scholarly journals ANALYSIS OF NON-COMMUNICABLE DISEASE BURDEN IN A TERTIARY CARE HOSPITAL

2017 ◽  
Vol 4 (35) ◽  
pp. 2128-2131
Author(s):  
Nehru D ◽  
Paranthakan C ◽  
Kannan V.P
Keyword(s):  
Disease Burden ◽  
Tertiary Care Hospital ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Care Hospital ◽  
Non Communicable Disease

scholarly journals Mortality Burden of Non Communicable Disease – A Retrospective Study In A Tertiary Care Hospital of Bangladesh

2016 ◽  
Vol 27 (1) ◽  
pp. 22-26
Author(s):  
Binoy Krishna Tarafder ◽  
Ahmed Manadir Hossain ◽  
Karzan Dey Sarker ◽  
Palash Kumar Podder ◽  
Muhammad Nurul Islam ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Tertiary Care Hospital ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Night Shift ◽  
Care Hospital ◽  
Mortality Pattern ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Non Communicable Disease

Pattern of mortality gives a picture of disease burden of a community and helps in evaluation of health care system. A retrospective study was done in medicine wards of a tertiary care hospital in Bangladesh from 1st July 2014 to 30st June 2015 to see the mortality pattern. Data obtained from death and admission registrar. Total 1306 deaths were recorded. Mortality rate was 7%. Male female ratio was 1.65:1. Average age at death was 56.05 years. Highest 11.3% death occurred in January, 48.6% deaths occurred during night shift. Average stay in hospital was 42.1 hours. Non communicable disease causing 87%, communicable disease causing 8.8% deaths and 4.2% were brought dead and undiagnosed. Stroke and IHD caused 54.1% deaths. Among diagnosed causes, ratio of NCD and CD was 9.9:1.Bangladesh J Medicine Jan 2016; 27(1) : 22-26

scholarly journals SARS-CoV-2 Detection from the Built Environment and Wastewater and Its Use for Hospital Surveillance

2021 ◽  
Author(s):  
Aaron Hinz ◽  
Lydia Yuwei Xing ◽  
Evgueni Doukhanine ◽  
Laura A. Hug ◽  
Rees Kassen ◽  
...  
Keyword(s):  
Built Environment ◽  
Disease Burden ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Surface Sampling ◽  
Healthcare Environment ◽  
Detection Frequency ◽  
Wastewater Samples ◽  
Multi Center Study

Background. SARS-CoV-2 causes significant morbidity and mortality in health care settings. Our understanding of the distribution of this virus in the built healthcare environment and wastewater, and relationship to disease burden, is limited. Methods. We performed a prospective multi-center study of environmental sampling of SARS-CoV-2 from hospital surfaces and wastewater and evaluated their relationships with regional and hospital COVID-19 burden. We developed and validated a qPCR-based approach to surface sampling, and swab samples were collected weekly from different locations and surfaces across two tertiary care hospital campuses for a 10-week period during the pandemic, along with wastewater samples. Results. Over a 10-week period, 963 swab samples were collected and analyzed. We found 61 (6%) of swabs were positive for SARS-CoV-2, with the majority of these (n=51) originating from floor samples. Wards that actively managed patients with COVID-19 had the highest frequency of positive samples (p<0.01). Detection frequency in built environment swabs was significantly associated with active cases in the hospital throughout the study (p<0.025). Wastewater viral signal changes appeared to predate change in case burden. Conclusions. Environment sampling for SARS-CoV-2, in particular from floors, may offer a unique and resolved approach to surveillance of COVID-19.

A CASE REPORT ON CO-INFECTION OF COVID-19 WITH MALARIA

2021 ◽  
pp. 51-52
Author(s):  
K. Shivaraju ◽  
Mandhala Saikrishna
Keyword(s):  
Internal Medicine ◽  
Case Report ◽  
Male Patient ◽  
Tertiary Care Hospital ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Care Hospital ◽  
Fatal Disease

