scholarly journals Awareness and utilization of health insurance among patients of a tertiary care centre in South India

Author(s):  
Swetha Luke ◽  
Jose Vincent

Background: While health insurance may seem like just another form to fill, it has proven to be a literal life saver in case of medical catastrophes, saving those subscribed from possible health expense induced poverty. The objective of this study is to assess the proportion of patients aware of the provision of health insurance and have subscribed to them.Methods: Cross sectional study conducted in a tertiary care center based in South India during the period July 2019 to September 2019. Convenience sampling with a sample size of 58was used. Data collected with the help of an interviewer administered semi-structured questionnaire.Results: Awareness of the provision of health insurance was found to be as high as 89.7%. But only 51.7% were found to be subscribed to a health insurance plan. Of which 70% had joined a Government insurance scheme and 30% had a private health insurance.Conclusions: While a basic level of awareness is present, that itself does not lead to subscription to an insurance plan. The public should be exposed to the newer, more affordable government led plans which best suit their financial situations.

2020 ◽  
pp. 40-41
Author(s):  
Anu J ◽  
Nabeel Azeez K ◽  
Apuca Susan Mathew

Blood is considered a scarce resource in the world. Many patients requiring transfusion do not have timely access to safe blood and many lives are lost because of this reason. According to the WHO Information Sheets, 2005 80% of the worldwide population has access to only 20% of safe blood. Aim- To analyse the donor profile and the need for voluntary blood donation drives. Methodology: A descriptive cross-sectional study conducted among blood donors attending the blood bank of a Tertiary care centre in South India from 2015 to 2019. Results: Out of 7979 blood donations, voluntary donors were only 8.5 % with most (97.8%) of the donors being males. The donors arriving at the blood bank were between 18 and 64 years of age. Of the voluntary donors, about 37% were first-time blood donors. The commonest available blood group was O positive (34.1%) and the least available was AB negative (0.8%). Among the reasons for donor rejection, mismatch between the donor’s blood group and that of the requested unit was the commonest (25.8%) followed by hypertension (22.9%) on examination. HBsAg seropositivity was the majority (0.5%) among the transfusion transmitted infections screened. Conclusion: Efforts should be made to direct all the donations towards voluntary non remunerated ones. Awareness among the general population about the need of blood donation, educating them about the criteria of acceptable donors and discussing the general myths and facts about donation process is also important.


2020 ◽  
Vol 8 (3) ◽  
pp. 12-16
Author(s):  
Amol Ramrao Suryavanshi ◽  
Sachin Bapurao Bodhgire ◽  
Shivaji Sangappa Phulari ◽  
Rahul Digambarrao Anerao

Background: Epilepsy is associated with significant mortality and morbidity. It is one of the common causes of childhood hospitalization. Regarding acute seizures episodes, there is limited data form the developing countries. This study aims to study the profile of children presenting with epilepsy at a Tertiary Care Centre. Subjects & Methods: This was a hospital based, prospective cross-sectional study conducted at the ‘epilepsy clinic’ of Paediatric department of a Tertiary Care Center. Total 260 children with epilepsy and having the age of 1 months to 12 years attending to the epilepsy clinic during the study period, were studied for clinical features, types, imaging studies, EEG, etc. Results: Most of the children (59.61%) affected with epilepsy were males. Majority of the cases (108) were in the age group 1 month to 1 year age. It was observed that, 185 cases (71.15%) were born through pre term delivery. It was found that 214 cases (82.31%) had abnormal EEG, 40 cases had abnormal CT scan and 46 cases had abnormal MRI. A significant number of children (60.38%) had generalized tonic clonic seizures. Conclusion: Epilepsy in children is a common indication for hospital admission. Evaluation of the type of seizure type with specific EEG findings and other related investigations helps in early and appropriate initiation of treatment. It is utmost important that the children with seizures should be on regular long term follow up and treatment, for better prognosis and disease outcome.


Author(s):  
Biswanath Behera ◽  
Rashmi Kumari ◽  
Devinder Mohan Thappa ◽  
Debasis Gochhait ◽  
Bheemanathi Hanuman Srinivas ◽  
...  

Background: Dermoscopy is useful in the diagnosis of basal cell carcinoma (BCC). However, most descriptions of the dermoscopic features of BCCs are in Caucasians (skin types I-III) and there is a paucity of data in dark-skinned Indian patients. Aims: The aim of this study was to describe the various dermoscopic features of BCC in dark-skinned patients from South India and correlate these with the histopathologic subtypes. Methods: A retrospective observational study of biopsy-proven cases of BCC was conducted at a tertiary care center in South India using nonpolarized contact dermoscopy. Results: Sixty BCCs in 35 patients predominantly of skin phototypes IV or V were studied. These included 32 nodular, 27 superficial and 1 infiltrative type of BCC. The most common dermoscopic features noted were maple leaf-like areas (61.7%), blue-white veils (53.4%), ulceration (48.4%) and short fine telangiectases (46.7%). Ulceration, blue-white veils and arborizing vessels were significantly associated with nodular BCCs, while maple leaf-like areas, red-white structureless areas, multiple small erosions and spoke wheel areas were noted with superficial BCCs. Limitations: The limitations of this study include its retrospective nature, the use of only nonpolarized light for examination, the lack of other histopathological variants of BCC as well as the lack of a comparison group. Conclusion: We report a dermoscopic study of BCC in dark-skinned patients from Puducherry, South India. The blue-white veil was observed in half of the patients and was significantly associated with nodular BCCs. The addition of the blue-white veil to the diagnostic criteria for pigmented BCC could improve the diagnostic accuracy of dermoscopy in Indian patients.


2020 ◽  
Vol 58 (228) ◽  
Author(s):  
Archana Tiwari ◽  
Ramji Rai ◽  
Prahar Dahal ◽  
Sudeep Regmi

Introduction: Presence and severity of Helicobacter pylori (H. pylori) colonization is an important factor to decide the treatment of chronic gastritis. This study aimed to find the prevalence of H. pylori colonization in chronic gastritis patients. Methods: This descriptive,cross-sectional study was carried out at the tertiary care center in the the western region of Nepal among the dyspeptic patients undergoing endoscopic gastric biopsy from October 2018 to March 2020 after approval from the Institutional review committee. Convenience sampling was done to reach the sample size. Two hundred fifty cases were included in the study. Data were recorded in proforma and Data analysis was done in the statistical package for social sciences (SPSS 16.0). The severity of H. pylori colonization and gastritis was graded using the Updated Sydney System. Results: All cases showed chronic gastritis on histopathology. H. pylori were seen in 150 (60%) of cases. Mild, moderate, and severe H. pylori infection was seen in 59, 78, and 13 cases respectively. Out of 59 mild H. pylori cases, 35 (59.32%) had mild chronic inflammation; out of 78 moderate H. pylori cases 51 (65.38%) had moderate chronic inflammation and among 13 severe H. pylori cases, 10 (76.92%) had severe chronic inflammation. Conclusions: Prevalence of H. pylori colonization is high in chronic gastritis and there is a parallel increase in the severity of gastritis with an increase in the severity of H. pylori load.


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