A clinical study of pattern of geriatric dermatosis in tertiary care hospital of Rajasthan

: Geriatric health care has received lot of attention nationwide due to increase in life expectancy over the time. Among the various health issue geriatric dermatosis are one of the most common reason for regular OPD visits. This study was done to inquest the spectrum of cutaneous manifestation and the factors responsible for causing physiological and pathological changes in the skin of elderly people.: Three hundred consecutive patients aged more than 60 yrs of age attending the out patient department of dermatology at PDU Medical College & hospitals Churu were subjected for study. A detailed history was taken. A complete general, systemic & Cutaneous examination was done along with relevant investigation were carried out. Findings were collated in Performa for analysis and interpretation of data. A total of 300 patients were enrolled in the study out of which 59 % were male and 41 % were female. Pruritis was the commonest complain elicted in 68.5 % of patients. Among the physiological changes xerosis was the commonest seen in 63 % of patients and infecions followed by eczems was the common pathological conditions. The population of 60 yrs and above is a rapidly growing dermatology clientele with both physiological and pathological manifestations. This study highlights the various dermatoses peculiar to the geriatric population and aims at sensitizing the fraternity to the specific needs of this special age group.

Download Full-text

AN AN OBSERVATIONAL STUDY OF PRESCRIPTION PATTERN OF DRUGS FOR OSTEOARTHRITIS IN A NORTH INDIAN MEDICAL COLLEGE

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2019.v12i7.33882 ◽

2019 ◽

pp. 308-310

Author(s):

ASHWANI UMMAT ◽

RANJODH JEET SINGH ◽

SONIA KOCHHAR

Keyword(s):

Observational Study ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Oral Route ◽

Care Hospital ◽

Age Group ◽

Cross Sectional ◽

Prescription Pattern ◽

Medical College ◽

Indian Medical

Objective: The objective of the study is to analyze the prescription pattern of drugs for osteoarthritis (OA) in a north Indian medical college collaborated with a tertiary care hospital. Methods: An observational study was conducted on 300 patients diagnosed with OA in the department of orthopedics in collaboration with the department of pharmacology, and thus, prescription was collected as in a cross-sectional manner for 6 months and the same were analyzed in the Department of Orthopedics in tertiary care hospital collaborated with medical college. Results: The average age of patients participating in this present study was 56.46±7.4 years with affected age group of 46-60 years. 60 % of females were affected by osteoarthritis outnumbering male (40 %) patients in this present study. The most commonly involved joint was knee joint (87.33 %) in patients diagnosed with osteoarthritis followed by back (6.67 %) and hip joint (6%). The combination therapy (90 %) outweighed monotherapy (10 %) with preferred route of drug administration as oral route (90 %) followed by topical route (10 %). The average number of drugs prescribed for patients of osteoarthritis was 2.62±0.76. This present study concludes that NSAIDs (45.8%) were prescribed most commonly. However, the drug paracetamol was lesser prescribed and other drugs such as Diclofenac (27.22 %) and acetaminophen (34.44 %) most of all followed by Nimesulide (16.67 %), ibuprofen (13.33 %) and Rofecoxib/valdecoxib (8.33 %) were prescribed. Conclusion: This present study concludes that NSAIDs were most commonly prescribed as p-drugs while paracetamol was undermined prescribed.

Download Full-text

Clinico-hematological profile of anaemia in adolescent girls in a tertiary care hospital of North India

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20193104 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1027

Author(s):

Manoj Kumar Sharma ◽

Preeti Parashar ◽

Neelima Jain

Keyword(s):

Adolescent Girls ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Previous History ◽

Serum Vitamin ◽

Care Hospital ◽

Age Group ◽

Haematological Profile ◽

The Common ◽

The Difference

Background: Anaemia in adolescent girls leads to foetal morbidity and mortality in future. The current study was done with the aim to study the clinico-haematological profile of anaemia in adolescent girls in a tertiary care hospital of North India.Methods: An observational study was conducted among 50 adolescent girls with anaemia (Hb <12 g/dl) in the Department of Medicine in collaboration with Department of Pediatrics and Department of Haematology at VMMC and Safdar-jang Hospital, New Delhi. Detailed previous history of the patients was collected. Blood samples were collected from all the patients and analysed for hematological parameters. Data were analysed statistically and p values less than 0.05 was considered significant.Results: The prevalence of anaemia was common in the patients of age group of 15-19 years (58%). The common symp-tom observed was fatigue (82%). Pallor was the common sign noticed in 66% patients. Majority of the patients with anaemia belongs to upper lower class (52%). Mean value of haemoglobin was high (7.80±1.22) in microcytic hypo-chromic anaemia compared to other types of anaemia. Serum iron levels were low in both microcytic and dimor-phic group but the difference was statistically not significant (p=0.43). Serum vitamin B12 levels were low in mac-rocytic and dimorphic anaemia and the difference was statistically significant (p=0.001).Conclusions: This study showed that nutritional deficiency anaemia was more prevalent in adolescent girls of age group between 15-19 years of upper lower socioeconomic status. Nonspecific symptoms like fatigue and weakness should not be ignored in the adolescent girls as they could be important indicators towards incidence of anaemia in these patients.

