Clinico-epidemiological profile of eclampsia patients admitted in an urban tertiary care hospital of West Bengal: a record based study

Background: Eclampsia is a multi–system disorder with complex pathogenesis, causing 12% of global maternal deaths. It is a major public health problem specially in developing countries, contributing to maternal and perinatal morbidity as well as mortality. Majority of them are preventable if managed timely, promptly and with expertise. The objectives of the study were to identify the incidence of eclampsia in R G Kar Medical College and Hospital as well to identify the determinants of feto-maternal outcome.Methods: A retrospective, record-based cross-sectional study was conducted in an urban tertiary care teaching hospital. There were 354 pregnant women with eclampsia admitted and delivered during the study period which was 1st January-31st December’2015. Complete enumeration was done to get the sample for the study. Data were retrieved from eclampsia registers and log books of delivery kept in the labour room and hospital record section. After wards it was analysed with the help of SPSS 20.0 version to get different inferential statistics.Results: Incidence of eclampsia in that hospital in 2015 was18.4/1000 deliveries. Almost 72% patients had ante-partum eclampsia and rest had post-partum eclampsia. Emergency caesarean section was the most common (62.14%) mode of delivery. Perinatal mortality was found in 5.6% of the eclampsia patients. Majority (65%) of the babies delivered belonged to low birth weight. Muslim patients and the patients of gestational age more than 36 weeks had unfavourable outcome.Conclusions: There is need to educate and encourage the general public for antenatal care and institutional delivery. Along with this the socio-economic, cultural and educational status are to be uplifted for the improvement of the present scenario regarding eclampsia in our country.

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Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20181508 ◽

2018 ◽

Vol 5 (3) ◽

pp. 888

Author(s):

Abhijit Kherde ◽

Chaitanya R. Patil ◽

Jyotsna Deshmukh ◽

Prithvi B. Petkar

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Composite Index ◽

Public Health Problem ◽

Cross Sectional Study ◽

Study Data ◽

Care Hospital ◽

Global Public Health ◽

Cross Sectional

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

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Knowledge, Attitude and Practice regarding Tuberculosis among Diabetic Patients

BIRDEM Medical Journal ◽

10.3329/birdem.v7i2.32450 ◽

2017 ◽

Vol 7 (2) ◽

pp. 127-131

Author(s):

Md Delwar Hossain ◽

Farhana Afroz ◽

Jamal Uddin Ahmed ◽

Md Kamrul Amin ◽

Sharif Mohammad Ruhul Quddus ◽

...

Keyword(s):

Tertiary Care ◽

Public Health Problem ◽

Educational Status ◽

Income Group ◽

Current Status ◽

Diabetic Patients ◽

Major Public Health Problem ◽

Care Hospital ◽

Health Seeking ◽

Cross Sectional

Background: Tuberculosis (TB) is a major public health problem in Bangladesh. This study aimed to evaluate the current status of the knowledge, attitude, and health-seeking practice regarding TB amongst diabetic patients.Methods: This cross-sectional study was done in the Pulmonology OPD of Department of Internal Medicine, BIRDEM, 750 bedded Specialized Diabetic Tertiary Care hospital, Dhaka, Bangladesh from January to December 2015.Results: Out of 420 subjects (mean ±SD, age 51±12 years), 51% were male. Regarding educational status, 42% had primary and 34% had secondary education, while 12% graduated and 12% never attended school. More than half of the subjects belonged to the lower-middle income group. The proportion of poor, average and good score for knowledge were 19%, 66% and 15%, attitude 6%, 42% and 52% and for practice 11%, 82% and 7% respectively.Conclusion: Co-ordinated educational campaign with prioritized focus for poorer and less educated people needs to be considered for reducing tuberculosis transmission and better outcome with special attention to diabetic population.Birdem Med J 2017; 7(2): 127-131

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Frequency and Associated Factors for Anxiety and Depression in Pregnant Women: A Hospital-Based Cross-Sectional Study

The Scientific World JOURNAL ◽

10.1100/2012/653098 ◽

2012 ◽

Vol 2012 ◽

pp. 1-9 ◽

Cited By ~ 24

Author(s):

Niloufer S. Ali ◽

Iqbal S. Azam ◽

Badar S. Ali ◽

Ghurnata Tabbusum ◽

Sana S. Moin

Keyword(s):

Pregnant Women ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Clinical Psychologist ◽

