scholarly journals Clinical and demographic profile of patients treated with electro convulsive therapy from a tertiary care psychiatry hospital in North India

2020 ◽  
Vol 8 (9) ◽  
pp. 3264
Author(s):  
Haamid Ismail ◽  
Fazle Roub ◽  
Sanjeet Kour ◽  
Waris Ahmad Zargar
Keyword(s):  
Psychotic Disorders ◽  
Bipolar Affective Disorder ◽  
Tertiary Care ◽  
North India ◽  
Inpatient Psychiatry ◽  
Convulsive Therapy ◽  
Demographic Profile ◽  
Induced Mood ◽  
One Year ◽  
Electro Convulsive Therapy

Background: Electro-convulsive therapy (ECT) refers to the electrical stimulation of the brain to produce seizures for therapeutic purpose. This study was undertaken with the aim of exploring the clinical and demographic profile of patients treated with ECT from a tertiary care psychiatry hospital in north India.Methods: It was a retrospective descriptive study of patients who were treated with ECT after admission in the inpatient psychiatry unit of Institute of mental health and neurosciences Kashmir during a period of one year (March 2017 to February 2018).Results: A total of 70 patients received ECT during the course of one year. About 72.85% of the patients belonged to 20-39 years age group. Female patients constituted more than half of the subjects (55.71%). Review of diagnostic profile showed that majority of patients receiving ECT were suffering from Schizophrenia (35.71%), followed by bipolar affective disorder (28.57%), depressive disorder (28.57%), schizoaffective disorder (4.28%) and substance induced mood/psychotic disorders (2.85%). A significant majority of subjects (57.13%) received about 7-9 ECT sessions. No any major complications were noted during ECT treatment.Conclusions: This study suggests that ECT, use as a treatment modality is common in adults between 20 to 39 years of age and females with Schizophrenia being the most common indications.

scholarly journals TO ANALYSE THE DEFERRAL INCIDENCE AND ITS PATTERN AMONG THE BLOOD DONORS IN A TERTIARY CARE CENTRE IN NORTH INDIA.

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Dr. Surbhi Jain
Keyword(s):  
Blood Donor ◽  
Blood Donors ◽  
Blood Donation ◽  
Selection Process ◽  
Tertiary Care ◽  
Clinical History ◽  
North India ◽  
Tertiary Care Centre ◽  
One Year ◽  
Donor Deferral

Background: Blood donor programme is vital to any transfusion service. This process of blood donation involves voluntary and non remunerated blood donors. The objective of donor screening is to minimize the chances of transmitting infectious agents to recipients. Material and Method: The study was conducted during one year duration from 2017-2018. A total of 700 donors are deferred against 9556 blood donors recruited on the basis of clinical history and brief medical examination in blood bank and voluntary blood donation camps. Donors were deferred temporarily or permanently. Result: Out of 700 deferred donors; 546 were voluntary and 154 were replacement blood donors. Male (601) outnumbered female (99). There were 682 temporary and 18 permanent deferral. Most common age group for deferral was 17-30 yrs (490). Common causes included anemia(142), on medication(108), underweight(83) and high blood pressure(72). Conclusion: Donor selection process is a most important preliminary step in blood banking and should follow stringent medical and regulatory rules. Studying and analysing the profile of blood donors will help to identify sections of the population which could be targeted to increase the pool of voluntary blood donors. Every attempt should be made to decrease the donor deferral keeping in view the safety of both donor and recipients. Keywords: Blood donor, Deferral, Voluntary, Temporary, Permanent.

scholarly journals Increasing rates of cesarean section, an upcoming public health problem: an audit of cesarean section in a tertiary care center of North India based on Robson classification

2017 ◽  
Vol 6 (11) ◽  
pp. 4998
Author(s):  
Vinita Das ◽  
Namrata Kumar ◽  
Varsha Kumari ◽  
Anjoo Agarwal ◽  
Amita Pandey ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Care Center ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
North India ◽  
Cross Sectional ◽  
Group 5 ◽  
One Year

Background: Increasing rates of cesarean section during last three decades has become a cause of alarm since and a need for ongoing studies. Objective of present study was to investigate cesarean section rates as per modified Robsons Criteria and to determine area of concern which requires maximum focus to decrease overall caesarean rateMethods: This cross sectional study was conducted over a period of one year (From January 2016 to December 2016) in the Department of Obstetrics and Gynecology at King George’s Medical University, Lucknow.Results: Total number of deliveries for one year was 8526. Out of them, 4275 (50.1%) were vaginal and 4251 (49.9%) were abdominal. Overall maximum caesarean section rate was contributed by group 5 of modified Robsons criteria i.e. previous section, singleton, cephalic, ≥37 weeks (17.7%).Conclusions: Robson 10 group classification provides easy way in collecting information about Cesarean section rate which obtains good insight into certain birth groups. It is important that efforts to reduce the overall CS rate should focus on reducing the primary CS rate (group 1 and 2) and on increasing vaginal birth after CS (group 5). The caesarean rate is commonest in group 5 that is previous section (17.7%).

scholarly journals Demographic Profile of Donor Cornea of an Eye Bank in Tertiary Care Hospital in North India- A 9-Year Review

2020 ◽  
Vol 6 (7) ◽  
pp. 485-490
Author(s):  
R S Chauhan ◽  
Chetan Chhikara ◽  
Ashok Rathi ◽  
J P Chugh ◽  
Apoorva Goel ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Donor Cornea ◽  
Eye Bank ◽  
Demographic Profile

