scholarly journals Erectile dysfunction: prevalence and determinants among T2DM men attending a tertiary care hospital in northern India

2019 ◽  
Vol 6 (4) ◽  
pp. 1115 ◽  
Author(s):  
Raja Langer ◽  
Elias Sharma ◽  
Bhavna Langer ◽  
Rajiv K. Gupta ◽  
Rashmi Kumari ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Diabetic Complications ◽  
Family Income ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Northern India ◽  
Male Patients ◽  
Associated Risk Factors

Background: Erectile dysfunction (ED), though an important complication of T2DM is grossly under reported in this part of the world. The present study aimed to determine the prevalence and associated risk factors of ED in T2DM men in northern India.Methods: A cross-sectional study was conducted from January to August 2018 among male patients with T2DM in the medical OPD of a tertiary care teaching hospital in Jammu. IIEF- international index of erectile function was the tool used in the present study.Results: ED prevalence was 62.08%. Among socio-demographic variables, age was significantly associated with ED (p<0.05) while no association was found with education, occupation and family income. Smoking as a life style and hypertension as a co-morbid condition were significantly associated with ED (p<0.05). Duration of diabetes and type of diabetic complications were also found to be statistically significant.Conclusions: Prevalence of ED in T2DM men was quiet high in this region of India. Preventive interventions, early diagnosis and detection of T2DM along with treatment adherence to prevent diabetic complications is strongly recommended. Further research is recommended to establish temporal causality of ED in T2DM.

SEROPREVALENCE OF HIV, HBV, AND HCV AMONG INDIVIDUALS ATTENDING ICTC OF A TERTIARY CARE HOSPITAL IN NORTHERN INDIA.

2021 ◽  
pp. 14-16
Author(s):  
Seema Aleem ◽  
Anjum Farhana ◽  
Humaira Bashir
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Hcv Rna ◽  
Care Hospital ◽  
Cross Sectional ◽  
Treatment Services ◽  
Northern India ◽  
Relevant Variables ◽  
Hcv Coinfection

Introduction: Hepatitis B and Hepatitis C share common transmission routes with HIV and coinfection with either can lead to adverse clinical outcomes in patients. This study planned to estimate confections with HBV and HCV among HIV positive subjects at a single Integrated Testing and Counselling Center (ICTC) in Kashmir valley. Methods: The study employed a cross-sectional study design from 2017 to 2019. After pretest counselling all subjects underwent HIV testing as per National AIDS Control guidelines. HIV positive subjects were included in this study. Samples of HIV positive subjects were then tested for HBV by ELISA detecting HbsAg whereas HCV was diagnosed by Anti HCV antibodies and HCV-RNA. Data was entered in excel and analyzed using SPSS. Means and percentages were calculated for relevant variables. Results:Atotal of 20070 subjects were tested during the study period of which 34 (0.169%) were HIVpositive. Around 60% positive subjects were males. Co-infection with HBV was detected in 11.7% subjects whereas 8.8% had an HCV coinfection. One subject had coinfection with both HBV and HCV. There was no signicant association of coinfection with gender or age Conclusion:Considering the adverse impact of coinfection on disease course and outcome, screening for HBVand HCVshould be a component in diagnostic workup of all HIVpositive subjects followed by linkage with specialized treatment services

scholarly journals Socio-demographic Characteristics of Extradural Haematoma (EDH) Patients: Expeience of 63 Cases in Bangladesh

2018 ◽  
Vol 15 (2) ◽  
pp. 52-56
Author(s):  
MM Ehsanul Haque ◽  
Shamima Sultana ◽  
Md Saiful Alam ◽  
Kamalesh Saha ◽  
Wahida Begum
Keyword(s):  
Head Injury ◽  
Tertiary Care ◽  
Young Male ◽  
Cross Sectional Study ◽  
Intracerebral Haematoma ◽  
Extradural Haematoma ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Male Patients

Banckgroud: Extradural haematoma can occur due to head injury to different group of people.Objectives: The purpose of the present study was to see the socio-demographihc characteristics of extradural haemorrahge (EDH) patients attended at a tertiary care hospital Dhaka city.Methodology: This cross-sectional study was carried out in the Department of Neurosurgery at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2001 to July 2003 for a period of two (2) years. Patients with  the history of head  trauma admitted in Neurosurgery unit of  Dhaka Medical College and Hospital which were being diagnosed as EDH both clinically and radiologically were included as study population. Head injury patient with subdural haematoma, intracerebral haematoma, EDH associated with ASDH or  ICH were excluded form this study. The diagnosis of EDH was made by clinically and by non contrast CT-scan in all patients. The details of socio-demographihc chacteristics among the patients were recorded.Result: A total 63 patients were  included. In this study maximum patients were in the age group 21 to 30 years which was 26(41.3%) cases. The ratio between male and female was 14.75:1. Among 59 male patients, 15(25.4%) cases were pedestrian; 10(16.9%) cases were driver or helper; 14(23.7%) cases were passenger; 13(22.0%) cases were labourer and 7(11.8%) caseswere rickshaw puller. Among  female out of 4 patients, 2 (3.1%) were garment workers , 2(3.1%) were house wife. Majority were poor socio-ecnomic condition which was 41(65.1%) cases followed by middle and high which were 17(27.0%) and 5(7.9%) cases respectively.Conclusion:  In conclusion young male patients coming from poor socio-economic condtion are the most common acute extra dural haemorrahge patients.Journal of Science Foundation, July 2017;15(2):52-56

scholarly journals Study Of Prevalence Of Anxiety And its Contributing Factors Among Patients Undergoing Surgery In a Tertiary Care Hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 59-65
Author(s):  
S. Subedi ◽  
K. Paudel ◽  
M. Koirala ◽  
P. Chhetri
Keyword(s):  
Health Care Providers ◽  
Family Income ◽  
Elective Surgery ◽  
Operative Procedure ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Care Providers ◽  
Contributing Factors ◽  
Cross Sectional

