A PROSPECTIVE OBSERVATIONAL STUDY OF CLINICAL PROFILE IN ETIOLOGY OF ANEMIA IN ELDERLY-A HOSPITAL BASED STUDY IN A TERTIARY CARE CENTRE IN SOUTH INDIA

Background: Anemia is often considered as a normal physiological process that occurs with aging. but recently since past 2 decades anemia of any degree is being recognized as significant independent contributor to morbidity mortality and frailty in elderly patients. It is easy to overlook anemia in elderly as symptoms of anemia like fatigue, SOB etc are often attributed to aging process itself. many evidences accumulated states that anemia of any degree reflects poor health and increased vulnerability to poor outcomes. Materials and methods: This study was conducted in the department of internal medicine in a tertiary care hospital over a period of one year with sample size of 362 subjects satisfying the inclusion and exclusion criteria after taking the consent form. Results: Moderate degree anaemia was the commonest around, 65.6% followed by severe degree anemia 20.1%. Easy fatigability was the commonest symptom and pallor was the commonest sign of anaemia in elderly. Anemia is not always a consequence of aging. Anemia of unexplained etiology constituted 15.97% of total study population. Conclusion: Anaemia in elderly is a challenge and has to be approached in an organized manner for appropriate diagnosis and evaluation to look into its cause and plan management to improve the quality of life of the elderly persons.An effort should always be made to reach etiological diagnosis before instituting specific therapy.

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A cross-sectional epidemiological study of prevalence of work stress among resident doctors of a metropolitan tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20164729 ◽

2016 ◽

Vol 4 (1) ◽

pp. 156

Author(s):

Swati Deshpande ◽

Anurag Dhoundiyal ◽

Dipika Shrestha ◽

Praveen Davuluri

Keyword(s):

Work Stress ◽

Tertiary Care ◽

Working Hours ◽

Moderate Degree ◽

Care Hospital ◽

Cross Sectional ◽

Mild Degree ◽

Institutional Ethics ◽

One Year ◽

Severe Degree

Background: To assess the prevalence of work stress , to compare of the prevalance of stress among resident doctors working in clinical and non/para-clinical departments, to determine the factors leading to stress among resident doctors.Methods: after getting approval from Institutional ethics committee all the resident doctors of the hospital were contacted during a period of data collection of one year. Data was collected using standard questionnaire. Detailed descriptive statistical analysis was done. Results: The mean age of the participants in the study was 26.8 years with maximum age being 39 years and minimum being 24 yrs. Among 454 study subjects nearly 34.8% were female and 64.2% were male i.e. 158 & 296 respectively. Among 454 resident doctors 188 from 1st , 139 from 2nd & 127 were from 3rd year of residency with percentage contribution of 41.4, 30.6 & 28.0 respectively, 39.4% of resident doctors are suffering from some degree of stress. While 16.1% suffered from mild degree of stress 7.9% suffered from moderate degree of stress, the percent of resident doctors suffering from severe and extremely severe degree of stress was 15.2 & 0.2 respectively. The prevalence of stress among clinical is much more (29.2%) as compared to non/para-clinical (13.9%), stress was more with increasing duration of working hours.Conclusions: It was found that the prevalence of stress among resident doctors was much more as compared to general population. The prevalence was directly correlated to factors like duration of working hours, gender and department.

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Clinical profile and outcome of COVID positive obstetric patients in a tertiary care hospital: a retrospective study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213448 ◽

2021 ◽

Vol 10 (9) ◽

pp. 3352

Author(s):

Asma Hassan Mufti ◽

Samar Mukhtar ◽

Mehmood-Ul-Hassan Mufti ◽

Nasir Jeelani Wani

Keyword(s):

