COVID-19 Social Work Scope and Intervention in A Tertiary Care Hospital

2020 ◽  
Vol 7 (1) ◽  
pp. 92-95
Author(s):  
Sivakumar Chinnayan
Keyword(s):  
Social Work ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
The Novel ◽  
Medical Social Worker ◽  
The People ◽  
The World ◽  
Full Force ◽  
Novel Coronavirus

The novel coronavirus has hit the routine life of the people crossing countries and not spared anyone in existence. In terms of screening and treatment of the infected a multidisciplinary team in full force is working around the world. Social Work, a profession that has an understanding of the psychosocial intricacies of people is also at the frontline. In this article, the author who himself a Medical Social Worker attempts to elicit the scope and possible interventions for the COVID-19 victims

scholarly journals Comparative Study of Physiological and Haematological Parameters among Mild and Severe COVID-19 Patients Admitted in Tertiary Care Hospital of Pune District, India

2021 ◽  
pp. 132-139
Author(s):  
Suchita Sachin Palve ◽  
Pallavi Sachin Chaudhari
Keyword(s):  
Inflammatory Responses ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Specific Treatment ◽  
Haematological Parameters ◽  
Care Hospital ◽  
Physiological Variables ◽  
The World ◽  
High Level ◽  
The Impact

Background: The COVID-19 pandemic has put global health at stake by creating havoc all over the world, due to which the world, as well as health agencies, are experiencing the greatest challenges. This disease is a health emergency due to its high level of infectiousness and the non-availability of any specific treatment [1]. Objectives: To determine and compare the significance of physiological and haematological parameters in the diagnosis of COVID 19 infection and compare the association of physiological and haematological parameters among mild and severe COVID-19 patients. Methodology: The present comparative, observational study was carried out in a designated tertiary care hospital, where admission of COVID19 patients in Pune district, India. Various parameters like age, height, weight, BMI, various physiological variables, haematological parameters, and CRP levels were assessed among 202 Mild and 50 severe COVID 19 diagnosed patients on day one of the hospital's stays. Results: Pearson’s correlation coefficient showed a significant correlation among physiological and haematological variables compared to both groups, especially physiological parameters like SBP and DBP. The results showed that TLC, CRP, NLR, PLR, among COVID 19 patients cans work as important biomarkers to understand the disease prognosis. Conclusion: Study of physiological and haematological parameters and their interrelation will help in understanding the impact of COVID 19 infection on the reactive inflammatory responses and help in understanding the prognosis of the disease among mild and severe patients.

scholarly journals Patterns and Causality Assessment of Adverse Drug Reactions in Inpatients of a Tertiary Care Hospital, Nepal

2020 ◽  
Vol 42 (3) ◽  
pp. 97-101
Author(s):  
Anish Mudvari ◽  
Dipendra Yadav ◽  
Rakesh Ghimire ◽  
Pravin Prasad
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Exposure ◽  
Causality Assessment ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
University Teaching ◽  
Care Hospital ◽  
Drug Reactions ◽  
Clinical Events ◽  
The World

Introduction Adverse drug reaction (ADR) is a leading cause of morbidity and mortality around the world. Causality assessment is done to establish relation of drug exposure with undesired clinical events. This study conducted in tertiary care hospital was undertaken to evaluate the patterns of ADR and causality assessment using Naranjo causality algorithm. MethodsData on suspected ADR cases were collected retrospectively from Medicine and Dermatology wards of Tribhuvan University Teaching Hospital, Kathmandu from April 2018 to April 2019. Naranjo causality assessment was performed. Statistical analysis was done using SPSS version 18. ResultsOf 34 suspected ADR, occurrence of ADR was more in females (18) as compared to males (16). Skin and integumentary system was the most common organ affected (35.29%). Pyrazinamide induced hepatitis was found to be the most common suspected ADR. Causality assessment was performed and ADRs were categorized as possible 17 (50%), probable 16 (47.06%) and definite 1 (2.94%). ConclusionThe patients are commonly admitted at the hospital due to suspected ADRs. Pyrazinamide induced hepatitis was the most common suspected ADR.