Download Full-text

Clinical and Electrophysiological Profile of Carpal Tunnel Syndrome: A Study in a Tertiary Care Hospital

Journal of Dhaka Medical College ◽

10.3329/jdmc.v29i2.51181 ◽

2021 ◽

Vol 29 (2) ◽

pp. 96-99

Author(s):

Kazi Gias Uddin Ahmed ◽

Iftikher Alam ◽

Hashmi Sina ◽

Md Arifuzzaman ◽

Reaz Mahmud ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Left Hand ◽

Medical College ◽

Female Predominance ◽

Tunnel Syndrome

Introduction: Carpal tunnel syndrome (CTS) is a clinical syndrome that results from compression of median nerve within the carpal tunnel at the wrist. The aim of this study was to review the clinical and demographic characteristics and electrophysiological patterns of CTS patients who presented to a tertiary care hospital in Bangladesh. Methodology; A descriptive cross-sectional study was conducted on 150 CTS patients at the neurology department, Dhaka Medical College Hospital between January, 2019 to March , 2020 . All the subjects had clinical evaluation and standardized nerve conduction studies of upper limbs (300 limbs) using the same protocol. Results: 228 hands were found to have clinical and electrophysiological features consistent with CTS. There was female predominance (90%) and the highest occurrence of CTS was in the 45-55 years age group. Bilateral CTS was found in the majority of cases ie 78 (52%) and the rest had unilateral CTS. Among those with unilateral CTS, right hand was affected more (41, 57%) than left hand (31, 43%). Most of the cases were idiopathic. Neurophysiological studies showed most patients had mild CTS (121 hands, 53%). Most of the cases were idiopathic (102, 68%). Where a risk factor was found diabetes was commonest one (32) followed by hypothyroidism (12) and pregnancy (4). Conclusion: There was marked female predominance and the 45-55 years age group was predominantly affected. Majority of cases had mild CTS. Bilateral involvement was more common. Right hand was more affected than the left hand. J Dhaka Medical College, Vol. 29, No.2, October, 2020, Page 96-99

Download Full-text

Socio-demographic Characteristics of Drowning Cases Recorded At a Tertiary Care Hospital

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v4i2.14418 ◽

2013 ◽

Vol 4 (2) ◽

pp. 57-59

Author(s):

Md Habibuzzaman Chowdhury ◽

Md Mizanur Rahman ◽

Md Gisan Hossain ◽

Md Rafiqul Islam

Keyword(s):

Forensic Medicine ◽

Economic Condition ◽

Tertiary Care Hospital ◽

Economic Status ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Medical College ◽

Examination Result ◽

Autopsy Diagnosis

Background: The autopsy diagnosis of drowning represents one of the major problems in forensic medicine. Objective: The purpose of the present study was to see the socio-economic characteristics of the drowning cases. Methodology: It was a retrospective study of 20 cases of drowning in 13 thanas of Dinajpur district during 1st January 2004 to December 2006. All the cases were autopsied in the mortuary of Dinajpur Medical College, Dinajpur. All the above may show signs of immersion on examination. Result: Total 20 cases were brought to the Department of Forensic Medicine at Dinajpur Medical College, Dinajpur. Considering the socio-economic status of the victim, it is found that higher frequency of drowning in the lower socio-economic growth. Highest age group is present in the 0-10 years which is 4 cases, 5 cases and 4 cases in the year of 2004, 2005 and 2006 respectively. Conclusion: In the conclusion, the study reveals that majority drowning cases are from low socio-economic condition with an early age group. DOI: http://dx.doi.org/10.3329/jssmc.v4i2.14418 J Shaheed Suhrawardy Med Coll, 2012;4(2):57-59

Download Full-text

Prevalence of self probing, clinical presentation and the causative organism among the patients presented with otitis externa in a tertiary care hospital

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20182713 ◽

2018 ◽

Vol 4 (4) ◽

pp. 1057

Author(s):

Edakkattil Rameshkumar ◽

Salini Ajitha

Keyword(s):

Pseudomonas Aeruginosa ◽

Otitis Externa ◽

Clinical Presentation ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Causative Organism ◽

