COVID 19 Pandemic: Impact on Admission, Diagnosis and Treatment of Non-Covid 19 Patients Admitted in SARI ICU

Abstract BackgroundHealthcare systems worldwide are overwhelmed in the treatment of ever-increasing number of COVID 19 patients which has affected the management of non COVID 19 patients as well. We tested the adherence to Severe Acute Respiratory Illness (SARI) definition laid down by The Government of India for triaging of suspected COVID 19 cases, and the impact of this strategy on the non covid patients admitted to SARI ICU as suspected cases of covid 19 disease.MethodsA cross-sectional study was conducted to reflect the appropriateness and adherence of SARI definition in two tertiary care medical college hospitals in triaging COVID 19 suspect cases and assessed the challenges in admission, diagnosis and treatment of non COVID 19 diseases. The study involved 78 patients in two multidisciplinary units of medical college hospitals in the month of June – July 2020. Data related to demographics, severity of illness, advanced life supports required, delay in diagnosis, intervention and treatment of patients in SARI ICU due to suspect COVID 19 status was documented. ResultsAdherence to SARI definition for triaging COVID suspect cases was 19.2%. Respiratory symptoms amounted to 24% of presenting complaints. Despite hindrance in the diagnosis (17.9%) and treatment (12.8%), mortality among patients in SARI ICU was limited to 14.10%. The results were in-significant when checked for the various factors associated with mortality.ConclusionThe adherence to SARI definition while triaging COVID suspect cases to intensive care units was low among the clinicians. There were hindrances in the diagnosis and treatment of non COVID diseases due to COVID suspect status of the patient. However, treatment outcomes of these patients were comparable to critically ill population with similar disease severity scores suggesting that quality of care may not have been compromised despite the pandemic. Poor adherence to SARI definition while triaging might have led to economic implications on patients and healthcare systems but further studies are required to comment regarding the same.

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TELEMEDICINE IN TIMES OF CORONAVIRUS DISEASE-19 AT A TERTIARY CARE GOVERNMENT HOSPITAL IN UTTAR PRADESH, INDIA

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2020.v13i12.39864 ◽

2020 ◽

pp. 190-193

Author(s):

ADITY PRIYA ◽

KUNWAR VAIBHAV ◽

SALIL KUMAR SRIVASTAVA ◽

VIJAY KUMAR

Keyword(s):

Tertiary Care ◽

Uttar Pradesh ◽

Cross Sectional ◽

Medical College ◽

Patient Diagnosis ◽

Short Period ◽

The Common ◽

The Government ◽

To Come ◽

Clinical Continuum

Objective: The present study aimed to describe the common symptoms and diagnosis for each specialty which can be used in future for expansion of teleconsultation services and implementation of the E Sanjeevani model in health care. Methods: This is a cross-sectional observational study which comprises the data collected from various specialties over a 4-month period. The telemedicine consultations were given by the consultants of the concerned specialty in adherence to the telemedicine guidelines issued by the government and mostly generic names of the medicine were advised to the patients. The demographic details, chief complaint of the patient, diagnosis, and treatment were recorded. Results: The total number of calls which was received in 4 months period at the telemedicine center in Government Medical College, Ayodhya, was 4848. Maximum number of calls was attended by the department of obstetrics and gynecology which was 771 (15.9%). Coronavirus disease (COVID-19) had a substantial and transformative influence on routine clinical practice across the entire clinical continuum in a very short period of time. Conclusion: The use of telemedicine emerged as a critical tool to improve the provision of health services. The virtual media and other technologies that can be delivered to patients doorsteps need to strengthened. The trailer which telemedicine showed up in times of COVID-19 can definitely produce a good show in days to come with proper communication between the service provider and receiver.

