scholarly journals Morbidity patterns in elderly patients attending medicine department of tertiary care center

2017 ◽  
Vol 4 (1) ◽  
pp. 180
Author(s):  
Vinay Kumar ◽  
Pradeep Mital ◽  
Harshith B. ◽  
Premlata Mital ◽  
Akshay Shekhawat ◽  
...  
Keyword(s):  
Health Care Services ◽  
Care Center ◽  
Tertiary Care ◽  
Elderly Persons ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Medicine Department ◽  
Medical College ◽  
Care Services ◽  
High Prevalence

Background: In India, there is a rapid increase in people above 60 years. In Rajasthan, there is increase in population of persons above 60 years from 5.1% of total population in 1961 to 7.2% in 2011. With increase in their number, the illnesses affecting elderly people will also increase. With this background, this study was done to assess the morbidity patterns in elderly population attending Department of Medicine, S.M.S. Medical College, Jaipur, Rajasthan, India.Methods: This was a cross sectional, prospective and observational study done in medicine department. 250 patients of 60 years and above, attending medical OPD or admitted were included. All data collected were entered in Microsoft Excel sheets and analysed statistically.Results: Respiratory diseases (45.6%) were commonest morbidity followed by cataract (36.8%), cardiovascular (34.4%) and hearing impairment (33.2%). Osteoarthritis was seen in 31.2% and anaemia was present in 20.8%. As the age increases chances of getting morbidities were more. The average number of illnesses per morbid person was 1.92.Conclusions: A high prevalence of morbidity among elderly highlights the urgent need to provide geriatric health care services in the developing country like India. Elderly persons should be motivated to undergo regular health check-ups to identify these common problems at earliest.

scholarly journals Maternal Attitude and Knowledge towards Modes of Delivery

2018 ◽  
Vol 16 (2) ◽  
pp. 209-214
Author(s):  
Anshumala Joshi ◽  
Meeta Thapa ◽  
Om Biju Panta
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
College Teaching ◽  
Cross Sectional ◽  
Medical College ◽  
Acceptable Method

Background: Whether a mother should be allowed to choose between the modes of delivery is a matter of concern among practicing obstetricians. This study aims to explore the knowledge of the Nepalese women attending a tertiary care center about the benefits and complications of vaginal and caesarean delivery and their attitude and preference for the method of delivery.Methods: The study was a hospital based cross sectional questionnaire survey conducted in Nepal Medical College teaching Hospital, Jorpati from 1stShrawan 2074 to 31st Ashoj 2074. All pregnant women who were 36 weeks or more in gestation attending the clinic during the study period were included in the study. A questionnaire was made of 10 questions for knowledge assessment regarding mode of delivery consisting of the indications, the possible complications and advantages of vaginal and caesarean delivery. Results: A total of 256 pregnant women participated in the study. The knowledge of the mode of delivery, their benefit and complications was medium to good in approximately 90% of the mothers attending the antenatal OPD. Overall attitude for vaginal delivery was positive in 93% of women and negative or neutral in 6.6%.Overall attitude for caesarean delivery was positive in 24% and negative or neutral in 75.8%.Conclusions: Women in our setup agree that vaginal delivery is a natural and acceptable method of delivery and would prefer to have a vaginal delivery. Keywords: Attitude; knowledge; modes of delivery; women.

scholarly journals PATTERN OF CANCER CASES REGISTERED IN A TERTIARY CARE CENTER IN KATHUA DISTRICT OF J&K: A CROSS SECTIONAL STUDY

2020 ◽  
pp. 1-2
Author(s):  
Deepak Abrol ◽  
Anuj Kapoor ◽  
Pawan Kumar
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Age Group ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Medical College ◽  
Area Distribution ◽  
The Government

