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 The Pattern of Ocular Morbidity, Findings from a Study Conducted in Western Remote Hilly Region of Nepal

1970 ◽  
Vol 1 (1) ◽  
pp. 35-38 ◽  
Author(s):  
P Bastola
Keyword(s):  
Refractive Error ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Ocular Allergy ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Dry Eyes ◽  
Age Related ◽  
Hilly Region ◽  
Ocular Morbidity

Background: There is a lack of study in the pattern of ocular morbidity in western hilly region of Nepal. Therefore a study was carried out to find out the pattern of ocular morbidity, in various age groups in a diagnostic, screening and treatment camp (DST) held in a western hilly remote region of Nepal. Methods: A descriptive, cross sectional study was done to find out the pattern of ocular morbidity in a western hilly region of Nepal. All the cases included in the study were examined thoroughly from Ophthalmological perspective and a diagnosis was made. Patients needing treatment both medical as well as surgical were advised accordingly and referred when indicated. Results: A total of 712 eyes of 356 cases were examined in this study. The range of the age varied from two months of life to 91 yrs of age. Age wise most number of cases were in the school going age group accounting for almost 80% of all the cases. The commonest ocular morbidity encountered were refractive error (15.4%), dry eyes, ocular allergy, followed by cataract. Majority of the cases had both dry eyes and ocular allergy. While 70 eyes of 35 patients had no ocular morbidity. Conclusion: The lower prevalence of age related cataract was due to the extensive cataract surgical coverage provided in the region by various organizations and because of lesser number of cases examined above the age of 40 years. Finding of just three cases of Xerophthalmia (X2B), pointed out towards the success of extensive Vitamin A supplement program run by the ministry of health. Keywords: Refractive error; dry eyes; ocular allergy; cataract DOI: http://dx.doi.org/10.3126/njms.v1i1.5795   Nepal Journal of Medical Sciences. 2012; 1(1): 35-38

scholarly journals Maternal outcomes among emergency obstetric admissions at a tertiary care teaching hospital in Chitradurga, South India

2018 ◽  
Vol 7 (12) ◽  
pp. 4906 ◽  
Author(s):  
Anju Arpana ◽  
Rashmi B. M. ◽  
Latha V.
Keyword(s):  
Rural Areas ◽  
Health Care Services ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Emergency Admissions ◽  
Risk Pregnancy ◽  
Obstetric Emergencies

Background: The maternal mortality is a vital index of the quality and efficiency of obstetric services prevailing in a country. The obstetric emergencies are unexpected occurrences during pregnancy or puerperium requiring immediate attention. Obstetric emergencies can either happen suddenly or they can develop as a result of complications that are not properly identified, monitored or managed. These emergencies, to a large extent, are preventable. The purpose of this study was to understand the contributing factors of obstetric emergencies, their clinical presentation, management and maternal outcomes.Methods: A cross sectional study was conducted among obstetric emergency admissions during October 2016 to September 2017, at a tertiary care hospital in urban area of central Karnataka.Results: A total of 100 emergency admissions were observed in the study period. A 41% of were un-booked antenatal cases. A 13% of patients reached with the longest delay of 10-12 hours duration. A 31% of emergency admissions were in compromised condition. The majority of the cases were delivered by LSCS (55%).Conclusions: In the study, nearly half of the pregnancies were unbooked. There were teenage pregnancies reported in the study. More than half of obstetric emergencies were from rural areas. In nearly 50% of admissions a delay of more than 5 hours in reaching this hospital was noted. Ignorance was a major factor which impeded the access of antenatal health care services. Health education to pregnant women about importance of accessing maternal health services, early ANC booking and regular checkups, identification of high-risk pregnancy and timely referral, availability of fully functional first referral units and transport facilities for these emergency patients. Availability of skilled medical professionals round the clock in these FRU’s are the need of the hour.

scholarly journals Magnitude of refractive errors in children in tertiary care hospital of western Nepal

2020 ◽  
Vol 10 (2) ◽  
pp. 54-58
Author(s):  
Srijana Thapa Godar
Keyword(s):  
Family History ◽  
Refractive Error ◽  
Tertiary Care ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Low Grade ◽  
Refractive Errors ◽  
Care Hospital ◽  
Cross Sectional ◽  
History Of

Background: Refractive error is one of the most common causes of the visual impairment and second leading cause of treatable blindness. The objective of the study was to determine the mag­nitude of refractive errors in children. Methods: This was a hospital based cross-sectional study conducted on 254 children attending Ophthalmology OPD of Manipal Teaching Hospital, Pokhara. The children whose visual acuity was worse than 6/6 but improved with pinhole were included in this study. Vision test, retinoscopy and subjective refraction was done in all subjects and cycloplegic refraction was done when needed. Statistical analysis was carried out using Epi-info version 7. Results: The commonest type of refractive error was astigmatism (46.06%) followed by myopia (42.31%). Majority of children had low grade of refractive errors (46.85%). Among the children, “with the rule astigmatism” was maximum (27.56%). Majority of children were in the age between 11 to 15 years (77.95%). The refractive error was seen more in female (63.78%). Among the chil­dren of refractive errors, 29.13% had family history, 33.46% had given the history of wearing spec­tacles and 10.24% children had amblyopia. There was statistically significant association between refractive errors and age groups, history of wearing spectacles, amblyopia and grading of refractive errors. However, there was no statistically significant association of refractive error with gender, residence and family history. Conclusions: Astigmatism was the common type of refractive error followed by myopia. This study emphasizes the importance of detection of refractive error in children.