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PATTERN OF CANCER CASES REGISTERED IN A TERTIARY CARE CENTER IN KATHUA DISTRICT OF J&K: A CROSS SECTIONAL STUDY

10.36106/ijsr/0400712 ◽

2020 ◽

pp. 1-2

Author(s):

Deepak Abrol ◽

Anuj Kapoor ◽

Pawan Kumar

Keyword(s):

Care Center ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Age Group ◽

Important Public Health Problem ◽

Cross Sectional ◽

Medical College ◽

Area Distribution ◽

The Government

Introduction:Cancer is an important public health problem in India, with 10 lakh new cases occurring every year in the year. Cancer pattern varies in different regions and depends on genetic, environmental, dietary, social and other factors. Aim and objectives: This study was undertaken to determine magnitude and pattern of cancer cases reporting in the hospital. Methodology: This was a hospital-based retrospective study undertaken in the Government Medical College Kathua. GMC, Kathua is one among st the ve new medical colleges established in Jammu & Kashmir. The records of cancer patients generated from 1st November 2018 to 1 November 2019 were analyzed. All the cancer cases who reported either for diagnosis in any of the hospital OPD or for the treatment (radiotherapy/ chemotherapy/ surgery) were included. Data was entered in the MS Excel for analysis Results: Out of total 272 patients registered, females accounted for 56.6% and males for 43.3%. Hindu patients were in majority (84.2%). Most of the cases (37.1%) were in the age group 60-80. Pattern of cancer was different in the two sexes. In males, maximum cases were of lung cancer and in females, Ca breast was the most common followed by the cervical cancer Conclusion: This hospital-based study indicates the cancer prole in Kathua district. Females were found to be more affected than that of males with majority of the cases in the late 40s age group. Rural area and urban area distribution was found to be almost similar.

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A study on initiation of breastfeeding: are children in India getting the best start?

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182643 ◽

2018 ◽

Vol 5 (7) ◽

pp. 3029

Author(s):

Arvind Singh Kushwaha ◽

Anshika Kushwaha ◽

Neha Kushwaha

Keyword(s):

Breast Milk ◽

Breast Feeding ◽

Economic Status ◽

Tertiary Care ◽

Care Hospital ◽

Private Institutions ◽

Cross Sectional ◽

Medical College ◽

Level Of Knowledge ◽

The Government

Background: Giving colostrum to a newborn has been called the “first immunisation” of the child. Colostrum and breast milk have definite anti-infective properties and have shown to have an impact on reducing specific morbidity and mortality rates among infants. The objectives of the study were to determine the level of knowledge about early initiation of breast feeding amongst mothers and to study determinants of initiation of breast feeding.Methods: Cross-sectional analytical study was carried out at a tertiary care hospital of a medical college in Pune. Systematic random sampling method was used.Results: The subjects came predominantly from joint families, urban area, Hindu by religion and Class II Socio economic status (Kuppuswamy classification). Majority of (84.23%) mothers responded that they initiated breast feeding within 1 hour after birth. Most (95.25%) of the mothers agreed for giving colostrums. About half of the mothers interviewed believed that breast milk is more nutritious (49.5%) while 28% mothers said that feeding babies with breast milk protects them against infections.Conclusions: All doctors and paramedical personnel in the Government and private institutions ensure that lactation begins immediately after birth and prelacteal feeds are withheld.

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Estimation of Perceived Stress among Doctors in a Peripheral Tertiary Government Medical College of West Bengal: A Cross-sectional Study

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/45974.14731 ◽

2021 ◽

Author(s):

Ranjan Das ◽

Nazrul Mallick ◽

Ashis Debnath ◽

Bijit Biswas ◽

Sumit Mukherjee

Keyword(s):

