scholarly journals Knowledge and attitude of patients and their relatives towards electro-convulsive therapy: a study from a tertiary care centre in Northern India

2017 ◽  
Vol 5 (6) ◽  
pp. 2433 ◽  
Author(s):  
Yuman Kawoos ◽  
Zaid Ahmad Wani ◽  
Irfan Ahmad Shah ◽  
Yasir Hassan Rather ◽  
Waris Ahmad Zarger ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Negative Attitude ◽  
Tertiary Care Centre ◽  
Convulsive Therapy ◽  
Northern India ◽  
Life Saving ◽  
Number Of Patients ◽  
Knowledge And Attitude ◽  
Electro Convulsive Therapy ◽  
Insight Into

Background: Electro-convulsive therapy (ECT) has been effective in various psychiatric disorders and is life-saving in some conditions. Despite its effectiveness and lack of serious side-effects, its use is restricted due to negative attitude of patients and their relatives towards ECT. The objective of the study was to study the attitude of patients and their attendants towards ECT. Also, we studied their knowledge regarding ECT prior to the administration of ECT.Methods: A 16 item questionnaire was formulated to be used for assessing the attitude and knowledge about ECT and was administered after translating it into Urdu language for better understanding. Patients planned for ECT were administered the questionnaire after taking consent. A total of 60 patients and 60 attendants were taken up for the study.Results: About 60-70% of patients gave correct (right) responses to questions like ECT being life-saving procedure, need of investigations before ECT and other questions like question numbers 1,5,6,7,11,14,15. There was little knowledge regarding other areas like use of ECT in pregnant females and elderly (question numbers 2, 4, 10, 12). The patients as well as their attendants did not differ significantly in the responses given to the queries. Maximum number of patients received knowledge regarding ECT from doctors; few had attained it from other sources like internet.Conclusions: The study is a preliminary one and emphasizes the need for better standardized questionnaire for proper assessment. It also gives us an insight into lack of knowledge among patients and their attendants regarding ECT.

scholarly journals Analysis of factors responsible for intrauterine fetal death in rural pregnant women at tertiary care centre of Northern India

2017 ◽  
Vol 6 (9) ◽  
pp. 4071 ◽  
Author(s):  
Shaveta Garg ◽  
Naina Kumar
Keyword(s):  
Fetal Death ◽  
Tertiary Care ◽  
Intrauterine Fetal Death ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Northern India ◽  
Number Of Patients ◽  
Tragic Event ◽  
Abruptio Placenta ◽  
One Year

Background: Intrauterine fetal death (IUFD) is a tragic event for both the parents and obstetrician. Objectives of current study were to study the underlying etiology of Intra Uterine Fetal Death (IUFD) that can be helpful in formulating the preventive measures.Methods: This study was conducted over a period of one year from April 2016 till March 2017 at a tertiary rural care hospital. All patients with diagnosed IUFD at >24 weeks of gestation were included in the study.Results: Total eighty patients were admitted with diagnosis of intrauterine fetal death. Among these majority 58 (72.5%) were multigravida and only 22 (27.5%) were primigravida. Maximum number of patients, 61 (72.5%) were between age group of 20-30 years. Maximum number of IUFD were reported between 36-40 weeks of gestation (36.25%). Most of fetal deaths were due to preventable conditions like hypertensive disorders of pregnancy (28.75%), severe anemia (15%), abruptio placenta (11.25%), and rupture uterus (10%). Out of these patients 68 (85%) delivered vaginally and 7 patients were delivered by LSCS.Conclusions: The present study emphasizes the role of health education, regular antenatal checkups, early detection of complications and hospital delivery to reduce the overall preventable IUFD.

scholarly journals Maternal and perinatal outcome of placenta previa in a tertiary care centre: an observational study

2018 ◽  
Vol 7 (11) ◽  
pp. 4701
Author(s):  
Santosh Kumari ◽  
Bhal Singh
Keyword(s):  
Observational Study ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Perinatal Outcomes ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Perinatal Morbidity ◽  
Tertiary Care Centre ◽  
Northern India ◽  
Number Of Patients

Background: Placenta previa is an important cause of maternal and fetal morbidity and mortality and is on forefront in deadly triad for maternal mortality followed by eclampsia and sepsis in India. To determine the incidence, maternal and perinatal outcomes among women with placenta previa.Methods: This is a prospective observational study carried out at in the Department of Obstetrics and Gynaecology of a tertiary care hospital of Northern India for a period of six months between Feb 2018 to July 2018.Results: Total number of patients delivered during this period was 6840 and out of which 35 patients were diagnosed with placenta previa, so the incidence is 0.51%. Incidence of placenta previa was the highest in the maternal age group 20-30 years i.e. 71.42%. Placenta previa was noticed in 17.14% of the women with previous cesarean section. Caesarean hysterectomy was performed in 2.85%, 11.42% of the women had postpartum haemorrhage. Perinatal morbidity was studied as the percentage of babies requiring resuscitation and NICU admission which was 25.71 %. There was 19.99 % perinatal mortality.Conclusions: Placenta previa is a major cause of maternal and perinatal morbidity and mortality which could be prevented by early registration, regular antenatal care, early detection of high-risk cases, and early referral to higher centre with good NICU services and blood bank facility.