A PROSPECTIVE DESCRIPTIVE STUDY OF REFERRED NEONATES ADMITTED TO A TERTIARY CARE CENTER OF NORTH INDIA

2021 ◽  
pp. 219-221
Author(s):  
Divya Mishra ◽  
Arun Kumar Thakur ◽  
Rashmi Kispotta ◽  
Neeraj Neeraj
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Prospective Observational Study ◽  
Care Center ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
North India ◽  
Tertiary Care Centre ◽  
Neonatal Transport ◽  
One Year

Objectives: The Study was conducted with an objective to analyze the important contributors of neonatal mortality and outcome of referred neonates admitted to intensive care unit of a tertiary care centre. Methods: In this prospective observational study conducted over one year period included extramural neonates only. Respiratory and hemodynamic status of all neonates at admission was assessed and outcome was evaluated. Results: At admission 80 % of neonates were hypothermic, hypoxic – 37 %, prolonged capillary lling time (CFT)- 85% and hypoglycemic – 28 %. Sepsis was the most common nal diagnosis followed by birth asphyxia and neonatal jaundice. 39% of neonates had poor outcome whereas 61% had good outcome. Culture positivity was 40 % for at risk neonates for sepsis. Among these, most common organism was klebsiella pneumoniae followed by Staph aureus. Conclusion: This prospective study reveals the need of better neonatal transport facility from labor room to intensive care unit and from periphery to tertiary centers.

scholarly journals Hospital Based Prevalence of SARS-CoV-2 and Clinico-Demographic Profile of COVID-19 Patients: A Study from a Tertiary Care Hospital of North India

2021 ◽  
pp. 126-136
Author(s):  
Anjum Farhana ◽  
Shoaib Khan ◽  
Reyaz Khan ◽  
Umara Amin
Keyword(s):  
Severe Disease ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
North India ◽  
Common Symptom ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
History Of ◽  
One Year

Aims: To find out the prevalence, predominant risk factors and various clinico-demographic variables among patients infected with SARS-CoV-2 during the first year of the pandemic. Study Design: Hospital based, cross sectional study. Place and Duration of Study: Postgraduate department of Microbiology, Government Medical College, Srinagar, and associated hospitals, between March 2020 and March 2021. Methodology: Individuals with acute respiratory infection (ILI and SARI), high risk contacts and asymptomatic close contacts of COVID-19 positive patients, hospitalized patients dated for surgeries, pregnant women near expected date of deliveries, travellers were screened. A confirmed case of Covid-19 was defined as a positive result on real-time RT-PCR assay of nasopharyngeal and or Oropharyngeal swab specimens. A total of 2,17,665 samples were collected and processed over a period of one year. Results: Out of 2,17,665 samples, 61.3% were males and 38.7% were females, overall mean age was 34.3 years. 24,009 (11%) tested positive for SARS-CoV-2 infection, among them 63.5% were males while 36.5% were females, the mean age observed was 35.3 years. Highest positivity was observed in the age group of 30 – 39 years (22%), followed by 20 -29 years (20.4%), 12 (0.1%). Among positive cases, 19.4% had a history of contact with a lab confirmed case of SARS-CoV-2, 4.3% were HCW’s and 2.6% were pregnant females. 929 (3.9%) patients who tested positive had presented with SARI. Fever was the most common symptom (62%), followed by cough (41%) and fatigue was reported by 37% patients. Comorbidities were present in 23.2% patients, of which Hypertension 10.8% was the most common, followed by COPD 4.9% and Diabetes mellitus 4%. Conclusion: As evident from our study, COVID-19 has a high positivity (11%) in our region, with males twice more likely susceptible than females. High percentages (62%) of people were symptomatic at presentation, while severe disease was seen in only 3.9% patients. Early aggressive testing is essential to decrease the morbidity and mortality rates associated with COVID-19.

scholarly journals Influence of acute haemodynamic changes on the oxygen saturation during electro-convulsive therapy

2014 ◽  
Vol 01 (01) ◽  
pp. 046-049 ◽  
Author(s):  
Sonia Bansal ◽  
Rohini Surve ◽  
Kamath Sriganesh ◽  
Jagadisha Tirthalli ◽  
Doddaballapur Subbakrishna ◽  
...  
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Psychiatric Illness ◽  
Seizure Duration ◽  
Convulsive Therapy ◽  
Stimulus Current ◽  
Haemodynamic Changes ◽  
One Year ◽  
Electro Convulsive Therapy ◽  
The Relationship

Abstract Background: Electro-convulsive therapy (ECT) is a safe and effective treatment for various psychiatric disorders. Among the various complications associated with ECT, acute haemodynamic responses and decrease in the oxygen saturation are the most common. The current study is designed to evaluate the relationship between the haemodynamic response and oxygen de-saturation occurring during ECT. Materials and Methods: Patients undergoing modified ECT for their psychiatric illness over a one-year period were prospectively included in this observational study. The following parameters were collected from each patient: Age, body mass index (BMI), doses of thiopentone and suxamethonium, stimulus current, ECT session number, pre-and post-ECT heart rate, systolic, diastolic and mean arterial pressure, seizure duration and pre- and post-ECT oxygen saturation. Results: The incidence of oxygen de-saturation was 27% (139/507 sessions). The change in the heart rate and systolic blood pressure caused by ECT and the BMI of the patient were independently predictive of the change in the oxygen saturation. Conclusions: The current study identified ECT-induced acute haemodynamic changes as independent predictors of severity of oxygen de-saturation.

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