scholarly journals Emotional and psychological factors in patients prior to cataract surgery

2018 ◽  
Vol 6 (11) ◽  
pp. 3726
Author(s):  
Angli Manhas ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas ◽  
Dinesh Gupta
Keyword(s):  
Cataract Surgery ◽  
Surgical Procedure ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Emotional Factors ◽  
Lack Of Information ◽  
Present Cross Sectional Study ◽  
Department Of Ophthalmology ◽  
Questionnaire Form

Background: Cataract constitutes as the leading cause of blindness. Lack of information about the surgical procedure and results of surgery in cataract patients tend to show high levels of anxiety. Preoperative educational intervention planning is necessary to prepare patients for cataract surgery. The aim of present study was to identify emotional factors related to daily difficulties among patients having cataract.Methods: The present cross-sectional study was conducted over a period of 10months by means of a preformed pilot tested questionnaire on patients who had been screened for cataract in various eye camps and admitted for cataract surgery in the upgraded Department of Ophthalmology, Government Medical College, Jammu. All the questions were explained to participants in their local language for better understanding and those who were willing to participate, were requested to fill the semi-structure pilot tested questionnaire form with informed consent.Results: Around 75% of participants reported daily difficulties due to the ocular conditions, of which walking (79.6%) followed by doing housework (77.8%) were the most frequently reported difficulties. About 75% of the participants reported fearing the surgical procedure. Regarding the level of acceptance of cataract surgery 13.9% reported being very much afraid. With respect to the surgical procedure, doubt as to the outcome was reported by 22.2%. When cataract surgery was compared to other kinds of surgery, 31.9% thought it was better to undergo eye surgery whereas 48.6% had not given any opinion on the matter.Conclusions: Preoperative orientation is necessary in order to ease the suffering caused by surgery and render satisfaction with the treatment. Thus, patient should be prepared for the procedure, information regarding common outcomes and risks of surgery reduces anxiety and improves patient satisfaction following cataract surgery.

scholarly journals Association of Hypertensive Retinopathy with different serum lipid parameters in patients of Essential Hypertension: A Hospital Based Study

2018 ◽  
Vol 7 (2) ◽  
pp. 50-57
Author(s):  
Bishwa Nath Adhikari ◽  
Pramod Sharma Gautam ◽  
Binod Bekoju ◽  
Sadhana Basnet ◽  
Himlal Bhandari
Keyword(s):  
Essential Hypertension ◽  
Lipid Profile ◽  
Serum Lipid ◽  
Cross Sectional Study ◽  
Serum Lipid Profile ◽  
Hypertensive Retinopathy ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Medical College ◽  
Department Of Ophthalmology

Introduction: Abnormalities in serum lipid and lipoprotein levels are recognized as major modifiable risk factors for cardiovascular disease and essential hypertension and retinopathy. So this study was conducted to evaluate the role of dyslipidemia on development of retinopathy in hypertensive patients and to establish the association of parameters of serum lipid profile with hypertensive retinopathy. Materials and Methods: A cross-sectional study was conducted in Ophthalmology Department among 135 patients in Nobel Medical College and Teaching Hospital (NoMCTH), Biratnagar who were diagnosed with essential hypertension. Patients having diabetes mellitus, myopia, hazy ocular media and other posterior segment disorders were excluded from the study. The detailed ophthalmic examination was carried out in department of ophthalmology, NoMCTH, Biratnagar and all the study population were investigated for fasting serum lipid profile. Result: Out of 135 patients with essential hypertension, 65.44% had retinopathy and remaining had no signs of retinopathy. Mean age of patients were 60.24 (±15.14) years. Although no gender preponderance was found with retinopathy but this study showed that hypertensive retinopathy increases significantly with increase in age and its incidence increases after the age of 60 years. Conclusion: The duration of hypertension was found to be strongly associated with development of hypertensive retinopathy. The increase in all the lipid profile parameters (Serum TG, TC, and LDL and LDL:HDL) and the obesity were found to be strongly associated with retinopathy in hypertensive patients.