Logistic Regression ◽

Perceived Stress ◽

West Bengal ◽

Tertiary Care ◽

Moderate Level ◽

Government Medical College ◽

Cross Sectional ◽

Medical College ◽

Family Problem ◽

The Impact

Introduction: Doctors working in a tertiary care teaching hospital suffers higher symptoms of psychological distress. The impact of excessive stress may affect the individual employee and the organisation in terms of productivity and performance. Aim: To estimate the perceived stress among doctors and to find out the sources of their stress in a peripheral Government Medical College of West Bengal. Materials and Methods: This was an observational study, cross-sectional in design, conducted to assess the perceived stress and specific stressors among 95 doctors who were posted in a peripheral Government Medical College from June to November 2019. A Perceived Stress Scale (PSS 10) questionnaire was used to assess the perceived stress. Psycho-social and Environmental stressors were assessed using 11 items questionnaire. Data were analysed using the IBM statistical package for social sciences, (SPSS) software program (version 20.0) (Chicago, USA). Results: The majority of the participant (80%) had moderate level of stress, while 10.5% had low stress and 9.5% had severe stress. The mean PSS score in this study was 20.49±5.61. In univariate logistic regression analysis, significant association was found with loneliness {Odds Ratios (OR) 9.3; 95% Confidence Interval (CI)= 2.9-29.9}, family problem (OR 2.7; 95% CI=1.1-6.6) and quality of food (OR 2.9: 95% CI=1.2-7.0). Finally, loneliness (AOR 9.6; 95% CI=2.7-34.1) and family problem (AOR 3.7; 95% CI=1.3-10.1) came out to be statistically significant predictors of stress in multivariable logistic regression. Conclusion: Majority of doctors had moderate level of stress and they felt upset, nervous and stressed in last one month of preceding the survey. Professional counseling for the doctors to improve their coping and resilience behaviours is highly recommended.

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Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2016.v02i01.13 ◽

2016 ◽

Vol 2 (1) ◽

pp. 62-78

Author(s):

. Hemraj ◽

Raj Kumar ◽

Sourabh Kosey ◽

Amit Sharma ◽

Nalini Negi

Keyword(s):

Side Effects ◽

Tertiary Care ◽

Cross Sectional Study ◽

Informational Needs ◽

Cross Sectional ◽

Clinical Pharmacists ◽

Medical College ◽

Related Information ◽

The Common ◽

Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

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Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽

10.3126/medphoenix.v6i1.36681 ◽

2021 ◽

Vol 6 (1) ◽

pp. 14-18

Author(s):

Smita Singh ◽

Deependra Prasad Sarraf ◽

Prabin Singh ◽

Pragati Poudyel

Keyword(s):

Teaching Hospital ◽

Health Care Professionals ◽

Tertiary Care ◽

College Teaching ◽

Cross Sectional Study ◽

Cross Sectional ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

Medical College ◽

National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire. Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

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

10.36106/9100420 ◽

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.

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Impact of Land Conservation Technologies on Agricultural Productivity in Tanzania

Utafiti ◽

10.1163/26836408-0110102004 ◽

2015 ◽

Vol 11 (1-2) ◽

pp. 33-66

Author(s):

Onesmo Selijio

Keyword(s):

Land Management ◽

Water Conservation ◽

Crop Yields ◽

Maize Crop ◽

Cross Sectional ◽

Inorganic Fertilizers ◽

The Government ◽

The Impact ◽

Management And Conservation ◽

Conservation Technologies

Land management and conservation have been considered the most important aspects of sustainable productivity in economically developing countries where land degradation is a major challenge. In Tanzania, both the government and international organizations have been promoting adoption of land management and conservation technologies (LMCTs) for a long time. This paper establishes the impact of three LMCTs – soil water conservation technologies and erosion control (SWCEC), organic and inorganic fertilizers – on maize crop yields in different rainfall zones, using national panel survey data. The study employs static panel models to analyse the two-period data sets for 2008-2009 and 2010-2011. The results indicate that adoption of LMCTs do contribute significantly to maize yield. The greatest effects of organic and SWCEC methods on crop yield were realized in low rainfall zones, while that of inorganic fertilizers was observed in high rainfall zones. These findings support previous cross-sectional data analyses, suggesting for policy makers that a blanket land management and conservation programme applied uniformly to all agro-ecological zones is not strategically beneficial. The advisability of a technology employed in a given zone should be supported by local knowledge and research findings culled from that particular area.

