scholarly journals Prevalence of accidents and poisoning due to household hazardous materials in a rural area of Kancheepuram, Tamil Nadu

2019 ◽  
Vol 6 (5) ◽  
pp. 2047
Author(s):  
Shree Ramanan Karunakaran ◽  
Logaraj Muthunarayanan ◽  
Balaji Ramraj
Keyword(s):  
Rural Areas ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Hazardous Materials ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Policy Makers ◽  
Household Item ◽  
Health Situation

Background: Over the last few decades hazardous materials have become a common household item in many rural areas of the developing world. Due to their easy availability, commercialization, accessibility and lack of awareness it has become a significant health problem globally. The objective of the study is to estimate the prevalence of household hazardous material accidents and poisoning and the factors associated with household hazardous accidents and poisoning among the rural population.Methods: A cross sectional study was done among the households located in rural fields practice area tertiary care hospital, with the sample size of 244 households by probability proportion sampling method. House to house interview was conducted using a predesigned, pre-tested questionnaire and household hazardous accidents and poisoning was assessed.Results: The overall prevalence of household hazardous accidents was 2.1% among the population. Among them 70% were less than 10 years of age followed by 10 to 20 years. The prevalence of household hazardous accident and poisoning was found to be positively associated with the factors like age <10 years, easy accessibility and storage in the open self.Conclusions: Regular assessment for household hazardous accident and poisoning should be carried out at the community level to find the exact burden. Utilization of this information, especially by the stakeholders and policy makers in the regional health sectors, can avert the problematic health situation. 

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 Frequency, Factors and Pattern of Delayed Presentation for Dialysis in Advanced Kidney Disease Patients Visiting Tertiary Care Hospital

2021 ◽  
Keyword(s):  
Kidney Disease ◽  
Rural Areas ◽  
Kidney Diseases ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Care Hospital ◽  
Delayed Presentation ◽  
Cross Sectional ◽  
Patient Presentation

Background: Globally the burden of chronic kidney diseases is increasing. It is often a silent disease until the most advanced stages when symptoms develop. Late referral and presentation to a nephrologist for CKD management is the major issue. Objective: To determine the frequency, factors and pattern of delayed presentation for dialysis in advanced kidney disease patients visiting tertiary care hospitals. Methods: The current cross-sectional study was conducted in Memon Medical Institute Hospital and Dow University of Health Sciences Ojha Campus Karachi Pakistan from December 2019 to March 2020. Patients who presented in the hospital for first-time dialysis with advanced kidney diseases were included in the study. The threshold of patient presentation after a month of advice for dialysis is used to categorize the patient presentation as delayed or non-delayed. Proforma was designed to collect data and SPSS version 21 was used for analyzing the collected data. Results: A total of 214 participants were recruited into the study. The median age of the participants was 40 (29.75 - 53) years. The majority were male (71%) and belonged to rural areas (63.1%). 50.9% of the patients presented with a delay of more than a month. The delayed presentation was significant among those belonging to rural areas (p=0.009) with higher median creatinine (p=0.002) and lower levels of education (p=0.001). The most frequent presentation was high blood pressure (89.3%), followed by oliguria (66.8%). Oliguria was significant among patients with delayed presentation (p=0.003). Patient perception for the delayed presentation was looking for transplant (69.2%) and fear of needle prick (52.3%). Conclusion: Delayed presentation for dialysis at tertiary care centers is a frequently seen issue particularly in patients belonging to rural areas presenting with a symptom of oliguria and fluid overload. Seeking alternative options such as renal transplants and fear of needles are the major reasons for delayed presentations in our study.

PREVALENCE OF PSYCHIATRIC MORBIDITIES AMONG COVID -19 PATIENTS IN A TERTIARY CARE HOSPITAL, CHENNAI, TAMIL NADU.

