scholarly journals Sero-Prevalence of IgG Rubella Antibodies in Indian Adolescent Women from Tertiary Care Hospitals, Kanchipuram, Tamil Nadu, India

2021 ◽  
Vol 14 (4) ◽  
pp. 1719-1723
Author(s):  
Natarajan Muninathan
Keyword(s):  
Employment Status ◽  
Tamil Nadu ◽  
Nuclear Family ◽  
Tertiary Care ◽  
Education Level ◽  
P Value ◽  
College Hospital ◽  
Cross Sectional ◽  
Adolescent Women ◽  
Congenital Rubella

Rubella causes a mild self‑limiting illness in children with fever and rash, however in pregnant women, rubella infection causes miscarriage, fetal death, or an infant born with congenital birth defects known as congenital rubella syndrome. The present study attempts to investigate the seroprevalence of IgG rubella antibodies in Indian adolescent girls. The study being a cross -sectional hospital based, was carried at the department of Obstetrics and Gynecology OPD and ward at Meenakshi Medical College Hospital and Research Institute (MMCHRI), Enathur, Kanchipuram, Tamil Nadu, India. In all the cases the association was statistically not significant (P value>0.05) when compared with joint family. The odds of Rubella IgG positive was 0.656 times in nuclear family and the association was statistically not significant (P value>0.05) when compared with several children in three. The odds of Rubella IgG positive were 1.711 times in only 1 child, the odds of Rubella IgG positive in 2 children were 1.371 times. In the present study we conclude that the statistically no significant association between the socioeconomic status, parents’ age, father’s education level, father’s employment status, mother’s education level, mother’s employment status, and Rubella IgG status.

Causes of Epilepsy in Elderly Patients Presenting in a Tertiary Care Hospital of Karachi

2020 ◽  
Keyword(s):  
Elderly Patients ◽  
Cerebrovascular Disease ◽  
Neurodegenerative Disorder ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Traumatic Head Injury ◽  
Keywords Epilepsy ◽  
College Hospital ◽  
Cross Sectional

Background: Epilepsy is fairly a frequent occurrence in the elderly. It is commonly diagnosed after the episode of two or more unprovoked seizures. Unprovoked seizures in elderly are recurrent rather than younger individuals. This study was designed to estimate the concrete burden of frequent causes of epilepsy. Methods: A descriptive cross-sectional study with a total of 153 patients diagnosed case of epilepsy were included in this study at Jinnah Medical College Hospital from February 2018-August 2018. Mean was calculated for age, duration of disease of the patients. Causes of epilepsy, gender, and education was calculated and presented as percentages. Electrolyte readings were taken i.e., Sodium, Calcium and Magnesium levels and imaging was planned to rule out stroke, primary neurodegenerative disorders and tumors. Post stratification Chi square test was applied and p-value less than or equal to 0.05 was considered significant. Results: The mean age of the patients was 63.91±5.68 years and mean duration of the disease was 4.61± 1.07 months. The common causes of epilepsy were found to be cerebrovascular disease 56.9%, cryptogenic 54.2%, neurodegenerative disorder 20.3%, traumatic head injury 11.8%, metabolic abnormalities or electrolyte disturbances 10.5% and brain tumor 7.8%. Conclusion: Elderly patients with first seizure should present to a facility designed in a way that neurologist, cardiologist, rehabilitation and geriatrics work together to identify and treat the condition in a better way. Keywords: Epilepsy; Seizures; Cerebrovascular Disease; Neurodegenerative Disorder.

scholarly journals Determinants of minimum acceptable diet among young children in an urban slum: a community-based study

2021 ◽  
Vol 8 (2) ◽  
pp. 638
Author(s):  
Kavita Kunhipurayil ◽  
Manissha Srivastav
Keyword(s):  
Maternal Education ◽  
Nuclear Family ◽  
Dietary Diversity ◽  
Urban Slum ◽  
P Value ◽  
Meal Frequency ◽  
Community Based ◽  
Chi Square ◽  
College Hospital ◽  
Cross Sectional