scholarly journals The Scenario of Acute Poisoning in Jashore, Bangladesh

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
G. K. Acherjya ◽  
M. Ali ◽  
A. B. M. S. Alam ◽  
M. M. Rahman ◽  
S. G. M. Mowla
Keyword(s):  
Organophosphorus Compounds ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Acute Poisoning ◽  
Cross Sectional ◽  
Medical College ◽  
Background Population ◽  
Present Cross Sectional Study ◽  
Suicidal Intention ◽  
Female Subjects

Background. Acute poisoning is a common scenario in the emergency department of any general hospital globally, but its pattern may vary in different parts of the world and even may be a different regional variation in the same country. Objective. Our recent study aims to assess the demographic characteristics, psychological aspect, pattern, and treatment outcome in different acute poisoning. Method. The present cross-sectional study was conducted in the medicine department of Jashore Medical College and Hospital from 1st January to 30th June 2018, which recruited 487 eligible cases of admitted acute poisoning patients. Results. The study reveals that the total incidence of acute poisoning in Jashore, Bangladesh, is 17.1 per 100,000 populations over a 6-month period. The mean age of our study population was 27 ± 11 (SD) years with having significant female preponderance in acute poisoning (female: 253/52% and male: 234/48%; p = 0.002). Female subjects were significantly younger than male (p <0.001). Moreover, the total suicidal intension of acute poisoning in our study was 97.3%, whereas the female subjects were more committed to suicidal attempts (p = 0.027). Organophosphorus compounds (OPCs) were the significant leading agents (66.1%, p = 0.029) of acute poisoning, and even, it had been significantly used as suicidal intention of poisoning substance (65.1%, p <0.001) in our observation. Muslim (97.5%, p = 0.005), 10–29 year age group (68.0%, p = 0.002), rural (99.2%), unmarried (51.3%), middle class (50.1%), students (48.9%), and secondary educational background population (76.4%) were more victimized of acute poisoning. Among different factors, familial disharmony constituted of 56.1% cases of suicidal attempt in acute poisoning. Finally, we had observed that the death incidence by acute poisoning in Jashore, Bangladesh, was 1.9 per 100,000 population over a 6-month period. Conclusion. The recent study reveals that there is high incidence of acute poisoning in Jashore, Bangladesh, with a significant amount of death toll. Organophosphorus compound is the most common agent of deliberating self-poisoning in our study due to its easy availability in our agriculture-based community.

scholarly journals Study of prevalence and socio-demographic determinants of pterygium in Sub Himalayan region, India

2018 ◽  
Vol 6 (12) ◽  
pp. 3916
Author(s):  
Abhishek Padha ◽  
Prateek Koul ◽  
Swati Sharma
Keyword(s):  
Cross Sectional Study ◽  
Himalayan Region ◽  
Palpebral Fissure ◽  
Cross Sectional ◽  
Total Study Population ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
History Of ◽  
Study Population ◽  
Grade Ii

Background: Pterygium, derived from the Greek work ‘pteryx’, meaning wing is a growth of fibrovascular tissue on the cornea and conjunctiva in the palpebral fissure. The present study was conducted to find out the prevalence and Socio-demographic determinants of pterygium in Sub Himalayan region of Himachal Pradesh, India.Methods: A cross-sectional study was conducted between the months of May-June 2018, in the outpatient department of Ophthalmology of Pt. Jawahar Lal Nehru Govt. Medical College and Hospital, Chamba, H.P, India. Among all the patients visiting the OPD in the given duration, a total of 200 patients having Pterygium were selected for the study. Detailed history of the all the patients were taken and required examination was done. Data collected was analysed with Microsoft excel software.Results: Out of the 200 patients, 59% were males and 41% were females. 70% of the total study population were seen in the age group 41-60years. In present study a total of 130 patients (65%) were outdoor workers. Left eye (40.5%) was the eye most frequently involved eye in present study, right eye (36.5%) also both the eyes were involved in 23% of study population. Nasal pterygium was seen in 93%, temporal pterygia 5.5% and double pterygium (both nasal and temporal presentation in same eye) in 1.5% patients. Grade I pterygium was seen in 43.5% patients, grade II in 40% and grade III pterygia were found in 16.5% of the study population.Conclusions: People living in high altitude regions and who work outdoors, are subjected to increased U.V. exposure. So, they must take appropriate precautions like wearing protective glasses and caps etc.