Introduction: Anxiety is a vague, uneasy feeling, the source of which is often non-specific but known to cause abnormal hemodynamic changes as a consequence of sympathetic, parasympathetic and endocrine stimulation. Most patients awaiting elective surgery experience anxiety. The degree, to which patient develops anxiety depends on many factors like age, gender, type and extent of the proposed surgery, previous surgical experience, and personal susceptibility to stressful situations. This study was conducted to find out the prevalence of preoperative anxiety and factors contributing to it. Material and Method: This is a cross-sectional study done among 74 pre-operative patients admitted the day before elective surgery in Department Of Surgery Universal College Of Medical Sciences Teaching Hospital, Bhairahawa. Socio-demographic as well contributing factor questionnaire, semi structured pro forma by interview method and Beck Anxiety Inventory Scale (BAI) Nepali Version were used to collect the data. Results: The findings of the study revealed that 90.54%, had very low level of anxiety and 2.70% of patients had severe pre-operative anxiety. The bivariate logistic regression analysis showed statistically significant association between family income (p= 0.004, AOR=2.03, CI= 0.009-2.567), family support (p< 0.001, AOR= 2.34, CI= 0.003-3.368), expected duration of hospital stay (p= 0.049, AOR=8.889, CI= 78.051-78.051), clarity on given information by health care providers (p< 0.001, AOR= 53.33, CI=7.165-396.99), staffs friendliness (p< 0.001, AOR= 21.01, CI= 3.450-127.82), fear of nil per oral (p= 0.015, AOR= 2.32, CI= 0.26-3.67) and level of pre-operative anxiety. Conclusion: It is concluded that varying degree of pre-operative anxiety were found in patients undergoing surgery. Providing adequate information about Peri-Operative procedure can help in reducing these anxiety.

scholarly journals Frequency of Congenital Anomalies in Newborns and Its Relation to Maternal Health in a Tertiary Care Hospital in Peshawar, Pakistan

2015 ◽  
Vol 3 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Adnan Khan ◽  
Muhammad Zuhaid ◽  
Maria Fayaz ◽  
Faryal Ali ◽  
Arsalan Khan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Folic Acid ◽  
Congenital Anomalies ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Specific Patient ◽  
Neonatal Deaths ◽  
Associated Risk Factors

Background: Congenital anomalies are a major cause of perinatal and neonatal deaths, both in low- and high-income countries. They are relatively common worldwide, affecting 3% to 5% of live births. Methods: A cross-sectional study was conducted from January 2014 to June 2014 at the Khyber teaching hospital in Peshawar. Specific patient information was obtained from patient records at the beginning of the study. Those individuals found to have at least one birth defect were approached and their attendants (mothers) were interviewed. Information regarding various risk factors was collected. Descriptive analyses were carried out. Results: Out of 1062 deliveries, 2.9% (31) of newborns had various congenital anomalies.b Hydrocephalus (22.6%), anencephaly (12.9%), and spina bifida (9.7%) were major anomalies. The maternal age ranged from 18 years to 46 years (mean: 30 ± 8). Most of the anomalies (35.5%) were present in the 26-30 years age group. Out of 31 babies, 6.4% had multiple anomalies. The preponderance of various congenital anomalies was seen in parity 1 (35.4%); parities 2 to 4 had lower incidences (35.4%). The consanguinity rate was 67.7%; only 32.3% of patients were using folic acid. History of passive smoking was positive in 16.1% of cases. Conclusion: Anencephaly and hydrocephalus were the most prominent anomaly detected; early prenatal diagnosis may be helpful in decreasing mortality by offering early termination. Low intake of folic acid and a high consanguinity rate were the most common associated risk factors for congenital anomalies. These risk factors may be reduced by creating awareness regarding the avoidance of consanguineous marriage and promoting the use of folic acid during pregnancy.

Prevalence, Knowledge and Risk Factors for Postpartum Depression in Western Nepal - A Cross-Sectional Study

2021 ◽  
Vol 3 (1) ◽  
pp. 18-23
Author(s):  
Sapana Karki ◽  
Shila Gurung
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Tertiary Care ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Associated Risk Factors

Background: Postpartum depression(PPD)can be defined as non-psychotic depression occurring within a year after childbirth, characterized by low mood, unusual thoughts, feeling of guilt, unexplained anxiety, worthlessness, and other depressive symptoms. Objective: This study aims to assess the prevalence, knowledge and risk factors of postpartum disorder. Methods: A cross-sectional descriptive study was conducted among 217 postpartum mothers in the outpatient department of psychiatry of a tertiary care hospital using the Edinburgh postnatal depression scale(EPDS). All the patients enrolled were directly interviewed using a structured questionnaire to identify the associated risk factors of postpartum depression. The data collected were checked for validity and analyzed using S.P.S. version 16.0. Results: Out of 217 patients, five women were found to have an EPDS(Edinburgh postnatal depression scale) score greater than 10. The prevalence of postpartum depression was found to be 2.3%.Upon evaluation of knowledge about postpartum depression, 90.3% of women were found to have a poor level of knowledge and 8.8% had a good knowledge level. The statistically significant factors associated with postpartum depression were the lack of support from family and partners (p<0.005). Conclusion: There was a comparatively low prevalence of P.P.D. in Western Nepal. Majority of the mothers (90.3%) were found not aware of P.P.D. The present study concluded on the need for educational intervention among the mothers regarding P.P.D. in Western Nepal.

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