Background: Child health and growth deteriorate as a result of inadequate quantities and frequencies of complementary feeding.Methods: A community-based cross-sectional study was conducted in urban field practice area of a tertiary medical college hospital among 280 children by systematic random sampling method. Children belonging to 12-23 months were included while sick child, children whose mother/guardian did not give consent were excluded.Results: The proportion of children who met the minimum dietary diversity (MDD) and minimum meal frequency (MMF) were 52.8 % (95% CI) and 52% (95% CI), respectively. Out of 280 children, 90 i.e. (32.1 %) children had achieved the recommended Minimum acceptable diet (MAD). Maternal education (Chi square value=11.2; CI 95%); socioeconomic status (Chi square value=57.4; CI 95%) were positively associated with dietary diversity. Higher percentage of male children (44.8 %) achieved minimum acceptable diet as compared to female children (20.5%); (chi square value=18.8, CI 95%). The percentage of children receiving MDD and MMF was more among children of higher socioeconomic class (p value 0.0001) and from nuclear family (p value=0.45). The birth order of the child was inversely related to the attainment of MAD. (p value=0.0001).Conclusions: Results of the study strongly suggest that poor dietary diversity and meal frequency is associated with numerous factors and their interplay is a multitude of combinations rather than a single cause.  

scholarly journals Analysis of Community Behavior in Coronavirus Disease-19 Prevention in Medan

2020 ◽  
Vol 8 (T1) ◽  
pp. 382-386
Author(s):  
Rina Amelia ◽  
Juliandi Harahap ◽  
Arlinda Sari Wahyuni ◽  
Isti Ilmiati Fujiati ◽  
Yuki Yunanda ◽  
...  
Keyword(s):  
Employment Status ◽  
Multinomial Logistic Regression ◽  
Physical Nature ◽  
Education Level ◽  
Primary Data ◽  
P Value ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Community Behavior ◽  
The Government

BACKGROUND: Coronavirus (Co V) is a type of virus that can cause interference with the respiratory tract. The development of COVID-19 is happening fast in the world, especially in Indonesia. In Medan, the highest number of COVID-19 cases was spread in the Medan Selayang sub-district. One of the steps taken by the government to reduce transmission of COVID-19 is by implementing prevention and social distancing behavior. Community behavior is influenced by various factors such as age, sex, physical nature, level of education, socioeconomic to culture. AIM: To find out the factors that influence the community behavior of Medan Selayang people in the effort to prevent COVID-19 METHOD: This cross-sectional study was conducted on 102 respondents. Data collection methods, in the form of primary data, are carried out by distributing and filling out questionnaires through the Google form media. RESULTS: from 102 respondents were found that 90.2% of respondents had good behavior in COVID-19 prevention efforts. In the multinomial logistic regression, found sig. (P) on the variables of gender, age, education level and employment status respectively of 0.360; .772; 0.860; and 0.878 (p value> 0.05). CONCLUSION: In this study, no significant relationship was found between sex, age, education level, and employment status on COVID-19 preventive behavior Keywords: COVID-19, Behavior, Prevention Measures  

A cross sectional study on willingness and acceptabily: PPIUCD by primipara mothers at a tertiary care hospital, Tamil Nadu

2017 ◽  
Vol 6 (7) ◽  
pp. 3030
Author(s):  
T. K. Shaanthy Gunasingh ◽  
T. S. Meena ◽  
R. Mothilal
Keyword(s):  
Family Planning ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Intrauterine Contraceptive

