scholarly journals Strengthening opportunistic screening for hypertension: report from a tertiary care institution in a district of West Bengal, India

2019 ◽  
Vol 6 (9) ◽  
pp. 3878
Author(s):  
Ritu Ghosh ◽  
Sanghamitra Maulik ◽  
Saikat De ◽  
Tanmoy Tikader ◽  
Sankar Nath Jha ◽  
...  
Keyword(s):  
Blood Pressure ◽  
West Bengal ◽  
Lifestyle Modification ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Opportunistic Screening ◽  
Cross Sectional ◽  
Socio Demographic Factors

Background: Hypertension is a major public health problem in India and considered as a silent killer disease. The national program for prevention and control of cancer, diabetes, CVD and stroke (NPCDCS) recommended opportunistic screening for hypertension at all levels health facility. The present study was conducted with the objectives to estimate the magnitude of hypertension among the General OPD attendees aged 18 years and above in tertiary care hospital in a district of West Bengal and to find out the factors influencing hypertension among them.Methods: The study was a hospital based observational, descriptive study with cross sectional design and conducted among 244 study participants in 2018. Study variables included socio demographic factors and both modifiable and non-modifiable risk factors for hypertension.Results: In this study 40.2% subjects had normal blood pressure, 18.4% were known hypertensive and 101 (41.3%) people were newly diagnosed as having high blood pressure. Among known hypertensive, 75% had poor control of hypertension. Age, religion, family history of hypertension, body mass index (BMI) and central obesity had significant association with hypertension.Conclusions: The study recommended strengthening of opportunistic screening of all patients for hypertension at all levels of health care, especially through the village health nutrition day platform and providing treatment free of cost. Awareness generation and counselling for lifestyle modification should also be strengthened.

scholarly journals Knowledge, Attitude and Practice regarding Tuberculosis among Diabetic Patients

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

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

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
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.

scholarly journals Relation between Glycemic Control among the Patients with Type 2 DM and Level of Blood Pressure

2021 ◽  
Vol 22 (1) ◽  
pp. 12-17
Author(s):  
Md Al Amin ◽  
Tahira Zannat ◽  
Md Nazim Uddin ◽  
Md Moniruzzaman ◽  
Md Habibullah ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Type 2 Dm ◽  
The Mean

Introduction: Inadequate glycemic control among patients with type 2 diabetes constitutes a major public health problem and risk factor for the development of diabetes related complications. Hypertension is a common co-morbid condition of diabetes. Hypertension as a factor for poor glycemic control in diabetes patients has not been properly evaluated in Bangladesh. The aim of the study was to assess status of glycemic control among patients with Type 2 DM depending on the level of blood pressure in a tertiary care hospital. Method: This cross sectional study was carried out among 200 adult patients of either gender with type 2 diabetes mellitus, in the Department of Medicine and endocrinology, Dhaka Medical College Hospital from January to June 2015. Results: The mean age of the respondents were 56.85(±10.84) years, ranging from 35 to 77 years. Among 200 patients, 129 (64.5%) were hypertensive and 71 (35.5%) were normotensive with a mean duration of hypertension was 10.03 (±3.39) years. The mean HbA1c for all diabetic, hypertensive and normotensive patients were 7.41% (±1.35), 7.63% (±1.30) and 7.02% (±1.37) respectively. The mean HbA1c was significantly higher in hypertensive than normotensive group (p=0.002). The mean HbA1c was also significantly higher in patients with duration of hypertension (p=0.03) for more than 10 years and in patients who used beta blocker (p=0.005) and diuretics (p=0.02) as hypertensive medication. Among the patients with normal BMI and on dietary modification, those who were hypertensive had significantly higher (p=0.00008) mean HbA1c (7.12(±0.99)) than those were normotensive (5.01(±0.01)). Conclusion: The glycemic control in type 2 DM is found to be poor among the hypertensive patients. There is a complex association of multiple factors like age, gender, duration of hypertension and medications strongly influence the glycemic control of type 2 diabetics with hypertension. J MEDICINE JAN 2021; 22 (1) : 12-17

scholarly journals Pattern and Outcome of Self- Poisoning among Adult population Admitted in a Tertiary Care Hospital

2019 ◽  
Vol 21 (1) ◽  
pp. 20-25
Author(s):  
Madhabi Karmaker ◽  
Khan Abul Kalam Azad ◽  
Partha Sarathi Sarker ◽  
Noshin Tabassum ◽  
Debashis Mohanta
Keyword(s):  
Medical Condition ◽  
Adult Population ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Pharmaceutical Drugs ◽  
Adult Males ◽  
College Hospital ◽  
Cross Sectional