scholarly journals Ocular Morbidity among Paediatric Age Group Population Attending at a Tertiary Care Hospital: A Cross Sectional Study

2021 ◽  
Vol 8 (5) ◽  
pp. 116-119
Author(s):  
Mehul Sanghavi
Keyword(s):  
Ocular Trauma ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Sectional Study ◽  
Development Education ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
Ocular Morbidity

Background: Ocular morbidities in children can have a serious impact on development; education and quality of life in children hence require prompt attention. This study was conducted with an objective to determine the pattern of ocular morbidity. Materials & Methods: This cross sectional study was conducted at the Vedantaa Institute of Medical Sciences, Palghar between February 2021 to April 2021 were involving 55 children. Data were tabulated in Microsoft Excel and analysed by SPSS version 23.0. All children who attended the Outpatient department of Ophthalmology during the study period were included and children whose parents did not give consents for examinations were excluded. Results: The most common ocular morbidity encountered was refractive errors (30.9%) followed by Conjunctivitis (20.0%) and ocular trauma (9.1%) in the age group of 10 - 15 years. Conclusion: Majority of ocular morbidities are preventable or treatable with proper use of eye care facilities is the need of the hour. Keywords: Ocular Trauma, Morbidity, Refractive Error, Conjunctivitis.

scholarly journals A study on medication adherence, medication related challenges faced and coping strategies adopted by visually impaired subjects in a tertiary care hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 2323 ◽  
Author(s):  
Apoorva R. ◽  
K. Vasundara ◽  
Umadevi R. S.
Keyword(s):  
Medication Adherence ◽  
Coping Strategies ◽  
Visually Impaired ◽  
Health Care Services ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Substantial Impact ◽  
Care Services ◽  
Related Quality

Background: Visual impairment poses a significant threat to proper medication practice leading to medication related challenges and some adopted self coping strategies with substantial impact on medication adherence. Visually impaired are potentially more likely to have unsafe medicine related practice which by itself is more rampant in general population. Studies related to them are largely unexplored and can provide data to improve disease management and health related quality of life. Objectives was to study the level of medication adherence, medication related challenges and self adopted coping strategies in visually impaired people.Methods: A cross sectional descriptive study enrolling 204 subjects with VI was done. Medication adherence was assessed using MMAS. Medication related challenges and self-adopted coping strategies was assessed by using pre-validated semi-structured questionnaire.Results: Majority of the subjects showed medium medication adherence with forgetfulness to take medicine as the main reason for non adherence. Difficulty in remembering the instructions, spilling of liquid medicine, taking wrong dose, difficulty in using topical medications were the most common challenges faced by them in daily drug administration. To overcome challenges locating the drugs at different places, finger felt volume for liquid medication, textural feeling of the drug or container, time tracking were the major self adopted coping strategies by the visually impaired subjects.Conclusions: Creating awareness of the medication related problem faced by visually impaired helps to provide adequate assistance to medication use and improve proper health care services in them.

scholarly journals Health Care Network: Maternal perception regarding the quality of care to children with microcephaly

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Daniel Batista Conceição dos Santos ◽  
Elaine Ferreira da Silva ◽  
Sonia Oliveira Lima ◽  
Francisco Prado Reis ◽  
Cristiane da Costa Cunha Oliveira
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Tertiary Care ◽  
Congenital Infection ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Network ◽  
Care Services ◽  
Health Care Network

Abstract Objective: To identify the perception of primary caregivers on the quality of the Health Care Network of children with microcephaly related to congenital infection. Methods: A cross-sectional study carried out from October 2017 to April 2018. Results: The 105 participants assessed the health of their children as reasonable (56.1%). The level of care which got the highest percentage - 57 (54.3%) - of participants' dissatisfaction was of Primary Health Care (p=0.0216). Most of the specialties of secondary health care services were classified as poor/very poor, regarding the quality of the consultation at the secondary level (p<0.05). For the majority - 61 (58%) - of the mothers, regarding this level of attention, the items waiting time and appointment scheduling were evaluated as excellent/good (p<0.05). Conclusion and implications for practice: There is dissatisfaction among mothers considering the quality of services provided by the health care network for children with microcephaly, mainly in primary care. There was easiness in the access to Secondary Care, and little use of Tertiary Care services. It is urgent to elaborate policies that better disseminate humanization and facilitate the accessibility to multiprofessional care for those children.

scholarly journals Trends of Hospital Care Services During COVID-19 Pandemic in a Tertiary Care Hospital at Province 5