Background: Postpartum intrauterine contraceptive device is a postpartum family planning method which provides spacing to the next pregnancy and also it helps to avoid unwanted / unintended pregnancy during postpartum period. Our aim was to study the willingness and acceptability of Postpartum intrauterine contraceptive device among primi paraous women and compare them as a factor of route of insertion (vaginal versus caesarean).Methods: A cross sectional analytical study was done in a tertiary care teaching institution to know the willingness and acceptance among primi paraous delivery (either vaginal and caesarean deliveries) for the period of three months using the hospital records that a total number of 587 primi paraous deliveries and among them 433 mothers had Postpartum intrauterine contraceptive device over the three months period, were taken as a secondary data and studied for their willingness and acceptance for Postpartum intrauterine contraceptive device.Results: 82.8 % of primi paraous women were showing willingness for Postpartum intrauterine contraceptive device and 73.8 % of them had Postpartum intrauterine contraceptive device insertion. Postpartum intrauterine contraceptive device insertions were more in caesarean deliveries than in vaginal deliveries of mothers with one child.Conclusions: Postpartum intrauterine contraceptive device is a strong weapon in the family planning and should be encouraged in both vaginal and caesarean deliveries. The acceptability of Postpartum intrauterine contraceptive device in women with one child was effective and statistically significant at p value is < 0.05.

scholarly journals Bacterial Contamination of Stethoscope in a Tertiary Care Hospital

2018 ◽  
Vol 30 (2) ◽  
pp. 1-6
Author(s):  
Md Azizul Haque ◽  
Khandaker Md Faisal Alam ◽  
Laila Shamima Sharmin ◽  
Atike Mahmud ◽  
MM Washee Parvez ◽  
...  
Keyword(s):  
Bacterial Contamination ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
P Value ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Bacterial contamination of stethoscope and its role in transmission of nosocomial infection is little known among the healthcare workers of Bangladesh. The objectives of our study is to evaluate stethoscope handling and cleaning practices, to find out the bacterial agents contaminating the stethoscopes, to determine the antibiotic sensitivity patterns of bacterial isolates from stethoscopes, and to evaluate the relationship between stethoscope cleaning practices with contamination of stethoscope in Rajshahi Medical College Hospital. This observational cross sectional study was carried out in Rajshahi Medical College Hospital during March, 2017. One hundred doctors working in different departments of RMCH were chosen randomly and were asked to fill up a self-explanatory simple questionnaire. Samples from100 stethoscopes were obtained after swabbing the diaphragm and the bell of the stethoscope with a sterile swab moistened with saline. These swabs were immediately streaked onto blood agar, Mcconkey agar and chocholate agar following the standard protocol. Out of 100 stethoscopes examined for bacterial contamination, 19 stethoscopes (19%) were found to be contaminated. The organisms isolated were MRSA, pseudomonas aeruginosa, and E. coli. Among the 19 participants with bacterial contamination of stethoscope, 6 doctors (31.6%) said they used to clean their stethoscope at least occasionally and 13 doctors (68.4%) had never cleaned their stethoscope. This difference was found to be statistically significant (p value <0.005).TAJ 2017; 30(2): 1-6

scholarly journals A comparative study of PPIUCD acceptance between primiparaous and multiparaous women in a tertiary care hospital in Tamil Nadu

2017 ◽  
Vol 6 (8) ◽  
pp. 3569
Author(s):  
K. S. Ramya ◽  
T. S. Meena ◽  
R. Mothilal
Keyword(s):  
Family Planning ◽  
Tamil Nadu ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
P Value ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Postpartum Mothers

Background: Postpartum intrauterine contraceptive device (PPIUCD) is a postpartum family planning method which provides spacing to the next pregnancy and also it helps to avoid unwanted / unintended pregnancy during postpartum period. Our aim is to study the willingness and PPIUCD acceptance between primiparaous and multiparaous women and compare them as a factor of route of insertion (vaginal versus caesarean).Methods: 1060 vaginal and caesarean deliveries conducted over a period of three months and 676 PPUCD insertions was done among the deliveries in a tertiary care hospital. A comparative cross-sectional study was done on the acceptance of PPIUCD by postpartum mothers between primiparous and multipararous women among the deliveries for the study period.Results: The proportion of willingness for PPIUCD was 68.8% among the postpartum mothers. The percentage of acceptance of PPIUCD was 73.8% and 51.4% in respect of primiparous and multiparous postpartum mothers. The route of PPIUCD insertion was more in caesarean deliveries (34.1%) than in vaginal deliveries (29.7%) in the total deliveries. The PPIUCD insertion in primiparous women was effective and statistically significant at p-value is <0.05.Conclusions: PPIUCD is a strong weapon in the family planning and should be encouraged in both vaginal and caesarean deliveries. The acceptability of PPIUCD by postpartum mothers was more in primiparous than in multiparous women.