Introduction:Cancer is an important public health problem in India, with 10 lakh new cases occurring every year in the year. Cancer pattern varies in different regions and depends on genetic, environmental, dietary, social and other factors. Aim and objectives: This study was undertaken to determine magnitude and pattern of cancer cases reporting in the hospital. Methodology: This was a hospital-based retrospective study undertaken in the Government Medical College Kathua. GMC, Kathua is one among st the ve new medical colleges established in Jammu & Kashmir. The records of cancer patients generated from 1st November 2018 to 1 November 2019 were analyzed. All the cancer cases who reported either for diagnosis in any of the hospital OPD or for the treatment (radiotherapy/ chemotherapy/ surgery) were included. Data was entered in the MS Excel for analysis Results: Out of total 272 patients registered, females accounted for 56.6% and males for 43.3%. Hindu patients were in majority (84.2%). Most of the cases (37.1%) were in the age group 60-80. Pattern of cancer was different in the two sexes. In males, maximum cases were of lung cancer and in females, Ca breast was the most common followed by the cervical cancer Conclusion: This hospital-based study indicates the cancer prole in Kathua district. Females were found to be more affected than that of males with majority of the cases in the late 40s age group. Rural area and urban area distribution was found to be almost similar.

scholarly journals Study of the clinical spectrum of AUB (FIGO AUB Systems) and women’s attitude towards its management at Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India

2020 ◽  
Vol 10 (1) ◽  
pp. 178
Author(s):  
Ruby Kumari ◽  
Lata Shukla Dwivedy ◽  
Sweta Gupta ◽  
Surabhi . ◽  
Madhuri Choudhary ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Age Groups ◽  
Abnormal Uterine Bleeding ◽  
Clinical Spectrum ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Ovulatory Dysfunction

Background: AUB has significant impact on quality of life of women related to health specially in developing countries including India. FIGO AUB systems are universally accepted. Aim was to study the clinical spectrum of AUB according to the FIGO AUB systems and women’s attitude towards its management.Methods: Cross sectional prospective study was carried out in the department of Obstetrics and Gynaecology, ANMMCH, Gaya, a tertiary care center, among women of 15-55 years age groups having complain related to abnormal uterine bleeding, for 1 year from 1st May 2019 to 30th April 2020 on 1000 patients. Data was collected and analyzed by percentage and proportions.Results: Prevalence of AUB was maximum among 15-30 years age group of patients (46.80%). Most of the patients belong to lower (62.5%) class, rural area (68%) and were anaemic (62.5%). Ovulatory dysfunction (55%) was most common cause for AUB, maximum patients choose surgical management (hysterectomy) but after counselling, most of them shifted to medical management.Conclusions: This study suggests more conservative approach for management of AUB and emphasizes the importance of awareness for clinical spectrum of AUB among women so that they can be self-motivated for early treatment and unnecessary hysterectomy can be avoided.

scholarly journals Current Scenario of COVID-19 Related Activities in Tertiary Care Hospital of Gwalior

2020 ◽  
Vol 07 (03) ◽  
pp. 11-15
Author(s):  
Richa Changulani ◽  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Positive Trend ◽  
Care Hospital ◽  
Microsoft Excel ◽  
Medicine Department ◽  
Medical College ◽  
Medical Facilities ◽  
Line Diagram ◽  
Current Scenario

Background: During the COVID-19 period all activities were affected for the worse, including the medical facilities. During this period, all health professionals have put their best efforts for delivery of the best possible health services. This study was framed to access the patient care activities in the COVID scenario. Methodology: The data was collected by the Community Medicine Department, G.R. Medical College, Gwalior from Jaya Arogya Hospital and Super Speciality Hospital [Dedicated COVID Hospital (DCH)] attached to this college. The collected data was analysed on Microsoft Excel worksheet 2007. Half monthly (15 days) data was used from the beginning of the month of May to the end of August 2020 and the change in trends was shown by a line diagram. Result: During the period of May to August 2020, a total of 2921 suspected patients were treated, while confirmed COVID-19 patients were 1005; the total number of tests done at our lab and the number of Swab Samples collected in the hospital were 170715 and 22926 respectively during this period. In general, total OPD, total IPD, and total deliveries done during this period were 111029, 20352, and 2954, respectively. Conclusion: Findings show the positive trend in activities as time progresses depicting clearly the hospital and college trying to perform its best with the support of the competent staff.