scholarly journals Real world perspective of coronary chronic total occlusion in third world countries: A tertiary care centre study from northern India

2021 ◽  
Vol 73 (2) ◽  
pp. 156-160
Author(s):  
Krishna Santosh Vemuri ◽  
Bhupinder Kumar Sihag ◽  
Yashpaul Sharma ◽  
Krishna prasad Nevali ◽  
Rajesh Vijayvergiya ◽  
...  
Keyword(s):  
Real World ◽  
Chronic Total Occlusion ◽  
Third World ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Total Occlusion ◽  
Centre Study ◽  
Northern India ◽  
World Perspective

Initial high rate of misdiagnosis in Crimean Congo haemorrhagic fever patients in an endemic region of Turkey

2009 ◽  
Vol 138 (1) ◽  
pp. 139-144 ◽  
Author(s):  
N. TASDELEN FISGIN ◽  
L. DOGANCI ◽  
E. TANYEL ◽  
N. TULEK
Keyword(s):  
Seasonal Pattern ◽  
Antiviral Treatment ◽  
Tertiary Care ◽  
High Rate ◽  
Haemorrhagic Fever ◽  
Endemic Region ◽  
Tertiary Care Centre ◽  
Number Of Patients ◽  
Epidemic Area ◽  
Crimean Congo Haemorrhagic Fever

SUMMARYCrimean Congo haemorrhagic fever (CCHF) has been an emerging tick-borne infection in some parts of Turkey since 2002, with a number of fatalities. Many of the initial non-specific symptoms of CCHF can mimic other common infections. Additionally, the seasonal pattern of the epidemic, and the waning attention of healthcare workers to the yearly index cases caused some delays in appropriate patient care and treatment. Between March 2004 and August 2008, 140 confirmed adult cases were evaluated retrospectively for initial diagnosis and treatment delays. This study clearly demonstrated that there are particular delays (4·8 days) in the referral system to initiate effective antiviral treatment in the tertiary-care centre which significantly affect fatality rates (P>0·05). A large number of patients (n=95, 68%) received an initial misdiagnosis of various infections other than CCHF. In conclusion, continuous medical education regarding CCHF in the epidemic area is essential in order to achieve a better survival rate from this deadly infection.

scholarly journals Transperitoneal Transvesical Laparoscopic Repair of Vesicovaginal Fistulae: Experience of a Tertiary Care Centre in Northern India

2013 ◽  
Vol 7 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Vishwajeet Singh ◽  
Rahul J. Sinha ◽  
Seema Mehrotra ◽  
Dheeraj K. Gupta ◽  
Smita Gupta
Keyword(s):  
Laparoscopic Repair ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Northern India ◽  
Vesicovaginal Fistulae

Cost analysis and benefits of opt-out HIV testing at a tertiary care centre in northern India

2013 ◽  
Vol 25 (5) ◽  
pp. 341-347 ◽  
Author(s):  
Ranjana W Minz ◽  
Anju Khairwa ◽  
Ritu Aggarwal ◽  
Harwinder Kaur ◽  
Surjit Singh ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Hiv Testing ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Northern India ◽  
Opt Out

2,4-D (Ethyl ester) poisoning: experience at a tertiary care centre in Northern India

2008 ◽  
Vol 25 (1) ◽  
pp. 30-32 ◽  
Author(s):  
A Bhalla ◽  
V Suri ◽  
N Sharma ◽  
S Mahi ◽  
S Singh
Keyword(s):  
Ethyl Ester ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Northern India

scholarly journals Tubercular mastitis: An institutional experience from a tertiary care centre of northern India

2017 ◽  
Vol 8 (3) ◽  
pp. 72-75
Author(s):  
Amit Gupta ◽  
Lovenish Bains ◽  
Deepshikha Yadav ◽  
Prashant Durgapal ◽  
Manish Kumar Agrawal
Keyword(s):  
Tertiary Care ◽  
Needle Aspiration ◽  
Care Centre ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Aspiration Cytology ◽  
Northern India ◽  
Institutional Experience ◽  
Needle Aspiration Cytology ◽  
High Index Of Suspicion

Background: Tuberculous mastitis (TM) is a rare extra pulmonary presentation of tuberculosis. It may be problematic to distinguish from carcinoma breast, a condition with which it may coexist.  Fine needle aspiration cytology (FNAC) / biopsy are indispensable for diagnosis and tuberculosis culture when positive may be very valuable to guide antimicrobial therapy.Aims and Objectives:  To disseminate the message to the concerned expertise that it can present a diagnostic problem on radiological and microbiological investigations, and thus a high index of suspicion is needed.Materials and Methods: 19 cases of tubercular mastitis between  January 2012 to March 2014 were identified and included in the present study. Cytology and biopsy alongwith AFB stain was done for confirmation.Results: Age ranged between 23- 55 years (median 33 years). Axillary nodes were palpable in 9 (47.3%) patients. Acid Fast Bacilli stain which was positive in only 3 patients. All the 19 patients were started on antitubercular treatment.Conclusion: This study highlights the importance of early diagnosis and aggressive medical and if required surgical management to cure this disease.Asian Journal of Medical Sciences Vol.8(3) 2017 72-75

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