scholarly journals Clinical and hormonal profile of patients diagnosed with polycystic ovarian syndrome at tertiary care hospital in Tamil Nadu

2019 ◽  
Vol 8 (9) ◽  
pp. 3726
Author(s):  
Sathiya S. ◽  
Renuka S. ◽  
Famida A. M. ◽  
Jennifer Britto J. ◽  
Vijayalakshmi K. ◽  
...  
Keyword(s):  
Tamil Nadu ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Income Group ◽  
P Value ◽  
Care Hospital ◽  
Obese Women ◽  
Polycystic Ovaries ◽  
Cross Sectional ◽  
Hormonal Profile

Background: In recent years due to the changing sedentary life style, irregular periods and infertility has become a major concern. There are many causes for infertility out of which ovulatory disorders contribute to a great extend. The main objective of the study was to assess the clinical and hormonal profile of patients diagnosed with polycystic ovarian disease at tertiary care hospital in Tamil Nadu.Methods: This study was a cross sectional study and was carried out at the Department of Obstetrics and Gynaecology at a tertiary care hospital of Tamil Nadu. The study was done for a period of 6 months. For confirming polycystic ovaries, patients were interviewed thoroughly about their menstrual and fertility history. Blood investigations like LH, FSH were done on D2/D3 of menstrual cycle. 125 patients with PCOS were included in this study. The data was analysed with SPSS-IBM (V.22.0) software.Results: The patients having polycystic ovaries were higher in women of 21-30 years of age. BMI was more than 25. Infertility was found that 57%, hirsutism 45%,  oligomenorrhoea 21% and amenorrhea 20%. On day 2, mean serum LH was 5.9±3.6 and serum FSH was 3.9±2.3. This study showed that the proportion of menstrual complaints is reported more in higher age group. Likewise lower income group presented with menstrual complaints. This was found to be statistically significant (P value <0.05).Conclusions: The study showed that patients diagnosed to have PCOS overweight. PCO in obese women had more severe ovulatory dysfunction. Infertility was the most common complaint.

scholarly journals Socio-Demographic Characteristics of Blood Donor in a Tertiary Care Specialized Hospital

2021 ◽  
Vol 32 (2) ◽  
pp. 113-119
Author(s):  
Mohd Abul Quader
Keyword(s):  
Blood Donors ◽  
Blood Donation ◽  
Tertiary Care ◽  
Income Group ◽  
Demographic Characteristics ◽  
P Value ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Younger Age

Background: Blood donors are the backbone of a transfusion service. To ensure a safe and appropriate transfusion service, donor demography is to be optimized for proper strategic management. The purpose of this study was to assess the socio-demographic profile of blood donors to make targets for national interventions and to promote blood donation. Methods: This descriptive type cross sectional study was conducted in Transfusion Medicine department of Popular Medical College Hospital from 1st January 2015 to 30th June 2018. All the blood donors who came to donate blood in this department were included in this study. Their signed consent was obtained to include in this study with their socio-demographic determinants. Frequency, percentage and p value<0.05 were calculated for statistics. Results: Out of the 15702 blood donors, male donors were more with a ratio of 6.78:1. Though the younger age group (25-31 years) showed highest donor population (32.61%), but the younger age group (18-38 years) have maximum donation (86.21%). Unmarried donors were 59.07% among the donors and middle class income group also showed highest donors (59.09%). Student donors (30.55%) were more among the donors. Muslims donors (79.01%) were more than others religious donors. Regarding education level of donors, higher secondary and above level showed highest donation (90.97%) which was statistically significant (p<0.001). Among the donors 78.05% showed their future intension to donate. Conclusions: Works on differences in socio-demographic characteristics of blood donors in times of increasing demand appears to be fruitful to target national interventions and to promote blood donation. Bangladesh J Medicine July 2021; 32(2) : 113-119

scholarly journals Challenges faced in handling the medico-legal cases in a selected teaching hospital