scholarly journals A Prospective Study of Total Laryngectomy and associated Complications

2012 ◽  
Vol 2 (1) ◽  
pp. 20-22 ◽  
Author(s):  
Sudarshan L Reddy ◽  
Sridhar D Reddy ◽  
AVVSL Prasad
Keyword(s):  
Prospective Study ◽  
Total Laryngectomy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
High Incidence ◽  
The World ◽  
A Prospective Study

ABSTRACT A prospective study conducted over a period of 2 years at a tertiary care hospital on all patients who underwent total laryngectomy to study the complications of the surgeries, their possible etiology. Laryngectomy is one of the most frequently done oncological surgeries in this part of the world, with high incidence of morbidity. Through improved techniques and preand postoperative protocols the incidence of complications have reduced, none the less they occur. Aim of the present study is to note the incidence of complications and their management in our setup. How to cite this article Reddy SL, Reddy SD, Prasad AVVSL. A Prospective Study of Total Laryngectomy and associated Complications. Int J Phonosurg Laryngol 2012;2(1):20-22.

scholarly journals Differential Equation Analysis on COVID-19

2020 ◽  
pp. 1-15
Keyword(s):  
Hot Spot ◽  
Sufficient Information ◽  
The Novel ◽  
Effective Response ◽  
The People ◽  
Equation Analysis ◽  
The World ◽  
The Government ◽  
Novel Coronavirus ◽  
And Control

An infectious disease caused by a novel coronavirus called COVID-19 has raged across the world since December 2019. The novel coronavirus first appeared in Wuhan, China, and quickly spread to Asia and now many countries around the world are affected by the epidemic. The deaths of many patients, including medical staff, caused social panic, media attention, and high attention from governments and world organizations. Today, with the joint efforts of the government, the doctors and all walks of life, the epidemic in Hubei Province has been brought under control, preventing its spread from affecting the lives of the people. Because of its rapid spread and serious consequences, this sudden novel coronary pneumonia epidemic has become an important social hot spot event. Through the analysis of the novel coronary pneumonia epidemic situation, we can also have a better understanding of sudden infectious diseases in the future, so that we can take more effective response measures, establish a truly predictable and provide reliable and sufficient information for prevention and control model.

scholarly journals A study of deaths due to railway fatalities at a tertiary care hospital mortury 2015-16

2017 ◽  
Vol 6 (1) ◽  
pp. 264
Author(s):  
P. Ravi Kumar
Keyword(s):  
Forensic Medicine ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Study Group ◽  
Care Hospital ◽  
Medical Sciences ◽  
Medicine Department ◽  
Rail Network ◽  
The People ◽  
Railway Crossing

Background: Railway accidents according to the NCRB, 25,006 people died and 3,882 were injured in a total of 28,360 railway accidents across the country in last year. Railway crossing accidents like India has an extensive rail network with high levels of injury and violence.Methods: This study was conducted at Forensic medicine department, PIMS (pondicherry institute of medical sciences). The study group consisted of all the victims reporting to PIMS hospital Mortuary, during the period of study (January 2015-January 2016) were subjected to thorough post mortem examination and the pattern of injuries were noted.Results: A total of 300 postmortems, performed at the mortuary of the Dept. of Forensic Medicine, DMC during the period of January to December 2016, were studied. Of them 164 (54.89%) cases were of accidents, 72 (23.19%) cases were suicide, 54 (17.12%) cases homicide, 8 (2.46%) cases undetermined and 2 (0.80%) cases were of natural deaths. In this study accidental deaths were commonest, seen in (72.12%) cases followed by suicidal (20.63%) and least was homicidal seen in (7.16%) cases.Conclusions: Deaths have occurred in association with railway since the inception of railway in the present study males are commonest victims of railway deaths which concurs with studies conducted by other authors. Helpline numbers should be printed inside the coaches to inform the authorities in case of emergency. Railway should strictly implement the laws of railway acts and the people should be penalized for breaking the rules for the safety of passengers.