Background: Attempted suicide or deliberate self-harm by self-poisoning among adult males and females are a major public health problem to be addressed like any other medical condition. In recent years, patterns of self-poisoning are changing. So it is important to know about the substances used in self poisoning and its outcome. Materials and Methods: It was a descriptive type of cross sectional study done in Department of Medicine, Dhaka medical college hospital, Dhaka on100 patients with a history of self-poisoning. Study period was six months. A semi structured questionnaire was used for collection of data. Results: In our study self-poisoning was more prevalent among young age group with female preponderance. Family disharmony (45%) was the commonest cause of self poisoning and most commonly used substance was pharmaceutical drugs. Anxiolytics were the commonest (42 %), organo phosphorus compound (OPC) 20%, mixed drugs 12%, harpic 11%, rat killer 8%, NSAIDs 3%, Dettol 3% and Wheel powder 1%. Out of 90 patients 91.11% patients recovered completely. Death was observed from OPC poisoning. Conclusion: Knowing the pattern and outcome of self poisoning may improve the community based support system through which we can combat against self- poisoning. J MEDICINE JAN 2020; 21 (1) : 20-25

scholarly journals Malaria or typhoid co-infection in a tertiary care hospital of Bareilly, Uttar Pradesh, India

2020 ◽  
Vol 7 (2) ◽  
pp. 578
Author(s):  
Ghanshyam Dass Katiyar ◽  
Ajay Kumar Agarwal ◽  
Swati Khan ◽  
Bharat Chand Chaudhary ◽  
Mahendra Sharma
Keyword(s):  
Tertiary Care ◽  
Plasmodium Species ◽  
Uttar Pradesh ◽  
Rapid Test ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Age Group ◽  
Diagnostic Dilemma ◽  
Cross Sectional

Background: Malaria is a protozoal disease caused by infection with parasite of genus Plasmodium. Typhoid is common with malarial infection.Methods: A cross sectional study was done to find out co-infection of typhoid and malaria. Study was done in central pathological lab of department of pathology, RMCH, Bareilly. Blood samples were collected in EDTA vial and plain vial. Blood smear was examined for malaria parasite within RBCs. Malaria rapid test was done for detection of Plasmodium species and Widal test was done for typhoid.Results: In this study found co-infection of malaria with typhoid was 15.64%. In malarial cases 54.50% were males, while maximum cases (26.92%) were in 21-30 yrs age group.  Cases of P. vivax was maximum (86.28%) and maximum cases of P. vivax (29.42 %) was in 11-20 yrs age group while that of P. falciparum (22.22%) was in 11-20, 21-30, 41-50  yrs age group and maximum number (23.60%) of mixed malarial infection was in 31-40 yrs age group,  While co-infection of malaria with typhoid was maximum (24.59%) was in 11-20 yrs age group and maximum (53.28%) in females. Maximum (79.51%) cases of typhoid were of P. vivax. Conclusions: Malaria and typhoid co-infection still remain a major public health problem in many developing countries. Concurrent infection with two agents can result in an illness having overlapping symptoms creating a diagnostic dilemma for the treating physician.

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

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. 

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

2018 ◽  
Vol 5 (6) ◽  
pp. 2416
Author(s):  
Baisakhi Maji ◽  
Sumana Samanta ◽  
Sreetama Banerjee ◽  
Tanjib Hassan Mullick ◽  
Sudhanshu Saharay ◽  
...  
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Public Health Problem ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Cross Sectional

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.

A Cross-sectional Study of Undiagnosed Fever in a Rural Population at a Tertiary Care Hospital of West Bengal

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  
Keyword(s):  
Rural Population ◽  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL

2021 ◽  
pp. 12-15
Author(s):  
Smarajit Banik ◽  
Sandip Saha ◽  
Sudipan Mitra ◽  
Ujjwal Pattanayak ◽  
Rajib Sikder ◽  
...  
Keyword(s):  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Medical College ◽  
Study Participants

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.

scholarly journals Study of anaemia profile in a tertiary care hospital in Karnataka, India

2020 ◽  
Vol 7 (4) ◽  
pp. 582
Author(s):  
Appu Patil
Keyword(s):  
Tertiary Care ◽  
Public Health Problem ◽  
Severe Anaemia ◽  
Common Finding ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Common Cause ◽  
Working Age ◽  
Systemic Examination ◽  
A Prospective Study

Background: Anaemia is a major public health problem worldwide especially in developing countries like India. Nutritional cause of anaemia continues to predominate as the most common cause of anaemia. Objective of this study is to determine the clinical and laboratory profile of anaemia among patients admitted to our hospital.Methods: Our study was a prospective study in which thirty nine patients of anemia admitted to Medicine ward in SNMC and HSK hospital were studied for their clinical and laboratory characteristics. Duration of the study was 7 months from July 2019 to January 2020.Results: Anaemia was more common among females (65.1% of total patients). Patients aged less than 60 years contributed to 85% of patients. Pallor was the universal finding present in 100% of patients. On systemic examination haemic murmurs on auscultation was the most common finding present in 28.2% followed by hepatomegaly (17.94%). Microcytic and dimorphic anaemia constitute the bulk of anaemia.Conclusions: Nutritional anaemia particularly iron deficiency anaemia is the most common cause of anaemia. It tends to affect the working age group and females predominantly. Patients continue to present with severe anaemia to the hospital.

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