Estimation of morbidity profile and outcomes of geriatric indoor patients in medicine wards of tertiary care center of Bundelkhand region - A retrospective study

2021 ◽  
Vol 11 (2) ◽  
pp. 284-288
Author(s):  
Jyoti Tiwari ◽  
Sumit Rawat ◽  
Amit Jain ◽  
Diwashish Biswas
Keyword(s):  
Elderly Population ◽  
Care Center ◽  
Tertiary Care ◽  
Central India ◽  
The Elderly ◽  
Health Care Facilities ◽  
Elderly Persons ◽  
Total N ◽  
Medical College ◽  
Medical Disorders

The elderly population is increasing rapidly globally, and presently, India has the second largest number of elderly persons in the country. Estimates of health disorders of the elderly in developing countries are required to predict trends in disease burden and to plan better health care facilities for the elderly population in the society. To study the profile of medical disorders & outcomes in the elderly patients admitted in the medicine wards of Bundelkhand Govt. Medical College, Sagar, MP. Which is a rural Government medical college of central India. This is a retrospective, observational study design. The study conducted in the indoor patients of Bundelkhand Medical College & Hospital Sagar, MP in the span of 6 months starting from Feb 2019 to July 2019 & total of 970 patients, aged 60- 90yrs were enrolled. The data were obtained from MRD of BMC Sagar & by review of records, data were collected and statistically analysed. Our study has total (n=970), out of which (n=581, 59.9%) were males & (n=389, 41.1%) were females. Mean age of males- 67.6±7.53, Mean age of females-68.4±7.98. Highest patients were in the age group of 60-69yrs (n=590, 60.8%). Among system involvement, Respiratory system (27%), Cardiovascular system (22.3%), GIT (11.4%), Cerebrovascular (7.7%), Genitourinary (5.7%) , Endocrine (5.1%), Infections (4.7%) and cancers (4.1) .In our patients 75.1% were discharged, 7.2% cases of DOR , 6.2% patients were LAMA. Death was in 4.6% and 0.6% cases were referred to higher center. The study shows highest cases of COPD (15.2%) followed by CAD (13.1%), Pulmonary TB (7.6%), Cerebrovascular accidents (6.1%), Hypertension (6.0%), Diabetes mellitus (4.5%), UTI (4.1%) and cancers (4.1%) in the geriatric patients of our study.

PATTERN OF INPATIENT ADMISSION IN PSYCHIATRY WARD AFTER COVID-19 LOCKDOWN AT A TERTIARY CARE CENTER OF ASSAM

2021 ◽  
pp. 71-73
Author(s):  
Suresh Chakravarty ◽  
Porimita Chutia
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Emergency Situation ◽  
Inpatient Admission ◽  
Future Planning ◽  
Cross Sectional ◽  
Medical College ◽  
Duration Of Hospital Stay ◽  
Icd 10 ◽  
Evaluation Of Data

Aim of the study:The aim is to review the admission pattern, demographic prole and clinical characteristics of the patients admitted in Psychiatry ward during the lockdown phase following Covid-19 pandemic. Material and methods: A cross-sectional, observational study was undertaken in the Department of Psychiatry, Gauhati Medical College th rd Hospital, Guwahati, Assam, India for six months extending from 24 March 2020 to 23 September 2020. Data were collected retrospectively from case history sheet and a semi-structured proforma is used to collect the socio-demographic and clinical variables. Diagnosis was made using ICD-10. The analyses of data were done using descriptive statistics. Results:A total of 144 patients were admitted during the study period. Out of total admitted patients maximum were admitted on the third month and least in the month immediately following lockdown. Admission was more in young adults, men and in those from urban locality. More patients were diagnosed in the category F20-29 followed by F30-39, majority were admitted for relapse of previous symptoms and duration of hospital stay was less than 10days for half of the admitted patients. Conclusion:To tackle emergencies during a pandemic, the most crucial step is proper planning. Evaluation of data regarding inpatient admission in a psychiatry ward during pandemic will help in overcoming the discrepancies and guide in future planning for mental health care during any emergency situation.