scholarly journals A clinical study of patients attending disability clinic in a tertiary care hospital of Assam, India

2019 ◽  
Vol 7 (5) ◽  
pp. 1572
Author(s):  
Mamoni Baruah ◽  
Rajiv Kumar Das ◽  
Daisy Vishwakarma ◽  
Amar Jyoti Malakar
Keyword(s):  
Vitamin A Deficiency ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Permanent Disability ◽  
Medical College ◽  
Early Action ◽  
Department Of Ophthalmology ◽  
Chemical Injuries

Background: The aim of the study was to determine the various types of congenital or acquired disorders causing permanent disability and their association with age, sex and visual acuity in patients attending disability clinic of department of ophthalmology, Jorhat medical college and hospital, Assam, from January 2018 to December 2018.Methods: A hospital-based cross-sectional study. 200 patients were enrolled in the duration of January 2018 to December 2018 and were analyzed for anomalies, etiology, sex and age at presentation.Results: Out of 200 cases analysed, 116 males and 84 females (Male: Female = 1.38:1) observed. The most common age group at presentation was 11-20 years (28.5%). 23% of cases were congenital. The most frequent ocular anomaly noted was microphthalmos (19%) followed by uveal coloboma (15%) and phthisis bulbi (14%).Conclusions: In a developing country like India, a large proportion of the childhood and adult blindness is avoidable. Action is needed to prevent blindness from vitamin A deficiency, measles, external ocular infections and chemical injuries. Specialist paediatric and optical services are required to manage cataract and glaucoma. Further work is indicated to elucidate the causes of anophthalmos, microphthalmos and coloboma. It would be useful to document the changing patterns in the causes of ocular disability to allow early action against emerging avoidable causes.

scholarly journals Comparison of Online Assessment with Traditional Assessment of Ophthalmology Students: Experience from Public Sector Medical College in Pakistan

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Muhammad Hammad Ayub ◽  
Muhammad Hassaan Ali ◽  
Uzma Hamza ◽  
Kashif Jahangir
Keyword(s):  
Cross Sectional Study ◽  
P Value ◽  
Online Assessment ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Traditional Assessment ◽  
Test Items ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
Online Examination

Purpose:  To perform online assessment of undergraduate ophthalmology students and compare the online examination results with conventional in-person examination during COVID-19 pandemic. Study Design:  Comparative, cross-sectional study. Place and Duration of Study:  Department of Ophthalmology, Allama Iqbal Medical College, Lahore, Pakistan. From October 2019 to December 2020. Methods:  We used online Google Assessment Forms to administer the online ophthalmology send-up examination to 4th-year MBBS students. The exam consisted of 50 test items with varying difficulty levels and pictures were incorporated into them. The examination results were compared with the conventional face-to-face send-up ophthalmology examination conducted a year ago, which consisted of 50 multiple-choice questions (MCQs). Results:  There were 50 questions in the online examination with categorization into C1:C2:C3 levels of cognition. A total of 336 students submitted their responses for online assessment with a mean score of 36.28 out of 50 marks (73.0%) (Range: 7 – 45 marks). C1, C2, and C3 questions were correctly answered by 95.3%, 45.1%, and 11.0% of the students, respectively. The conventional examination was taken by 326 students and consisted of 50 MCQs with C1:C2:C3 questions. The online exam yielded more mean scores than the in-person exam (73.0% versus 56.0%, p-value: 0.001). The rate of failure with scores less than 50% marks was significantly higher in students appearing in conventional exam versus online exam (16.6% versus 1.5% respectively, p-value: 0.0412). Conclusion:  Online assessment of undergraduate ophthalmology students is a possible alternative to the conventional examinations during this pandemic. Key Words:  Ophthalmology, COVID-19 Pandemic. Medical education.

scholarly journals A study on postnatal care and its correlates among recently delivered women visiting to BRD medical college Gorakhpur

