively from hospital records from Jan 2015 to Dec 2015 at Tertiary Care Centre.Results: Total 108 cases RT PCR proven category C H1N1 studied from hospital records. 43 were males and 65 females. The mean age group was 50 years for males and 40 for females. Common symptoms were fever, cough, dyspnoea with pre-morbid illness like hypertension, diabetes mellitus, pregnancy, cancer and immune compromised with pulmonary tuberculosis. Radiologically there was lower zone involvement common in live patients and reticulonodular was common in death cases.Conclusions: In current study young to middle age group was commonly affected. Pre-morbid conditions, more than two risk factors and late referral were the most common findings in death cases.

scholarly journals Patients’ knowledge of prescribed medication: a cross sectional study in a tertiary care centre, Mumbai

2019 ◽  
Vol 6 (10) ◽  
pp. 4238
Author(s):  
Ashis Samuel John ◽  
Kamaxi M. Bhate
Keyword(s):  
Tertiary Care ◽  
Treatment Compliance ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Care Hospital ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Study Population

Background: Inadequate understanding by patients of medical prescription given to them adversely affects treatment compliance; which can result in treatment failure and increase the incidence of adverse effects. The study site is a tertiary care hospital in a metropolitan city and the patients attending here are particularly vulnerable in this regard both due to the heavy patient load in the outpatient department and their low socioeconomic status.Methods: This was a cross sectional study conducted in the pharmacy of K.E.M. Hospital, Mumbai over a period of 1 month. Study population included general outpatient department patients of the hospital. Patients were interviewed using a pre validated questionnaire and their knowledge of the prescription analysed under five key aspects including dose, timing, duration, side effects and purpose of each drug. Data was entered using Microsoft Excel and analyzed using SPSS 22 software.Results: The mean age of the population was 37.6, with a standard deviation of 12.4. A good overall knowledge of the prescription was present only in 12.4% patients. In 52% of patients, the level of knowledge ranged from ‘no knowledge to little knowledge’. Age and literacy had statistically significant associations with overall knowledge of prescription.Conclusions: There is a significant gap in prescription knowledge in the study population. Age and literacy of the patient has an effect on prescription knowledge.

scholarly journals Demography and etiology of congenital sensorineural hearing loss in children

2018 ◽  
Vol 4 (5) ◽  
pp. 1193
Author(s):  
O. P. Shrivastava ◽  
Anuj Gupta
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Tertiary Care ◽  
Sensorineural Hearing ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Etiological Factors ◽  
Pediatric Age Group ◽  
Tertiary Centre

<p class="abstract"><strong>Background:</strong> The prevalence of sensorineural hearing loss (SNHL) is 2-3 per 1000 live births in India, and out of 1000 babies, 1 is having profound degree of hearing loss at birth or in the pre-lingual age group. Hearing loss is categorized as syndromic or non-syndromic hearing loss. The present study was done to identify and diagnose children with SNHL and study the etiological profile, so that all necessary timely precautions may be taken as SNHL in pediatric age group affects not only development of speech and language, but also emotional, social and behavioural development.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional observational study was carried out in Department of ENT of a tertiary care centre, in 50 children with congenital SNHL. Data on epidemiological and etiological factors were collected. All cases were analyzed for detailed history and underwent clinical and audiological assessment.  </p><p class="abstract"><strong>Results:</strong> Majority of cases presented between 2 and 4 years of age, however age of detection of congenital deafness by parents was most commonly observed in 6-12 months of age. Out of 50 cases, the maximum number of cases [14 (28%)] were having history of antenatal complications, 11 (22%) cases were having adverse perinatal and postnatal history, while in remaining cases, the etiological factors remained undetermined. In one case associated syndrome was observed (Van der Hoeve’s syndrome).</p><p class="abstract"><strong>Conclusions:</strong> The increased occurrence of etiologies in this study was of prenatal origin, followed by perinatal origin. The present study conducted at a tertiary centre reflects the need of 'High risk' registry maintenance with active surveillance and subsequent screening for early detection of hearing loss.</p><p class="abstract"> </p>

scholarly journals Prevalence of bacterial vaginosis among reproductive age group women in a tertiary care centre

2019 ◽  
Vol 8 (11) ◽  
pp. 4515
Author(s):  
Rema V. Nair ◽  
Raja Preethi ◽  
M. Vijayalekshmi
Keyword(s):  
Bacterial Vaginosis ◽  
Vaginal Discharge ◽  
Early Stage ◽  
Strong Association ◽  
Tertiary Care ◽  
Reproductive Age ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Reproductive Age Group

Background: Vaginal discharge in reproductive age poses a serious problem in the developing countries. Bacterial vaginosis also known as non-specific vaginitis is the most common cause of vaginal infections, detecting the organism at an early stage and initiating a proper treatment is very difficult in our country due to lack of awareness and proper follow-up. The disease manifests in the form of vaginal discharge with or without itching. It has a strong association with preterm labor, preterm premature rupture of membranes and low birth weight in pregnancy. The objective of this study was to find out the prevalence of bacterial vaginosis among the reproductive age group women, in a tertiary care centre.Methods: A cross sectional study was conducted among 150 women of the reproductive age group in the department of obstetrics and gynaecology Sree Mookambika Institute of Medical Sciences over a period of one month October 2018 the diagnosis was made with history and nugents scoring system.Results: Out of the total 150 women enrolled in the study 74 had positive results, 50% of them were of the age group 26-30.Conclusions: The study shows us the high prevalence of bacterial vaginosis.

“A CLINICOEPIDEMIOLOGICAL STUDY OF FACIAL DERMATOSES IN ADOLESCENT GIRLS ATTENDING A TERTIARY CARE CENTRE ”

2021 ◽  
pp. 22-23
Author(s):  
Amulya Y S ◽  
Rajashekar T S
Keyword(s):  
Acne Vulgaris ◽  
Seborrheic Dermatitis ◽  
Tertiary Care ◽  
Psychological Impact ◽  
Age Group ◽  
Care Centre ◽  
School Dropouts ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Education Of Patients

Background: The obsession of getting a awless skin is more for adolescents girls than in any other age group. But these problems are seldom given enough importance. Very common problem like acne vulgaris can cause serious psychological impact in them. Methods: One hundred and nine adolescent female (10-19 years) patients with facial dermatoses presenting to skin department, of a tertiary care centre in Kolar,were selected for the study. Study design was descriptional and cross sectional, conducted from February 2020 to December 2020. Results: Eighty seven percentage of the study population was students and the rest were school dropouts. Acne vulgaris was the diagnosis in 83 (76%) of cases. Second most common condition was seborrheic dermatitis accounting for 7 (6%) of cases. Conclusions: Facial dermatoses are common among the adolescents girls. These dermatoses are of a major cosmetic concern in this age group. Early diagnosis and proper management with education of patients is important to prevent late disguring complications and psychological sequelae.

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