scholarly journals Pattern of ocular morbidity in patients attending ophthalmic OPD at tertiary care hospital, Valsad, Gujarat

2018 ◽  
Vol 5 (2) ◽  
pp. 569
Author(s):  
Mitali G. Patel ◽  
Darshankumar K. Mahyavanshi ◽  
Sunil Nayak ◽  
Aayushi Patel ◽  
Brijal Patel ◽  
...  
Keyword(s):  
Refractive Error ◽  
Health Care Services ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Research Activity ◽  
Cross Sectional ◽  
Care Services ◽  
Age Related ◽  
Ocular Morbidity

Background: Vision is the most important special sense in human being. Normal vision is essential for normal physical, mental, psychological development and education. Causes of the preventable blindness are often the result of a combination of factors such as poverty, lack of education and inadequate health-care services. The objectives of the study were to determine the pattern of ocular morbidity in patient attending ophthalmic OPD and to find out the association of most common ocular morbidity with different variables. Methods: The cross sectional study was conducted in ophthalmic department at GMERS medical college, Valsad, Gujarat, India. It is a part of the research activity during internship period in Community Medicine department. All patients who attended ophthalmic OPD in third week of April at this hospital were enlisted in this study with their consent. The patients were seen in ophthalmic OPD by ophthalmologist, proper anterior and posterior segment evaluation was done. Data includes registration number, name, gender, education, locality, occupation, H/o systemic illness, refractive error and the diagnosis. Results: In majority of patients attending ophtahlmic OPD were with occular morbidity specifically refractory error and cataract i.e. 54% and 50% respectively. The prevalence of cataract is significantly lesser in <40 years of age, as it is an age related disease. Second most common occular morbidities observed in our study period was conjunctivitis. Cataract has correlation with age, rural locality and female preponderance. Conclusions: Majority of ocular morbidity were either preventable or treatable. Cataract (65 patients out of 130) being the commonest. If detection is early in the course, prevalence of ocular morbidity can be greatly reduced. The leading causes of ocular morbidity in our study were cataract, a conjunctivitis, and refractive error. A large number of OPD patients were constituted by follow up of cataract surgeries. 

scholarly journals An analysis of trends in maternal mortality at a tertiary care teaching hospital of Western Rajasthan, India: a four year retrospective study

2017 ◽  
Vol 4 (3) ◽  
pp. 864
Author(s):  
Neha Agrawal ◽  
Sandeep Kumar Uppadhaya ◽  
Afzal Hakim ◽  
Manish Mittal
Keyword(s):  
Maternal Mortality ◽  
Health Care Services ◽  
Economic Status ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Tertiary Hospital ◽  
College Hospital ◽  
Medical College ◽  
Care Services ◽  
Mortality Ratio

Background: Maternal mortality reflects not only the adequacy of health care services of any country or state but also the standard of living and socio-economic status of the community. India is among those countries, which has a very high maternal mortality ratio; the state of Rajasthan having the third highest maternal mortality in the country. This study was done to assess the maternal mortality in a tertiary hospital situated in Jodhpur, a city in Western Rajasthan where large numbers of patients are referred from rural parts in and around the city.Methods: This study was done to assess the trends in maternal mortality at a tertiary medical college hospital situated in Western Rajasthan. A retrospective hospital based study was carried out in the Obstetrics and Gynaecology Department of Ummaid hospital, Dr S. N. Medical College situated in Jodhpur, Rajasthan, India over a period of 4 years from July 2010 to June 2014.Results: During the study period spanning 4 years, there were in total 84,746 live births with 195 maternal deaths. The mean maternal mortality ratio for the four year period was found to be 230.1 per lakh live births.Conclusions: The maternal mortality was quite high than the national average.

