scholarly journals Assessment of socio-clinical profile of paediatric TB cases admitted to tertiary health care centre, Odisha, India

Author(s):  
Parsuram Jena ◽  
Dhaneswari Jena ◽  
Dillip Kumar Mahapatra ◽  
Uttar Kumar Dandapat ◽  
Pravati Jena

Background: Tuberculosis is continued to be a major killer of mankind. Childhood tuberculosis contributes to high mortality due to diagnostic difficulty. Different social factors are responsible for its causation. The objective of the study was to assess the socio clinical factors prevalent among paediatric TB cases admitted to MKCG Medical College.Methods: It was a cross sectional study carried out in the indoor paediatric ward of MKCG medical college. Duration of the study was from August 2016 to July 2017. Study participants were all admitted paediatric cases of age group less than 14 years. Data collected through scientifically designed pretested questionnaires.Results: Total 103 patients were admitted during study period of whom, 54% were male. Their median age was 8 years. They were mostly Hindu by religion (98%) and from lower socioeconomic classes (77%). Majority (60%) were from nuclear family (59%) and families of BPL card holder. Most of their parents had low educational status. Physical overcrowding, inadequate ventilation in the house and smoking were main epidemiological factors observed.Conclusions: It was concluded from the above study group, socioeconomic and environmental risk factors were widely prevalent among them. So, control of these factors are the priority issues to be addressed and improvement of these conditions are recommended for effectiveness of the curative measures.

2012 ◽  
Vol 4 (2) ◽  
pp. 13-18 ◽  
Author(s):  
Kazi Yesmin ◽  
S M Shamsuzzaman ◽  
Akhtaruzzaman Chowdhury ◽  
Khadeza Khatun ◽  
Jahangir Alam

This cross sectional study was done from January 2009 to June 2010 in Microbiology department of Dhaka Medical College on isolation of potential pathogenic bacteria from nasopharynx from patients having cough for more than two weeks. The nasopharyngeal swabs were collected from 290 patients for culture and 101 blood samples were collected for slide agglutination test against anti- Bordetella antibody. In case of culture of nasopharyngeal swabs, 117 (73.12%) samples yielded growth of single organism, 16 (10%) yielded mixed growth and 27 (16.88%) samples yielded no growth in children. In adults, 85 (65.39%) samples yielded growth of single organism, 1 (0.77%) yielded mixed growth and 44 (33.84%) samples yielded no growth. Highest incidence (33.33%) of S. pneumoniae was found in age group of 1-5 years, highest incidence (32.20%) of N. meningitidis was found in age group of 18-25 years and highest incidence (32%) of Staph. aureus was found in age group of 25-50 years. One (0.63%) B. pertussis was isolated from a child and 5 (3.84%) B. parapertussis were isolated from adults. In this study, 116 (83.45%) samples yielded growth in lower socioeconomic group and 101 (70.62%) yielded growth in the samples of middle socioeconomic group. Among the study participants, 31(30.70%) were positive and 70 (69.30%) were negative for antibody against B. pertussis. In anti-Bordetella antibody positive cases, 14 (93.33%) children had duration of cough for 2-3 weeks, 7 (43.75%) adults had duration of cough for 3-4 weeks and 1 (6.25%) adults had more than 6 weeks.DOI: http://dx.doi.org/10.3329/bjmm.v4i2.10826 


2021 ◽  
pp. 12-15
Author(s):  
Smarajit Banik ◽  
Sandip Saha ◽  
Sudipan Mitra ◽  
Ujjwal Pattanayak ◽  
Rajib Sikder ◽  
...  

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.