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Impact of Organizational Commitment on Intention to Quit Among Psychaitric Nurses: Evidence from Pakistan

International Journal of Learning and Development ◽

10.5296/ijld.v5i4.8734 ◽

2015 ◽

Vol 5 (4) ◽

Cited By ~ 2

Author(s):

Kashifa Yasmin ◽

Prof. Dr. Najib Ahmad Marzuki

Keyword(s):

Organizational Commitment ◽

Structural Equation ◽

Turnover Intentions ◽

Psychiatric Hospitals ◽

Developed Countries ◽

Intention To Quit ◽

Equation Modeling ◽

Cross Sectional ◽

The Government ◽

The Impact

Shortage of the nurses is an important issue in the developing and developed countries. The aim of this paper is to determine the impact of organizational commitment on intention to quit among psychiatric nurses. Based on the model of casual turnover this study assessed the direct effect of organizational commitment on nurse’s intention to quit. The cross sectional data was collected from three hundred five nurses of psychiatric hospitals in Punjab, Pakistan. Structural equation modeling was applied to achieve the objectives. The results revealed that affective commitment and normative commitment have significant impact while continuous commitment has not significant effect on nurse’s intention to quit. So, the commitment of nurse to hospital goals, missions, and values is not enough to predict her intention to quit from job in the hospital. This study recommends that, the government and policy makers should look beyond forces in their internal and external environment, when considering how to reduce employee’s turnover intentions. This study recommends that future researchers should examine the impact of work environment on intention to quit though burnout as a unit variable. This study contributes socially and economically.

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Patients Characteristics in a General Intensive Care Unit (GICU): Facts and Outcomes

KYAMC Journal ◽

10.3329/kyamcj.v7i1.33757 ◽

2017 ◽

Vol 7 (1) ◽

pp. 678-680

Author(s):

Kamrunnahar Alo ◽

Md Mahfuzar Rahman ◽

Rahena Khatun

Keyword(s):

Tertiary Care ◽

Support Service ◽

Admission Diagnosis ◽

Technological Advancement ◽

Management Skills ◽

College Hospital ◽

Team Members ◽

Medical College ◽

Diagnosis And Prognosis ◽

Management Protocol

Background: Patient's management during emergency differs significantly between countries. However, technological advancement and requirement of quality support service as well as survivality is a great concern towards reduced hospital mortality.Aim and Objectives: The aim of this study is to find out patient's characteristics admitted at GICU of Khwaja Yunus Ali Medical College Hospital (KYAMCH) in order to investigate selected variables like; the duration of stay at GICU, their health problems on admission, diagnosis and prognosis including certain demographic characteristics in particular.Methods and Materials: This was an exploratory study on patient's characteristics during the period from January to June 2015 at GICU of KYAMCH. The data were collected through record review according to variables available on GICU admission register.Results: Total 163 cases were studied in 6 months. Among them 98 (60.12%. were male & 65 (39.88%) were female. The mean age of admitted male patients were 47 & in female it was 40 years with mean ± 16 and 17 years respectively. In addition GICU stays were found up to 5 days among 76.58% patients. The study revealed septic shock, cancer, injury and CVD as the common emergencies that needed skillful attention. Moreover, death and Discharge on Risk Bond (DORB) were found unwanted outcomes (52.23%) that also need to be addressed through developing skilled management protocol at GICU of concern tertiary care hospital.Conclusions: The findings will help hospital managers to identify necessary support needed as well. It will also help to identify emergency management skills needed for the GICU personnel team members in particular. Thus it can be a basis for the hospital administrators to take appropriate measures in towards reducing hospital mortality rate as well.KYAMC Journal Vol. 7, No.-1, Jul 2016, Page 678-680

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