scholarly journals Sustaining ocular emergency and trauma services in corona crisis during the era of pan lockdown

2021 ◽  
Vol 8 (3) ◽  
pp. 1425
Author(s):  
Suhani Sharma ◽  
Anju Kochar ◽  
Rashmi Joshi
Keyword(s):  
Emergency Services ◽  
Ocular Trauma ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Late Presentation ◽  
Limited Resources ◽  
Age Group ◽  
Remote Areas ◽  
Pediatric Age Group ◽  
The Impact

Background: The impact of covid pandemic and pan lockdown on the ocular trauma and emergency department has proved the importance of ocular trauma services deliverance on national vision statics. The un-availability of ophthalmic services in remote areas and limited resources have large impact on prognostic outcomes of ocular emergencies. The presentation of ocular emergency cases and their demographic pattern is important in planning and programming of national strategy to cope up with and sustain the ocular emergency services during such pandemics.Methods: Retrospective cohort study at tertiary care center.Results: The incidence of ocular trauma was increased in male pediatric age group with most common mode of injury was wooden objects. The prognosis of visual outcome was ill- affected due to late presentation and un-availability of ocular emergency services in remote areas.Conclusions: The strategy of “Reassess-Reinforce-Resume” was proved successful in sustaining the emerging trend of ocular trauma during COVID pan- lockdown.

scholarly journals Clinical Profile and Visual Outcome of Blunt Ocular Trauma in a Tertiary Care Centre of Central India: A Prospective Study

2020 ◽  
Vol 7 (11) ◽  
pp. 5063-5069
Author(s):  
Sandeep Jawade ◽  
Rahul Dagwar ◽  
Ravi Chauhan
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Central India ◽  
Visual Outcome ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Care Centre ◽  
Tertiary Care Centre

Introduction: Ocular trauma is a major cause of visual morbidity and Visual impairment leading to injury of the globe, optic nerve and adnexa ranging from superficial to vision-threatening complications. Objective: To study the factors leading to blunt ocular trauma, its characteristics, presentation and Outcome. Methods: Hospital-based prospective study conducted at the tertiary care centre of central India. The patient was assessed and if required, admitted. They were followed up on 1st week,1st month,6th month and were assessed for visual outcome and complications. Results: Male constituted 66% and female 34% of all patients. This study had patients of age ranging from 3 to 90 years. Most of the patients were found in the age group of 31-40 years(20.3%). In our study which included 103 cases, there were 20% cases of RTA and 80% cases of non-RTA. 85(82.5%) had lid oedema with chemosis of conjunctiva.87(84.4%) patients had a sub-conjunctival haemorrhage.16 patients (15.5%) presented with a corneal abrasion.32 patients(31.06%) presented with traumatic hyphaema.2 patients(1.9%) had traumatic optic neuropathy.7 patients(6.7%) presented with Berlin’s oedema and 8(8.1%) presented with angle recession glaucoma. Final visual outcome of patients was,1 patient(0.97%)had no perception of light,4 patients(3.8%) had visual acuity of perception of light and projection of rays inaccurate. 7 patients(6.7%) had vision perception of light and projection of rays accurate.45(43.68%) patients regained visual acuity of 6/6 Conclusion: Blunt trauma was more common in males. Most common age group was 4th decade. Road traffic accidents constituted a large number of blunt injuries. Road traffic accidents had a high rate of visual loss due to optic nerve injury.                                                                                                            

scholarly journals Visual Outcome of Ocular Trauma Presenting in a Tertiary Care Hospital in Sahiwal

2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Ahmad Zeeshan Jamil ◽  
Muhammad Luqman Ali Bahoo
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Visual Outcome ◽  
P Value ◽  
Care Hospital ◽  
Open Globe ◽  
Patient Reported

Purpose: To find the visual outcome of ocular trauma presenting in a tertiary care hospital in Sahiwal. Study Design: Descriptive observational study. Place and Duration of Study: This study was conducted at District Headquarter Teaching Hospital affiliated with Sahiwal Medical College, Sahiwal from January 2016 to June 2019. Material and Methods:  Four hundred and thirty five patients were included in the study by convenient sampling technique. Patient’s age, gender, occupation, activity at the time of injury, nature of object causing trauma, duration of trauma, visual acuity at the time when patient reported to hospital, the time delay before coming to the hospital were recorded. Ocular injuries were classified according to Birmingham ocular trauma terminology. Detailed ocular examination was performed. Patients were managed and post-management visual acuity at three months was recorded. Results: Mean age of patients was 29.07 ± 12.53 years. There were 219 (50.3%) closed globe and 216 (49.7%) open globe injuries. In 59 (13.6%) cases, cause of injury was metal object. In 146 (33.6%) cases injury was classified as contusion. In 164 (37.7%) cases cornea was involved. Majority of the patients were male. Eighty-seven patients presented within 1 day after trauma. In 154 (35.4%) patients, visual acuity at the time of presentation was 6/12 or better while in 171 (39.3%) cases it was less than 6/60. Chi-square test was used to calculate the difference between pre and post-management visual acuity. This difference was statistically significant with p-value less than 0.05 Conclusion:  Ocular trauma cases, if properly and timely managed, have a statistically significant increase in visual acuity.