Pregnant Women ◽

Tertiary Care ◽

Fetal Outcome ◽

Clinical Profile ◽

Care Hospital ◽

Tertiary Care Centre ◽

Total Study Population ◽

Emergency Cesarean ◽

Neonatal Icu ◽

Study Population

Background: To study clinical profile, maternal and fetal outcome in COVID positive pregnancies.Methods: A retrospective observational study was done at Lalla ded hospital, Kashmir, a tertiary care centre. 70 COVID positive pregnant women who were admitted from May 2020 to January 2021 were included in the study.Results: The incidence of COVID positive patients in our study was 11.47%. 60% of patients in our study belonged to 26-30 years age group. 50% patients were primigravida, 20% were second gravid. Among the study population, 31 (44.3%) patients were term while 22 (31.4%) were preterm. Most patients were asymptomatic (61.4%). Among symptomatic patients, maximum had fever (17.1%) followed by cough (10%) and shortness of breath (4.3%). Associated comorbidity was seen in 33 patients (47.1%). Hypertensive disorders of pregnancy were seen in majority i.e. 15.7%, followed by anaemia (11.4%), GDM (8.5%) and hypothyroidism (7.1%). Out of total study population of 70, emergency cesarean delivery (LSCS) was done in 29 patients (41.5%). 21 patients delivered vaginally (30%). Two post-LSCS patients were shifted to designated COVID Intensive care unit (ICU). One patient from the study group died. There were total of 50 deliveries, 10 babies had Neonatal ICU admission (20%), Low birth weight in 9 (18%). Low APGAR score was in 6 (12%). There were 2 stillbirths in the study population.Conclusions: COVID presents as milder disease in pregnancy, but it may be severe in those with associated comorbidities. More studies on susceptibility of pregnant women to infection by COVID-19 are required.

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TO STUDY THE USE OF GUIDELINES IN STATINS PRESCRIPTION AT TERTIARY CARE CENTRE OF NORTH INDIA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v6i1.2394 ◽

2022 ◽

Vol 6 (1) ◽

Author(s):

Shilpa Atwal ◽

Jitender Thakur

Keyword(s):

Primary Prevention ◽

Secondary Prevention ◽

Tertiary Care ◽

North India ◽

Care Centre ◽

Tertiary Care Centre ◽

Total Study Population ◽

Study Population

Background: To study the use of guidelines in statins prescription at tertiary care centre of North India Methods: Study was conducted on Patients with indications for statins presenting to cardiology OPD,Medicine OPD and Endocrinology OPD and started on statins at PGIMER, Chandigarh, within a period of 9 months. Results: In our study, 81.9% of total study population were receiving statins according to guideline and 18.1% were receiving statins not according to guideline. In the primary prevention group,91(83.5%) patients were receiving statins according to guideline and 18(16.5%) were receiving not according to guideline. In the secondary prevention group, 108(80.6%) patients were receiving statins according to guideline and 26(19.4%) patients were receiving statins not according to guideline. Concluded: In our study, more than two third of patients in our study were receiving prescriptions according to guideline Keywords: Statin, Guideline, Use

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Etiological profile of pyodermas in a tertiary care hospital in North-East India and their antibiotic sensitivity pattern

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20195671 ◽

2019 ◽

Vol 6 (1) ◽

pp. 20

Author(s):

Bijayanti Devi ◽

Kamal Das ◽

Suman Gupta

Keyword(s):

Tertiary Care ◽

Antibiotic Sensitivity ◽

Care Hospital ◽

Age Group ◽

Total Study Population ◽

North East India ◽

North East ◽

Pigmentary Disorders ◽

Sensitivity Pattern ◽

Study Population

Background: Hypermelanoses involving predominantly the face and the neck is relatively common and often presents a complex diagnostic problem. The present study was done in the study population of 500 patients of facial pigmentation, attending the skin outpatient department in AarupadaiVeedu Medical College and Hospital from October 2015 to September 2017. Aim and objective of the study was to study various clinical patterns of facial pigmentation, their clinical characteristics, their association with other pigmentary disorders and to evaluate the different etiotogical and precipitating factors.Methods: In this study, a special proforma was prepared. Patients were thoroughly interviewed and examined to find out dermatological and systemic diseases and they were subjected to investigations to evaluate different etiological factors and diagnose the clinical type of facial pigmentation.Results: The present study showed a strong female preponderance. Among the total study population there were 55% cases of melasma, 20% cases of Riehls melanosis, 10% cases of periorbital pigmentation and 5% of miscellaneous causes.Conclusions: Facial pigmentation was commonly seen in the females. 21-30 years age group was the most commonly affected age group in all types of facial pigmentation. Melasma, Riehls melanosis and periorbital pigmentation were the most common clinical types of facial pigmentation observed.

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Patients’ knowledge of prescribed medication: a cross sectional study in a tertiary care centre, Mumbai

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194244 ◽

2019 ◽

Vol 6 (10) ◽

pp. 4238

Author(s):

Ashis Samuel John ◽

Kamaxi M. Bhate

Keyword(s):

Tertiary Care ◽

Treatment Compliance ◽

Cross Sectional Study ◽

Outpatient Department ◽

Care Hospital ◽

Sectional Study ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Validated Questionnaire ◽