Major Public Health Problem ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Antepartum anxiety and/or depression is a major public health problem globally. The aim of this study was to estimate the frequency of antepartum anxiety and/or depression among pregnant women. This was a cross-sectional study conducted in a tertiary care hospital among pregnant women. A total of 165 pregnant women were interviewed by a clinical psychologist using HADS for assessing anxiety and/or depression and also collected information regarding sociodemographic, obstetric, family relationships, and home environment. Out of the total of 165 pregnant women about 70 percent of them were either anxious and/or depressed. The increasing age of women (P-value=0.073), not having any live birth (P-value=0.036), adverse pregnancy outcome in past including death of a child, stillbirth or abortion (P-value=0.013), participant’s role in household decision making (P-value=0.013), and domestic violence (verbal or physical abuse towards mother or children by any family member) (P-value=0.123). Our study highlights that anxiety and/or depression is quite common among pregnant women. Therefore, there is a need to incorporate screening for anxiety and depression in the existing antenatal programs and development of strategies to provide practical support to those identified.

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Profile of dog bite cases reporting to ARV OPD of a tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194022 ◽

2019 ◽

Vol 6 (9) ◽

pp. 4088

Author(s):

Saurabha Urmi Subramanya ◽

Ravindra S. Kembhavi

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Sampling Technique ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Care Hospital ◽

Age Group ◽

Dog Bite ◽

Cross Sectional

Background: Animal bites pose a major public health problem in children and adults worldwide. Rabies is a viral zoonosis caused by bite of a rabid dog that occurs in >100 countries and territories. India accounts for 60% of all the world burden of rabies related deaths. The objective of the present study is to analyse the profile of dog bite victims reporting to ARV OPD of a tertiary care hospital.Methods: This was a cross-sectional study conducted in the ARV OPD of a tertiary care hospital. A total of 228 victims of dog bite were interviewed. They were selected using systematic random sampling technique. Analysis of data obtained was done using SPSS.Results: Majority of the participants belonged to the age group 20-30 years. The proportion of male was higher than female. Most of the victims had suffered category II type of dog bite (66.2%). A statistically significant association was seen between age group and nature of dog bite, sex of victim and type of dog, type of dog and category of dog bite and the category of bite and history of dog biting other individuals.Conclusions: The burden of dog bite seems to be borne by the economically productive age group. All individuals need to be educated on how to behave around animals so that they can avoid animal bite.

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Frequency of factors leading to acute renal failure in obstetric patients.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.06.4204 ◽

2021 ◽

Vol 28 (05) ◽

pp. 640-646

Author(s):

Shaheena Zafar ◽

Riffat Jaleeel ◽

Kouser Karim Lodhani

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Serum Creatinine ◽

Placental Abruption ◽

Post Partum ◽

Common Factor ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional

Objective: To determine the frequency of factors leading to acute renal failure in obstetric patients. Study Design: Cross Sectional study. Setting: Department of Obstetrics and Gynecology, Civil Hospital Karachi, Tertiary Care Hospital. Period: July 2015- Jan 2016. Material & Methods: Total 250 women during pregnancy and within 42 days after delivery who were diagnosed as ARF were included. Serum creatinine was done on admission and then after 24 hours of delievery. Those with urine output < 30ml / hour and serum creatinine > 1.5 mg / dl were recruited. All data was recorded on proforma. Results: The average age of the women was 29.36±5.87 years. Post-partum hemorrhage was the important and common factor i.e. 40.4%, followed by placental abruption 25.6%, Severe pre-eclampsia 18.4%, puerperal sepsis 8.4% and eclampsia 7.2%. Conclusion: Ante partum hemorrhage like placental abruption, eclampsia and preeclampsia, and postpartum hemorrhages’ are the major causes of obstetrical ARF. Good antenatal care and provision of universal health facility can prevent this dangerous condition. Though it is a treatable and curable complication, but if not diagnosed and treated timely, it can lead to significant maternal morbidity and mortality.