scholarly journals Ocular Trauma in Pediatric Age Group at a Tertiary Eye Care Center in Central Maharashtra, India

2020 ◽  
Vol Volume 14 ◽  
pp. 1003-1009 ◽  
Author(s):  
Ashok Hukumchand Madan ◽  
Rajesh Subhash Joshi ◽  
Preeti Dasharath Wadekar
Keyword(s):  
Ocular Trauma ◽  
Care Center ◽  
Age Group ◽  
Pediatric Age ◽  
Eye Care ◽  
Pediatric Age Group

scholarly journals Assessment of analytical performance of glucose meter in pediatric age group at tertiary care referral hospital

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Mohit Vijay Rojekar ◽  
Vandana Kumawat ◽  
Jayesh Panot ◽  
Surekha Khedkar ◽  
Arati Adhe-Rojekar
Keyword(s):  
Tertiary Care ◽  
Referral Hospital ◽  
Analytical Performance ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Glucose Meter

scholarly journals Clinico-epidemiological profile of hepatitis A virus and hepatitis E virus co-infection in pediatric age group: a hospital based retrospective study

2019 ◽  
Vol 6 (2) ◽  
pp. 588 ◽  
Author(s):  
Shikha Handa ◽  
Sanober Wasim ◽  
B. P. Kalra ◽  
Anil Rawat ◽  
Vipan Chandar ◽  
...  
Keyword(s):  
Developing Countries ◽  
Retrospective Study ◽  
Hepatitis E Virus ◽  
Hepatitis A ◽  
Hepatitis A Virus ◽  
Tertiary Care ◽  
Hepatitis E ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group

Background: Hepatitis-A virus (HAV) and Hepatitis E virus (HEV) are two major hepatotropic viruses of great public health importance in the developing countries like India. Both HAV and HEV are enterically transmitted and there are speculations that their co-infection might be associated with a more severe clinical course and increased rate of mortality. The objective of this study is to determine the prevalence, clinical features and biochemical parameters of Hepatitis A and Hepatitis E co-infection in hospitalized patients at a tertiary care centre in Uttarakhand.Methods: It is a retrospective study, covering a period of 4years and conducted in Himalayan Institute of Medical Sciences, SRHU Jolly Grant, Dehradun. Records of the patients with Hepatitis A and Hepatitis E co-infection were retrieved and analyzed.Results: Out of total 125 patients of acute viral hepatitis, 13 patients had HAV and HEV co-infection. 100% of the patients with co-infection presented with complaints of fever and jaundice, followed by 76.92% with vomiting, 69.23% with pruritis, 61.53% with pain in abdomen and 23.07% with altered sensorium. Mean Bilirubin, ALT, AST were 8.69±7.27 mg/dl, 2030.69±1726.93IU/L and 1880.07±1881.11IU/L respectively. Average duration of stay was 8.2 days. Encephalopathy was seen in 2 patients. However, no mortality was reported.Conclusions: Co-infection of HAV and HEV is not rare in pediatric age group. Knowledge about this will be of immense help for planning of future vaccination strategies and for better sanitation program in developing countries like India.

scholarly journals A OBSERVATIONAL STUDY CLINICAL, EPIDEMIOLOGICALAND ETIOLOGICAL PROFILE IN PEDIATRIC STATUS EPILEPTICUS IN A TERTIARY CARE CENTER IN WEST BENGAL

2020 ◽  
pp. 3-5
Author(s):  
Dipanjan Halder ◽  
Neha Karar ◽  
Sabyasachi Som ◽  
Debarshi Jana
Keyword(s):  
Status Epilepticus ◽  
West Bengal ◽  
Economic Status ◽  
Care Center ◽  
Tertiary Care ◽  
Pediatric Intensive Care ◽  
Lower Class ◽  
Age Group ◽  
Tertiary Care Center ◽  
Pediatric Age Group

INTRODUCTION: Status epilepticus (SE) is a medical and neurological emergency. The objectives of the study were to determine the clinical, etiological and epidemiological profile of SE in pediatric age group admitted to pediatric intensive care unit (PICU) in a tertiary care center at West Bengal. MATERIAL AND METHOD: An observational descriptive study, 108 children with age more than 28 days and upto 12 years presenting with SE were included in Department of Pediatric Medicine, R.G.Kar Medical College and Hospital, Kolkata from January 2016 to January 2017. RESULTS AND DISCUSSION: Test of proportion showed that the proportion of the patients in the age group 5-10 years (54.6%) were significantly higher than other age group (Z= 2.75; p=0.006). 11(10.2%) patient was with age<1 year. Acute Symptomatic (38.9%) was the commonest among the etiologies followed by Idiopathic (31.5%) which were significantly higher than other etiologies (Z=4.36;p<0.001). CONCLUSION: Patients with younger age are more vulnerable to develop SE. Most of the children belonged to lower class socio-economic status. Acute symptomatic is the most common etiology followed by idiopathic.Convulsive SE with generalized tonic clonic type of convulsion is the most common variety.

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