scholarly journals Manual Anesthesia Record Keeping at a Tertiary Care Center: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (244) ◽  
pp. 1262-1266
Author(s):  
Mona Sharma ◽  
Dikshya Karki ◽  
Saurya Dhungel ◽  
Ritika Gautam
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Completion Rate ◽  
Tertiary Care Center ◽  
Sectional Study ◽  
Anesthesia Record ◽  
Cross Sectional ◽  
Record Keeping ◽  
Medical College

Introduction: Intraoperative record form is one of the cardinal parts of anesthesia practices. Ideally, it should contain complete information about patients under anesthesia and intraoperative events. It serves as valuable information for subsequent patient management, research, or during medicolegal conditions. The objective of this study was to assess the practice and completeness of manual intraoperative anesthesia record keeping. Methods: A descriptive cross-sectional study was conducted from May 1 to July 31, 2021, in the postoperative ward of Kathmandu Medical College, which is a multispecialty tertiary care center. Approval from the ethical committee of Kathmandu Medical College Teaching Hospital was obtained (Reference: 2603202105) before conducting the study. Convenience sampling was used. The data were entered in Microsoft Excel and statistical analysis was done using Statistical Package for the Social Sciences version 20. Point estimate was done at 95% Confidence Interval and data present in numbers and percentages. We devised forty-two variables, which included demographics, personal identifiers, intraoperative events, anesthesia and airway management, intraoperative parameters, monitoring and medication.  Results: The overall completion rate was 202 (52.59%) (47.6-57.57 at 95% Confidence Interval). Out of 42 variables, the completion rate of 14 variables was less than 50%. Among those were important parameters such as known allergies 94 (24.4%), Body mass index 50 (13%), intraoperative saturation of oxygen 104 (27%), intraoperative electrocardiogram recording 107 (27.8%), total fluid volume administered 45 (11.7%), patient status on transfer 84 (21.8%) had poor completion rate. Conclusions: Our intraoperative record form shows poor completion rate, which was similar to other studies. many important variables were missing and had incomplete data.

scholarly journals Endodontic Indications among Patients Visiting a Tertiary Care Center: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (240) ◽  
Author(s):  
Deepa Kunwar ◽  
Archana Manandhar ◽  
Gita Gurung ◽  
Jwolan Khadka ◽  
Manisha Nepal
Keyword(s):  
Confidence Interval ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Tertiary Care Center ◽  
Sectional Study ◽  
Cross Sectional ◽  
Posterior Teeth ◽  
Medical College ◽  
Irreversible Pulpitis

Introduction: Endodontics is the study of prevention, diagnosis and treatment of diseases or injuries to the dental pulp. The ultimate goal of modern dental care is tooth preservation and root canal therapy/treatment is an available therapeutic strategy to retain teeth. The aim of the study is to find the prevalence of patients visiting a tertiary care center who had endodontic indications. Methods: A descriptive cross-sectional study was conducted over one year from April 15, 2020, to February 15, 2021 at a tertiary care hospital. The ethical approval was obtained from the Institutional Review Committee of Nobel Medical College (Reference number: 409/2020). Convenience sampling method was used. The patients admitted for alcohol use and related problems in the Psychiatry Department, Nobel Medical College Teaching Hospital, Biratnagar were included. Data entry was done using Microsoft Excel and statistical analysis was done by using Statistical Packages of Social Sciences Version 16.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage. Results: Out of 1740 patients, 516 (29.66%) (95% Confidence Interval= 21.46% - 27.51%) had endodontic indications. Symptomatic irreversible pulpitis 306 (59.30%) was the most prevalent pulpal disease. Maxillary teeth 300 (58.13%) had more endodontic diseases. While in individual dental elements most affected by endodontic diseases was the mandibular molar teeth 149 (28.87%). Females 348 (67.44%) were predominant for demanding endodontic management than males 168 (32.5%). Conclusions: More female patients and of younger age group in this study population demanded endodontic treatment. Irreversible pulpitis was responsible for the majority of the cases treated and more affected were the posterior teeth

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