Study Population

Background: Inadequate understanding by patients of medical prescription given to them adversely affects treatment compliance; which can result in treatment failure and increase the incidence of adverse effects. The study site is a tertiary care hospital in a metropolitan city and the patients attending here are particularly vulnerable in this regard both due to the heavy patient load in the outpatient department and their low socioeconomic status.Methods: This was a cross sectional study conducted in the pharmacy of K.E.M. Hospital, Mumbai over a period of 1 month. Study population included general outpatient department patients of the hospital. Patients were interviewed using a pre validated questionnaire and their knowledge of the prescription analysed under five key aspects including dose, timing, duration, side effects and purpose of each drug. Data was entered using Microsoft Excel and analyzed using SPSS 22 software.Results: The mean age of the population was 37.6, with a standard deviation of 12.4. A good overall knowledge of the prescription was present only in 12.4% patients. In 52% of patients, the level of knowledge ranged from ‘no knowledge to little knowledge’. Age and literacy had statistically significant associations with overall knowledge of prescription.Conclusions: There is a significant gap in prescription knowledge in the study population. Age and literacy of the patient has an effect on prescription knowledge.

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Clinico-epidemiological study of facial hyper-melanoses among patients attending dermatology outpatient department at a tertiary care hospital at Pondicherry

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20195673 ◽

2019 ◽

Vol 6 (1) ◽

pp. 48

Author(s):

Chitralekhya Rao ◽

Oudeacoumar Paqurissamy ◽

Govardhan J. ◽

Varsha Medasani

Keyword(s):

Epidemiological Study ◽

Tertiary Care ◽

Outpatient Department ◽

Care Hospital ◽

Age Group ◽

Total Study Population ◽

Medical College ◽

Pigmentary Disorders ◽

The Face ◽

Study Population

Background: Hypermelanoses involving predominantly the face and the neck is relatively common and often presents a complex diagnostic problem. The present study titled “Clinico-epidemiological study of facial hyperpigmentation” was done in the study population of 500 patients of facial pigmentation, attending the skin outpatient department in AarupadaiVeedu Medical College and Hospital from October 2015 to September 2017.Methods: Aim and objective of the study was to study various clinical patterns of facial pigmentation, their clinical characteristics, their association with other pigmentary disorders and to evaluate the different etiotogical and precipitating factors. A special proforma was prepared. Patients were thoroughly interviewed and examined to find out dermatological and systemic diseases and they were subjected to investigations to evaluate different etiological factors and diagnose the clinical type of facial pigmentation.Results: The present study showed a strong female preponderance. Among the total study population there were 55% cases of melasma, 20% cases of Riehls melanosis, 10% cases of periorbital pigmentation and 5% of miscellaneous causes.Conclusions: Facial pigmentation was commonly seen in the females. 21-30 years age group was the most commonly affected age group in all types of facial pigmentation. Melasma, Riehls melanosis and periorbital pigmentation were the most common clinical types of facial pigmentation observed.

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Maternal and perinatal outcome of oligohydramnios in term pregnancy in rural tertiary care centre

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20190031 ◽

2019 ◽

Vol 8 (2) ◽

pp. 389

Author(s):

Swati Kagne ◽

Sambhaji Chate

Keyword(s):

Birth Weight ◽

Amniotic Fluid ◽

Perinatal Outcome ◽

Tertiary Care ◽

Care Hospital ◽

Perinatal Complications ◽

Term Pregnancy ◽

Tertiary Care Centre ◽

Study Population ◽

Nicu Admission

Background: Disorders of amniotic volume is one of the commonest obstetric problem. Amniotic fluid acts as cushion to the foetus allowing musculoskeletal development and also helps in the differentiation of lungs and gastrointestinal tract. Decreased amniotic fluid, known as oligohydramnios, is known to be associated with adverse perinatal outcome. The objective is to study the maternal and perinatal complications of oligohydramnios in term pregnancy.Methods: The present study was carried out in the Department of Obstetrics at rural tertiary care hospital in Maharashtra from February 2018 through October 2018. women with Oligohyamnios were studied for obstetrical and neonatal complications.Results: The incidence of oligohyamnios was 7.6% in present study. The mean age of the study population was 22.6±3.6 years. Induction of labour was required in 44 (61.11%) patients out of which 23 patients underwent emergency LSCS. Low birth weight (birth weight<2.5kg) was found in 14 (19.44%) babies with 11 babies having intrauterine growth restriction. 5-minute APGAR (appearance, pulse, grimace, activity, respiration) score was <7 in 13.88% babies. 16 babied needed NICU admission out of which 1 neonate died.Conclusions: Detection of oligohydramnios increases obstetrical interventions in term pregnancy.