2017 ◽  
Vol 4 (5) ◽  
pp. 1548 ◽  
Author(s):  
Harish Chandra Tiwari ◽  
Sudhir Kumar Gupta
Keyword(s):  
Sample Size ◽  
Postnatal Care ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Cross Sectional ◽  
Lower Middle Class ◽  
Medical College ◽  
Maximum Sample Size ◽  
Present Cross Sectional Study ◽  
Allowable Error

Background: Postnatal care is crucial in maintaining and promoting the health of the woman and the newborn baby. Despite the known benefits of the postnatal care, there are many access and utilization barriers to care. The present study was conducted on postnatal care and its correlates among recently delivered women visiting to BRD Medical College Gorakhpur. Methods: For present cross-sectional study recently delivered women (RDW) defined as a post natal woman who had a baby between two months to six months of age at the time of data collection were taken as the study subjects. Complete post natal care was considered if RDWs had received post natal check-up (Post natal day -1, day-3, day-7,) along with immunization of child with BCG, OPV and three doses of DPT/Pentavalent vaccine. Sample size was calculated as 275 by using the formula 4PQ/L2 with an allowable error (L) of 20% including 10% extra for non/incomplete responders. The proportion of women receiving postnatal care was considered as 50.0% as by this proportion maximum sample size is arrived. Results: A total of 269 recently delivered women (RDW) were taken as the study subjects. They belonged to age group 19-29 year (Mean age 23.7±6.7 year), either educated up to 12th standard and only few were graduate or post graduate. Majority of them belonged to middle or lower middle class. Conclusions: Postpartum care utilization was associated with socioeconomic status, antenatal care received or not, planned pregnancy or not. Interestingly, access to care was not perceived as a top reason for not obtaining PPC. 

scholarly journals The subjective acceptance in presbyopic patient receiving correction based on conventional method of age v/s amplitude of accommodation

2019 ◽  
Vol 16 (2) ◽  
pp. 88-91
Author(s):  
Neha Priyadarshani Chaudhary ◽  
Pramod Sharma Gautam
Keyword(s):  
Conventional Method ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
Significant Difference

Objective: To observe the subjective acceptance in presbyopic patients following prescription of spectacles. Material and method: This is a hospital based cross sectional study which was conducted in 100 presbyopic patients in age group of 35 to 60 years at outpatient department of ophthalmology in Nobel Medical College Teaching Hospital, kanchanbari from 1 August 2018 to 30November 2018. The patients were divided into two groups, First group received the presbyopic correction according to conventional method of age and the second group received the prescription according to their amplitude of accommodation. Patient's satisfaction in terms of symptoms like eyestrain, headache or difficulty with the usage of glasses was noted. The data collected were subjected to statistical analysis. Conclusion: When presbyopic correction is given according to amplitude of accommodation in patients belonging to 36-45 years age group, it is tolerated better and patients are more satisfied in terms of symptoms like eyestrain and headache than getting the simple correction as per their age. However after the age of 45 years, presbyopic correction given according to age is equally tolerated well among all refractive error groups. Results: 100 patients in this study who visited our OPD with presbyopic symptoms were divided into two groups, each of 50 patients. Patient's satisfaction and tolerance was better when presbyopic correction was given on the basis of their amplitude of accommodation in age group 36-45, in comparison to the prescription given according to conventional method of their age. However, there was no statistically significant difference in the patient's satisfaction level in the two groups after the age of 45.

scholarly journals PC-PNDT act: perspectives of medical undergraduates in a Sub-Himalayan state

2017 ◽  
Vol 6 (8) ◽  
pp. 3545
Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Shahid Hussain ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
...  
Keyword(s):  
Sex Ratio ◽  
Sex Determination ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Prenatal Diagnostic ◽  
First Child ◽  
Present Cross Sectional Study ◽  
Medical Undergraduates