scholarly journals EVALUATION OF USE OF ANALGESICS IN PAIN MANAGEMENT AMONG SURGEONS IN A TERTIARY CARE HOSPITAL

2018 ◽  
Vol 11 (11) ◽  
pp. 124
Author(s):  
Jayshree Dawane ◽  
Kalyani Khade ◽  
Yamini Ingale ◽  
Vijaya Pandit
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
World Health ◽  
Moderate Intensity ◽  
Study Group ◽  
Care Hospital ◽  
Analog Scale ◽  
The World ◽  
Hospital Patients ◽  
Health Organization

Objective: The objective of this study is to evaluate pain and to assess if analgesic prescriptions are according to the World Health Organization guidelines. Methods: The study was conducted in the Department of Surgery in a tertiary care hospital. Patients with age >18 years, of either sex, admitted to surgery ward were included in the study. Pain assessment was done using a visual analog scale and McGill questionnaire. Information obtained from case paper sheets was recorded, such as name of analgesics, the generic name of prescribed analgesics, dosage, route of administration, frequency, number of analgesics per prescription, and non-pharmacological techniques. Data generated from the questionnaire were entered into an Excel sheet, and percentages were calculated. Results: A total of eight different analgesics were prescribed in the study group. Paracetamol was the maximally prescribed drug (40%). In 48% of cases, antacids were given along with analgesics. A majority of analgesics were prescribed in generic names (52%). No drug was prescribed to almost 18% cases even though the pain intensity was of mild-to-moderate intensity. Conclusion: Commonly prescribed drugs were paracetamol + tramadol. Prescription pattern of analgesics is partially deviating from standard guidelines. Generic names were written in the majority of prescriptions, which is in accordance with standard prescription writing.

scholarly journals Pattern of admissions, clinical course and short term outcome of patients admitted to an obstetric ICU of a tertiary care hospital of north India: a retrospective study

2018 ◽  
Vol 7 (5) ◽  
pp. 1749
Author(s):  
Waseeqa Nigeen ◽  
Saima Salam ◽  
Samina Ashraf ◽  
Abdus Sami Bhat
Keyword(s):  
Mortality Rate ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Spectrum Management ◽  
North India ◽  
Care Hospital ◽  
Care Giving ◽  
Obstetric Haemorrhage ◽  
Number Of Patients ◽  
The World

Background: Obstetric ICUs have become an important part of any tertiary care obstetric hospital. There have been studies in different parts of the world including India to determine the clinical spectrum, management and outcome of the patients admitted to these units. There have been a few studies on the subject from our part of the country, so we tried to carry out the said study. Our objective was to study indications of admissions, the pattern of complications, interventions required, and the maternal and fetal /neonatal outcome of the patients admitted in an obstetric ICU of our hospital.Methods: A retrospective descriptive study carried out at Lalla Ded hospital Srinagar, a tertiary care hospital of north India, between January 2017 and June 2017.Results: Fifty patients among 4890 obstetric admissions required ICU care giving an admission rate of 1.02%. Most of the patients fell in the age group of 26-30years (52%) followed by 31-35 years (24%).The most frequent indication for admission to ICU was pregnancy induced hypertension related eclampsia and preeclampsia which constituted about 44% (n=22) of the admissions. Obstetric haemorrhage was a close second and accounted for 34% (n=17) of the admissions. Mean ICU stay was 2.5±1 days. Four patients died giving a maternal mortality rate of 8% in this ICU. There were eleven fetal and neonatal deaths excluding ectopic pregnancy giving a fetal /neonatal mortality rate of 22%.Conclusions: Obstetric ICUs have become an important part of any tertiary care obstetric hospital. Significant number of patients get admitted and treated in these ICUs. In our part of the world majority of ICU admissions are because of eclampsia/preeclampsia and obstetric haemorrhage. Although a large number of mothers and their neonates get benefitted by way of admission to ICUs, a significant proportion of these mothers and their neonates die. There is a lot of scope of improvement in maternal and perinatal mortality. In addition to the importance of setting up of state of the art obstetric ICUs, the need for supervision of pregnancies, institutional deliveries, early detection of complications and early referral cannot be overemphasized. 