2021 ◽  
pp. 63-64
Author(s):  
Anupama Roshan S ◽  
Priyasubhashini. M ◽  
M Mathivanan
Keyword(s):  
Tamil Nadu ◽  
Acute Stress ◽  
Tertiary Care Hospital ◽  
Treatment Options ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
The Difference

Background: Due the lack of treatment options, isolation guidelines and fear about the disease, the cases with COVID 19 may experience high psychiatric related disorders. Hence this study was conducted to assess the prevalence of psychiatric morbidities among the cases with COVID 19 in a tertiary care hospital. Methods: Cross sectional study in the Department of Psychiatry at Government Medical College , Omandurar Government Estate, Chennai, a tertiary care teaching hospital during the period of April 2020 to September 2020. A total of 11,704 cases with COVID-19 were included in the study. Demographic details and psychiatry related clinical prole were assessed and entered in a proforma. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results: Overall prevalence of psychiatric morbidities among the COVID 19 cases was reported as 24.4% with signicant difference in prevalence among males and females. Most common psychiatric illness reported was COVID related anxiety (16.5%) followed by COVID related depression (6.6%), insomnia (0.87%), alcohol dependence syndrome (0.3%), acute stress reaction (0.03%), intellectual disability (0.03%), psychosis (0.02%) and hemophobia (0.008%). The difference in proportion of cases with various psychiatric morbidities like insomnia, COVID related anxiety, COVID related depression, and alcohol dependance syndrome among the male and female genders was found to be statistically signicant. Conclusion: Almost one fourth of the COVID cases are suffering from psychiatric morbidities. It can be recommended that all the cases with COVID can undergo screening and counseling for the psychiatric disorders.

scholarly journals A cross sectional study to assess the awareness and practice about cough etiquettes among respiratory symptomatic patients in Tamil Nadu

2019 ◽  
Vol 6 (10) ◽  
pp. 4248
Author(s):  
Prateek Saurabh Shrivastava ◽  
Saurabh RamBihariLal Shrivastava
Keyword(s):  
Tamil Nadu ◽  
Respiratory Infections ◽  
Tertiary Care ◽  
Face Mask ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Human Beings ◽  
Cross Sectional ◽  
Training Centre ◽  
Preventive Practices

Background: The emergence of respiratory infections has been attributed to the exposure of human beings to the wide gamut of airborne pathogens. Cough etiquette and respiratory hygiene have been recommended as tools to reduce such transmission.Methods: A cross-sectional descriptive study was conducted among respiratory symptomatic patients attending urban and rural health training centre of a tertiary care hospital for 6 months duration (October 2018 to March 2019) to study their knowledge and practices related to cough etiquettes. A total of 240 study subjects were interviewed face to face with the help of a semi-structured questionnaire after obtaining their written informed consent. The study findings were recorded in an Excel sheet and analysis was done using SPSS version 20.Results: Correct knowledge about cough etiquettes was found in only 22 (9.1%) participants. Almost half of the participants 122 (50.8%) covering mouth and nose with hands while only 14 (9.7%) were using of face mask during bouts of coughing. Barriers to preventive practices were lack of awareness about cough etiquettes and hand hygiene in 14.1% and 66.3%, respectively followed by severity and frequency of bouts of cough in 29 (12.1%) subjects.Conclusions: Knowledge and practice of cough etiquette was not found to be satisfactory in the present study. Thus, it is high time to address this issue and bridge the gap in knowledge as well as practice of cough etiquette among the general population in order to reduce the person to person transmission and thereby decreasing the burden of respiratory infection.

scholarly journals Prevalence and pattern of self-medication among urban population Chidambaram: a cross-sectional study

2019 ◽  
Vol 7 (1) ◽  
pp. 132
Author(s):  
R. Gowthaman ◽  
A. Viknesh Ambayiram
Keyword(s):  
Tamil Nadu ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Common Symptom ◽  
Care Hospital ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Field Practice ◽  
Study Participants