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 36-39
Author(s):  
Basant Lamichhane
Keyword(s):  
Health Services ◽  
Health System ◽  
Hospital Care ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Care Services ◽  
Resource Limited ◽  
Important Health

Introduction:  Health systems all around the globe have greatly been affected by the increasing demand for care of people with COVID-19. A well-prepared health system should have the capacity to maintain equitable essential health services in any pandemic or emergency. In this current scenario, this study aims to study the trends of hospital care services in one of the remote tertiary hospitals of province 5. The aim of the study was to assess the trends of various important health services along with the onset of the COVID-19 pandemic.  Methods: A cross-sectional study was conducted in which data of the number of OPD cases, emergency cases, inpatients, deliveries, number of surgeries (major and minor), and the number of USG services were collected. Data of seven months prior to the onset of pandemic (August 15th, 2019 to March 15th, 2020) were compared with data of seven months following the onset of the pandemic (March 16th to October 16th, 2020) were recorded, compared, and plotted. Results:  In regard to inpatients, there was an increment of 47.57%, the number of emergency cases increment by 41.90%, and the number of delivery increments by 94.70% was detected compared to seven months’ data prior to the onset of the pandemic.  On the other hand, a reduction in total OPD, total number of surgeries, and USG by 32.7 %, 13.04%, 5.26 % respectively were detected. Looking through the trend, there was a decline in the number of OPD visits, inpatient cases, and emergency cases initially for three months (March-May) following the onset of the pandemic but along with an upsurge of the COVID pandemic, there was a marked increase in these services. Conclusions: The depiction of such trends of seeking and use of health services in resource-limited tertiary centers during this pandemic reflects the need of strengthening the overall health system. It also emphasizes the importance of the need of addressing non-COVID services during a pandemic, which was greatly affected by COVID-19.

scholarly journals Evaluation of self medication practices in common illness among non health care professionals in a tertiary care hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 2311
Author(s):  
Jyothsna Guduru ◽  
T. Rohit Singh ◽  
Somnath Motgi ◽  
Jamuna Rani
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
World Health ◽  
Care Hospital ◽  
Self Medication ◽  
Cross Sectional

Background: Many studies have investigated the prevalence of self medication practices. World health organization promotes the practice of self medication for relief of symptoms without medical consultation to reduce the burden on health care services. Majority of the individuals in developing country like India have poor knowledge about appropriate use of self mediction, but still they practice taking it without knowing the benefits and risk factors.Methods: The present study was a cross sectional study aimed to gather information about prevalence of self medication in common illness among non health care professionals in a tertiary care hospital. The sample size comprised of 215 participants. Data was collected through an open ended semi structured questionnaire. All the descriptive data was coded, entered in micro soft excel and analysed with frequencies and proportions.Results: The prevelance of self medication was found to be 96%. Near about 30% of participants got information from pharmacist regarding self medication. 27% participants followed allopathy medicine.16% participants used becosules and mucaine gel for mouth and throat ulcers.26% participants used D-cold total for cough and cold.15% participants used dolo 650mg for fever and headache.41.7% participants used ciprofloxacin for ear and eye infections.26.6% participants used gelusil for GI infection .25.7% participants used calamine lotion for skin infections and 48% participants used turmeric for other minor ailments as self medication medicines.Conclusions: As the prevalence of self medication is high among educated participants. The present study suggest the growing trend of self medication has to be prevented by applying strong policies and prohibiting the supply of medicines without a valid prescription.

scholarly journals Ocular Morbidity among Patients Visiting the Department of Ophthalmology during the Coronavirus Disease 2021 Pandemic at a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (244) ◽  
pp. 1219-1224
Author(s):  
Pradeep Bastola ◽  
Polina Dahal
Keyword(s):  
Confidence Interval ◽  
Binary Data ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
Ocular Morbidity

Introduction: Due to the ongoing coronavirus disease 2021 pandemic and lockdown, eye care services have been compromised globally. The magnitude of ocular diseases across all populations in Nepal are few and far between and rare during this pandemic. This study was aimed to find out the prevalence of ocular morbidity among patients visiting the department of Ophthalmology of a tertiary care hospital during the pandemic. Methods: A descriptive cross-sectional study was conducted among the patients visiting thedepartment of Ophthalmology of a tertiary care hospital from 18 August 2021 to 30 September 2021. Ethical clearance was taken from the Institutional Review Committee (Reference: 078/079-023). Convenience sampling was done. Basic demographic data, clinical characteristics, visual status and prevalence of ocular morbidities were noted. Data entry was done using Statistical Package for the Social Sciences version 26. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 650 study subjects examined, 454 (69.8%) (66-73.0 at 95% Confidence Interval) study subjects had at least one ocular morbidity in at least one eye. Refractive error 153 (33.7%) was the commonest ocular morbidity followed by headache 52 (11.5%), dry eyes 50 (11%), non-communicable diseases related ocular morbidity 41 (9%), and age related cataract 37 (8.1%). Conclusions: The prevalence of ocular morbidity in our study was higher than findings from other similar studies done at national and international levels, though the causes of ocular morbidity was similar.

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