SARS Cov-2 is a new strain of coronavirus that’s appeared at the last quarter of 2019 in China. Malaria is an communicable disease caused by Plasmodium protozoa that is transmitted through a mosquitoes bite it is severe and fatal disease if not properly diagnosed and appropriately managed. Here we present the case of 39 years old male patient was attended to the outpatient department of internal medicine in tertiary care hospital in Hyderabad with chief complains of fever, chills, body pains. After all investigations she was diagnosed with SARS Cov-2 Positive. But after using all appropriate medications, there was no improvement in the patient condition. Then she was underwent for other investigations in that she was diagnosed with malaria disease. After using proper combination of anti-malarial medications, symptoms were subsided gradually or completely resolved.

scholarly journals Knowledge, attitude and practices study regarding current COVID-19 pandemic in patients presenting to rheumatology clinic of a Tertiary Care Hospital

2021 ◽  
Vol 4 (2) ◽  
pp. 100-109
Author(s):  
Taqdees Khaliq ◽  
Sarah Azam Shah ◽  
Saad Saleem ◽  
Safeena Hamed Quraishi
Keyword(s):  
Preventive Measures ◽  
Tertiary Care Hospital ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Main Idea ◽  
Sampling Technique ◽  
Attitude Score ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Participants

Introduction: The most important step in controlling the spread of any communicable disease is to stick to preventive measures and COVID-19 pandemic is no exception. Keeping this in mind, a KAP study was performed in the rheumatology unit of a tertiary care hospital of Islamabad. The main idea was to know the level of understanding of rheumatologic patients with respect to COVID-19 pandemic and its preventive measures. Objective: The objective of the study was to understand the knowledge, attitude and practices of rheumatologic patients towards COVID-19 pandemic. Methodology: A descriptive cross-sectional study in which consecutive, non-probability sampling technique was used. Results: There were 37 males and 73 females in the study group, with mean age of 38.75±13.9 years. The total knowledge score was 17 points. It was found that 12 (10.9%) participants had poor knowledge regarding COVID-19, whereas 27 (24.5%) and 71 (64.5%) had good and excellent knowledge respectively. The total attitude score of study participants 7 points. It was found that 11 (10.0%) participants had poor attitude, whereas 72 (65.5%) and 27 (24.5%) had good and excellent attitude. The total practice score was 11 points. It was calculated that 30 (27.3%) study participants had poor practices regarding COVID-19 prevention, whereas 78 (70.9%) had good practices and only 2 (1.8%) had excellent practices. Conclusion: Overall, it was noted that KAP of our rheumatologic patients towards COVID-19 infection was reasonable, however, there is always room for improvement.

scholarly journals A study of drug utilisation pattern in patients of chronic kidney disease at a tertiary care hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 170
Author(s):  
Latha Kamath ◽  
Hema N. G. ◽  
Himamani S.
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Tertiary Care Hospital ◽  
Antihypertensive Drugs ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Public Health Issue ◽  
Care Hospital ◽  
Prescribing Trends

Background: Chronic kidney disease (CKD) is a major public health issue and widely prevalent non-communicable disease in India. CKD has a complex pharmacotherapy and it inevitably requires poly-pharmacy. CKD patients require to take medications for a lifelong period, which makes it very important to study the prescribing trends on a regular basis. The main objective of the study was to analyse current prescribing trends in the management of CKD patients and to know whether the prescribing rationality was maintained.Methods: After Institutional Ethics Committee approval, a prospective         Cross-sectional study was carried out at Nephrology department of a tertiary care hospital for a period of six months from 1st June 2017 to 30th November 2017. Patients diagnosed with CKD by treating Nephrologist were included and their prescriptions were analysed to study the prescribing patterns.Results: A total of 120 cases were analysed during the study, of which 81.7% were males and 18.3% were females. Analysis of WHO core drug prescribing indicators showed that the average number of drugs prescribed per patient was 5.13, percentage of drugs prescribed by generic name was 30.03%, percentage of patients with an injection prescribed was 16.6%, percentage of drugs prescribed from essential medicine list was 65.8% and percentage of patients prescribed with an antibiotic was 10.8%. Antihypertensive drugs (39.9%) were the most commonly used drugs, followed by, calcium salts (12.01%), multi-vitamins (7.6%), oral iron supplements (6.8%), erythropoietin (6.3%) and ulcer protectives (6.1%).Conclusions: Maximum number of drugs were prescribed from cardiovascular class of drugs. Calcium channel blockers and diuretics were the commonest group of antihypertensives prescribed. The principle of rational prescribing was followed.