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Screening for Elder Abuse in the Health-Care Setting – A South Indian Hospital-based Study

10.35262/jiag.v16i2.56-62 ◽

2020 ◽

Vol 16 (2) ◽

Author(s):

Marie Stanley Ambroise ◽

Marie Jeffrey Ambroise

Keyword(s):

Elder Abuse ◽

Tertiary Care ◽

The Elderly ◽

Tertiary Care Centre ◽

Cross Sectional ◽

South Indian ◽

Study Population ◽

Seeking Help ◽

Demographic Patterns ◽

Sectional Analysis

Objective: ‘Elder Abuse’ is a major issue impacting many households. Although several surveys to understand this growing crime against elders has shown varied prevalence worldwide, not much data exists in the state of Puducherry. The main objectives were to screen for abuse, study the demographic patterns of the abused elderly, to estimate their reporting behaviour and awareness of redress mechanisms. Methods: A cross-sectional analysis on the elderly patients attending the out-patient department of a tertiary care centre in Puducherry for various ailments. A semi-structured questionnaire was used to collect data from 300 patients after their informed consent, and the results were statistically analysed. Results: About one-fifth of the elderly reported abuse, the majority belonged to lower socio-economic strata. Disrespect was the most common form of abuse experienced. While the Police Helpline was reported to be the most known redress mechanism, more than one-third of the study population were not aware of any form of redress mechanisms. Conclusion: The findings highlighted the range and type of abuse experienced. The general perception that the families are the safest place for the elderly in India has been questioned by the findings which emerged from this study. Although the victims were aware of the help and support received through police and other agencies, several obstacles to seeking help and support were identified.

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SURGICAL SITE INFECTIONS AFTER OPERATIVE DELIVERY AT THE TERTIARY CARE HOSPITAL IN RAJASTHAN, THEIR MICROBIOLOGICAL PROFILE, ANTIBIOTIC SENSITIVITY AND CLINICAL RISK FACTORS

10.36106/4341531 ◽

2021 ◽

pp. 25-28

Author(s):

Ruby Naz ◽

Krishna Meena

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Antibiotic Sensitivity ◽

Surgical Site Infections ◽

Care Hospital ◽

Delivery Methods ◽

Prolonged Labour ◽

Care Workers ◽

Study Population ◽

One Year

Introduction: Surgical site infections (SSI) are common problem in developing country like India. There are so many factors are responsible for SSI like low immunity, prolonged labour, production of hematoma presence of gestational diabetes Anaemia, multiparaty, heavy blood loss during delivery. Methods: It is a case-control study undertaken for a period of one year in a tertiary care hospital of Rajasthan state, India. The study population included patients suffering from SSIs in the various unit of obstetrics ward of our hospital. Result: in our study we found a lot of factor affecting prevalence of SSIs like anaemia, premature rupture of membrane, prolonged labour, multiparity and obesity. Common organism are Escherichia coli, staphylococcus and pseudomonas. Most of the organism are susceptible with carbapenems vancomycin and amikacin. Conclusion: Even though the total number of Cesarean delivery has increasing consistently, wound infection should be has remained less constant. This may be achieved by high compliance among the infection control practices by health care workers in the hospital

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Analysis of factors responsible for intrauterine fetal death in rural pregnant women at tertiary care centre of Northern India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20174064 ◽

2017 ◽

Vol 6 (9) ◽

pp. 4071 ◽

Cited By ~ 2

Author(s):

Shaveta Garg ◽

Naina Kumar

Keyword(s):

Fetal Death ◽

Tertiary Care ◽

Intrauterine Fetal Death ◽

Care Hospital ◽

Tertiary Care Centre ◽

Northern India ◽

Number Of Patients ◽

Tragic Event ◽

Abruptio Placenta ◽

One Year

Background: Intrauterine fetal death (IUFD) is a tragic event for both the parents and obstetrician. Objectives of current study were to study the underlying etiology of Intra Uterine Fetal Death (IUFD) that can be helpful in formulating the preventive measures.Methods: This study was conducted over a period of one year from April 2016 till March 2017 at a tertiary rural care hospital. All patients with diagnosed IUFD at >24 weeks of gestation were included in the study.Results: Total eighty patients were admitted with diagnosis of intrauterine fetal death. Among these majority 58 (72.5%) were multigravida and only 22 (27.5%) were primigravida. Maximum number of patients, 61 (72.5%) were between age group of 20-30 years. Maximum number of IUFD were reported between 36-40 weeks of gestation (36.25%). Most of fetal deaths were due to preventable conditions like hypertensive disorders of pregnancy (28.75%), severe anemia (15%), abruptio placenta (11.25%), and rupture uterus (10%). Out of these patients 68 (85%) delivered vaginally and 7 patients were delivered by LSCS.Conclusions: The present study emphasizes the role of health education, regular antenatal checkups, early detection of complications and hospital delivery to reduce the overall preventable IUFD.

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