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Knowledge in palliative care of nursing professionals at a Spanish hospital

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1610.2847 ◽

2017 ◽

Vol 25 (0) ◽

Cited By ~ 8

Author(s):

Elena Chover-Sierra ◽

Antonio Martínez-Sabater ◽

Yolanda Lapeña-Moñux

Keyword(s):

Palliative Care ◽

Basic Education ◽

Statistical Significance ◽

Descriptive Analysis ◽

Tertiary Care ◽

Educational Background ◽

Cross Sectional Study ◽

Study Data ◽

Care Hospital ◽

Cross Sectional

Resume Objective: to determine the level of knowledge in palliative care of nursing staff at a Spanish tertiary care hospital. Method: descriptive, cross-sectional study. Data were collected about the results of the Spanish version of the Palliative Care Quiz for Nurses (PCQN), sociodemographic aspects, education level and experience in the field of palliative care. Univariate and bivariate descriptive analysis was applied. Statistical significance was set at p < 0.05 in all cases. Results: 159 professionals participated (mean age 39.51 years ± 10.25, with 13.96 years ± 10.79 of professional experience) 54.7% possessed experience in palliative care and 64.2% educational background (mainly basic education). The mean percentage of hits on the quiz was 54%, with statistically significant differences in function of the participants’ education and experience in palliative care. Conclusions: although the participants show sufficient knowledge on palliative care, they would benefit from a specific training program, in function of the mistaken concepts identified through the quiz, which showed to be a useful tool to diagnose professionals’ educational needs in palliative care.

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“A STUDY OF MICROALBUMINURIA IN NON DIABETIC HYPERTENSIVE PATIENTS”

10.36106/ijar/6200318 ◽

2020 ◽

pp. 1-3

Author(s):

Anup Latne ◽

Prabhakar Jirvankar

Keyword(s):

Cardiovascular Risk ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Low Grade ◽

Major Public Health Problem ◽

Sectional Study ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Hypertensive Patients

Hypertension is a major public health problem all over the world. The incidence of hypertension is increasing year after year and the prevalence of hypertension is increasing day by day due to increased life expectancy and aging population and their sedentary lifestyle. Hypertension is known to cause microvascular changes and increased cardiovascular risk from it. Microalbuminuria possibly reflects a state of increased renal endothelial permeability and is an easily measured marker of rather diffuse endothelial dysfunction, low grade inflammation and vascular disease burden2. Microalbuminuria has been determined as an important prognostic indicator and has been reported to be associated with increased cardiovascular risk and progressive renal damage. Reliable data on the prevalence of microalbuminuria in the general population and its association with cardiovascular risk factors is limited. Till now, there is little data available regarding screening and early treatment of hypertensive patients with microalbuminuria, as in the case of microalbuminuric non diabetic subjects. With these perspective this cross sectional study of microalbuminuria in non-diabetic hypertensive patients was undertaken to study prevalence of microalbuminuria in Non Diabetic hypertensive patients. Objectives: To determine the prevalence of microalbuminuria in non-diabetic hypertensive patients and to correlate the presence of microalbuminuria with the patients of different clinical profiles. Materials and Methods: This was observational, cross sectional study of Patients diagnosed with hypertension either admitted in ward or attending OPD of Medical College and Tertiary Care Centre. Urine microalbumin creatinine ratio was used for estimation of microalbuminuria. Conclusion: It was proved that microalbuminuria prevalence was directly proportional to the duration of hypertension, the stage of hypertension. Prevalence of microalbuminria was low in ACE inhibitor and ARB treated hypertensive patients.

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Feto-maternal outcome in pregnancy beyond 40 weeks

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170375 ◽

2017 ◽

Vol 6 (2) ◽

pp. 527 ◽

Cited By ~ 1

Author(s):

Paras V. Dobariya ◽

Parul T. Shah ◽

Hina K. Ganatra

Keyword(s):