2021 ◽  
Vol 8 (10) ◽  
pp. 1566
Author(s):  
Vinay Jishtu ◽  
Pramod K. Jaret ◽  
Prem Chand Machhan ◽  
Nidhi Chauhan

Background: Acute undifferentiated fever illness (AUFI) is a common cause of morbidity and mortality in developing countries, owing to its non-specific features. The aim of the study was to delineate the causes and clinical parameters associated with AUFI.Methods: A cross-sectional study was done among 156 patients of AUFI, admitted in the Department of Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from November 2018 to October 2019.Results: The mean age of the study participants was 37.37±14.2 years. The study participants admitted for acute undifferentiated febrile illness had fever with mean duration of 8.38±3.7 days before hospitalization. The most common aetiology of AUFI was found to be enteric fever (44%), followed by scrub typhus (35%). The majority of the cases presented from the month of September to December.Conclusions: The aetiology and clinical spectrum of AUFI is wide and variable. To outline a proper algorithm to contain it, meticulous analysis of the hospital data at each level is necessary.


2015 ◽  
Vol 9 (2) ◽  
pp. 76-79 ◽  
Author(s):  
Mushtaq Ahmad ◽  
Farial Naima Rahman ◽  
Md Mozaharul Islam ◽  
Md Rakib Uddin Majumder

Self destruction or suicide by pesticide poisoning is a burning problem of Bangladesh. Rapid development in science and rapid growth in agricultural activities has led to the increase in the incidences of poisoning. The objective of this study was to find out the incidences and pattern of poisoning in an urban area, different aspects of poisoning along with demographic pattern, social factors related and other related perimeter, and modality to prevent loss of precious life due to poisoning. This retrospective cross sectional study was conducted among victims of poisoning at Dhaka Medical College, Dhaka Morgue during the period of January 2008-December 2009. Specific identification of poisons was made from Chemical Examiner's report. All the data were later on analyzed. A total of 5114 medico legal post mortems were performed during this study period. Among these 300 (5.87%) cases were suspected poisoning. Out of these cases specific poisons were identified in 131 (43.66%) cases. Among the detected poisoning cases OPC was the commonest agent 103 (78.63%) followed by alcohol/rectified spirit 12 (9.16%) and barbiturate 7 (5.34%). No poison was detected (Negative results) in 116 (38.66%) cases and no reports from chemical examiner were received in 53 (17.66%) cases during the study period. Out of 300 victims 174 (58%) were male and 126 (42%) were female. Highest incidence of poisoning was observed in 21-30 years age group 117 (39%) followed by age group of 31-40 years 84 (28%). Most of the victims were agricultural workers/ farmers 108 (36%) followed by housewives 51 (17%). Among the study subjects 178 (59.33%) were illiterate and 198 (66%) were married. Considering manner of death 274 (91.33%) victims committed suicide by poisoning and rests 26 (8.67%) were due to accidental poisoning. To reduce poisoning cases proper emphasis should be given for safe use of pesticides and consciousness should be created among the population about poisonous compounds. Detail study regarding death due to poisoning is required to be carried out in this country.Faridpur Med. Coll. J. 2014;9(2): 76-79


2018 ◽  
Vol 5 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas

Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was   collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need.  Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


Author(s):  
Kevin A. John ◽  
Poonam R. Naik

Background: Medical students have been reported to suffer from higher perceived stress compared to general population and students in the other academic fields. The objective of the study was to estimate the prevalence of stress and to identify the potential stressors among undergraduate medical students using perceived stress scale (PSS).Methods: A cross sectional study was conducted among 301 undergraduate medical students at a private medical college in Dakshina Kannada district, Karnataka. The extent of the stress was assessed using PSS-10 and a questionnaire was used to identify the potential academic, psychosocial and environmental stressors.Results: The mean PSS score was found to be 26.34±3 in this study. Moderate stress was observed in 68% of the study participants. The PSS score was higher among the 2nd year MBBS students. Stress was observed more among female medical students (74%). Inadequate study leave (92.4%), vastness of academic curriculum (84.1%), poor quality of food in mess or home (70.4%), accommodation away from home (60.1%) and high parental expectations (48.5%) were found to be the potential stressors in this study.Conclusions: The study results thereby highlight the need to plan tailored interventions to address the various stressors and prevent stress among the medical students. 