Care Hospital ◽

Age Group ◽

History Of ◽

The Common

Background: Otitis externa, an inflammatory condition commonly reported in almost all age groups. But the prevalence and etiology are varying on different region. This study was aimed to find out the prevalence of self probing, clinical presentation and the causative organism among the patients presented with otitis externa in a tertiary care hospital.Methods: All the patients presented with otitis externa in the outpatient department of ENT were included in the retrospective study. The history of self probing was identified using a questionnaire. The clinical presentation was noticed and organism was isolated from the swab taken from the external ear canal. The non-parametric data was expressed in numbers and percentage. Results: Total 49 patients were included in the study. The average age of patient was 39.5±14.3 years with 24 males and remaining females. Among them, 85.7% (42/49) had a history of self probing (p<0.05). The most prevalent age group for the self probing associated otitis externa was 31 to 40 years. The discharge was the major clinical presentation (40/49) and the common organism isolated was Pseudomonas aeruginosa in 38% of incidence.Conclusions: Self probing was major etiological factor for otitis externa in the age group of 31-40 years. Discharge was the major clinical presentation and the common organism isolated was Pseudomonas aeruginosa. This emphasized the need for a proper awareness programme in the society against self probing to reduce the incidence.

Download Full-text

Trends of Suicidal Death at a Tertiary Care Hospital in Bangladesh

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v5i1.16202 ◽

2013 ◽

Vol 5 (1) ◽

pp. 28-30 ◽

Cited By ~ 1

Author(s):

Md Habibuzzaman Choudhury ◽

Md Mizanur Rahman ◽

Md Gisan Hossain ◽

Nasid Tabassum ◽

Md Rafiqul Islam

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Criminal Offence ◽

Lower Socioeconomic Status ◽

Police Station ◽

Medical College ◽

Lower Socioeconomic ◽

Suicidal Death

Background: Suicide is one of the forms of criminal offence in Bangladesh and it is also prevailing in other countries of the world. Objective: The purpose of the present study was to see the trends of suicidal death at a tertiary care hospital. Methodology: This retrospective study was conducted on suicidal death in the Department of Forensic Medicine at Dinajpur Medical College, Dinajpur. Result: A total number of 20 cases were examined from June 2004 to June 2006 for 2 years. All the cases were referred from 13 different police stations and one railway station of Dinajpur district. Among them the highest numbers of cases were brought by Kotowally police station and the lowest from Hakimpur police station. But among the 20 cases 70% were female Muslims. Conclusion: The highest frequency of offence is found in lower socioeconomic status. The most common age group is from 20-35 years. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16202 J Shaheed Suhrawardy Med Coll, 2013;5(1):28-30

Download Full-text

Pattern of Congenital Heart Disease in Children Admitted into Tertiary Care Hospitals of Sylhet: A Multicenter Study

Bangladesh Journal of Child Health ◽

10.3329/bjch.v38i1.20022 ◽

2014 ◽

Vol 38 (1) ◽

pp. 15-18

Author(s):

Mujibul Hoque ◽

Md Muazzem Hussain ◽

AT Reza Ahmad ◽

Md Shahab Uddin

Keyword(s):

Heart Disease ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Tertiary Care Hospitals

Objective: This study was carried out to find out the prevalence of CHD and their type among Children attended in the inpatient and out patient department of district tertiary care hospital of Sylhet. Methodology: This prospective cross sectional study was carried out in the department of Paediatrics of 4 medical college hospitals of Sylhet over a period of 1 year from January 2012 to December 2012. All children with the confirmed diagnosis of CHD with the age ranging from 1st day of life to 12 years were analyzed considering the pattern of CHD. Results: A total of 234 cases of CHD were admitted. Maximum cases of CHD were admitted between 29 days to 1year age group and 148 (63.25%) were male and the rest 86 (36.75%) were female. The male-female ration was 1.72:1. Most of the CHD (65.38%) were acyanotic and 34.42% cases were cyanotic. The commonest CHD was found VSD (33.33%) which was followed by ASD (16.24%), TOF (11.54%), Complex CHD (11.54%) and PDA (10.68%). Conclusion: It was concluded from this study that the male children are mostly sufferer from CHD and acyanotic heart disease was commonest type of CHD. DOI: http://dx.doi.org/10.3329/bjch.v38i1.20022 Bangladesh J Child Health 2014; VOL 38 (1) : 15-18

Download Full-text

Study of Rape Cases Recorded at a Tertiary Care Hospital in Bangladesh

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v6i2.31771 ◽

2017 ◽

Vol 6 (2) ◽

pp. 64-66

Author(s):

Md Mizanur Rahman ◽

Md Habibuzzaman Chowdhury ◽

Md Gisan Hossain

Keyword(s):

Retrospective Study ◽

Social Economic ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Legal Authority ◽