2019 ◽  
Vol 6 (9) ◽  
pp. 3771
Author(s):  
Naseel N. Gurpur ◽  
Sunita Saldanha ◽  
Nagaraj Shet ◽  
Prajna Sharma
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Legal Cases ◽  
Delayed Treatment ◽  
Legal Case ◽  
Study Participants

Background: Doctor comes across certain ‘Medico-Legal’ problems at one time or the other during the practice of his/her profession. Reporting a medico legal case (MLC) is one of the legal responsibilities of all doctors to ensure that immediate action is taken by the police and maximum evidence is collected by them. This study was undertaken to assess the knowledge and attitude of the staff in dealing medico-legal case in tertiary care hospital and to find the challenges faced by them while handling the medico-legal cases.Methods: A cross sectional Study was conducted at Yenepoya Medical College Hospital, Mangalore among the Staff working in Accident and Emergency Department during the study period of 6 months.Results: The study was conducted among 116 study participants, most 108 (93.1%) were in the age group of 20-29 years and 77 (66.4%) were females. It was seen that only 3 (2.6%) of them correctly answered 17-20 questions out of 20 questions that were asked. Knowledge regarding MLC case was much high among CMO compared to others which was statistically significant with p value <0.0001. Challenges faced by the study participants were patients or the patient party not willing for MLC, delayed treatment due to the confusion, answering the court, handling the police and the violent public in few cases.Conclusions: Knowledge on dealing with MLC and a proper counseling session for patients of MLC cases can help to overcome various challenges faced while dealing with any MLC case.

scholarly journals Socio-demographic Pictures of Under-Five Malnourished Children in a Tertiary Care Hospital

2018 ◽  
Vol 30 (1) ◽  
pp. 56-60
Author(s):  
Md Belal Uddin ◽  
Shahana Akhter ◽  
Md Sanaul Hoque Mia ◽  
Laila Shamima Sharmin ◽  
Naznin Parvin ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Urban Area ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Class ◽  
Education Level ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Malnourished Children

This study was a cross-sectional descriptive type of study, conducted at Pediatrics department of Rajshahi Medical College Hospital from July 2014 to June 2016. A total 382 children were enrolled by purposive sampling among which 219 (57.3%) male, 163 (42.7%) female. The aim of this study was identify demographic as well as social status of malnourished children in tertiary care hospital. In this study the prevalence of underweight 42% (moderate & severe), wasting 34% (moderate & severe), and stunting 24% (moderate & severe) were found. Considering various Socio-demographic characteristics - maternal factors, paternal factors, socioeconomic status, and residential status had significant association with nutritional status of the children. Beside these various risk factors- birth weight, exclusive breast feeding, colostrum feeding, timing of weaning practices, type of complementary feeding and associated morbidities also had significant association with nutritional status of the children. The degree of malnutrition was found to more prevalent in the early age of children. Among the studied children more than half (60.5%) lived in rural area and rest of them lived in urban area (36.6%), semi urban area (2.9%) respectively. Children more than half (53%) were from lower class family. Rest of them was middle class (40.6%) and upper class (6.3%) family. Education level of the majority (59.4%) mother were primary to SSC, (22.5%) were below primary and (18.1%) were HSC and above. Education level of the majority ie.40.6% father were below primary, 39.8% were primary to SSC and 19.6% were HSC and above.TAJ 2017; 30(1): 56-60

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