Background: Self-medication as the selection and use of medicines by the individuals to treat self-recognised illness or symptoms. Self-medication is recognised as a part of self-care. The objectives of this study was to find out the prevalence of self-medication in an urban Chidambaram, Tamil Nadu, to find out the pattern of self-medication with regard to its practice and to find out the reasons favoring the practice of self-medication.Methods: The cross-sectional study was carried out in the month of September 2018 in a randomly selected urban field practice area of a tertiary care hospital. The sample size was calculated to be 360. Data was collected from all the houses in the selected field practice area. The data collected was entered into Microsoft excel spread sheet 2018 and analysis was done using SPSS version 21.Results: Self-medication was practiced by 195 (48.75%) of the households and 215 (18.6%) of the study participants. 42.1% reported pharmacist as source of knowledge. Most common symptom/sign for which self-medication was practiced was fever (42%). Most commonly (57.9%) used self-medicament was non-steroidal anti-inflammatory agents. Antibiotics were used by 15.4% as self- medicament. Among the 195 households practising self-medication, 65 (33.3%) reported that accessibility to pharmacy was more than that of clinic as reason for practicing self-medication.Conclusions: The usage of antibiotics as self-medicament and decreased awareness regarding the side effects of self-medicaments indicated decreased practice of responsible self-medication in the study area. More studies have to be conducted regarding the awareness, barriers and facilitators for practicing responsible self-medication.

scholarly journals Assessment of Selfie addiction, and Selfitis among Allied Health Sciences students of a tertiary care hospital in Chennai, Tamil Nadu

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 308-313
Author(s):  
Siddharth A R ◽  
Shiny Chrism Queen Nesan G ◽  
Timsi Jain
Keyword(s):  
Tamil Nadu ◽  
Allied Health ◽  
Tertiary Care Hospital ◽  
Early Stage ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Health Science ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional

A selfie is a self-portrait photograph typically taken with a camera phone held in hand or supported by a selfie stick. Studies suggest that the level of selfie addiction among youngsters has been increasing over the years. is the term that is being widely used to denote selfie addiction. This study aims at assessing the level of selfie addiction and various factors associated with it, and to evaluate the relationship between selfie addiction and addictive selfie habits. A cross-sectional study was conducted among the Allied Health Science students of a tertiary care hospital in Chennai. Two hundred seventy-three students were studied by convenient sampling method. A , validated, structured and self-administered questionnaire was given, and the desired information was elicited. Chi-square test was used to test the significance (p &lt;0.05)A total of 287 students were studied, of which 65 (22.6%) were males, and 222 (77.4%) were females. It is observed that age, year of study, the place from which they come, place of stay and father's occupation have a statistically significant relationship with selfie addiction. Most of the selfie addictive have a female preponderance. A significant portion of the youth is in the early stage of selfie addiction. it is highly essential to spread awareness about the ill effects of selfie addiction among the youngsters to curb this addiction earlier.

scholarly journals Intrathyroid Parathyroid Adenomas-Uncommon Tumours at Unusual Sites: A Cross-sectional Study

2020 ◽  
Author(s):  
Jagan Chandramohan ◽  
Elanthenral Sigamani ◽  
Deepak Thomas Abraham ◽  
Paul Mazhuvanchary Jacob ◽  
Anish Jacob Cherian ◽  
...  
Keyword(s):  
Tamil Nadu ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Histopathological Features ◽  
Medical College ◽  
Parathyroid Adenomas ◽  
Preoperative Diagnostic