Care Hospital ◽

Age Group ◽

Detailed Data ◽

Police Station ◽

Medical College

Background: Rape is a global problem. Epidemiology of Rape differs from country to country.Objective: This study was carried out to determine the incidence of Rape Cases in tertiary care hospital in Bangladesh.Methodology: This retrospective study was conducted on the characteristics of the rape cases reported in the Department of Forensic Medicine at Dinajpur Medical College from January 2005 to December 2007. Cases were examined by taking the proper papers from the legal authority. All the cases were eferred form 13th Police station of Dinajpur District, Dinajpur.Result: A total number of 300 cases were collected in this study. The overall cases of rape were 2.3%. More detailed data from 300 cases reveals that 2/3 of the cases were in the age group of 14 to 20 years. Consider the socio- economics status of the victim, it is found that the highest frequency of rape is within the lowest socio-economic group.Conclusion: In the conclusion, the study reveals that the majority of the rape cases were in lower social-economic group with an age 15 to 18 years.J Shaheed Suhrawardy Med Coll, 2014; 6(2):64-66

Download Full-text

Demographic profile and pathway to care in patients with schizophrenia in a tertiary care hospital from western Nepal

Journal of Psychiatrists Association of Nepal ◽

10.3126/jpan.v4i1.16739 ◽

2017 ◽

Vol 4 (1) ◽

pp. 27-29

Author(s):

M. Belbase ◽

J. Adhikari ◽

T.A. Khan ◽

R.K. Jalan

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Descriptive Study ◽

Care Hospital ◽

Age Group ◽

Medical College ◽

Study Population ◽

First Contact ◽

Pathway To Care ◽

Severe Mental Health Problem

Introduction: Schizophrenia is one of the severe mental health problem and its guarded treatment response and association with as the stigma makes it a chronic debilitating personal, family and social problem of all the psychiatric illness. Timely Identification and management of this condition is important as early diagnosis and management gives better treatment response.Methods: This is a descriptive study done in patients attending psychiatry OPD of Nepalgunj Medical College, Kohalpur for 12 months from June 2013 to May 2014.Results: Out of the 86 study subjects (n=86), males were 54 in number followed by 32 females. The most common age group was 21-40 years representing 46(53.4%), followed by 41-60 years 24(28%), <20 years 12(13.9%) and >60 years 4(4.7%). The most common first contact of the patient with schizophrenia was with faith healers 54 (62.8%) followed by consultation with psychiatrist 18(20.9%). Among the study population, 38(44.2%) visited to the psychiatrist after >41 weeks of the beginning of the illness followed by 34(39.5%) visited in <10 weeks of the beginning of the schizophrenia.Conclusions: Faith healers were the most common first contact person for the patients with schizophrenia followed by psychiatrist . Most of the schizophrenia patients come to psychiatrist after 40 weeks of their illness.

Download Full-text

A Study on prescribing pattern of drugs in orthopaedic in-patient department at a tertiary care hospital in Guntur region

International Journal of Pharmaceutical Research and Life Sciences ◽

10.26452/ijprls.v8i2.1290 ◽

2020 ◽

Vol 8 (2) ◽

pp. 60-70

Author(s):

Anjani Teja Ch ◽

Ramesh babu K ◽

Leela subramanyam S ◽

Janani Y ◽

Eswar Sai Kiran K ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Care Delivery ◽

Tertiary Care ◽

Essential Medicine ◽

Care Hospital ◽

Age Group ◽

Common Condition ◽

Prescribing Pattern ◽

Prescribing Indicators ◽

Bed Days

The descriptive observational study was conducted over six months among inpatients of the orthopaedics department. The aim is to observe the prescribing pattern of drugs, to find out the percentage of analgesics given and most commonly prescribed analgesic, to compare the prescribed drugs whether they are in NLEM, WHO list and calculate DDD/100 Bed-days and to analyze the drugs for WHO prescribing drugs. A total of 250 patients were included in the study. Out of this, 168 were male, and 82 were female. Most of the patients were in the age group of 31-40[45 in number with 18%]. The most common condition was found to fracture [113 in number with 95.2%]. Commonly prescribed drugs were analgesics 447 with 26.76%. Among all the NSAID's, PCM was most commonly prescribed analgesic with 34.4%. The highest no, of drugs was found to be 4drugs/prescription with 24%. Monthly one analgesic was prescribed per prescription with 38.8%. Utilization of analgesics in term of DDD/100 Bed-days was 55.26; Drugs will be evaluated per prescription as per prescribing indicators of WHO was done, the average no. of drugs per prescription was found to be 0.45, percentage of drugs prescribed by generic name was found to be 13.3%, percentage of encounters with antibiotics prescribed were found to be 94.4%, In ratio percentage of drugs prescribed from the national list of essential medicine was found to be 92.6%. This study would help to facilitate better health care delivery.

Download Full-text