Background: Sex selective abortions have grossly distorted the child sex ratio in India. Role of medical technology in declining sex ratio at birth cannot be undermined. To combat this social evil, PC-PNDT (Pre-conception Prenatal Diagnostic Test) was promulgated in 2003 by Government of India. Enhancing the knowledge of medical fraternity with focus on undergraduate students can imbibe an enduring commitment towards this predicamentMethods: The present cross-sectional study was conducted in Government Medical College of Jammu. Students of 1st year MBBS of Batch 2016-2017 were administered the pre-designed and pretested questionnaire. Information was collected regarding sex determination as well as PC-PNDT Act.Results: 80% respondents knew about the declining sex ratio and 95% knew that sex determination is possible during pregnancy. Only 24.29% had heard about PC-PNDT Act although 95% knew that prenatal sex determination is punishable. Higher proportions of female respondents were aware of both fine and imprisonment as punishment under the act. (p<0.05). Regarding technique used for sex determination, males had better knowledge about ultrasonography than their female counterparts (p<0.05). More females would like to have male child as preferred first child (p<0.05) and 87.14% of respondents preferred that sex determination be punished more vigorously.Conclusions: Awareness about some of the parameters about PC-PNDT Act among the medical undergraduates was poor and it would be pertinent to hold more educational sessions for them.

scholarly journals Demographic profiling of poisoning in Emergency Department of Kathmandu Medical College - A cross sectional study

2018 ◽  
Vol 7 (3) ◽  
pp. 94-96
Author(s):  
Anu Kushwaha ◽  
Pankaj Kumar Singh
Keyword(s):  
Emergency Department ◽  
Age Groups ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Lack Of Information ◽  
Institutional Review ◽  
Ethical Clearance

Background: Poisoning is a very common medico-social problem in our part of the world. It significantly contributes to the morbidity and mortality, which is a big concern and burden to our society. Objective: To determine the demographic profiling of poisoning in Emergency Department of Kathmandu Medical College. Methododogy: This is a cross sectional study conducted for the period of six months from March 2017 to September 2017 at the Emergency Department Kathmandu medical college teaching hospital. The study includes the cases of poisoning brought to the above mentioned institute for management. The data thus collected was entered in the SPSS and analysed to find the poisoning profile. Ethical clearance was taken from Institutional Review Board of Kathmandu Medical College. Results: A total of 40 cases of poisoning came to Emergency Department over the period of six months of which 14 (35%) were males and 26 (65%) were females. The mean ages for males were 32.07 years and females were 26.23 years. Regarding time of consumption 42.5% of cases consumed poison at night. The most common poison consumed was Organophosphorus (55%) and next in kin was paracetamol (15%). However, type of Organophosphorus could not ascertained due to lack of information from the patent party. Conclusion: People in the productive age groups are more prone to poisoning with various products due to stress or other social economic factors. Social education and strict rules and regulation for the sale of the pesticides can be useful in containing this problem.

scholarly journals A Prospective Study of Surgical Site Infections in a Medical College Hospital

2020 ◽  
Vol 9 (1) ◽  
pp. SG01-SG03
Author(s):  
Ajeet Kumar ◽  
Bhartendu Kumar ◽  
Sunil Kumar
Keyword(s):  
Surgical Site Infection ◽  
Elective Surgery ◽  
Surgical Site Infections ◽  
Cross Sectional Study ◽  
Site Infection ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Present Cross Sectional Study ◽  
A Prospective Study

Background: Surgical site infections (SSI) are an important post-operative complication. Knowledge about its risk factors is essential. The present study was conducted to find the profile of surgical site infection among patients admitted in surgical ward of SKMCH, Muzaffarpur.Subjects and Methods:The present cross-sectional study included 322 patients undergoing surgery. Clinical details, onset of SSI and microbiological profile were noted.Results:Mean age of the cases was 43.7 years. 61.2% of these were males. 11.8% of the cases suffered from surgical site infection. Of the emergency surgeries, 20.2% had SSI while 8.1% elective surgery cases had SSI. 36.1% of the cases with dirty wound had SSI while only 5.2% of the cases with clean wound had such infection. S. aureus was the most common organism isolated (57.9%) followed by Pseudomonas (39.5%) and Klebsiella (23.7%).Conclusion: Incidence of SSI is higher in cases of emergency surgery and in dirty wounds.

Sign in / Sign up

Export Citation Format

Share Document