scholarly journals Assessment of Potential Risk Factors for 2019-Novel Coronavirus (2019-nCov) Infection among Health Care Workers in a Tertiary Care Hospital, North India

2021 ◽  
Vol 12 ◽  
pp. 215013272110020
Author(s):  
Sugandhi Sharma ◽  
Ritin Mohindra ◽  
Kirtan Rana ◽  
Vikas Suri ◽  
Ashish Bhalla ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care Workers ◽  
Potential Risk ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Workers ◽  
Potential Risk Factors ◽  
Novel Coronavirus

Introduction Health care workers (HCWs) are at the forefront to fight against COVID-19 pandemic. They are at more risk of contracting the infection. This study was planned to assess potential risk factors of 2019-novel coronavirus infection among HCWs working in a health facility and to evaluate the effectiveness of infection prevention and control measures among them. Methods A study was conducted in a tertiary care hospital among HCWs who were directly or indirectly involved in the management of a confirmed or suspected case of COVID-19. The socio-demographic characteristics, history of exposure, IPC measures followed and clinical symptoms were compared between health care workers in COVID and non-COVID areas. Results Majority (45%) of HCWs were nurses, followed by hospital/sanitary/technical attendants (30%) and doctors (24%). Out of a total of 256 HCWs, 2% tested positive. Around 80% of HCWs had ever attended any IPC training. A statistically significant association was found between posting area of HCWs and their exposure to COVID patients (duration of exposure, PPE has worn by HCWs, direct contact of HCWs with the patient’s material) and COVID positivity ( P value <.001). Conclusion If health care workers were trained and take adequate precautions then the risk of getting an infection is minimized.

scholarly journals Plasma Leptin Is Increased in Intensive Care Patients with COVID-19—An Investigation Performed in the PronMed-Cohort

Biomedicines ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 4
Author(s):  
Anders Larsson ◽  
Miklós Lipcsey ◽  
Michael Hultström ◽  
Robert Frithiof ◽  
Mats Eriksson
Keyword(s):  
Intensive Care ◽  
Blood Donors ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
University Hospital ◽  
Care Hospital ◽  
Median Length ◽  
Intensive Care Patients ◽  
The World ◽  
Plasma Leptin

COVID-19 has shaken the world and intensive care units (ICU) have been challenged by numerous patients suffering from a previously unknown disease. Leptin is a polypeptide pleiotropic hormone, mainly expressed by adipocytes. It acts as a proinflammatory cytokine and is associated with several conditions, known to increase the risk of severe COVID-19. Very little is known about leptin in severe viral disorders. Plasma leptin was analyzed in 222 out of 229 patients with severe COVID-19 on admission to an ICU at Uppsala University Hospital, a tertiary care hospital in Sweden, and compared to plasma leptin in 25 healthy blood donors. COVID-19 was confirmed by positive PCR. Leptin levels were significantly higher in patients with COVID-19 (18.3 ng × mL−1; IQR = 30.4), than in healthy controls (7.8 ng × mL−1; IQR = 6.4). Women had significantly higher leptin values (22.9 ng × mL−1; IQR = 29.8) than men (17.5 ng × mL−1; IQR = 29.9). Mortality at 30 days was 23% but was not associated with increased leptin levels. Neither median duration of COVID-19 before admission to ICU (10 days; IQR = 4) or median length of ICU stay (8 days; IQR = 11) correlated with the plasma leptin levels. Leptin levels in COVID-19 were higher in females than in males. Both treatment (e.g., use of corticosteroids) and prophylaxis (vaccines) have been improved since the start of the COVID-19 pandemic, which may contribute to some difficulties in deciphering relations between COVID-19 and leptin.

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