Author(s):  
Anupam Parashar ◽  
Nidhi Chauhan ◽  
Rahul Gupta ◽  
Vineet Kumar

Background: Bio-ethics i.e. health care ethics is a set of moral principles, beliefs and values that guide us in making choices about medical care. This novel study was carried out with an objective of assessment of knowledge regarding the medical ethics among the resident doctors of Indira Gandhi Medical College, Shimla Himachal Pradesh.Methods: This descriptive analytical cross-sectional study was conducted at Indira Gandhi Medical College (IGMC), Shimla, Himachal Pradesh among the resident doctors using predesigned, structured, self-administered anonymous close-ended questionnaire. We analyzed the data using Stata software version 12.Results: There were a total of 61 study participants, who consented to participate, of which more than half were females (52.5%). The mean age of the study participants was 28.6±0.63 years. Regarding the source of knowledge about medical ethics most of the study participants had acquired the information during their experience at their workplace (42.6%). A majority of the male participants disagreed that confidentiality while providing the health care services should be abandoned (54.3%). More than 90% of the study participants agreed that incorporation of medical ethics is necessary in undergraduate curriculum.Conclusions: Incorporation of a formal structured teaching on medical ethics in the undergraduate curriculum is the need of the hour. Besides research work, the medical ethics committee in the institution should also act as the guiding hands to address the grievances faced by the doctors during medical practice.


Author(s):  
Krishna Kar ◽  
Sasmita Pradhan ◽  
Barada P. Samal

Background: School is acknowledged as the place where children gain knowledge from health education sessions on various aspects of personal hygiene, sanitation and social customs. Health is one of the key factors determining the enrollment, performance and continuation in school. Objective was to study the morbidity pattern of school children.Methods: The present cross sectional study was conducted in selected schools (both govt. and Private) of urban field practice area of SCB Medical College, Cuttack, Odisha during January 2016 to December 2016. A total of 660 school going children were taken for the study. After taking informed consent of the head of the school data was collected by using a Pre-designed, pre-tested questionnaire. Clinical examination was conducted to detect any morbidity pattern.Results: In the present study most common morbidity detected was pallor (47.6%) followed by skin disease (34.5%) and dental caries (23.2%). Other morbidities found were acute respiratory infections 21.9%, eye problems 21.4%, fever 6.8%, pain abdomen 3%, diarrhoea 3.2%, ear discharge 3.9%, headache 5% and rhinitis 3.9%.Conclusions: More emphasis should be given on primordial and primary preventive measures for prevention of childhood morbidities. School based health education programme may be a useful effort in this regard.


Author(s):  
Tarun Kumar Sarkar ◽  
Pulak Kumar Jana ◽  
Jasmine M. ◽  
Timiresh Kumar Das ◽  
Mrinmoy Adhikary ◽  
...  

Background: Thalassemia is more prevalent in India. The main treatment of Thalassemia is blood transfusion. But the transfusion of blood has many side effects like iron overload, transfusion related infections etc. The objectives of the study were to assess the adequacy of blood transfusion for thalassemic patients and to determine the magnitude of transfusion transmitted infections among those patients.Methods: A cross sectional study was conducted in Murshidabad Medical College and Hospital, West Bengal for 1 month with the sample size of 116. The blood samples from the patients were taken from the patients attending for blood transfusion in transfusion centre of Murshidabad Medical College and Hospital for two weeks dated from 24.04.2017 to 05.05.2017 to check for the hemoglobin, ferritin level and hepatitis B, C and HIV infection.Results: Among the 116 patients, even after transfusion, 94% of the study participants have their hemoglobin levels below 7 gm/dl. Only 2 individuals got their hemoglobin levels more than 9 gm/dl and only 1 patient got HIV infection post transfusion which accounts for 0.9% of study population.Conclusions: Frequent Hb estimation will help to maintain the adequacy of blood transfusion and proper screening of the blood before transfusion can help in reducing these transfusion transmitted infections.


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