scholarly journals Patients’ satisfaction survey on healthcare services among non-communicable disease patients at a tertiary care hospital in Puducherry

2021 ◽  
Vol 33 (1) ◽  
pp. 182-188
Author(s):  
Anandaraj Rajagopal ◽  
Lalithambigai Chellamuthu ◽  
Premnath Dhasaram ◽  
Kavita Vasudevan ◽  
Prakash Mathiyalagen
Keyword(s):  
Patient Satisfaction ◽  
Service Provision ◽  
Tertiary Care Hospital ◽  
Communicable Disease ◽  
Tertiary Care ◽  
General Medicine ◽  
Care Hospital ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Study Participants

Background: Patient satisfaction is a scale to assess the services offered by the healthcare system. Patient’s feedback is necessary to identify problems that need to be resolved in improving health services. Aim & Objective: Keeping this in view, the present study is an initiative to estimate the patient’s satisfaction in service provision among NCD patients at a tertiary care hospital of Puducherry. Settings and Design: A Facility-based descriptive cross-sectional study was conducted among NCD patients attending General medicine OPD of a tertiary care hospital of Puducherry between April-June 2019. Methods and Material: Assuming 50% satisfaction level among study participants and 5% non-response rate, the sample size was estimated as 404. The NCD register maintained at the General medicine OPD was considered as the sampling frame & systematic random sampling was applied, so that every 5th patient satisfying the inclusion criteria will be included. A standardized patient satisfaction questionnaire with 31-items (4 domains) which is validated for Indian setting (Cronbach’s alpha 0.96) was used. Statistical analysis used: Data capture was done using Epicollect-5 android application and analysed using SPSS version 16.0. Results: Among the 404 NCD patients, the mean age was 56 ± 11.8 (SD) years and 60.6% were females. One in four patients felt poor in reception, doctor-patient relationship and dispensary services. The overall satisfaction of study subjects categorized as good, satisfactory, poor was 6%, 86% and 8% respectively. Conclusions: Majority of the study participants were satisfied with the service provision of the health facility. Still, there is a scope for improvement in dispensary, doctor-patient relationship and registration services.

scholarly journals Outcome of Acute Myocardial Infarction Patients Admitted in a Tertiary Care Hospital

2017 ◽  
Vol 28 (1) ◽  
pp. 6-8
Author(s):  
Mona Islam ◽  
Biplob Bhattacharjee ◽  
Md Abu Yusuf Chowdhury ◽  
Abu Naser Siddique ◽  
Abul Mansur Md Rezaul Karim
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiac Arrest ◽  
Tertiary Care Hospital ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Care Hospital ◽  
Risk Of Death ◽  
Increased Risk ◽  
History Of

Acute myocardial infarction (AMI) is a common non - communicable disease prevailing in developed as well as in developing countries like Bangladesh, causing a great number of mortality and morbidity and impart a huge economic burden to family as well as to society. This study was designed to see the various complications and outcome of the patients of AMI, admitted in a tertiary care hospital in Bangladesh. In this observational study, 100 patient of AMI admitted in Cardiology ward of CMCH were enrolled. Clinical diagnosis was made from history and clinical examination and confirmed by ECG and biochemical markers. Informed written consent was taken from the patient or from the patient's attendant. Among the 100 cases of AMI, 89% were suffering from STEMI and 11% were from NSTEMI. Most of the patients (39%) were in 50-59 years age group. Majority of patient had chest pain (52%), followed by dyspnoea (23%), palpitation 10%, syncopal attack 7% and cardiac arrest 8% respectively. Important risk factors were history of smoking (37%), Diabetes (33%), Hypertension (31%), Dyslipidaemia (21%) and family history of IHD (16%). ECG showed ST-elevation in 80% of patients. It has been revealed that the important complications were cardiogenic shock(31%) followed by acute LVF(21%), bradyarrythmia (12%), tachyarrhythmia (10%), cardiac arrest(8%) and 12% patients died within 24 hours of admission. Patients with AMI have a substantially increased risk of death after hospitalization when shock, LVF or arrhythmias occur during their hospital stay. These complications should have to be treated promptly to achieve a good outcome.Medicine Today 2016 Vol.28(1): 6-8

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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