Introduction: Ectopic Intrathyroid Parathyroid Adenomas (ITPAs) are rare and known to pose preoperative and intraoperative diagnostic challenges in localisation, resulting in failure of parathyroid surgery. The common histopathological features of these tumours are not elaborately described in literature. Aim: To describe the clinico-pathological features of ITPAs, identified among all parathyroid adenomas, diagnosed at a tertiary care hospital. Materials and Methods: This was a cross-sectional study of all ITPAs diagnosed between January 2012 to December 2019, at Christian Medical College and Hospital, Vellore, Tamil Nadu. The gross examination and microscopic findings of ITPAs were reviewed and tabulated. Clinical, radiological and intraoperative findings were compiled to obtain preoperative and intraoperative diagnostic rates. Results: Among 409 parathyroid adenomas, there were ten ITPAs (2.4%), with eight ectopic inferior (80%) and two ectopic superior parathyroids (20%). Four ITPAs were completely intrathyroid (0.97%). Histopathological features of ITPAs were those of usual parathyroid adenomas. Four patients (40%) had concomitant thyroid disease, including one papillary micro-carcinoma (10%). Correct preoperative diagnostic rate was 40%. Intraoperative misjudgment of location occurred in two patients (20%). Conclusion: ITPAs are rare and correct preoperative and intraoperative diagnosis may not be always possible. Histopathological evaluation of suspicious intrathyroid nodules is necessary in such instances to correctly diagnose them.

scholarly journals Frequency of hypertension among children having acute kidney injury (AKI) at A Tertiary Care Hospital.

2021 ◽  
Vol 28 (01) ◽  
pp. 47-51
Author(s):  
M Faisal Mehar ◽  
Afsheen Asghar Khan ◽  
Rushan Hassan ◽  
Madiha Naz ◽  
Bushra Iqbal ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Rural Areas ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Kidney Injury ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Pediatric Medicine ◽  
Very High Frequency ◽  
Cross Sectional

Objectives: To know the frequency of hypertension among children having acute kidney injury (AKI) at a tertiary care hospital. Study Design: Descriptive, cross-sectional study. Setting: Department of Pediatric Medicine, Nishtar Hospital, Multan, Period: 1st January to 31 December 2019. Material & Methods: A total of 718 children with AKI were included from department of Pediatric medicine, Nishtar Hospital, Multan. Once registered, study variables were noted along with systolic and diastolic blood pressure. Results: Of these 718 study cases, majority, 439 (61.1%) were male, 435 (61.0%) belonged to rural areas, 443 (61.7%) from poor socioeconomic status and 551 (76.7%) mothers were illiterate. Mean age was 4.33±2.56 years whereas mean body mass index was 23.58±3.17 kg/m2. Overall, family history of AKI was noted in 165 (23.0%) children. Hypertension was noted in 228 (31.8%) cases. Conclusion: Very high frequency of hypertension was seen in children presenting with AKI.

scholarly journals A cross-sectional study on awareness and knowledge of menstrual hygiene practices among college going girls in Coimbatore district, Tamil Nadu

2020 ◽  
Vol 8 (1) ◽  
pp. 125
Author(s):  
Palani Vel Rajan ◽  
Jeevithan Shanmugam ◽  
Navee Prabhu Jayaraj ◽  
Archana Arumugam
Keyword(s):  
Tamil Nadu ◽  
Tertiary Care ◽  
Data Entry ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Training Centre ◽  
Menstrual Hygiene ◽  
Tract Infections

Background: Women in India are restricted in their daily activities and mobility due to taboos, cultural barriers associated with menstruation and menstrual practices. Poor menstrual hygiene can make them susceptible to various reproductive tract infections. In this study we assessed the awareness, knowledge of menstruation and practice of menstrual hygiene among adolescents.Methods: A college based cross-sectional study was conducted in the field practice area of an urban health training centre (UHTC) of a tertiary care hospital in the district of Coimbatore. Universal sampling method was used for selection of participants. A structured proforma was used for data collection. Microsoft excel 2007 was used for data entry and data analysis was done using SPSS version 27.Results: It was found that 80.4% had formal education on menstrual hygiene. 94.5% of them had the habit of changing pads/cloths before they go to bed. 94.1% had the habit of washing with water every time and 76.49% of those who had the habit of washing used soap/antiseptic while washing.Conclusions: Knowledge about menstruation and menstrual hygiene should be provided in schools and colleges. Ensuring availability of sanitary products, water, privacy and appropriate waste disposal in all public services and institutions can address the challenges.

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