Tertiary Care ◽

Mode Of Delivery ◽

Fetal Distress ◽

First Trimester ◽

Cross Sectional Study ◽

Care Hospital ◽

Perinatal Morbidity ◽

Maternal Complications ◽

Cross Sectional ◽

In Pregnancy

Background: Fetal, Neonatal and Maternal complications associated with pregnancy beyond 40 weeks have always been underestimated. However emerging evidence demonstrates that the incidence of complications increases after 40 weeks of gestation. The present study conducted to find out the fetomaternal outcome of such prolonged pregnancy.Methods: A prospective cross sectional study of 84 patients with uncomplicated prolonged pregnancy fulfilling the inclusion and exclusion criteria and admitted in department of obstetrics and gynecology at a tertiary care hospital. The aim of the study was to know fetomaternal outcome in pregnancy beyond 40 weeks in consideration of spontaneous and induced labour.Results: Out of 84 patients, 58 (69.05%) were in the age group of 20-30 years, 44 (52.38%) were between 41-42 weeks of gestation according to their LMP and 38(45.24%) were between 40-41 weeks of gestation. In 27 (32.14%) patients mode of delivery was caesarean section, in whom most common indication being fetal distress in 48.15% followed by failure to progress in 22.22%. In present study perinatal morbidity like IUFD, neonatal asphyxia, MAS, RDS were 4.76%, 9.52%, 7.14% and 3.57% respectively. Maternal morbidity like prolonged labor, PPH, fever, wound infection were 10.71%, 5.95%, 3.57% and 3.57% respectively.Conclusions: With Regular antenatal check-up, incidence of postdate pregnancy can be decreased and it is important because of definite risk to fetus as pregnancy continuing beyond 40 weeks of gestation is associated with increased perinatal morbidity and mortality especially those who do not come for regular antenatal check-up. Confirmation of diagnosis of exact term of pregnancy is very important as many patients don’t have regular menstrual history and LMP. Diagnosis can be confirmed by first trimester ultrasound which is most important non-invasive method and readily available.

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Resurgence of leprosy in post elimination era

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20194182 ◽

2019 ◽

Vol 5 (4) ◽

pp. 743

Author(s):

Swapna Subhash Khatu ◽

Nachiket Madhukarrao Palaskar ◽

Garima Laxminarayan Balpande ◽

Nitin Dinkar Chaudhari

Keyword(s):

Statistical Significance ◽

Tertiary Care ◽

National Level ◽

Public Health Problem ◽

Cross Sectional Study ◽

Care Hospital ◽

Duration Of Treatment ◽

Cross Sectional ◽

Leprosy Case ◽

Leprosy Patients

Background: Leprosy is a slowly progressive mildly infectious disease caused by Mycobacterium leprae primarily affecting skin and peripheral nerves. After introduction of multidrug therapy in the country recorded leprosy case load has come down. In December 2005, India announced elimination of leprosy as public health problem at national level under the NLEP but new cases are still being registered.Methods: It was a hospital based cross sectional study conducted on over 109 leprosy patients attending a tertiary care hospital in Narhe, Pune during the period from 1st January 2018 to 31st December 2018. The statistical package for Social Sciences (SPSS) for Windows version (16.0) was used to analyze the data (SPSS Inc., Chicago, IL). Statistical significance was declared at p<0.05 or mentioned otherwise.Results: Out of 109 patients, 57 were new and 52 were old. Maximum patients belong to age group 40-49 years, 25 patients had type 1 reaction and 18 had type 2 reaction. Out of which 83 were on treatment and 12 are defaulter, 9 were in relapse, 6 patients released from treatment.Conclusions: In post elimination era of leprosy still new cases have been registered and hence the burden and morbidity of the disease is still high in the community. It strongly suggests that by early detection, increasing the duration of treatment and by increasing the community awareness, utilizing information, education and communication at all levels, we can hope to reduce the burden of disease in the community and to achieve the dream of leprosy free India.

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Acute Poisoning among Patients Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4997 ◽

2020 ◽

Vol 58 (227) ◽

Author(s):

Sameer Thapa ◽

Bishwa Raj Dawadi ◽

Anup Raj Upreti

Keyword(s):

Emergency Department ◽

Binary Data ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Acute Poisoning ◽

Point Estimate ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Introduction: Acute poisoning is a major global public health problem contributing to one of theleading causes for a visit to an emergency department. This study aims to analyse the demographicand psychosocial characteristics of patients with acute poisoning presented to the emergencydepartment. Methods: This was a descriptive cross-sectional study conducted in a tertiary care hospital fromJune to December 2019 after obtaining ethical approval from Institutional review board (referencenumber. 041-075/0760). A convenient sampling method was applied. Epidemiological factors, typesof poison consumed, reason, motive, and place to take poison, time elapse in the presentation to thehospital were studied. Statistical analysis was done using statistical package for the social sciencesversion 20. Point estimate at 95% Confidence Interval was calculated along with frequency andproportion for binary data. Results: Out of 76 cases of acute poisoning, the organophosphorus poisoning was 18 (23.7%) followedby unknown 12 (15.8). Of total, 28 (36.8%) had quarrel before taking poison and 41 (53.9 %) hadintention to commit suicide. Sixty-seven (88.2%) took a poison at home. The average elapsed time tothe visit of the emergency department was 110±80 minutes. Conclusions: The most common poisoning was organophosphorus with a suicide being the mostcommon intention. Quarrel was the most frequent reason to take poison and the home was the mostcommon place to take poison.

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